• Bingjiang Xia, Yiping Xie, Songfeng Hu, Taotao Xu, and Peijian Tong.
• Shaoxing Hospital of Traditional Chinese Medicine (TCM), affiliated with Zhejiang Chinese Medical University, Shaoxing, Zhejiang, China.
• Pain Med. 2018 Jan 1; 19 (1): 193-201.

ObjectivesTo evaluate the effect of auricular point acupressure (APA) on axial neck pain after anterior cervical discectomy and fusion (ACDF) surgery.DesignA prospective randomized controlled trial was performed.Subjects And SettingTwenty-nine participants were randomly divided into two groups, real or sham APA. Participants were enrolled from Shaoxing Hospital of Traditional Chinese Medicine, affiliated with Zhejiang Chinese Medical University.MethodsEligible participants received a four-week real or sham APA treatment according to their assigned groups. The clinical outcomes were assessed by the criteria of Hosono et al., the Brief Pain Inventory Short Form (BPI), and the 36-item Short Form Health Survey (SF-36). In addition, plasma interleukin (IL)-1β, IL-6, and tumor necrosis factor (TNF)-α were analyzed.ResultsPatients with severe or moderate axial neck pain accounted for 28.6% and 35.7% in the real APA group at the end of treatment and one-month follow-up. BPI scores were decreased in the real APA group at the end of treatment and one-month follow-up. The total mean score of SF-36 was improved in the real APA group and significantly higher than in the sham APA group. Additional, the levels of IL-1β, IL-6, and TNF-α were decreased in the real APA group.ConclusionsThe findings supported the therapeutic effect of APA treatment on axial neck pain after ACDF surgery, and they exert the possible therapeutic effect on downregulating the levels of plasma IL-1β, IL-6, and TNF-α.© 2017 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

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