Canadian RMT Magazine Spring 2016 Apr. 2016 | Page 22

Neurofunctional Acupuncture: A mechanism-based model for pain treatment By Alejandro Elorriaga Claraco, MD (Spain), Director McMaster Contemporary Acupuncture Program P ain problems involve a complex combination of movement dysfunctions, sensory signals, and emotions. To treat pain successfully we need a treatment model that considers all relevant contributions by the nervous system such as peripheral and central sensitization phenomena. A great contemporary therapeutic intervention based on that model is neurofunctional acupuncture, a science-based modality with multiple effects in the central and peripheral nervous system. In a simple definition, neurofunctional acupuncture consists of the stimulation of peripheral nerves and their receptors with acupuncture needles and electricity for therapeutic purposes. Effects to this stimulation include the production of analgesia in muscle pain by at least two specific mechanisms: 1) improvement of perfusion in the painful muscle mediated by autonomic vascular reflexes and the release of nitric oxide; 2) activation of central endogenous pain inhibitory systems that modulate nocicep ѥٔ