Acupuncture for chronic post-thoracotomy pain in a patient with major chest trauma: A case report

다국어 초록 (Multilingual Abstract)

Objectives : Chronic post-thoracotomy pain is a refractory condition that responds poorly to existing pain treatments. The aim of this report is to describe favorable symptom changes in a patient with chronic post-thoracotomy pain after major chest trauma who received a series of manual acupuncture treatments over 3 months.
Methods : Twelve sessions of manual acupuncture were provided to the patient, once or twice a week.
Results : The manual acupuncture sessions were well tolerated. Minor adverse events, including temporary minor bleeding at the needled sites, were intermittently observed. The patient's symptoms, including pain, sleep disturbance, and anxiety gradually resolved and had almost completely disappeared after 12 sessions of acupuncture treatment.
Conclusion : This single case report cannot confirm whether the observed positive changes in the patient's symptoms and dysfunctions are associated with the acupuncture treatments.
Randomized controlled trials are necessary to explore the role of acupuncture in chronic postthoracotomy pain in patients with major chest trauma.

참고문헌 (Reference)

1 Tracey KJ, "The inflammatory reflex" 420 (420): 853-859, 2002

2 Son SS, "The effect of acupuncture on the post-thoratocomy pain" 12 (12): 214-220, 1996

3 Deng G, "Randomized controlled trial of a special acupuncture technique for pain after thoracotomy" 136 (136): 1464-1469, 2008

4 Gerner P, "Post-thoracotomy Pain Management Problems" 26 (26): 355-367, 2008

5 Yeung JH, "Paravertebral blockversus thoracic epidural for patients undergoing thoracotomy" 2 : CD009121-, 2016

6 Bottiger BA, "Pain management strategies for thoracotomy and thoracic pain syndromes" 18 (18): 45-56, 2014

7 Pluijms WA, "Chronicpost-thoracotomypain : aretrospective study" 50 (50): 804-808, 2006

8 Erdek MA, "Chronic pain and thoracic surgery" 15 (15): 123-130, 2005

9 Perttunen K, "Chronic pain after thoracic surgery : a follow-up study" 43 (43): 563-567, 1999

10 Wong RH, "Analgesic effect of electroacupuncture in postthoracotomypain : aprospectiverandomizedtrial" 81 (81): 2031-2036, 2006

11 White A, "An introduction to Western medical acupuncture" Elsevier 19-60, 2009

12 Vickers AJ, "Acupuncture is a feasible treatment for postthoracotomypain : resultsofaprospectivepilot trial" 6 : 5-, 2006

13 Linde K, "Acupuncture for the prevention of tension-type headache" 4 : CD007587-, 2016

14 Linde K, "Acupuncture for the prevention of episodic migraine" 6 : CD001218-, 2016

15 Vickers AJ, "Acupuncture for chronic pain : individual patient data meta-analysis" 172 (172): 1444-1453, 2012

16 Humble SR, "A systematic review of therapeutic interventions to reduce acute andchronicpost-surgicalpainafter amputation, thoracotomy or mastectomy" 19 (19): 451-465, 2015

17 Peng Z, "A retrospective study of chronic post-surgical pain following thoracic surgery:prevalence, riskfactors,incidence of neuropathic component, and impact on quality of life" 9 (9): e90014-, 2014