Integrating Acupuncture and Yoga for Pain Management in Knee Osteoarthritis

Authors

DOI:

https://doi.org/10.18041/2665-427X/ijeph.2.11439

Keywords:

knee osteoarthritis, multimodal intervention, naturopathic therapies, acupuncture, yoga, resistance exercise, pain, CAM, Integrative Medicine

Abstract

Background: Knee osteoarthritis (OA) is a prevalent and debilitating condition. We explore the potential of a multimodal intervention for managing knee OA, combining naturopathic therapies, acupuncture, yoga, and resistance exercise.

Case description: A 68-year-old male presented with a one-year Grade II knee OA history. The patient reported moderate pain and reduced joint mobility, impacting daily activities. Clinical Findings: Initial assessment revealed a Western Ontario and McMaster University Osteoarthritis Index (WOMAC) score of 31 and a Visual Analog Scale (VAS) pain score of 5.

Intervention: We provided a protocol to the patient that combined traditional naturopathic treatments, mud and mustard compresses, with evidence-based therapies, acupuncture, and resistance exercise. These modalities were chosen to address the multifaceted symptoms of knee OA, focusing on symptomatic relief and functional improvement.

Results: The patient improved functional ability and decreased pain perception. WOMAC scores decreased by 26%, reflecting a notable reduction in OA severity. VAS pain scores decreased by 40%, indicating a substantial reduction in perceived pain intensity. The patient reported improved performance in daily activities, suggesting enhanced functional capacity. They also experienced weight loss and lower blood pressure, potentially contributing to overall well-being and influencing pain management and functional capabilities.

Conclusions: The potential benefits of a multifaceted approach to managing knee OA were effective. The decrease in pain perception, improvements in functional ability, and even secondary outcomes like weight loss and blood pressure suggest the potential value of exploring such integrative strategies for improved patient outcomes and enhanced well-being in individuals with knee OA.

 

Downloads

Download data is not yet available.

References

Yang G, Wang J, Liu Y, Lu H, He L, Ma C, et al. Burden of Knee Osteoarthritis in 204 Countries and Territories, 1990- 2019: Results From the Global Burden of Disease Study 2019. Arthritis Care and Research. 2023 ; 75(12): 2489-2500. Doi: 10.1002/ACR.25158

Brennan-Olsen SL, Cook S, Leech MT, Bowe SJ, Kowal P, Naidoo N, et al. Prevalence of arthritis according to age, sex and socioeconomic status in six low and middle income countries: Analysis of data from the World Health Organization study on global AGEing and adult health (SAGE) Wave 1. BMC Musculoskeletal Disorders. 2017; 18(1): 271. Doi: 10.1186/S12891-017-1624-Z.

Abramoff B, Caldera FE. Osteoarthritis: Pathology, Diagnosis, and Treatment Options. Medical Clinics of North America, 2020; 104(2): 293-311. Doi: 10.1016/j.mcna.2019.10.007

Taruc-Uy RL, Lynch SA. Diagnosis and Treatment of Osteoarthritis. Clinics Office Practice. 2013; 40(4): 821-836. Doi: 10.1016/j.pop.2013.08.003.

Mobasheri A, Spring-Charles A, Gamaleri FC, McSwan J, Garg M, et al. Evidence-based opinions from multidisciplinary experts on use of naturopathic herbal remedies in Pain Management. J Pain Res. 2024; 17: 599-608. Doi: 10.2147/JPR.S432090

Soeken KL. Selected CAM Therapies for arthritis-related pain: the evidence from systematic reviews. Clin J Pain. 2004; 20(1): 13-18. Doi: 10.1097/00002508-200401000-00004

Bennell KL, Schwartz S, Teo PL, Hawkins S, Mackenzie D, McManus F, et al. Effectiveness of an Unsupervised Online Yoga Program on Pain and Function in People With Knee Osteoarthritis A Randomized Clinical Trial. Ann Internal Med. 2022; 175(10): 1345-1355. Doi: 10.7326/M22-1761

