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Anticancer treatments are neurotoxic and can damage peripheral nerves which leads to patients experiencing allodynia, loss of sensation and loss of motor function. Statistics show that 68% of the time, patient will experience chemotherapy-induced peripheral neuropathy (CIPN) months to years after the start of their treatment. At this time, conventional medicine does not have effective CIPN prevention strategy and the treatment of established chronic CIPN is limited. Patients are usually given Gabapentin, duloxetine, exercise therapies, supplements or even decreasing chemotherapy doses. The effectiveness with these approaches are modest at best or leads to decrease effectiveness of treatment. Patients have reported decrease in quality of life due to CIPN.
Common chemotherapeutics and incidence or prevalence of reported neuropathy.
Approximate incidence/ prevalence of CIPN (%)
Acute: 85-96; Chronic wide range: 40-93
Combined cisplatin and paclitaxel
According to Traditional Chinese Medicine (TCM) theory, CIPN is similar to Xue Bi which means pain and numbness in the extremities. Herbal medicine and acupuncture are common therapies for Xue Bi. Patients are assessed during their initial visit in order to determine where needles are placed. The placement of acupuncture needles in the hands, feet, ears and other areas on the body helps to promote circulation to the areas and facilitates nerve regeneration. Needles can be attached to a stimulator to increase the effectiveness of the treatment. The number of treatments to completely resolve CIPN will depend on the severity of the neuropathy, length of time from onset and other underlying health concerns. Often, the acupuncturist will give dietary and exercise recommendations based on the patient’s health needs to compliment the acupuncture treatments.
Multiple studies show that acupuncture is a safe therapy with no known adverse effects in treating CIPN. Course of treatment in the studies average twice a week for eight weeks with significantly higher pain reduction in the acupuncture groups compared to sham or only drug therapies. Patients continue to report decrease in CIPN 4-8 months after the initial course of treatment; improving the patient’s overall quality of life.
1.Curr Oncol. 2019
A systematic review of acupuncture for chemotherapy-induced peripheral neuropathy
K. Li, BSc,* D. Giustini, MLS MEd,† and D. Seely, ND MSc‡
2. Acupuncture for Chemotherapy-Induced Peripheral Neuropathy in Breast Cancer Survivors: A Randomized Controlled Pilot Trial
Weidong Lu1, Anita Giobbie-Hurder2, Rachel A Freedman1, Im Hee Shin3, Nancy U Lin1, Ann H Partridge1, David S Rosenthal1, Jennifer A Ligibel1.
3. March 11, 2020
Effect of Acupuncture vs Sham Procedure on Chemotherapy-Induced Peripheral Neuropathy SymptomsA Randomized Clinical Trial
Ting Bao, MD, DABMA, MS1,3; Sujata Patil, PhD2; Connie Chen, MD1; et al
4. Effectiveness of Acupuncture Treatment on Chemotherapy-Induced Peripheral Neuropathy: A Pilot, Randomized, Assessor-Blinded, Controlled Trial
Somayeh Iravani,1 Amir Hooman Kazemi Motlagh,2 Seyede Zahra Emami Razavi,3 Farhad Shahi,4 Jing Wang,5 Li Hou,5 Wenjun Sun,6 Mohammad Reza Afshari Fard,1 Mahdi Aghili,7 Mehrdad Karimi,2 Hossein Rezaeizadeh,2 and Baixiao Zhao8
5. 29 Jun 2020 The Efficacy of Acupuncture in Chemotherapy-Induced Peripheral Neuropathy: Systematic Review and Meta-Analysis
Tsai-Ju Chien12, Chia-Yu Liu2345, Ching-Ju Fang67, Chun-Yu Kuo2
6. 2012 Mar. acupmed; Acupuncture for chemotherapy-induced peripheral neuropathy (CIPN): a pilot study using neurography
Sven Schroeder1, Gesa Meyer-Hamme, Susanne Epplée
7. Incidence, prevalence, and predictors of chemotherapy-induced peripheral neuropathy: a systematic review and meta-analysis; Review published: 2014.
Seretny M, Currie GL, Sena ES, Ramnarine S, Grant R, MacLeod MR, Colvin L, Fallon M. Incidence, prevalence, and predictors of chemotherapy-induced peripheral neuropathy: a systematic review and meta-analysis. Pain 2014; 155(12): 2461-2470.
8. NIH.gov Pain. Author manuscript; available in PMC 2020 May 1.Lesley A Colvin
Chemotherapy-induced peripheral neuropathy (CIPN): where are we now?
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