Auricular Acupuncture

Auricular Branch of The Vagus Nerve

Auricular acupuncture is a easy to carry out non-pharmacological pain management method that may be of use for patients as a part of a larger multidisciplinary pain management pain strategy (Millstine et al. 2017, Murakami et al. 2017, Ushinohama et al. 2016)

Acknowledging that traditional narratives outdated, medical acupuncture is an approach that is based upon a theory that is inline current scientific understanding of how the body works. Reframing auricular acupuncture form of peripheral nerve stimulation technique in which acupuncture needles are inserted into anatomically defined sites, and stimulated manually or with electricity.

In theory auricular acupuncture stimulate the auricular branch of the vagus nerve (the inner conch of the ear) which may have may have therapeutic benefits (Usichenko et al. 2017). 

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https://www.ncbi.nlm.nih.gov/pubmed/20954963

Barker, R., Kober, A., Wang, S.M. (2006). Out-of-hospital auricular acupressure in elder patients with hip fracture: a randomized double-blinded trial. Acad Emerg Med.
https://www.ncbi.nlm.nih.gov/pubmed/16365322

Bonaz, B., Sinniger, V., & Pellissier, S. (2016). Anti-inflammatory properties of the vagus nerve: Potential therapeutic implications of vagus nerve stimulation. The Journal of Physiology.
http://www.ncbi.nlm.nih.gov/pubmed/27059884

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http://www.ncbi.nlm.nih.gov/pubmed/24359451

Graff, D. M., & Mcdonald, M. J. (2016). Auricular Acupuncture for the Treatment of Pediatric Migraines in the Emergency Department. Pediatric Emergency Care.
http://www.ncbi.nlm.nih.gov/pubmed/27139637

Hou, P.W., Hsu, H.C., ... Hsieh, C.L. (2015). The History, Mechanism, and Clinical Application of Auricular Therapy in Traditional Chinese Medicine. Evid Based Complement Alternat Med. 
https://www.ncbi.nlm.nih.gov/pubmed/26823672

Hunter, R.F., McDonough, S.M., ... Baxter, G.D. (2012). Exercise and Auricular Acupuncture for Chronic Low-back Pain: A Feasibility Randomized-controlled Trial. Clin J Pain.
https://www.ncbi.nlm.nih.gov/pubmed/21753728

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https://www.ncbi.nlm.nih.gov/pubmed/28570280

Lim, H., Kim, M., Lee, C., & Namgung, U. (2016). Anti-Inflammatory Effects of Acupuncture Stimulation via the Vagus Nerve. PLoS ONE.  (OPEN ACCESS)
http://www.ncbi.nlm.nih.gov/pubmed/26991319

Millstine, D., Chen, C., Bauer, B. (2017). Complementary and integrative medicine in the management of headache. BMJ.
https://www.ncbi.nlm.nih.gov/pubmed/28512119

Murakami, M., Fox, L., Dijkers, M.P. (2017). Ear Acupuncture for Immediate Pain Relief-A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Pain Med.
https://www.ncbi.nlm.nih.gov/pubmed/28395101

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https://www.ncbi.nlm.nih.gov/pubmed/19743552

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https://www.ncbi.nlm.nih.gov/pubmed/24562381

Tsai, S., Fox, L. M., Murakami, M., & Tsung, J. W. (2016). Auricular Acupuncture in Emergency Department Treatment of Acute Pain. Annals of Emergency Medicine.
http://www.ncbi.nlm.nih.gov/pubmed/27287548

Usichenko, T., Hacker, H., Lotze, M. (2017). Transcutaneous auricular vagal nerve stimulation (taVNS) might be a mechanism behind the analgesic effects of auricular acupuncture. Brain Stimul.
https://www.ncbi.nlm.nih.gov/pubmed/28803834/

Ushinohama, A., Cunha, B.P., Costa, L.O., Barela, A.M., Freitas, P.B. (2016). Effect of a single session of ear acupuncture on pain intensity and postural control in individuals with chronic low back pain: a randomized controlled trial. Braz J Phys Ther.
https://www.ncbi.nlm.nih.gov/pubmed/27556389

Usichenko, T.I., Lehmann, C.h., Ernst, E. (2008). Auricular acupuncture for postoperative pain control: a systematic review of randomised clinical trials. Anaesthesia.
https://www.ncbi.nlm.nih.gov/pubmed/19032304 

Xia, B., Xie, Y., Hu, S., Xu, T., Tong, P. (2017). Effect of Auricular Point Acupressure on Axial Neck Pain After Anterior Cervical Discectomy and Fusion: A Randomized Controlled Trial. Pain Med.
https://www.ncbi.nlm.nih.gov/pubmed/28505292

Yeh, C.H., Kwai-Ping Suen, L., ... Morone, N.E. (2015). Day-to-Day Changes of Auricular Point Acupressure to Manage Chronic Low Back Pain: A 29-day Randomized Controlled Study. Pain Med.
https://www.ncbi.nlm.nih.gov/pubmed/25988270

Yeh, C.H., Chien, L.C., Lin, W.C., Bovbjerg, D.H., van Londen, G.J. (2016). Pilot Randomized Controlled Trial of Auricular Point Acupressure to Manage Symptom Clusters of Pain, Fatigue, and Disturbed Sleep in Breast Cancer Patients. Cancer Nurs.
https://www.ncbi.nlm.nih.gov/pubmed/26390073

Yang, L.H., Duan, P.B., ... Wang, X.Q. (2017). Efficacy of Auricular Acupressure for Chronic Low Back Pain: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evid Based Complement Alternat Med.
https://www.ncbi.nlm.nih.gov/pubmed/28804504