Evidence for Acupuncture for improving chronic back pain and neck pain,
osteoarthritis and headache.
TRIGGER POINT TREATMENTOpen or Close
Myofascial trigger points can be inactivated by osteopathic manipulative treatment (OMT), together with the other methods in Osteopathic Care, as well as needling (acupuncture).
It is usually associated with muscle spasm & is most often seen in the region of the neck.
Trigger points involve a self-perpetuating cycle, (pain leading to increased tone causing more pain), & will almost never deactivate, unless adequately treated.
• Distressed tissues tend to involve a major degree of ischemia – inadequate blood and oxygen supply.  • Such tissues are a natural breeding ground for myofascial trigger points which are a major feature in all chronic, and much acute, musculoskeletal pain.  • While it is well-known that trigger points can produce pain, it is a less appreciated fact that trigger points also alter the function of the tissues to which they refer 
1. Baldry P. Acupuncture, Trigger Points and Musculoskeletal Pain. Churchill Livingstone. Edinburgh. 1993.
2. Wall PD and Melzack R (eds). Textbook of Pain. 2nd edition. Churchill Livingstone. Edinburgh. 1990.
3. Simons D, Travell J and Simons L. Myofascial Pain and Dysfunction: The Trigger Point Manual. Vol 1. Upper half of body. 2nd edition. Williams and Wilkins, Baltimore 1999
WHAT DOES IT FEEL LIKE?Open or Close
When the needle reaches the desired point the sensation is often described, as a 'tingling' & delivering immediate relief from muscular pain.
Needles are either inserted for a few seconds or left in place for minutes depending on the effect required.
Contact David on: 07973 297 438
ABOUT MEDICAL ACUPUNCTUREOpen or Close
Medical acupuncture or Dry needling; is an adaptation of Chinese acupuncture using current knowledge of anatomy, physiology, pathology, & the principles of evidence based medicine.
• The placement of needles is related to anatomical knowledge primarily affecting nerve impulses & myofascial trigger points.
• David's acupuncture needles are sterile, & disposed with after one use only.
For those who do not like the idea of using acupuncture needles David offers acupressure as an alternative, along with Osteopathy.
Acupressure is a highly successful approach for a range conditions, especially tension headaches & other myofascial referred pain symptoms.
Contact David on: 07973 297 438
RESEARCHOpen or Close
Scientific research has examined the effectiveness of acupuncture for various conditions & recent studies have emphasised the benefits of acupuncture for tension-type headaches & the pain of osteoarthritis, e.g. osteoarthritis of the knee.
• The National Institute for Health and Clinical Excellence (NICE) showed that acupuncture is a cost-effective, short-term treatment for persistent non-specific low back pain (source: NICE 2009).
• Endres HG, et al. Role of acupuncture in the treatment of migraine.
• Witt CM, Jena S, et al. Acupuncture in patients with osteoarthritis of the knee or hip: a randomised, controlled trial
• White AR et al. Acupuncture for tension-type headache. Cochrane Database
• Haake M, et al. German Acupuncture Trials (GERAC) for chronic low back pain: randomised, multi centre,trial
• Ammendolia C et al. Evidence-informed management of chronic low back pain with needle acupuncture. Spine 2008
• Linde K, et al. Acupuncture for migraine prophylaxis. Cochrane Database Syst Rev 2009;(1):CD001218.
• Furlan AD, et al. Acupuncture and dry-needling for low back pain. Cochrane Database Syst Rev 2005
• Witt CM, et al. Acupuncture for patients with chronic neck pain. Pain 2006
• Sherman KJ, Coeytaux RR. Acupuncture for improving chronic back pain, osteoarthritis and headache.
• Vickers AJ et al. Acupuncture for chronic pain: individual patient data meta-analysis. Archives of internal medicine 2012;172:1444–53. • Dr Fermín Valera-Garrido, Department of Physical Therapy, MVClinic, Pozuelo de Alarcón, Madrid 13 August 2014
'he is committed to his patients and his goal is to address issues as quickly as possible'
David will explain to you what treatment you'll need, how to speed up your recovery & when you can return to your regular activities & sports.
He may prescribe special exercises together with treatment to increase your joint mobility & performance.
Together with stretching your muscle groups accordingly, strengthening weak muscles, to restore muscle balance.
‘I am now walking and living pain free for the first time in 3 years’
In regard to pain, David takes a thorough history with consultation, guiding his examination. This determines for any individual the quality, duration & origin of this condition, how it uniquely affects you & how best to provide treatment.