Accupuncture in Physiotherapy

A common question is how acupuncture is regarded within our contemporary scientific approach to western medicine. Numerous surveys show that, of all the complementary medical systems, acupuncture enjoys the most credibility within the medical community.

Many physiotherapists use acupuncture as part of their treatment for muscle, joint and nerve pain. Acupuncture may also be used to promote well-being, sleep and to reduce the effects of stress by influencing the autonomic nervous system which regulates involuntary organ functions eg heartbeat, breathing, sweating and circulation.

Acupuncture is a traditional Chinese method of healing which predates 1000BC and since the 1970’s has begun to capture the imagination of the West. There has been a growing body of research aiming to understand the underlying physiological effects and evaluate the effectiveness of this treatment.

Physiotherapists using acupuncture to treat musculoskeletal pain, approach treatment from a ‘Western’ medical perspective. Although the Western medicine approach uses many of the same acupuncture points as the Traditional Chinese system, the points are selected based upon a modern medical understanding of anatomy, physiology and pathology.

Recent advances in the understanding of pain neurophysiology and acupuncture mechanisms provide a scientific evidence base for Western acupuncture. It is thought that acupuncture needles stimulate nerve endings within muscles, which send messages to activate centres within the brain. Subsequently, the brain triggers autonomic, endocrine and immune reactions. The brain also modulates various pain mechanisms, including the release of natural analgesics eg endorphins, enkephalins, serotonin. Acupuncture needles may also be used to stimulate directly into a muscle, in order to release muscular trigger points.

The use of acupuncture within physiotherapy treatment is widespread, and has been found to be clinically beneficial for a range of musculoskeletal conditions. Physiotherapists who use acupuncture have completed specific supplementary training, and are registered to practice as members of the Acupuncture Association of Chartered Physiotherapists (AACP).
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