Is there a minimum number of sessions needed for acupuncture to reduce pain levels?

Q: Is there a minimum number of sessions needed for acupuncture to reduce pain levels in a chronic (symptoms of 6 months or more) TMD sufferer?
How many sessions, as a ballpark figure, would you estimate to be reasonable to achieve reductions in pain levels that would be present 3 months after the last treatment?

A:  We're sorry to say that there is no real answer to this question. From a Chinese medicine perspective each patient is unique and different, which is its very great strength since it individualises treatment. The obverse, of course, is that any symptom needs to be seen in the context of someone's overall balance, and for this reason the answer could be anything from one session to fifty sessions. The same applies to the enduring effect of treatment. In someone who is otherwise healthy (in Chinese medicine terms), a symptom can sometimes go and stay gone. However, if there are constitutional weaknesses it may be necessary to continue to have maintenance treatment every 6 to 10 weeks to maintain progress.

Were you to present at our clinic we would be immediately asking questions about how the problem developed. TMD and related TMJ disorders often have their roots in things like aggressive dentistry or minor accidents which slightly displace the jaw, and this can have a major impact on the assessment and treatment of the problem. However, there is far from general agreement about the causes of the problem, as you will see from any medical advice sites.

Many patients find it very useful to combine acupuncture with cranial osteopathy which can often realign the bones in subtle ways which enable the acupuncture treatment to encourage better functional support in the musculature to retain the re-adjustment. We believe that this would also be a productive line of enquiry.

As far as research is concerned, there is a systematic review of trials which makes encouraging noises, as they often do, with the proviso that more and better research is undertaken.

http://www.ncbi.nlm.nih.gov/pubmed/20401353

You than have a number of individual studies like this one

http://www.ncbi.nlm.nih.gov/pubmed/17095133

which report favourable results but not the detail of how many sessions.

We think the best advice we can give is that you visit a BAcC member local to you who can probably by face to face assessment give you a far better view of how rapidly you might progress and how sustainable that progression might be.

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