- The population studied limits the applicability of this data to a number of pediatric patients with chronic headaches. There is a limited number of patients with such severe headaches that they will not be on a daily prophylactic medication, especially if these headaches have been present for > 12months.
- Mechanisms for acupuncture and not clear. Several hypothesis exist, including the neurohumoral hypothesis, role of polymodal receptors, and the activation of regional brain activity seen by functional MRI and PET. Provides a wide range of systemic effects including changes in blood flow regulation, both central and peripheral, changes in neurotransmitter and neurohormone secretion, alteration in immune function, acceleration of nerve generation and neuroplasticity.
- Laser acupuncture is inexpensive and has no known side effects. It presents a safe alternative treatment, especially when compared to needle acupuncture, which includes side effects of bleeding, local infection as well as more serious complications such as sepsis, and pneumothorax. Laser acupuncture also seems to be a better option of children, as it is painless and no needles are involved.
- Acupuncture tends to be well accepted in the pediatric population, with most patients (67%) reporting it as a positive experience. 2
- Gottschling, Sven et. al. Laser Acupuncture in Children with Headache: A Double-blind, Randomized, Bicenter, Placebo-controlled Trial. Pain. 2008; 137: 405-412.
- Kemper, Kathi J. et. al. On Pins and Needles? Pediatric Pain Patients Experience with Acupuncture. Pediatrics. 2000; 105: 941-947.
- Kundu, Anjana and Berman, Brian. Acupuncture of Pediatric Pain and Symptom Management. Pediatric Clinics of North America. 2007; 54: 885-899