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Efficacy and Safety of Transcutaneous Acupoint Electrical Stimulation in the Treatment of Cervical Spondylosis: A Multicenter Randomized Open-Labeled Controlled Clinical Study.

Pain research & managementยทDecember 2025ยทLele Huang, Wenjuan Song, Xiaowei Luan et al.
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Key Finding

Electronic wrist-ankle acupuncture combined with Tuina demonstrated comparable pain relief to traditional wrist-ankle acupuncture but showed significantly better improvement in neck disability scores (p=0.017).

What This Means For You

Researchers in China compared two treatments for neck pain caused by cervical spondylosis, a common condition involving wear and tear of the neck bones and discs. The study included 164 patients who received treatment twice weekly for three weeks. One group received traditional wrist-ankle acupuncture combined with Tuina massage, while the other group used an electronic version of wrist-ankle acupuncture (E-WAA) combined with Tuina. Wrist-ankle acupuncture is a specialized technique that stimulates points on the wrists and ankles rather than directly on the painful area.

Both treatments effectively reduced pain levels, with no significant difference between the groups. However, the electronic acupuncture group showed better improvement in neck disability scores, meaning patients experienced greater improvements in daily activities like dressing, reading, and working. No adverse reactions occurred in either group, and over 80% of patients found the electronic device safe to use.

For patients considering treatment, these findings suggest that both approaches can help relieve neck pain from cervical spondylosis. The electronic wrist-ankle acupuncture offers potential advantages: it's non-invasive (no needles pierce the skin), can be controlled precisely, and may eventually allow patients to use the device at home with proper training. This could make treatment more convenient and accessible for those with chronic neck pain. The combination with Tuina massage appears to enhance the benefits of either acupuncture method. If you're considering acupuncture for neck pain, seek treatment from a licensed acupuncturist or qualified healthcare provider trained in these techniques.

Clinical Notes for Practitioners

This multicenter randomized controlled trial (n=164) compared electronic wrist-ankle acupuncture (E-WAA) combined with Tuina versus traditional wrist-ankle acupuncture with Tuina for cervical spondylosis. Patients received treatment twice weekly for three weeks. Primary outcome was VAS improvement rate; secondary outcomes included Neck Disability Index (NDI) and cervical range of motion. Both interventions demonstrated significant pain reduction with no statistically significant difference in VAS improvement rates (p=0.593). However, the E-WAA group showed superior improvement in NDI scores compared to controls (p=0.017), indicating enhanced functional outcomes. No adverse events were reported, and 83.75% of patients rated E-WAA as safe. Clinical implications suggest E-WAA combined with Tuina offers comparable analgesic efficacy to traditional needling methods while providing additional functional benefits. The noninvasive, controllable nature of E-WAA may improve patient compliance and expand treatment accessibility for cervical spondylosis management. Trial registered: ChiCTR2200056394.

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