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Cupping therapy has demonstrated notable effects in reducing chronic back pain in adults.
The systematic review and meta-analysis involved two independent researchers who examined national and international databases. They also explored the reference lists of additional systematic reviews. The quality of the studies was evaluated using the Jadad scale, a globally recognized tool assessing the methodological quality of clinical trials.
Extracting 16 studies for qualitative review and 10 for quantitative analysis, the research found positive impacts of cupping therapy on chronic back pain in adults. It was noted that there isn't a standardized protocol for treatment with this therapy. The study mainly evaluated outcomes based on factors such as pain intensity, physical incapacity, the quality of life, and the nociceptive threshold before the application of mechanical stimulus. A noteworthy reduction in pain intensity was seen through the use of cupping therapy.
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Some complementary approaches, such as massage and herbal ointments, show promise in reducing postpartum pain.
2022 Integrative Medicine Research The effectiveness and safety of complementary health approaches to managing postpartum pain: A systematic review and meta-analysis Smith CA, Hill E, Denejkina A, Thornton C, Dahlen HG
Systematic Review Acupuncture Cupping
This passage discusses a systematic review aimed at examining the effectiveness and safety of non-pharmacological methods for managing postpartum pain in women. The review included 30 trials involving both first-time and experienced mothers who experienced pain in the two weeks following childbirth. The primary focus was on pain reduction. The review found that massage showed a reduction in pain for women who had undergone caesarean births within the first 24 hours postpartum and at seven days postpartum. Additionally, herbal ointments were found to reduce perineal pain for women who had received an episiotomy within the first 24 hours and at 14 days postpartum. However, the number of trials reporting on safety was limited, and the overall quality of evidence was deemed very low. The conclusion emphasizes the need for further high-quality trials to assess the safety and effectiveness of herbal ointment and massage during the early postpartum period.
Moderate-quality evidence revealed an association between acupressure and greater pain relief compared with physical therapy.
2021 Evidence-Based Complementary and Alternative Medicine Clinical Efficacy and Safety of Acupressure on Low Back Pain: A Systematic Review and Meta-Analysis Tao Li , Xiaohui Li ,Fan Huang , Qiang Tian , Z. Y. Fan , and S. Wu
Systematic Review Low Back Pain
The systematic review and meta-analysis included 23 RCTs with 2400 participants with low back pain. Consistent with previous systematic reviews, moderate-quality evidence revealed an association between acupressure and greater pain relief compared with physical therapy.
Although rated as very-low to low, poor quality evidence suggested that acupressure, with or without combinative acupuncture therapy, contributed to a greater amelioration of pain and functional disability from low back pain compared with usual care, tuina massage, or acupuncture.
Trial sequential analysis results revealed that adequate studies supported the significance of the clinical response rate of acupressure, with or without combinative acupuncture therapy, compared to other treatments.
Acupuncture could significantly relieve pain and increase cure rate for acute ankle sprain, even producing improved results when combined with other therapies.
2020 Evidence-Based Complementary and Alternative Medicine Efficacy and Safety of Acupuncture Therapy for Patients with Acute Ankle Sprain: A Systematic Review and Meta-Analysis of Randomized Controlled Trials Liu AF, Gong SW, Chen JX, Zhai JB
Systematic Review Ankle
The researchers executed parallel-group randomized controlled trials without any language or publication date restraints. Participants suffering from acute ankle sprains were included irrespective of their demographic details, or the diagnostic criteria used to confirm their condition. Experimental interventions consisted of acupuncture alone or a combination of acupuncture and traditional therapies, while the control interventions were either no treatment, placebo, or traditional therapies only. The Kofoed ankle score was the main outcome, with secondary outcomes covering a range of parameters from pain scale to cure rate. Several databases were searched to find potentially eligible studies up to the date of September 10, 2020, with trial registry platforms and the reference lists of the eligible studies also being verified for any ongoing or unpublished studies.
The study analysed seventeen eligible studies to study the effect of acupuncture on acute ankle sprains. No significant difference was found between the Kofoed ankle scores of the acupuncture and Rest, Ice, Compression, Elevation (RICE) groups. However, acupuncture did show a significant impact on pain relief and an increased cure rate compared to the RICE group. The combination of acupuncture and RICE also resulted in a significant increase in pain relief and cure rate compared to just the RICE method. Acupuncture, when combined with massage, brought about a significant reduction in pain compared to just massage, while the combination with traditional Chinese medicine outperformed Chinese medicine alone in pain relief, duration of pain, and cure rate. There were almost no adverse reactions reported, with one mild drug-related allergic reaction which healed without any treatment.
Cupping therapy, as an adjunct to current treatments, may potentially enhance efficacy when treating patients with chronic urticaria.
2020 Journal of Integrative Medicine Cupping therapy for patients with chronic urticaria: A systematic review and meta-analysis Xiao, X., Zhang, L., Shi, Y., et al.
Systematic Review Cupping Hives Skin Conditions
The research adopted a systematic review of randomized controlled trials, with the focus on efficacy and safety of cupping therapy for chronic urticaria. The researchers employed a search strategy aimed at identifying related keywords like "chronic urticaria" and "cupping therapy" in the title and abstracts, sourced from nine major electronic databases up till May 2019. Only trials that included patients with chronic urticaria who received dry or wet cupping were considered. The quality of the methodological design and potential bias of the studies were evaluated.
The findings suggest the efficacy of cupping therapy when used, not as a standalone treatment, but as an adjunct to other treatments, particularly to antihistamines and acupuncture. In a sample of trials, there were no significant differences between using wet cupping and conventional medications in terms of their total effective rate. However, cupping therapy combined with antihistamines or acupuncture was found to be more effective than when these treatments were used separately. No serious adverse events were reported as part of these findings.
Moving cupping therapy, alone or coupled with other treatments, could effectively alleviate symptoms of plaque psoriasis with minimal side effects.
2020 Medicine Moving cupping therapy for plaque psoriasis Xing M, Ding X, Zhang J, Kuai L, Ru Y, Sun X, et al.
Systematic Review Cupping Psoriasis
The researchers conducted an exhaustive review of various databases up until March 2020, including PubMed, Embase, and others. The review focused on randomized controlled trials concerning the treatment of plaque psoriasis using moving cupping therapy, either alone or combined with Chinese herbs or conventional Western medicine. The effects obtained from these trials were contrasted with outcomes from placebo-controlled, pharmaceutical medication-based or Chinese herb-based treatments. They also compared the frequency of the moving cupping treatment.
After a meticulous selection process, sixteen trials involving 1164 participants met the entry criteria. The meta-analysis demonstrated that those who underwent moving cupping therapy exhibited significant symptom improvement compared to those who did not. Additionally, the combination of moving cupping and pharmaceutical medications proved to be more effective than pharmaceutical treatments alone. The recurring rate of psoriasis also substantially dropped due to cupping therapy. While moving cupping reduced some blood markers more effectively than conventional medicine did, it didn't show distinct advantages in the visual analogue score. Few transient side effects like redness, itching, and local skin burning were reported associated with moving cupping therapy.
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Cupping therapy has shown positive results on chronic back pain in adults, not only in behavioral variables of pain, but also in physiological parameters in the majority of RCTs evaluated in this study, which contributes to the consolidation of its use in the treatment of this clinical condition in the study population.
— 29 Sep 2021