Written by Edzard Ernst and the CAM-Cancer Consortium.
Updated March 11, 2011

Acupuncture in cancer pain

Abstract and key points

  • Needling of specific points on the body surface.
  • Not demonstrably effective for pain management in cancer patients.
  • Serious complications are probably rare.
  • For cancer pain, the use of acupuncture is not proven beyond reasonable doubt.

Acupuncture usually entails needling specific points of the body surface. According to Traditional Chinese Medicine (TCM) philosophy, illness is caused by imbalances of energies in the body and acupuncture is seen as a treatment that re-balances energies. Many practitioners advocate its use for a wide range of conditions and symptoms.

According to the most reliable evidence, it is not demonstrably effective in controlling cancer pain. Mild adverse effects can be expected in about 10% of all cases and serious complications, such as pneumothorax and hepatitis, seem to be rare. In conclusion, for the proven management of cancer pain, the benefits of acupuncture do not seem to outweigh its risks.

Citation Edzard Ernst, CAM-Cancer Consortium. Acupuncture in cancer pain [online document]. http://upgrade.cam-cancer.org/CAM-Summaries/Alternative-Medical-Systems/Acupuncture-in-cancer-pain. March 11, 2011.

References

  1. Zhao ZQ. Neural mechanism underlying acupuncture analgesia. Prog Neurobiol 2008; 84(4):355-375.
  2. Lee H, Schmidt K, Ernst E. Acupuncture for the relief of cancer-related pain - a systematic review. J Symp Pain Man 2004;9(4):437-44.
  3. Bardia A, Barton DL, Prokop LJ, Bauer BA, Moynihan TJ. Efficacy of complementary and alternative medicine therapies in relieving cancer pain: a systematic review. J Clin Oncol 2006; 24(34):5457-64.
  4. Chen Z-J, Guo Y-P, Wu Z-C. Observation on the therapeutic effect of acupuncture at pain points on cancer pain. Zhongguo Zhenjiu 2008; 28(4):251-253.
  5. Mehling WE, Jacobs B, Acree M, Wilson L, Bostrum A, West J et al. Symptom management with massage and acupuncture in postoperative cancer patients: a randomized controlled trial. J Pain Symptom Manage. 2007; 33(3):258-266.
  6. Nguyen J. Analgesic effect of auricular acupuncture for cancer pain: a randomized blinded, controlled trial. Acupunct et Moxi 2005; 2:144-146.
  7. Wong RHL, Lee TW, Sihoe ADL, Wan IYP, Ng CSH, Chan SKC et al. Analgesic effect of electroacupuncture in postthoracotomy pain: a prospective randomized trial. Ann Thorac Surg. 2006; 81(6):2031-2036.
  8. Zhang T, Ma S-L, Xie G-R, Dent Q-H, Tang Z-Z, Pan X-C. Clinical research on nourishing yin and unblocking meridians recipe combined with opioid analgesics in cancer pain management. Chinese J Integrative Med 2006; 12(3):180-184.
  9. White A, Hayhoe S, Ernst E. Survey of Adverse Events Following Acupuncture Acupunct Med. 1997; 15:67-70.
  10. White A. A cumulative review of the range and incidence of significant adverse events associated with acupuncture. Acupunct Med. 2004; 22(3):122-123.
  11. Ernst E. Deaths after acupuncture: a systematic review. Int J Risk Safety 2010; 22(3):131-136.