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Q. My father has post stroke pain ,  please can you tell us if there is any scientific evidence that acupuncture is helpful for patients suffering from post stroke pain.  our reason for asking this is that we are in the process of challenging our local hospital that is refusing him treatment. Many thanks.

 

A. The short answer is 'no'. Scientific evidence of a kind which satisfies the current gold standard of western research, the randomised double  blind control trial, is in short supply. This, however, is mainly a methodological problem; the practice of traditional acupuncture does not lend itself to standardisation and reducing variables. A review paper on the current evidence for the use of acupuncture after stroke can be found on our website here
 
Although the evidence for the use of acupuncture is not accepted in the West acupuncture is very widely used in China and the Far East for assisting in recovery after stroke. It is not unusual for someone who has had a stroke to receive a course of treatment almost immediately after the initial stage of recovery has passed, and the accepted wisdom is that the earlier treatment starts, the more effective it will be. This does not always work so well in the West, where many patients turn to acupuncture only after conventional methods of treatment are not working as well as they had hoped, and the delay in starting acupuncture treatment may make it less effective.
 
You say that your father's hospital is refusing him treatment, but it is not clear whether this is because they doubt the effectiveness of acupuncture and will not fund it or whether this is because they have concerns about the treatment itself. If it is the former you may well have a struggle to convince them. Evidence based on clinical trials is very much the determining factor. If it because of uncertainty about the safety of treatment the Council has on many occasions been happy to provide evidence that acupuncture in the hands of a properly trained practitioner is extremely safe.