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Journal of Integrative Medicine: Volume 16, 2019   Issue 2,  Pages: 71-76

DOI: 10.1016/j.joim.2019.01.005
Global Views
Discussions on real-world acupuncture treatments for chronic low-back pain in older adults
1. Arthur Yin Fan (American TCM Association (ATCMA), Vienna, VA 22182, USA; McLean Center for Complementary and Alternative Medicine, PLC, Vienna, VA 22182, USA )
2. Hui Ouyang (American TCM Association (ATCMA), Vienna, VA 22182, USA; YIN & YANG Healthcare, Friendswood, TX 77546, USA )
3. Xinru Qian (American TCM Association (ATCMA), Vienna, VA 22182, USA; Rusk Rehabilitation at NYU Langone Health, New York, NY 10016, USA )
4. Hui Wei (American TCM Association (ATCMA), Vienna, VA 22182, USA; Wei’s Chinese Medical Center, Lake Worth, FL 33467, USA )
5. David Dehui Wang (American TCM Association (ATCMA), Vienna, VA 22182, USA;Ohio State Integrative Medicine, Wexner Medical Center, Ohio State University, Columbus, OH 43221, USA )
6. Deguang He (New England School of Acupuncture, Newton, MA 02458, USA )
7. Haihe Tian (Chinese Acupuncture and Herbs Center, Largo, FL 33778, USA )
8. Changzhen Gong (American Academy of Acupuncture & Oriental Medicine, Roseville, MN 55113, USA )
9. Amy Matecki (Division of Integrative Medicine, Alameda Health System Affiliated with School of Medicine, University of California San Francisco, Oakland, CA 94602, USA )
10. Sarah Faggert Alemi (Eastern Roots Wellness, PLC, McLean, VA 22101, USA )



Chronic low-back pain (CLBP) is one of the most common pain conditions. Current clinical guidelines for low-back pain recommend acupuncture for CLBP. However, there are very few high-quality acupuncture studies on CLBP in older adults. Clinical acupuncture experts in the American Traditional Chinese Medicine Association (ATCMA) were interested in the recent grant on CLBP research announced by the National Center for Complementary and Integrative Health. The ATCMA experts held an online discussion on the subject of real-world acupuncture treatments for CLBP in older adults. Seven participants, each with more than 20 years of acupuncture practice, discussed their own unique clinical experience while another participant talked about the potential mechanism of acupuncture in pain management. As a result of the discussion, a picture of a similar treatment strategy emerged across the participants for CLBP in older adults. This discussion shows that acupuncture may have complicated mechanisms in pain management, yet it is effective for the treatment of chronic pain involving maladaptive neuroplasticity; therefore, it should be effective for CLBP in older adults.

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Please cite this article as:
Fan AY, Ouyang H, Qian X, Wei H, Wang DD, He D, Tian H, Gong C, Matecki A, Alemi SF. Discussions on real-world acupuncture treatments for chronic low-back pain in older adults. J Integr Med. 2019; Epub ahead of print.
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