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I have Restless Legs Syndrome (Motor Axonal Neuropathy) in each leg. Has there been any research done for this?

Restless leg syndrome is awful, as this 'expert' knows from personal experience back in the 80s when nothing, but nothing, would make the problem relent. It is nowgaining recognition as a diagnosable problem, with a new name(!), and there are a number of treatment options which are being explored. A review article cites several of these, and the one acupuncture review this in turn cites

mentions two to three studies which are interesting but generally concludes that the majority of studies are too small and not methodologically sound enough to draw firm conclusions.

From a Chinese medicine perspective, however, there are entirely different ways of looking at the balance of energies within the body which can sometimes make sense of problems such as these within a theoretical structure which is quite different from western medicine. Problems like restless legs syndrome, where the leg feels as though it is 'over-energised' can sometimes make sense in a system of thought which looks at the free flow of energy within the system, and tries to understand the pathologies which arise in terms of excesses and deficiencies, and especially blockages. A skilled practitioner should very quickly be able to make sense of the energy flows within the system, and be able to offer you some sense of whether there is something which is treatable.

Even where this is not the case it is important to mention that the older theories of Chinese medicine were primarily aimed at balancing the whole system, seeing symptoms only as alarm bells, not the problem itself. Working in this kind of way our members very often have an effect on problems without necessarily being able to give a highly specific audit trail of what is causing something to go wrong.

We have not come across much in the way of new research, although another small study published early this year (2015)

repeats the general pattern of significant effects but small study sizes which means that we cannot give a more unqualified recommendation.

As far as motor axonal neuropathy is concerned, there is very little focused research on this specific presentation of peripheral neuropathy. There is a systematic review published earlier this year

which embraces a number of papers about neuropathies very similar to axonal neuropathy, but nothing specifically about it. Most studies of this kind tend to be very small, and inevitably the conclusion is that more studies on a larger scale would be necessary. The main question which is left unanswered is 'who will pay for them?'

If you are considering acupuncture treatment for the problem the best advice we can give is that you visit a local BAcC member to ask for a brief face to face chat about what may be possible. It follows from what we have said before that each case is unique and different, and a face to face assessment is the only way to get a specific answer about what you might expect. Many practitioners are happy to give up a small amount of time without charge to prospective patients to make this kind of assessment.

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