assessment of treatment results: designed to evaluate the patient’s opinion of their response to...

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Assessment of Treatment Results: Designed to evaluate the Patient’s Opinion of their response to Acupuncture Rx. Following your Acupuncture Treatment Is your Pain: More Freq., less freq., greatly less freq, No pain / never Is your Pain: More severe, less severe, very much less severe, no pain Has your range of movement: improved, greatly improved, full, unchanged, not limited before General Questions: Included Age, Drug Usage and Sleep Disturbance. Same question format used for surveys 1, 2 & 3.

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Page 1: Assessment of Treatment Results: Designed to evaluate the Patient’s Opinion of their response to Acupuncture Rx. u Following your Acupuncture Treatment

Assessment of Treatment Results: Designed to evaluate the Patient’s Opinion of their response to Acupuncture Rx.

Following your Acupuncture Treatment Is your Pain: More Freq., less freq., greatly less freq, No pain / never Is your Pain: More severe, less severe, very much

less severe, no pain Has your range of movement: improved, greatly

improved, full, unchanged, not limited before General Questions: Included Age, Drug Usage and Sleep

Disturbance. Same question format used for surveys 1, 2 & 3.

Page 2: Assessment of Treatment Results: Designed to evaluate the Patient’s Opinion of their response to Acupuncture Rx. u Following your Acupuncture Treatment

Results of Acupuncture Rxusing the Near & Far Technique.

Survey 1. 100% ReferredSurvey 3. NHMRC fundedSurvey 4. Brisbane Medical School ( Very complex, hostile wording. ? reason for low response rate)

Page 3: Assessment of Treatment Results: Designed to evaluate the Patient’s Opinion of their response to Acupuncture Rx. u Following your Acupuncture Treatment

Survey 2. Results

Follow up 6 months+ Response rate 75%, Patient Number = 478 Total number of specifically treated complaints

= 912. = 1.98 per Patient. Average number of treatments per patient = 7.8 Average Pain duration varied with type / site of pain.

Page 4: Assessment of Treatment Results: Designed to evaluate the Patient’s Opinion of their response to Acupuncture Rx. u Following your Acupuncture Treatment

Survey 2. ResultsThe Patient’s Opinion

Greatly Helped = Much less frequent to no pain. + Very much less severe to no pain (as a %)

Helped = Less freq. and less severe pain (as a %)

Back Pain

Headache

C.B.S.

Neck

Shoulder

Anxiety

0 50 100

Back Pain

Headache

C.B.S.

Neck

Shoulder

Anxiety

Helped

GreatlyHelped

%

Page 5: Assessment of Treatment Results: Designed to evaluate the Patient’s Opinion of their response to Acupuncture Rx. u Following your Acupuncture Treatment

Survey 2. Low Back Pain

136 cases Acupuncture of Benefit ? Yes 119 No 17 Greatly helped rate 56% Helped rate 30%

More Less V.M.Less

NoPain

0

10

20

30

40

More Less V.M.Less

NoPain

Pain Freq.Pain Sev.

Sleep Disturbance Improved - Back to normal 88%

Page 6: Assessment of Treatment Results: Designed to evaluate the Patient’s Opinion of their response to Acupuncture Rx. u Following your Acupuncture Treatment

Survey 2. Headache.. 29 Myogenic, 14 Vascular, 3 mixed. Average no. of treatments 7.8 Acupuncture of Benefit Yes ...91%. Medication None - Greatly less 67%, less 16% Sleep improved - back to normal 90%

More Less V.M.Less

NoPain

0

10

20

30

40

More Less V.M.Less

NoPain

Pain Freq.Pain Sev.

Page 7: Assessment of Treatment Results: Designed to evaluate the Patient’s Opinion of their response to Acupuncture Rx. u Following your Acupuncture Treatment

Survey 2. Cervicobrachial syndrome ( Neck and Arm Pain)

No of patients = 72 Average number of treatments 7.4.

Acupuncture of benefit? Yes 87% Medication None-Greatly Decreased 46% Less

46% Sleep, improved - back to normal 83%

less

None <<L

Not helpd

0 20 40 60 80

less

None <<L

Not helpdSev.

Freq.

%

Page 8: Assessment of Treatment Results: Designed to evaluate the Patient’s Opinion of their response to Acupuncture Rx. u Following your Acupuncture Treatment

Survey 2. ResultsThe Influence of Pain Durationon Rx Effect

C.B.S. / Neck and Arm Pain Pain Duration: Helped Gp. 7.5 years Greatly Helped Gp. 4.3 years Headache Pain Duration: Helped Gp. 7 years Greatly Helped Gp. 6 years Not Helped Gp. 13 years

Page 9: Assessment of Treatment Results: Designed to evaluate the Patient’s Opinion of their response to Acupuncture Rx. u Following your Acupuncture Treatment

Survey 2. ResultsThe Influence of Pain Durationon Number of Acupuncture Rx’s

C.B.S / Neck and Arm pain

Greatly helped with < 5 Acup. sessions 2.1 years

Greatly helped with > 5 Acup. sessions 5.4 years

Headache

Greatly helped with < 5 Acup. sessions 5.0 years

Greatly helped with > 5 Acup. sessions 8.0 years

Page 10: Assessment of Treatment Results: Designed to evaluate the Patient’s Opinion of their response to Acupuncture Rx. u Following your Acupuncture Treatment

Survey 4. Brisbane Medical School

Follow up @ 3 - 4 Years 87% Severe to unendurable Pain. State of pain immediately following course

of Acupuncture.

Worse 1.6%*Same 13.4%Better 52.7%No pain 32.3%

Page 11: Assessment of Treatment Results: Designed to evaluate the Patient’s Opinion of their response to Acupuncture Rx. u Following your Acupuncture Treatment

Worsened by Acupuncture Rx?

Patients whose pain worsens markedly

following Acupuncture should be reassessed for a missed malignancy, large disc prolapse, R.S.D. or other severe pathology.

( A transient aggravation is freq. associated with the first couple of treatments, especially when marked warming of the periphery occurs.)

Page 12: Assessment of Treatment Results: Designed to evaluate the Patient’s Opinion of their response to Acupuncture Rx. u Following your Acupuncture Treatment

Survey 4.Brisbane Medical School

Follow up @ 3 - 4 Years Duration of Improvement for those reporting

pain relief.Less than 2 weeks....................................7.4%

2 weeks - 3 months...................................7.4%

More than 3 months...,,......................... 16.7%

Still better at time of survey.................68.5%

Page 13: Assessment of Treatment Results: Designed to evaluate the Patient’s Opinion of their response to Acupuncture Rx. u Following your Acupuncture Treatment

Survey 4. University of Queensland Medical School:

Follow up @ 3 - 4 Years In what way had the Pain Improved:

It occurred less frequently....................9.2%

It was not as intense............................11.1%

It was less intense &

occurred less Frequently.....................79.7%

Page 14: Assessment of Treatment Results: Designed to evaluate the Patient’s Opinion of their response to Acupuncture Rx. u Following your Acupuncture Treatment

Summary: 10 High St. Results

Our patients having suffered with severe to unendurable pain for many years were generally well pleased by their perceived long lasting pain relief, their diminished drug intake and improved sleep.

Sympatholysis & Trigger Point Ablation!