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Appropriate Treatment of Chronic Pain and Prevention of Drug Over-dose Deaths Needs to be a Priority for Military Medicine and American Healthcare

A Position Statement from the American Academy of Pain Medicine


Glenview, IL- Several recent unintentional deaths of military personnel have drawn national attention on major news websites and Sunday morning television talk shows. While these deaths are tragic and deserve deep societal mourning and introspection, the pain experts from the American Academy of Pain Medicine (AAPM) urge media and government officials to rightly assess the many complexities of these deaths so that viable solutions can be put in place to save lives and help people with chronic pain.

Because the loss of life is such an emotional issue, it is natural to want to assign blame for the cause of these deaths. For instance, the focus of recent reports touched on the problems of over-medication, but experts remind us that there are many difficult paths for those living with chronic pain and related serious consequences from traumas experienced in war zones, including functional loss, brain injury and depression. Suicide risk is a very serious concern that requires ongoing assessment.

Study Suggests Acupuncture May be Better Than No Acupuncture, Sham Acupuncture for Treatment of Chronic Pain

The treatment of chronic pain


An analysis of patient data from 29 randomized controlled trials suggests that acupuncture may be better than no acupuncture or sham acupuncture for the treatment of some chronic pain, according to a report published Online First by Archives of Internal Medicine, a JAMA Network publication.

Acupuncture, the practice of inserting and stimulating needles at specific points on the body, is widely used for chronic pain, although controversy remains about its value, according to the study background.

The individual patient data meta-analyses conducted by Andrew J. Vickers, D.Phil., of Memorial Sloan-Kettering Cancer Center, New York, and colleagues used data from previously published randomized controlled trials (RCTs) with a total of 17,922 patients from the United States, United Kingdom, Germany, Spain and Sweden. Researchers sought to determine the effect size of acupuncture for some chronic pain conditions.

“We found acupuncture to be superior to both no-acupuncture control and sham acupuncture for the treatment of chronic pain,” the authors comment. “Although the data indicate that acupuncture is more than a placebo, the differences between true and sham acupuncture are relatively modest, suggesting that factors in addition to the specific effects of needling are important contributors to therapeutic effects.”

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