Tools and Acupuncture Maps for Sciatica

Research data and evidence - general:

Sciatica is one of the most frequently reported complaints; it affects quality of life and reduces social and economic efficacy. Clinical studies on the efficacy of acupuncture therapy in sciatica are increasing, while systematic reviews assessing the efficacy of acupuncture therapy are still lacking. Objective. This study aims to assess the effectiveness of acupuncture therapy for sciatica. Methods. Comprehensive searches of 8 databases were conducted up until April 2015. Outcomes included effectiveness (proportion of patients who improved totally or partly in clinical symptoms), pain intensity, and pain threshold. Effect sizes were presented as risk ratio (RR) and mean difference (MD). Pooled effect sizes were calculated by fixed effects or random effects model. Results. A total of 12 studies (involving 1842 participants) were included. Results showed that acupuncture was more effective than conventional Western medicine (CWM) in outcomes effectiveness (RR 1.21, 95% CI: 1.16–1.25), pain intensity (MD −1.25, 95% CI: −1.63 to −0.86), and pain threshold (MD: 1.08, 95% CI: 0.98–1.17). Subgroup and sensitivity analysis found that the results did not change in different treatment method and drug categories substantially. The reported adverse effects were acceptable. Conclusions: Acupuncture may be effective in treating the pain associated with sciatica.
- by https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4575738/

Acupuncture maps for sciatica

Standard and Non-Standard Sciatica Acupuncture Points

The sciatic nerve forms as one thick nerve at the inferior border of Piriformis muscle (gluteus region), the specific treatment applied to this area is vitally important for both L5 and S1 impingement cases.  However, standard acupuncture points in the region such as BL63 or BL64 are often insufficient to produce a desired effect.  Therefore, experienced acupuncturists use one or more extra-acupuncture points, located either superior, inferior, medial, or lateral from the BL63 or BL64.

Acupuncture Points - maps for sciatica

Maps for sciatica:  One to three points are chosen based on pain distributions, point palpation and findings from physical examinations such as deep tendon reflexes and muscle testing.

Other Sciatica Acupuncture Points: L5 Nerve Root Involvement (L4/L5)

BL25: Dachangshu 大腸兪  In the lumbar region, at the same level as the inferior border of the spinous process of the fourth lumbar vertebra (L4), 1.5 Bcun lateral to the posterior median line.

BL26: Guanyuanshu  関元兪  In the lumbar region, at the same level as the inferior border of the spinous process of the fifth lumbar vertebra (L5), 1.5 B-cun lateral to the posterior median line.

ST40: Fenglong  豊隆 On the anterolateral aspect of the leg, lateral border of the tibialis anterior muscle, 8 B-cun superior to the prominence of the lateral malleolus.

BL58: Feiyang 飛揚 On the posterolateral aspect of the leg, between the inferior border of the lateral head of the gastrocnemius muscle and the calcaneal tendon, at the same level as 7 Bcun proximal to BL60.

GB35: Yangjiao 陽交 On the fibular aspect of the leg, posterior to the fibula, 7 B-cun proximal to the prominence of the lateral malleolus.

ST42: Chongyang 衝陽 On the dorsum of the foot, at the joint of the base of the second metatarsal bone and the intermediate cuneiform bone, over the dorsalis pedis artery.

LR3: Taichong 太衝 On the dorsum of the foot, between the first and second metatarsal bones, in the depression distal to the junction of the bases of the two bones, over the dorsalis pedis artery.

Other Sciatica Acupuncture Points: S1 Nerve Root Involvement (L5/S1)

BL26: Guanyuanshu 関元兪 In the lumbar region, at the same level as the inferior border of the spinous process of the fifth lumbar vertebra (L5), 1.5 B-cun lateral to the posterior median line.

BL27: Xiaochangshu 小腸兪 In the sacral region, at the same level as the first posterior sacral foramen, and 1.5 B-cun lateral to the median sacral crest. Note: At the same level as BL31.

BL31: Shangliao 上髎  In the sacral region, in the first posterior sacral foramen.

BL59: Fuyang 跗陽  On the posterolateral aspect of the leg, between the fibula and the calcaneal tendon, at the same level as 3 B-cun proximal to BL60.

BL60: Kunlun 崑崙 On the posterolateral aspect of the ankle, in the depression between the prominence of the lateral malleolus and the calcaneal tendon.

GB41: Zulinqi 足臨泣 On the dorsum of the foot, distal to the junction of the bases of the fourth and fifth metatarsal bones, in the depression lateral to the fifth extensor digitorum longus tendon.

Acupuncture maps for sciatica: One to three points are chosen based on pain distributions, point palpation and findings from physical examinations such as deep tendon reflexes and muscle testing.

Read more: Acupuncture For Sciatica - The Best Way Without Side Effects

Tools acupuncture maps for sciatica

Classic acupuncture needles

Acupuncture needles come in a variety of lengths and diameters, based on their purpose, and on which part of the body they are to be employed. In ancient Chinese practice, there were as many as nine types of needles. In modern acupuncture, the most common type of needle is the metal filiform, or thread-like, needle made from stainless steel. These acupuncture needles can be made of silver or gold, as well. Their lengths generally range between eight millimeters and seven centimeters, while diameters will vary from .012 millimeters to .35 millimeters.

Apart from filiform acupuncture needles, there are specialized types of needles for certain uses. The first is the three-edged needle. This is a thick, round-handled needle with a triangular shaft. It looks like a lance with a very sharp tip, and is used for bloodletting. Bloodletting is the process of allowing blood to flow from the body in a controlled way to treat disease like hemochromatosis and polycythemia.

There are also intradermal needles, which are very thin, short needles that are often used to treat chronic pain or addiction. They are inserted shallowly, often in the ears, left in place, and covered in waterproof tape. Press needles are very small needles that are pressed into the body, and held with a small sterilized surgical patch. These needles are used where long-term stimulation is required, and may be kept there for a week or more.

Modern acupuncture needles: ElectroAcupuncture ( electronic acupuncture pen )

Electroacupuncture doesn't use standalone acupuncture needles at all. Instead, it attaches a pair of needles to an electronic device that continuously generates an electronic pulse between them. This type of acupuncture can also be called Percutaneous Electrical Nerve Stimulation.

Two types of typical and popular electronic acupuncture pens:

1. Electronic Acupuncture Pen Gosear Electric Meridian Energy Body Massager Pain Relief Therapy Instrument Magnet Therapy

2. Acupuncture Meridian Pen Point Electronic Massage Therapy Device God's Pen Leawell Hole Equipment Full Body Pain Relief LY

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