Immediate effects of microsystem acupuncture in patients with oromyofacial pain and craniomandibular disorders (CMD): a double-blind, placebo-controlled trial

Key Points Investigates immediate effects of acupuncture in patients with oromyofacial pain in a randomised, double-blind and placebo-controlled trial. Shows immediate and effective pain relief (VAS) using microsystem acupuncture in patients with oromyofacial pain, headaches and neck pain. Suggests a close relationship between occlusion, muscles and the cervical spine. Background Patients presenting with oromyofacial disorders and pain in the head and neck area are often resistant to conventional therapy. Acupuncture has been shown to be effective in pain reduction. Methods Twenty-three patients with craniomandibular disorders, headache and, in particular, local pain in the orofacial, cervical and temporomandibular joint areas were randomised into acupuncture or placebo laser therapy groups. Pain was assessed by a visual analogue scale (VAS) and by palpation of 14 muscles and groups of muscles immediately before and after treatment, the assessor being blinded to the patients' allocation. Applicable acupuncture points were searched and pricked using the 'very-point' technique. Findings Pain reduction measured by VAS was significantly more pronounced after acupuncture than after placebo treatment (p = 0.031). Sum of pain scores across 14 muscles was considerably more reduced after acupuncture as compared to sham laser treatment. Interpretation Acupuncture may bring about immediate pain relief in patients with oromyofacial disorders, increasing the chance to initiate other therapeutic measures.