Insights & Discussion
Acupuncture proves to be a promising alternative therapy for treating Bell's palsy, despite some controversy surrounding its use.
To assess the effectiveness of acupuncture in treating Bell’s palsy, a systematic review and meta-analysis were conducted using data from PubMed, Embase, and the Cochrane Central Register of Controlled Trials, without any language restrictions being imposed. Fourteen randomized controlled trials that compared acupuncture with other therapies for the treatment of Bell's palsy in adults and children were included. The participant pool for these trials comprised 1541 individuals.
In the results, acupuncture showed a significant positive correlation with higher effective response rates for Bell's palsy. However, a notable variance was observed among the different studies. Furthermore, a lack of complete data made it impossible to evaluate the incidence of complications. Despite this limitation, acupuncture emerged as an effective therapy for Bell's palsy. It must be emphasized that the results should be interpreted with caution due to concerns about the poor quality and heterogeneity of the included studies.
Discover Related Insights
Acupuncture has shown to be potentially beneficial as an alternate or adjunct therapy for patients with Bell's palsy following recovery from COVID-19.
2022 Journal of Complementary and Alternative Medical Research Can Acupuncture be an Adjunct Therapy for Bell’s palsy Post COVID-19? Acupuncture for Bell’s Palsy: A Review Yepthomi T, Somanadhapai S
Review Article Bell's Palsy COVID-19
In the methodology utilized for this research, an extensive literature search was carried out by two independent investigators. They used multiple sources including PubMed, MEDLINE, Google scholar, LILACS, and the Cochrane Register of Controlled Trials, from the year 2000 up until 2021. They used the keywords: Bell’s Palsy, covid-19, acupuncture, Mucormycosis, vaccine, and steroids. Selected articles were only those published in English and included full-text. The studies included in the review were all randomized controlled trials which compared acupuncture intervention's clinical effects (used alone or add on) with no treatment.
In terms of results, although the methodological quality of most studies was considered generally low, six randomized controlled trials were found to be satisfactory and included in the study. According to the results across these studies, the groups who received acupuncture treatment reported improved outcomes compared to their baseline or control groups. This was evident as no negative side effects were reported. The review therefore indicates that acupuncture could play a beneficial role in treating patients with Bell's palsy post-recovery from COVID-19, particularly those at risk of mucormycosis and other severe health complications.
The majority of trials demonstrate a positive effect of acupuncture over control condition in the treatment of neuropathy.
2015 Neurology Effects of Acupuncture on Neuropathic Pain: A Systematic Review and Meta-analysis Alexandra Dimitrova, Charles Murchison, Barry Oken
Systematic Review Bell's Palsy Carpal Tunnel Syndrome Chronic Pain
The majority of RCTs reviewed showed clear benefit for acupuncture over control in the treatment of diabetic neuropathy, Bell’s palsy and carpal tunnel syndrome. Acupuncture is probably effective in the treatment of HIV-related neuropathy and there is insufficient evidence for its benefits in idiopathic neuropathy. Meta-analyses of all diabetic neuropathy and bell’s palsy data using a summary estimate random effects model showed combined Odds Ratio (OR) of 4.23, p<0.001 favoring acupuncture over control for pain outcomes. The majority of trials demonstrate a positive effect of acupuncture over control condition in the treatment of neuropathy. Further more rigorously designed studies are needed to better characterize this effect.