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Bickel said, acupuncture is typically administered for migraine, chronic pain conditions, and musculoskeletal conditions; they use trigger point deactivation, scalp acupuncture, auriculotherapy, electro-acupuncture, and musculoskeletal treatments, including TENS-like treatments.

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But I believe in lightning. To my dismay almost all attendees raised their arms. She suggested the fairly progressive policy for insurance coverage for acupuncture in Oregon might have something to do with these numbers. Dimitrova added, whereas other states may not cover the treatment. Dimitrova, who is also director of the Neurology Wellness Clinic at OHSU, which works to integrate acupuncture, lifestyle modifications diet, exercise , and supplements with standard neurologic care, said that when she took over the clinic four years ago, she found it difficult to combine acupuncture treatment with typical neurology outpatient care.

For example, they had to change clinic templates to accommodate both regular neurologic visits and acupuncture visits, use comfortable beds for treatments as the standard exam tables are not suited for acupuncture, deal with the insurance pre-authorization process and out-of-pocket cost determination, and determine billing and clinical indications for treatment, she said. We often see patients, for which our clinic is a last resort. Dimitrova said this has been particularly useful for neuropathic pain including small fiber neuropathy , cervical radiculopathy, and various muscle spasms especially involving the paraspinal muscles, neck, and shoulders.

The research-base for complementary and alternative therapies is certainly growing as more patients seek out these types of care. For example, Drs. Bickel and Dimitrova cited a Cochrane review, which found strong evidence for acupuncture for the treatment of migraine. Dimitrova noted. Acupuncture poses unique challenges when it comes to research, the clinicians acknowledged. Dimitrova said. Another great challenge is that there is no established theory for acupuncture's mechanism of action, she added. Dimitrova said, adding that medical schools present little evidence-based information about acupuncture and integrative medicine modalities so doctors are often uncertain about its benefits.

Jennifer Bickel receives research funding from Pfizer Independent Learning and has a consulting agreement with Theranica.

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Mulukutla has nothing to disclose. Colleague's E-mail is Invalid. Your message has been successfully sent to your colleague. In: Bazmajian J, Nyberg R, eds.


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In the Clinic-Complementary Alternative Medicine and Pain Ma : Neurology Today

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Richard J. Randomized trial of yoga and exercise in multiple sclerosis: improvement in fatigue but not cognitive function compared to control group. Therapeutic potential of yoga in modifying cardiovascular risk profile in middle aged men and women.


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Can diet in conjunction with stress reduction affect the rate of increase in prostate specific antigen after biochemical recurrence of prostate cancer? Gordon A. Effect of selected yogic practices on the management of hypertension. R Murugansan , N Govindarajulu , T.