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Western medical acupuncture techniques for pain management in athletes: a systematic review and meta-analysis.

Frontiers in medicine·February 2026·Karima Chaabna, Anupama Jithesh, Jibrail Cheema et al.
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Key Finding

Western medical acupuncture techniques significantly reduced pain scores in athletes both when used alone and when combined with exercise and physiotherapy in between-group comparisons.

What This Means For You

Athletes frequently experience musculoskeletal pain that can affect their performance. Researchers conducted a systematic review and meta-analysis to determine whether Western medical acupuncture (WMA) techniques—including dry needling and other needle-based treatments grounded in conventional medical science—can effectively reduce pain in athletic populations. The study searched multiple medical databases through July 2023 and identified eight eligible studies with good overall quality. The researchers analyzed whether WMA techniques worked alone or in combination with exercise and physical therapy. The findings showed that WMA techniques alone significantly reduced pain scores in athletes. When WMA was combined with exercise and physical therapy, the results also showed significant pain reduction when comparing treatment groups to control groups. However, the certainty of evidence was rated as low for WMA alone and moderate for WMA combined with other therapies. The review identified some limitations, including publication bias and differences between studies that made comparisons challenging. For athletes dealing with musculoskeletal pain, these results suggest that Western medical acupuncture may be a helpful treatment option, either by itself or alongside conventional physical therapy and exercise programs. The authors emphasize that while the findings are promising, more high-quality research is needed to confirm these benefits with greater confidence. If you're an athlete considering acupuncture for pain management, seek a qualified practitioner trained in evidence-based Western medical acupuncture techniques.

Clinical Notes for Practitioners

This systematic review and meta-analysis evaluated Western medical acupuncture (WMA) effectiveness for pain management in athletes. Eight studies with good internal validity were included following systematic searches through July 2023. Studies employed dry needling, manual acupuncture, and percutaneous needle electrolysis based on biomedical principles without reference to traditional Chinese medicine theory. Random-effects meta-analyses revealed significant pre-post pain reduction for WMA alone (n=5, p=0.002) but nonsignificant results for WMA combined with exercise/physiotherapy in within-group analysis (n=3, p=0.206). Between-group comparisons demonstrated significant pain reductions for both WMA alone (n=1, p=0.0003) and combined interventions (n=3, p=0.011). Evidence certainty was low for WMA alone and moderate for combined approaches. Publication bias and heterogeneity were noted. Clinical takeaway: WMA techniques show promise for athletic pain management, particularly when integrated with conventional therapies, though additional well-controlled trials are necessary for definitive clinical recommendations.

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