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    The Use of Battlefield Acupuncture Prior to Botulinum Toxin A Administration: A 2-Patient Case Series

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    Author
    Shao, X.
    Corcoran, M.
    O'Bryan, M.
    Date
    2018
    Journal
    Medical Acupuncture
    Publisher
    Mary Ann Liebert Inc.
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://dx.doi.org/10.1089/acu.2018.1302
    Abstract
    Background: Botulinum toxin type A injection is a common and safe procedure used for the treatment of overactive muscles through local injection. This toxin inhibits the release of acetylcholine in the neuromuscular junction. The benefits usually last only 3-6 months; thus, repeated injections are often required. The procedure, however, can be difficult if a patient's spasticity and pain prevents access to the muscles for injection or if a patient is anxious. Battlefield Acupuncture (BFA), a technique developed by Richard C. Niemtzow, MD, PhD, MPH, in 2001, is a form of auricular acupuncture using a very specific sequence of gold Aiguille semipermanente needles inserted into the ear. BFA can be very effective for reducing pain quickly, with few potential side-effects. Cases: BFA was performed prior to Botulinum toxin A injections on 2 patients who had either pain limitations or anxiety limitations during prior Botulinum toxin A injections. Case 1 was a 70-year-old male veteran with painful, right upper-extremity spasticity with hand contractures. Case 2 was a 69-year-old male veteran with spasticity who had anxiety related to his fear of needles. Results: Application of BFA prior to Botulinum toxin A injections enabled the 2 patients who either had pain limitations or anxiety limitations to tolerate the toxin injections much better. Conclusions: BFA is a safe and effective treatment option for rapid pain reduction, enabling Botulinum toxin A to be administered more easily to patients who have had pain or anxiety during prior injections. Copyright Copyright 2018, Mary Ann Liebert, Inc. publishers 2018.
    Keyword
    Battlefield Acupuncture
    Botulinum toxin A injection
    CVA
    pain management
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85055023214&doi=10.1089%2facu.2018.1302&partnerID=40&md5=5974864844955c6f7260460d5ea861de; http://hdl.handle.net/10713/8876
    ae974a485f413a2113503eed53cd6c53
    10.1089/acu.2018.1302
    Scopus Count
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