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Posted by M. A. Londhe
| Posted By :- M. A. Londhe on Acupuncture |
| Posted At :- 30 March 2010 |
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Researchers at the University of
Michigan Chronic Pain and Fatigue Research Center are first to provide
evidence of acupuncture`s effect on opoid receptors.
Acupuncture
has been used in East-Asian medicine for thousands of years to treat
pain, possibly by activating the body’s natural painkillers. But how it
works at the cellular level is largely unknown.
Using brain
imaging, a University of Michigan study is the first to provide
evidence that traditional Chinese acupuncture affects the brain’s
long-term ability to regulate pain. The results appear online ahead of
publication in the September issue of Journal of NeuroImage.
In
the study, researchers at the U-M Chronic Pain and Fatigue Research
Center showed acupuncture increased the binding availability of
mu-opoid receptors (MOR) in regions of the brain that process and
dampen pain signals – specifically the cingulate, insula, caudate,
thalamus and amygdala.
Opioid painkillers, such as morphine,
codeine and other medications, are thought to work by binding to these
opioid receptors in the brain and spinal cord.
"The increased
binding availability of these receptors was associated with reductions
in pain," says Richard E. Harris, Ph.D., researcher at the U-M Chronic
Pain and Fatigue Research Center and a research assistant professor of
anesthesiology at the U-M Medical School.
One implication of
this research is that patients with chronic pain treated with
acupuncture might be more responsive to opioid medications since the
receptors seem to have more binding availability, Harris says.
These
findings could spur a new direction in the field of acupuncture
research following recent controversy over large studies showing that
sham acupuncture is as effective as real acupuncture in reducing
chronic pain.
"Interestingly both acupuncture and sham
acupuncture groups had similar reductions in clinical pain," Harris
says. "But the mechanisms leading to pain relief are distinctly
different."
The study participants included 20 women who had
been diagnosed with fibromyalgia, a chronic pain condition, for at
least a year, and experienced pain at least 50 percent of the time.
During the study they agreed not to take any new medications for their
fibromyalgia pain.
Patients had position emission tomography, or
PET, scans of the brain during the first treatment and then repeated a
month later after the eighth treatment. Reference: Journal of NeuroImage, Volume 47, Issue 3, September 2009, Pages 1077-1085 doi:10.1016/j.neuroimage.2009.05.083
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