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已发表论文
针刺疗法治疗四肢肌肉骨骼疼痛：具有临床意义的证据综合与治疗启示
Authors Zhu F , Chen Y, Zhu Y , Bai Z , Yan H
Received 3 July 2025
Accepted for publication 17 October 2025
Published 24 October 2025 Volume 2025:18 Pages 5541—5554
DOI https://doi.org/10.2147/JPR.S551446
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Dr Houman Danesh
Fenglin Zhu, Yetong Chen, Yang Zhu, Zhenmin Bai, Huipin Yan
School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, People’s Republic of China
Correspondence: Zhenmin Bai, School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, People’s Republic of China, Email 2310@bsu.edu.cn Huipin Yan, School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, People’s Republic of China, Email yanhp000@126.com
Background: Extremity musculoskeletal pain (EMP) is a major contributor to chronic pain and disability worldwide, often involving tendinopathies, enthesopathies, and myofascial pain syndromes. Conventional treatments such as medications, injections, and physical therapy frequently provide only partial or short-term relief. Acupuncture, widely practiced in clinical settings, has been proposed as a safe and effective alternative or adjunctive therapy.
Methods: A comprehensive search of PubMed, Embase, and the Cochrane Library identified studies published from January 2015 to June 2024. Eligible publications included randomized controlled trials (RCTs), systematic reviews, or meta-analyses involving adults with EMP and reporting pain or function as primary outcomes. Nineteen studies (10 RCTs, 9 reviews) met the inclusion criteria and were narratively synthesized.
Results: For lateral epicondylitis (LE), manual acupuncture provided short-term benefit, while dry needling demonstrated superior long-term effects. Evidence for carpal tunnel syndrome (CTS) was insufficient, with mixed findings and high risk of bias. In patellofemoral pain syndrome (PFPS), trigger point dry needling showed short-to-medium term pain relief, though its added value in multimodal therapy was inconsistent. For plantar heel pain syndrome (PHPS), both electroacupuncture and dry needling produced significant improvements in pain and function, with benefits sustained beyond three months.
Conclusion: Acupuncture appears to be a safe, low-risk therapy for EMP, with strongest evidence for PHPS and LE, limited support for PFPS, and insufficient evidence for CTS. Clinically, acupuncture should be considered as part of comprehensive multimodal strategies, tailored to patient needs and preferences. Future research should focus on large-scale, standardized RCTs, direct comparisons between acupuncture modalities, and inclusion of regional and non-English studies to strengthen the global evidence base.
Keywords: extremity musculoskeletal pain, plantar heel pain syndrome, lateral epicondylitis, patellofemoral pain syndrome, carpal tunnel syndrome, acupuncture therapy
School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, People’s Republic of China
Correspondence: Zhenmin Bai, School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, People’s Republic of China, Email 2310@bsu.edu.cn Huipin Yan, School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, People’s Republic of China, Email yanhp000@126.com
Background: Extremity musculoskeletal pain (EMP) is a major contributor to chronic pain and disability worldwide, often involving tendinopathies, enthesopathies, and myofascial pain syndromes. Conventional treatments such as medications, injections, and physical therapy frequently provide only partial or short-term relief. Acupuncture, widely practiced in clinical settings, has been proposed as a safe and effective alternative or adjunctive therapy.
Methods: A comprehensive search of PubMed, Embase, and the Cochrane Library identified studies published from January 2015 to June 2024. Eligible publications included randomized controlled trials (RCTs), systematic reviews, or meta-analyses involving adults with EMP and reporting pain or function as primary outcomes. Nineteen studies (10 RCTs, 9 reviews) met the inclusion criteria and were narratively synthesized.
Results: For lateral epicondylitis (LE), manual acupuncture provided short-term benefit, while dry needling demonstrated superior long-term effects. Evidence for carpal tunnel syndrome (CTS) was insufficient, with mixed findings and high risk of bias. In patellofemoral pain syndrome (PFPS), trigger point dry needling showed short-to-medium term pain relief, though its added value in multimodal therapy was inconsistent. For plantar heel pain syndrome (PHPS), both electroacupuncture and dry needling produced significant improvements in pain and function, with benefits sustained beyond three months.
Conclusion: Acupuncture appears to be a safe, low-risk therapy for EMP, with strongest evidence for PHPS and LE, limited support for PFPS, and insufficient evidence for CTS. Clinically, acupuncture should be considered as part of comprehensive multimodal strategies, tailored to patient needs and preferences. Future research should focus on large-scale, standardized RCTs, direct comparisons between acupuncture modalities, and inclusion of regional and non-English studies to strengthen the global evidence base.
Keywords: extremity musculoskeletal pain, plantar heel pain syndrome, lateral epicondylitis, patellofemoral pain syndrome, carpal tunnel syndrome, acupuncture therapy