整体との違いを着替えますが整体は民間療法と言えますし、国家資格でもありませんので保険を扱うことも当然できません。
また民間学校レベルの授業であって、鍼灸マッサージ師のような医療のお勉強なども奥深くまでは行いませんよね。
ちょっとだけと言うような使い方は良いですが、お身体にお悩みがあるような方は国家資格を持つ鍼灸マッサージ師を、治療院をお選び下さい。
民間療法と言える整体などとは違う鍼灸マッサージは医療類似行為
また、それらを裏付けるように日々研究が重ねられ、沢山の症例報告がされ各地にエビデンスとして蓄積されています。
最近では以下のような報告がありましたのでシェアします。
椎間板ヘルニアによる慢性坐骨神経痛に対する鍼治療と偽鍼治療
JAMA Intern Med. Published online October 14, 2024. doi:10.1001/jamainternmed.2024.5463
Key Points
Question Does acupuncture alleviate pain and improve function in patients with chronic sciatica from herniated disk?Findings This multicenter randomized clinical trial found a statistically significant difference in the mean decrease in leg pain using the visual analog scale, from baseline to week 4 (30.8 mm with acupuncture vs 14.9 mm with sham acupuncture). The findings for function using the Oswestry Disability Index were similar (13.0 vs 4.9 points).
Meaning Acupuncture alleviates pain and improves function among patients with chronic sciatica from herniated disk and should be considered as a potential treatment option.
Abstract
Importance Sciatica is commonly caused by herniated lumbar disc and contributes to severe pain and prolonged disability. Although acupuncture is widely used by patients with chronic sciatica, the evidence of its efficacy is scarce.Objective To investigate the efficacy and safety of acupuncture compared with sham acupuncture in patients with chronic sciatica from herniated disk.
Design, Settings, and Participants This was a multicenter 2-arm randomized clinical trial conducted in 6 tertiary-level hospitals in China of patients with chronic sciatica from herniated disk. Participants were recruited from March 25, 2021, to September 23, 2021, with a final follow-up through September 22, 2022. Data analyses were performed from December 2022 to March 2023.
Interventions Participants were randomly assigned to receive 10 sessions of acupuncture (n = 110) or sham acupuncture (n = 110) over 4 weeks. Participants, outcome assessors, and statisticians were blinded.
Main Outcomes and Measures The 2 coprimary outcomes were changes in visual analog scale (VAS) for leg pain and Oswestry Disability Index (ODI) from baseline to week 4. Secondary outcomes were adverse events.
Results A total of 216 patients (mean [SD] age, 51.3 [15.2] years; 147 females [68.1%] and 69 males [31.9%]) were included in the analyses. The VAS for leg pain decreased 30.8 mm in the acupuncture group and 14.9 mm in the sham acupuncture group at week 4 (mean difference, −16.0; 95% CI, −21.3 to −10.6; P < .001). The ODI decreased 13.0 points in the acupuncture group and 4.9 points in the sham acupuncture group at week 4 (mean difference, −8.1; 95% CI, −11.1 to −5.1; P < .001). For both VAS and ODI, the between-group difference became apparent starting in week 2 (mean difference, −7.8; 95% CI, −13.0 to −2.5; P = .004 and −5.3; 95% CI, −8.4 to −2.3; P = .001, respectively) and persisted through week 52 (mean difference, −10.8; [95% CI, −16.3 to −5.2; P < .001; and −4.8; 95% CI, −7.8 to −1.7; P = .003, respectively). No serious adverse events occurred.
Conclusions and Relevance This randomized clinical trial found that in patients with chronic sciatica from herniated disk, acupuncture resulted in less pain and better function compared with sham acupuncture at week 4, and these benefits persisted through week 52. Acupuncture should be considered as a potential treatment option for patients with chronic sciatica from a herniated disk.
Trial Registration Chictr.org Identifier: ChiCTR2100044585
Editor’s Note
Moving the Needle on Acupuncture Trials
JAMA Internal Medicine
・2024年10月14日
Question：鍼治療は椎間板ヘルニアによる慢性坐骨神経痛の患者の痛みを軽減し、機能を改善しますか？Findings：この多施設ランダム化臨床試験では、ベースラインから 4 週目までの視覚アナログスケールを使用した脚の痛みの平均減少に統計的に有意な差が見られました (鍼治療で 30.8 mm、偽鍼治療で 14.9 mm)。Oswestry 障害指数を使用した機能の結果も同様でした (13.0 対 4.9 ポイント)。Meanin：鍼治療は椎間板ヘルニアによる慢性坐骨神経痛の患者の痛みを軽減し、機能を改善するため、潜在的な治療選択肢として検討されるべきである。
効果を証明するかのように沢山の症例が報告蓄積されていますので、参考にしつつ鍼灸マッサージを選んで下さい。
施設などえリハビリの職員がいますとか看護師がおりますのでとか言われたりするかと思いますが、全く違うと言って良いと思います。
看護師さんのケアやリハビリの職員をけなすのではなくて、それぞれの得意分野を掛け合わせ得ながらケアを行うことが肝心なんだとお伝えしたいです。
看護師やリハビリ職員ではできなかったりできなかったり、そもそも同じサービスを提供できませんので鍼灸マッサージを知るところから初めてみてください。
