Acupuncture and Reflexology

  • Sergio Canavero
  • Vincenzo Bonicalzi


Traditional acupuncture has been used for millennia in China and has been widely adopted in the West only in the second half of the twentieth century. However, in the nineteenth century, Sir William Osler [1] in his highly acclaimed textbook wrote in the section on treatment of neuralgia (pp. 962–963) “acupuncture may be used” (Table 29.1).


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  1. 1.
    Osler W. The principles and practice of medicine. New York: D. Appleton & Co.; 1892.Google Scholar
  2. 2.
    Ching N. The fundamentals of acupuncture. London: J Kingsley; 2017.Google Scholar
  3. 3.
    Egorova N, Gollub RL, Kong J. Repeated verum but not placebo acupuncture normalizes connectivity in brain regions dysregulated in chronic pain. Neuroimage Clin. 2015;9:430–5.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Leung A, Zhao Y, Shukla S. The effect of acupuncture needle combination on central pain processing—an fMRI study. Mol Pain. 2014;10:23.PubMedPubMedCentralGoogle Scholar
  5. 5.
    Villarreal Santiago M, Tumilty S, Mącznik A, Mani R. Does acupuncture alter pain-related functional connectivity of the central nervous system? A systematic review. J Acupunct Meridian Stud. 2016;9:167–77.CrossRefPubMedGoogle Scholar
  6. 6.
    Santos AB, Gozzani JL. Acupuncture as adjuvant therapy in thalamic syndrome: case report. Rev Bras Anestesiol. 2011;61:88–94.CrossRefPubMedGoogle Scholar
  7. 7.
    Lee JA, Park SW, Hwang PW, Lim SM, Kook S, Choi KI, Kang KS. Acupuncture for shoulder pain after stroke: a systematic review. J Altern Complement Med. 2012;18:818–23.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Hesselink JM, Kopsky DJ. Enhancing acupuncture by low dose naltrexone. Acupunct Med. 2011;29:127–30.CrossRefPubMedGoogle Scholar
  9. 9.
    Heutink M, Post MW, Wollaars MM, van Asbeck FW. Chronic spinal cord injury pain: pharmacological and non-pharmacological treatments and treatment effectiveness. Disabil Rehabil. 2011;33(5):433–40.CrossRefPubMedGoogle Scholar
  10. 10.
    Stone P. Therapeutic reflexology: a step-by-step guide to professional competence. New York: Pearson; 2010.Google Scholar
  11. 11.
    Jiang Z, Li C, Li Y. Treatment of postapoplectic thalamic spontaneous pain by electroacupuncture at Huatuojiaji points. J Tradit Chin Med. 1999;19(3):195–9.PubMedGoogle Scholar
  12. 12.
    Li J. Clinical analysis and treatment of central pain due to head injury. Chin J Traumatol. 2000;3:126–7.PubMedGoogle Scholar
  13. 13.
    Nayak S, Shiflett SC, Schoenberger NE, Agostinelli S, Kirshblum S, Averill A, Cotter AC. Is acupuncture effective in treating chronic pain after spinal cord injury? Arch Phys Med Rehabil. 2001a;82:1578–86.Google Scholar
  14. 14.
    Nayak S, Matheis RJ, Agostinelli S, Shifleft SC. The use of complementary and alternative therapies for chronic pain following spinal cord injury: a pilot survey. J Spinal Cord Med. 2001b;24:54–62.CrossRefPubMedGoogle Scholar
  15. 15.
    Siev-Ner I, Gamus D, Lerner-Geva L, Achiron A. Reflexology treatment relieves symptoms of multiple sclerosis: a randomized controlled study. Mult Scler. 2003;9:356–61.CrossRefPubMedGoogle Scholar
  16. 16.
    Rapson LM, Wells N, Pepper J, Majid N, Boon H. Acupuncture as a promising treatment for below-level central neuropathic pain: a retrospective study. J Spinal Cord Med. 2003;26:21–6.Google Scholar
  17. 17.
    Norrbrink Budh C, Lundeberg T. Non-pharmacological pain-relieving therapies in individuals with spinal cord injury: a patient perspective. Complement Ther Med. 2004;12:189–97.CrossRefPubMedGoogle Scholar
  18. 18.
    Donnellan CP. Acupuncture for central pain affecting the ribcage following traumatic brain injury and rib fractures. Case report. Acupunct Med. 2006;24:129–33.CrossRefPubMedGoogle Scholar
