Auricular Acupuncture for Pain Management

Auricular Acupuncture for Pain

Auricular acupuncture is a easy to carry out non-pharmacological pain management method that may be of use for patients as a part of a larger multidisciplinary pain management pain strategy (Jan et al. 2017Millstine et al. 2017, Murakami et al. 2017, Ushinohama et al. 2016)

Acknowledging that traditional narratives outdated, medical acupuncture is an approach that is based upon a theory that is inline current scientific understanding of how the body works. Reframing auricular acupuncture form of peripheral nerve stimulation technique in which acupuncture needles are inserted into anatomically defined sites, and stimulated manually or with electricity.

In theory auricular acupuncture stimulate the auricular branch of the vagus nerve (the inner conch of the ear) which may have may have therapeutic benefits (Usichenko et al. 2017). 


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Asher et al. (2010). Auriculotherapy for pain management: a systematic review and meta-analysis of randomized controlled trials. J Altern Complement Med. (OPEN ACCESS)
https://www.ncbi.nlm.nih.gov/pubmed/20954963

Barker et al. (2006). Out-of-hospital auricular acupressure in elder patients with hip fracture: a randomized double-blinded trial. Acad Emerg Med.
https://www.ncbi.nlm.nih.gov/pubmed/16365322

Bona et al. (2016). Anti-inflammatory properties of the vagus nerve: Potential therapeutic implications of vagus nerve stimulation. The Journal of Physiology.
http://www.ncbi.nlm.nih.gov/pubmed/27059884

Chen, L. & Michalsen, A. (2017). Management of chronic pain using complementary and integrative medicine. BMJ.
https://www.ncbi.nlm.nih.gov/pubmed/28438745

da Silva, M. A. & Dorsher, P. T. (2014). Neuroanatomic and Clinical Correspondences: Acupuncture and Vagus Nerve Stimulation. The Journal of Alternative and Complementary Medicine.
http://www.ncbi.nlm.nih.gov/pubmed/24359451

Graff, D. M., & Mcdonald, M. J. (2016). Auricular Acupuncture for the Treatment of Pediatric Migraines in the Emergency Department. Pediatric Emergency Care.
http://www.ncbi.nlm.nih.gov/pubmed/27139637

Hou, P.W., Hsu, H.C., ... Hsieh, C.L. (2015). The History, Mechanism, and Clinical Application of Auricular Therapy in Traditional Chinese Medicine. Evid Based Complement Alternat Med. 
https://www.ncbi.nlm.nih.gov/pubmed/26823672

Hunter, R.F., McDonough, S.M., ... Baxter, G.D. (2012). Exercise and Auricular Acupuncture for Chronic Low-back Pain: A Feasibility Randomized-controlled Trial. Clin J Pain.
https://www.ncbi.nlm.nih.gov/pubmed/21753728

Jan et al. (2017). Does Ear Acupuncture Have a Role for Pain Relief in the Emergency Setting? A Systematic Review and Meta-Analysis. Med Acupunct.
https://www.ncbi.nlm.nih.gov/pubmed/29067138/

Levy et al. (2017). Battlefield Acupuncture: An Emerging Method for Easing Pain. Am J Phys Med Rehabil.
https://www.ncbi.nlm.nih.gov/pubmed/28570280

Lim et al. (2016). Anti-Inflammatory Effects of Acupuncture Stimulation via the Vagus Nerve. PLoS ONE.  (OPEN ACCESS)
http://www.ncbi.nlm.nih.gov/pubmed/26991319

Millstine et al. (2017). Complementary and integrative medicine in the management of headache. BMJ.
https://www.ncbi.nlm.nih.gov/pubmed/28512119

Murakami et al. (2017). Ear Acupuncture for Immediate Pain Relief-A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Pain Med.
https://www.ncbi.nlm.nih.gov/pubmed/28395101

Oke, S.L. & Tracey, K.J. (2009) The inflammatory reflex and the role of complementary and alternative medical therapies. Ann N Y Acad Sci. (OPEN ACCESS)
https://www.ncbi.nlm.nih.gov/pubmed/19743552

Torres-Rosas et al. (2014). Dopamine mediates vagal modulation of the immune system by electroacupuncture. Nat Med. (OPEN ACCESS)
https://www.ncbi.nlm.nih.gov/pubmed/24562381

Tsai et al. (2016). Auricular Acupuncture in Emergency Department Treatment of Acute Pain. Annals of Emergency Medicine.
http://www.ncbi.nlm.nih.gov/pubmed/27287548

Usichenko et al. (2017). Transcutaneous auricular vagal nerve stimulation (taVNS) might be a mechanism behind the analgesic effects of auricular acupuncture. Brain Stimul.
https://www.ncbi.nlm.nih.gov/pubmed/28803834/

Ushinohama et al. (2016). Effect of a single session of ear acupuncture on pain intensity and postural control in individuals with chronic low back pain: a randomized controlled trial. Braz J Phys Ther.
https://www.ncbi.nlm.nih.gov/pubmed/27556389

Usichenko et al. (2008). Auricular acupuncture for postoperative pain control: a systematic review of randomised clinical trials. Anaesthesia.
https://www.ncbi.nlm.nih.gov/pubmed/19032304 

Wirz-Ridolfi, A. (2019). The History of Ear Acupuncture and Ear Cartography: Why Precise Mapping of Auricular Points Is Important. Med Acupunct.
https://www.ncbi.nlm.nih.gov/pubmed/31297168

Xia et al. (2017). Effect of Auricular Point Acupressure on Axial Neck Pain After Anterior Cervical Discectomy and Fusion: A Randomized Controlled Trial. Pain Med.
https://www.ncbi.nlm.nih.gov/pubmed/28505292

Yeh et al. (2015). Day-to-Day Changes of Auricular Point Acupressure to Manage Chronic Low Back Pain: A 29-day Randomized Controlled Study. Pain Med.
https://www.ncbi.nlm.nih.gov/pubmed/25988270

Yeh et al. (2016). Pilot Randomized Controlled Trial of Auricular Point Acupressure to Manage Symptom Clusters of Pain, Fatigue, and Disturbed Sleep in Breast Cancer Patients. Cancer Nurs.
https://www.ncbi.nlm.nih.gov/pubmed/26390073

Yang et al. (2017). Efficacy of Auricular Acupressure for Chronic Low Back Pain: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evid Based Complement Alternat Med.
https://www.ncbi.nlm.nih.gov/pubmed/28804504

You et al. (2018). Effects of Auricular Acupressure on Pain Management: A Systematic Review. Pain Manag Nurs.
https://www.ncbi.nlm.nih.gov/pubmed/30340870