"I have been seeing Boyd for almost 2 years for severe chronic migraines. I have seen great results in the reduction of my headaches since I've started acupuncture with him when no other treatment or medication would work. Boyd is very knowledgeable about acupuncture and stays up to date with current practices and techniques. I ask him a lot of questions during our sessions, and he's always able to provide a thorough response that I can easily understand. He listens thoroughly to issues and problems and works with me to come up with the best treatment at each appointment. He's a pleasure to talk to during each session and always ensures I am completely at ease during every step. The only problem I have is that I waited so long to begin acupuncture treatment with him!"
German Acupuncture Trials (GERAC) for chronic low back pain: randomized, multicenter, blinded, parallel-group trial with 3 groups
BACKGROUND: True (verum) acupuncture has never been directly compared with sham acupuncture and guideline-based conventional therapy in patients with chronic low back pain (Comparative effectiveness study).
METHODS: A patient- and observer-blinded randomized controlled trial conducted in Germany involving 340 outpatient practices, including 1162 patients aged 18 to 86 years (mean +/- SD age, 50 +/- 15 years) with a history of chronic low back pain for a mean of 8 years. Patients underwent ten 30-minute sessions, generally 2 sessions per week, of verum acupuncture (n = 387) according to principles of traditional Chinese medicine; sham acupuncture (n = 387) consisting of superficial needling at nonacupuncture points; or conventional therapy, a combination of drugs, physical therapy, and exercise (n = 388) Primary outcome was response after 6 months, defined as 33% improvement or better on 3 pain-related items on the Von Korff Chronic Pain Grade Scale questionnaire or 12% improvement or better on the back-specific Hanover Functional Ability Questionnaire. Patients who were unblinded or had recourse to other than permitted concomitant therapies during follow-up were classified as nonresponders regardless of symptom improvement.
RESULTS: At 6 months, response rate was 47.6% in the verum acupuncture group, 44.2% in the sham acupuncture group, and 27.4% in the conventional therapy group. Differences among groups were as follows: verum vs sham, 3.4% (95% confidence interval, -3.7% to 10.3%; P = .39); verum vs conventional therapy, 20.2% (95% confidence interval, 13.4% to 26.7%; P < .001); and sham vs conventional therapy, 16.8% (95% confidence interval, 10.1% to 23.4%; P < .001.
CONCLUSIONS: Low back pain improved after acupuncture treatment for at least 6 months. Effectiveness of acupuncture, either verum or sham, was almost twice that of conventional therapy.