  19. 19.
    Cardenas DD, Jensen MP. Treatments for chronic pain in persons with spinal cord injury: a survey study. J Spinal Cord Med. 2006;29:109–17. (Updates: Warms CA, Turner JA, Marshall HM, Cardenas DD. Treatments for chronic pain associated with spinal cord injuries: many are tried, few are helpful. Clin J Pain 2002; 18, 154–163).CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    Hughes CM, Smyth S, Lowe-Strong AS. Reflexology for the treatment of pain in people with multiple sclerosis: a double-blind randomised sham-controlled clinical trial. Mult Scler. 2009;15:1329–38.CrossRefPubMedGoogle Scholar
  21. 21.
    Burkey AR, Abla-Yao S. Successful treatment of central pain in a multiple sclerosis patient with epidural stimulation of the dorsal root entry zone. Pain Med. 2010;11:127–32.CrossRefPubMedGoogle Scholar
  22. 22.
    Liu CW, Chen CH, Huang YF, Huang MH. Auricular acupressure as a treatment for neuropathic pain in patients with spinal cord injury. Eur J Pain. 2010;(Suppl 4): 132 (A467).Google Scholar
  23. 23.
    Yun SP, Sun BC. Apipuncture treatment for central post-stroke pain. J Altern Complement Med. 2010;16:223–4.CrossRefPubMedGoogle Scholar
  24. 24.
    Zhang X, Fan XN, Ding L, Zhang HT, Wu LZ, Wang HR. [Acupuncture treatment of regulating spirit, activating blood and relieving pain for thalamic pain]. Zhongguo Zhen Jiu (Chinese Acupuncture). 2010; 30: 367–70.Google Scholar
  25. 25.
    Fan XN, Zhang X, Wu LZ. [Dynamic observation on therapeutic features of thalamic pain by mind calming, blood activating and pain relief acupuncture and carbamazepine]. Zhongguo Zhong Xi Yi Jie He Za Zhi. 2011;31:741–4.Google Scholar
  26. 26.
    Norrbrink C, Lundeberg T. Acupuncture and massage therapy for neuropathic pain following spinal cord injury: an exploratory study. Acupunct Med. 2011;29:108–15.CrossRefPubMedGoogle Scholar
  27. 27.
    Kopsky DJ, Hesselink JM. Multimodal stepped care approach with acupuncture and PPAR-α agonist palmitoylethanolamide in the treatment of a patient with multiple sclerosis and central neuropathic pain. Acupunct Med. 2012;30:53–5.CrossRefPubMedGoogle Scholar
  28. 28.
    Kerr Grieve JW, Flucker S, O’Riordan J. Acupuncture is an effective treatment for pain and other MS symptoms. J Neurol Neurosurg Psychiatry. 2013;84:e2.CrossRefGoogle Scholar
  29. 29.
    Miller L, McIntee E, Mattison P. Evaluation of the effects of reflexology on quality of life and symptomatic relief in multiple sclerosis patients with moderate to severe disability; a pilot study. Clin Rehabil. 2013;27:591–8.CrossRefPubMedGoogle Scholar
  30. 30.
    Cho SY, Park JY, Jung WS, Moon SK, Park JM, Ko CN, Park SU. Bee venom acupuncture point injection for central post stroke pain: a preliminary single-blind randomized controlled trial. Complement Ther Med. 2013;21:155–7.CrossRefPubMedGoogle Scholar
  31. 31.
    Li S. Breathing-controlled Electrical Stimulation (BreEStim) for management of neuropathic pain and spasticity. J Vis Exp. 2013;71:e50077.Google Scholar
  32. 32.
    Wang Y, Li Y. [Acupuncture for 58 cases of central pain after spinal cord injury]. Zhongguo Zhen Jiu. 2014;34:88.Google Scholar
  33. 33.
    Estores I, Chen K, Jackson B, Lao L, Gorman PH. Auricular acupuncture for spinal cord injury related neuropathic pain: a pilot controlled clinical trial. J Spinal Cord Med. 2016;15:1–7.Google Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Sergio Canavero
    • 1
  • Vincenzo Bonicalzi
    • 2
  1. 1.HEAVEN/GEMINI International Collaborative GroupTurinItaly
  2. 2.AOUCittà della Salute e della Scienza di Torino, Department of Neurosciences, Rita Levi MontalciniUniversità di TorinoTurinItaly

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