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Corticosteroid injection reduces short-term (less than six weeks) symptoms from lateral epicondylitis, but physical therapy is superior to steroid injection after six weeksin both children with lateral epicondylitis, and among children and young adults with lateral epicondylitis who have not used steroids for one month or longer.[15] Acupuncture, or Chinese medicine (TCM), is a form of traditional medicine that is largely based on ancient principles, and it uses "acupuncture" as the modality of choice. It incorporates a wide variety of healing modalities, including acupuncture needles, tongue or tongue massage, "hot" or "cold" techniques, acupressure (a non-invasive hand motion) and various "energy" manipulations. The use of TCM has been associated with improved physical and emotional well-being, as well as improved quality of life. Evidence from clinical trials of TCM has suggested that it is an effective treatment for many conditions. The benefits have been shown to extend to more complex diseases, including pain.[16] In a trial of Chinese acupuncture, the amount of reduction in pain from chronic low back pain of up to 24 weeks was comparable to that achieved by non-steroidal anti-inflammatory drugs or spinal manipulation.[17] Evidence is lacking of the use, however, in preventing injury in sports requiring high levels of exertion (over 200 minutes per day), due to potential risks to the athlete's health and performance. A systematic review of evidence from 10 studies assessed the effect of TCM and Chinese herbs on non-specific and specific outcomes from the National Registry of Evidence-Based Medicine. A meta-analysis indicated no difference between the 2 treatments in the treatment of neuropathic pain.[16] While there were some methodological issues that could contribute to the differences in results, the systematic review indicated no statistically significant difference from the placebo controlled studies. Treatment of acute low back pain. Acupuncture and Chinese medicine (TCM) were combined to achieve better outcomes. The combination therapy was significantly more effective than either treatment separately. Acupuncture alone was significantly more effective than either acupuncture alone or the combination of acupuncture and Chinese herbs. The combination therapy was significantly more effective than the addition of a local substance, a heat pack or heat pack plus a heat pack.[16,18,19] Acupuncture and Chinese medicine (TCM) were combined to achieve better outcomes. Acupuncture alone was significantly more effective than either acupuncture alone or the combination of acupuncture and Chinese herbs. The combination therapy was significantly more effective than the addition of a local substance, a heat pack or heat pack plus a heat pack. Treatment of chronic Similar articles:
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