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1、AcupunctureforMusculoskeletalPain:anEvidenced-BasedPerspectiveNESATCMEtiology&PathologyIMeredithSt.John,Lic.Ac.VP&AcademicDeanJune,20123Acupunctureformusculoskeletalpainmusculoskeletalpainbackpain,neckpainwithmusclespasmorpathologyofdiscrepetitivestraininjuryosteoarthri
2、tisUSmilitarywhitepaperonpainPain-mostfrequentreasonpatientsseekphysiciancareintheUSaffectsmoreAmericansthandiabetes,heartdiseaseandcancercombinedannualcost$100billion,countingexpensesforhealthcare,lostincome&productivitybackpain-leadingcauseofdisabilityinAmericans<45yrso
3、ld(PainManagementTaskForce,2010)Reduceover-relianceonmedicationsBenefitsRelativelyinexpensive,easytouse,acceptedbypatients(PainManagementTaskForce,2010)ChallengesIncreaseinmedicationabuse&diversionPrescriptionopioidanalgesicsmostcommonlyabusedprescriptiondrugsinUSHighestr
4、atesofabuseages18-25Over-relianceonprescriptionmedicationsforpaintreatmentAcupunctureusageintheUS3.1millionAmericansusedacupuncturewithinpastyear1-2%ofpopulation4.1%,or8.19millionAmericansreportlifetimeuseBarnesPM,BloomB,NahinR.Complementaryandalternativemedicineuseamonga
5、dultsandchildren:UnitedStates,2007.CDCNationalhealthStatisticsReport#12.2008.AcupunctureusageintheUS80%forpainconditionsBarnesPM,BloomB,NahinR.Complementaryandalternativemedicineuseamongadultsandchildren:UnitedStates,2007.CDCNationalhealthStatisticsReport#12.2008.Acupunct
6、ureapopularchoice!(Weidenhammer,2007)454,920patientsOf18millionpatientsover2yrs,2.6%choseacupunctureinaprospectivestudyofchronicpain,fundedbyGermansocialhealthinsurance–“ahighlydemandedtreatmentoption”CC%ofPatientsLBP45%HA36%OA12%WeidenhammerW,StrengA,LondeK,HoppeA,Melch
7、artD.Acupunctureforchronicpainwithintheresearchprogramof10GermanHealthInsuranceFunds–Basicresultsfromanobservationalstudy.ComplTherMed2007;15:238-246Resultsforpain454,920patientsEffectiveness%ofPatientsMarked22%Moderate54%Minimal16%Poor4%WeidenhammerW,StrengA,LondeK,Hoppe
8、A,MelchartD.Acupunctureforchronicpainwithintheresearchprogramof10GermanHealthInsuranceFunds–Basi