Aromatase inhibitors, joint pain and acupuncture

Effect of Acupuncture on Joint Pain Related to Aromatase Inhibitors Among Women With Early-Stage Breast Cancer – Hershman et al JAMA 2018 A large rigorous and statistically positive trial published in a prestigious general medical journal,[1] and an increasingly familiar conclusion rings out – acupuncture is significantly better than sham, but the difference may not be […]

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Burning nerves with needles in back pain – stop the burning, just use the needles!

  This piece has also been stimulated by a publication in JAMA, this time evaluating the use of denervation of joints in spinal pain.[1] It is a set of three large (n=251, n=228, n=202), probably definitive, pragmatic trials that evaluate the use of radiofrequency denervation (RFD) as an addition to a 3 month standardised exercise […]

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Why not needles for OA – no steroid, just the needles!

  This piece has been stimulated by a recent publication in JAMA evaluating the use of regular intra-articular corticosteroid injections for symptom management and cartilage volume in osteoarthritis (OA) of the knee.[1] Previous research had suggested that the inflammatory process in the knee was associated with both pain and progression of cartilage loss, however, this […]

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