Kan L, Zhang J, Yang Y, Wang P. The Effects of Yoga on Pain, Mobility, and Quality of Life in Patients with Knee Osteoarthritis: A Systematic Review. Evid Based Complement Alternat Med. 2016; 2016: 6016532. Doi: 10.1155/2016/6016532

Li J, Li YX, Luo LJ, Ye J, Zhong DL, Xiao, QW, et al. The effectiveness and safety of acupuncture for knee osteoarthritis: An overview of systematic reviews. Medicine (Baltimore). 2019; 98(28): e16301. Doi: 10.1097/MD.0000000000016301

Manyanga T, Froese M, Zarychanski R, Abou-Setta A, Friesen C, Tennenhouse M. et al. Pain management with acupuncture in osteoarthritis: A systematic review and meta-analysis. BMC Complement Alternat Med. 2014 ; 14(1): 312. Doi: 10.1186/1472-6882-14-312

Roos EM, Klässbo M, Lohmander LS.WOMAC osteoarthritis index. Scandinavian J Rheumatol. 1999; 28(4): 210-215. Doi: 10.1080/03009749950155562

Sarsan A, Akkaya N, Özgen M, Yildiz N, Atalay NS, Ardic F. Comparing the efficacy of mature mud pack and hot pack treatments for knee osteoarthritis. J Back Musculoskeletal Rehab. 2012; 25(3): 193-199. Doi: 10.3233/BMR-2012-0327

MD A, Suresh S, Shetty P. Naturopathic And Dietary Interventions In The Management Of Rheumatoid Arthritis: A Case Study Report. Internat J Innov Res Adv Studies. 2018; 5(7): 204-208.

Hunter DJ, Harris RE. Acupuncture and knee osteoarthritis: does dose matter? Arthritis Rheumatol. 2021; 73(3): 371-373. Doi: 10.1002/art.41583

Mei F, Yao M, Wang Y, Ma Y, Liu Y, Wu M, et al. Acupuncture for knee osteoarthritis: A systematic review and meta-analysis. J Evid Based Med. 2023; 16(2): 138-140. Doi: 10.1111/jebm.12532

Selfe TK, Taylor AG. Acupuncture and osteoarthritis of the knee: A review of randomized, controlled trials. Family Community Health. 2008; 31(3): 247-254. Doi: 10.1097/01.FCH.0000324482.78577.0f

Chen P-N, Zhang N, Cui J. Exploration on effect mechanism of Miao medicinal acupuncture therapy in treatment of knee osteoarthritis based on TRPV ion channel. Chinese Acupuncture Moxibustion. 2020; 40(12): 1328-1334. Doi: 10.13703/j.0255-2930.20191111-k0002

Lin J-G, Kotha P, Chen Y-H. Understandings of acupuncture application and mechanisms. Am J Trans Res. 2022; 14(3): 1469-1481.

Lauche R, Hunter DJ, Adams J, Cramer H. Yoga for osteoarthritis: a systematic review and meta-analysis. Current Rheumatology Reports. 2019; 21(9). Doi: 10.1007/s11926-019-0846-5

Cheung C, Park J, Wyman JF. Effects of Yoga on Symptoms, Physical Function, and Psychosocial Outcomes in Adults with Osteoarthritis: A Focused Review. Am J Physical Med Rehab. 2016; 95(2): 139-151. Doi: 10.1097/PHM.0000000000000408

Downloads

Published

2024-10-03

How to Cite

Integrating Acupuncture and Yoga for Pain Management in Knee Osteoarthritis. (2024). Interdisciplinary Journal of Epidemiology and Public Health, 7(2), e-11439. https://doi.org/10.18041/2665-427X/ijeph.2.11439

Similar Articles

11-16 of 16

You may also start an advanced similarity search for this article.