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Chronic
neck pain is a prevalent problem in general practice and conventional treatments
have limited success. Patients are seeking acupuncture outside the NHS in
increasing numbers, yet the current evidence on acupuncture for neck pain is
inconclusive. As a result, there is a growing public and scientific imperative
to know whether acupuncture is worth offering as a referral option in primary
care. In this project, we plan to conduct an open pragmatic randomised
controlled trial of acupuncture for patients with neck pain, evaluating the
clinical and economic impact when it is provided as an adjunct to normal GP
management. As well as informing decisions made by patients and general
practitioners, the knowledge gained on cost-effectiveness will contribute to
policy decisions on access to acupuncture within primary care. In this project
Gemma Salter, an MRC funded MSc student at the University of York conducted a
small pilot in which we recruited 24 patients and provided those randomised to
acupuncture with 10 sessions of acupuncture. We have published a paper outlining
the findings in the context of designing and conducting a large scale trial
(Salter et al 2006).
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Key publication:
Salter
G, Roman M, MacPherson H. Acupuncture for chronic neck pain: a pilot for a randomised
controlled trial. BMC
Musculoskelet Disord. 2006 Dec 9;7(1):99. [Full text]
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