Analgesic Efficacy of Acupuncture on Chronic Pelvic Pain: A Systemic Review and Meta-Analysis Study

Overview

Journal Healthcare (Basel)

Specialty Health Services

Date 2023 Mar 29

PMID 36981487

Authors

Kent Yu-Hsien Lin

Yi-Chuan Chang

Wen-Chi Lu

Peddanna Kotha

Yi-Hung Chen

Cheng-Hao Tu

Affiliations

Soon will be listed here.

Abstract

Chronic pelvic pain (CPP) is the pain occurred in the pelvic region longer than six months. The monotherapy of medicine may not adequate for the pain management of CPP and multidisciplinary approaches have been more recommended. The aim of this study is to evaluate the pain management efficacy of acupuncture compared with a control group on CPP. The articles of randomized controlled trial on CPP in PubMed and Embase databases were screened between January 2011 and September 2022 without language restriction to evaluate the treatment efficacy of acupuncture. The visual analogue scale/numerical rating scale (VAS/NRS) and total pain scores of National Institutes of Health-chronic prostatitis symptom index (NIH-CPSI) were served as outcome variables. Post-intervention mean scores were extracted and pooled for meta-analysis. Seventeen studies including 1455 patients were selected for meta-analysis. Both total pain scores of NIH-CPSI and VAS/NAS data revealed significant lower pain level in the acupuncture group than in the control group. Moreover, monotherapy with acupuncture revealed a significantly lower pain level than in the control group in both total pain scores of NIH-CPSI and VAS/NRS. These results indicated that acupuncture may have beneficial effects on pain management for CPP, even when administrated as a monotherapy.

References

Liu Y, Wang X, Liang Z, Li H, Zhang D, Shi L . [Acupuncture combined with western medication on chronic pelvic pain after pelvic inflammatory disease: a multi-center randomized controlled trial]. Zhongguo Zhen Jiu. 2021; 41(1):31-5. DOI: 10.13703/j.0255-2930.20191218-k0002. View

Zhang X, Luo S, Zhang J, Meng Z . [Triple acupuncture at the Qugu acupoint as an adjunctive therapy for type-Ⅲ chronic prostatitis: Analysis of short- and long-term clinical effects]. Zhonghua Nan Ke Xue. 2018; 23(5):464-467. View

Wu J, Zhuo Y, Qin X, Yu X, Hu S, Ning Y . [Pelvic-sacral tendon-regulation needling technique of acupuncture combined with manipulative reduction in treatment of postpartum pelvic girdle pain: a randomized controlled trial]. Zhongguo Zhen Jiu. 2020; 40(3):262-6. DOI: 10.13703/j.0255-2930.20190313-k0002. View

Vas J, Cintado M, Aranda-Regules J, Aguilar I, Rivas Ruiz F . Effect of ear acupuncture on pregnancy-related pain in the lower back and posterior pelvic girdle: A multicenter randomized clinical trial. Acta Obstet Gynecol Scand. 2019; 98(10):1307-1317. DOI: 10.1111/aogs.13635. View

Witt C, Pach D, Brinkhaus B, Wruck K, Tag B, Mank S . Safety of acupuncture: results of a prospective observational study with 229,230 patients and introduction of a medical information and consent form. Forsch Komplementmed. 2009; 16(2):91-7. DOI: 10.1159/000209315. View

Chen G, Xiang J, Ouyang L, Wang X, Zhang S, Chen H . [Acupuncture combined with western medicine for CP/CPPS:a randomized controlled trial]. Zhongguo Zhen Jiu. 2017; 36(12):1247-1251. DOI: 10.13703/j.0255-2930.2016.12.006. View

Xu Y, Zhao W, Li T, Zhao Y, Bu H, Song S . Effects of acupuncture for the treatment of endometriosis-related pain: A systematic review and meta-analysis. PLoS One. 2017; 12(10):e0186616. PMC: 5659600. DOI: 10.1371/journal.pone.0186616. View

Mathias S, Kuppermann M, Liberman R, Lipschutz R, Steege J . Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates. Obstet Gynecol. 1996; 87(3):321-7. DOI: 10.1016/0029-7844(95)00458-0. View

Zhang X, Li W . [Efficacy on endometriosis treated with electroacupuncture]. Zhongguo Zhen Jiu. 2015; 35(4):323-6. View

10.

Latthe P, Latthe M, Say L, Gulmezoglu M, Khan K . WHO systematic review of prevalence of chronic pelvic pain: a neglected reproductive health morbidity. BMC Public Health. 2006; 6:177. PMC: 1550236. DOI: 10.1186/1471-2458-6-177. View

11.

Li T, Wang S, Huang Z, Cai Q, Zhang S, Wang S . [CO laser moxibustion for endometriosis related pelvic pain of cold coagulation and blood stasis: a randomized controlled trial]. Zhongguo Zhen Jiu. 2022; 42(4):397-401. DOI: 10.13703/j.0255-2930.20210421-0001. View

12.

Xiang D, Sun Q, Liang X . [Effect of abdominal acupuncture on pain of pelvic cavity in patients with endometriosis]. Zhongguo Zhen Jiu. 2011; 31(2):113-6. View

13.

Yuan Q, Wang P, Liu L, Sun F, Cai Y, Wu W . Acupuncture for musculoskeletal pain: A meta-analysis and meta-regression of sham-controlled randomized clinical trials. Sci Rep. 2016; 6:30675. PMC: 4965798. DOI: 10.1038/srep30675. View

14.

Zondervan K, Yudkin P, Vessey M, Dawes M, Barlow D, Kennedy S . Prevalence and incidence of chronic pelvic pain in primary care: evidence from a national general practice database. Br J Obstet Gynaecol. 1999; 106(11):1149-55. DOI: 10.1111/j.1471-0528.1999.tb08140.x. View

15.

Kucuk E, Suceken F, Bindayi A, Boylu U, Onol F, Gumus E . Effectiveness of acupuncture on chronic prostatitis-chronic pelvic pain syndrome category IIIB patients: a prospective, randomized, nonblinded, clinical trial. Urology. 2015; 85(3):636-40. DOI: 10.1016/j.urology.2014.11.004. View

16.

Chong O, Critchley H, Williams L, Haraldsdottir E, Horne A, Fallon M . The impact of meridian balance method electro-acupuncture treatment on chronic pelvic pain in women: a three-armed randomised controlled feasibility study using a mixed-methods approach. Br J Pain. 2018; 12(4):238-249. PMC: 6194971. DOI: 10.1177/2049463718776044. View

17.

Ma Y, Li X, Li F, Yu W, Wang Z . [Clinical research of chronic pelvic cavity pain syndrome treated with acupoint catgut embedding therapy]. Zhongguo Zhen Jiu. 2015; 35(6):561-6. View

18.

Vincent K, Evans E . An update on the management of chronic pelvic pain in women. Anaesthesia. 2021; 76 Suppl 4:96-107. DOI: 10.1111/anae.15421. View

19.

Chiu H, Hsieh Y, Tsai P . Systematic review and meta-analysis of acupuncture to reduce cancer-related pain. Eur J Cancer Care (Engl). 2016; 26(2). DOI: 10.1111/ecc.12457. View

20.

MacPherson H, Altman D, Hammerschlag R, Youping L, Taixiang W, White A . Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): extending the CONSORT statement. PLoS Med. 2010; 7(6):e1000261. PMC: 2882429. DOI: 10.1371/journal.pmed.1000261. View