Contributed by William Angelos| 20 November, 2004  00:00 GMT
 The acupuncture group had a greater reduction in pain and stiffness, improved physical functioning and quality of life than the placebo group.
People suffering from the pain, stiffness and physical limitations associated with osteoarthritis of the knee may find some relief with acupuncture therapy, suggests a new study. Although the use of acupuncture as an arthritis treatment remains controversial and the authors acknowledge further research is needed, their work shows promising indications.
The results of a randomised controlled trial published in BMJ (British Medical Journal) point to acupuncture as an effective complementary therapy to the pharmacological treatment of osteoarthritis of the knee, say the researchers from Spain who conducted the study.
Its use as an adjunct therapy delivers improved outcomes over drug treatment alone.
Acupuncture's Role Controversial
Osteoarthritis of the knee is common, affecting almost a tenth of the population aged over 55. The role of acupuncture in osteoarthritis remains controversial and few studies comparing acupuncture and drug treatment have been conducted.
A total of 88 patients with osteoarthritis of the knee were randomly divided into two groups, one receiving acupuncture plus diclofenac (an anti-inflammatory drug) and the other dummy (placebo) acupuncture plus diclofenac.
Treatment lasted 12 weeks and levels of pain, stiffness, and physical function were monitored using recognised scales.
Less Pain and Stiffness
The acupuncture group had a greater reduction in pain and stiffness, improved physical functioning and quality of life than the placebo group.
Although the 12-week monitoring period may be insufficient to evaluate the effects of treatment in the medium term, acupuncture as a complementary therapy to drug treatment for osteoarthritis of the knee is more effective than drug treatment alone, say the authors.
Future research should extend the observation period after treatment in order to evaluate the duration of the improvement obtained and to establish treatment protocols, they conclude.
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