{"@context":"https:\/\/schema.org\/","@type":"Article","@id":"https:\/\/wellbridgeclinic.com\/references-for-acupuncture-in-pain-management-a-pathway-to-interdisciplinary-collaboration-in-oregon\/#Article","mainEntityOfPage":"https:\/\/wellbridgeclinic.com\/references-for-acupuncture-in-pain-management-a-pathway-to-interdisciplinary-collaboration-in-oregon\/","headline":"References for \u201cAcupuncture in Pain Management…\u201d","name":"References for \u201cAcupuncture in Pain Management…\u201d","description":"[et_pb_section fb_built=”1″ _builder_version=”4.19.0″ _module_preset=”default” custom_margin=”||||false|false” custom_padding=”||||false|false” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_image src=”https:\/\/wellbridgeclinic.com\/wp-content\/uploads\/2024\/04\/Oregon-Conference-Featured.jpg” alt=”Oregon Conference” title_text=”Carpal Tunnel Syndrome and Treatment with the Wellbridge Clinic in Portland Oregon” url=”https:\/\/www.oregon.gov\/omb\/Newsletter\/Fall%202023.pdf” url_new_window=”on” force_fullwidth=”on” _builder_version=”4.25.0″ _module_preset=”default” custom_margin=”||||false|false” global_colors_info=”{}” theme_builder_area=”post_content”][\/et_pb_image][et_pb_text _builder_version=”4.25.1″ _module_preset=”default” link_font=”||||on||||” ul_font=”||||||||” ul_font_size=”18px” ul_line_height=”1.6em” header_font=”Exo|900||on|||||” header_text_color=”#822631″ header_font_size=”45px” header_font_size_phone=”35px” global_colors_info=”{}” theme_builder_area=”post_content”]References for \u201cAcupuncture in […]","datePublished":"2025-09-10","dateModified":"2026-05-22","author":{"@type":"Person","@id":"https:\/\/wellbridgeclinic.com\/author\/john\/#Person","name":"John Rybak","url":"https:\/\/wellbridgeclinic.com\/author\/john\/","identifier":22,"image":{"@type":"ImageObject","@id":"https:\/\/secure.gravatar.com\/avatar\/dc8600a65b14dffa82d28b2e680465bc4a38b5b6eeda77a9e5e4be97bfe85a0a?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/dc8600a65b14dffa82d28b2e680465bc4a38b5b6eeda77a9e5e4be97bfe85a0a?s=96&d=mm&r=g","height":96,"width":96}},"publisher":{"@type":"Organization","name":"The WellBridge Clinic","logo":{"@type":"ImageObject","@id":"https:\/\/wellbridgeclinic.com\/wp-content\/uploads\/2021\/03\/WBC_Large_Logo.png","url":"https:\/\/wellbridgeclinic.com\/wp-content\/uploads\/2021\/03\/WBC_Large_Logo.png","width":600,"height":60}},"image":{"@type":"ImageObject","@id":"https:\/\/wellbridgeclinic.com\/wp-content\/uploads\/2024\/04\/Oregon-Conference-Featured.jpg","url":"https:\/\/wellbridgeclinic.com\/wp-content\/uploads\/2024\/04\/Oregon-Conference-Featured.jpg","height":628,"width":1200},"url":"https:\/\/wellbridgeclinic.com\/references-for-acupuncture-in-pain-management-a-pathway-to-interdisciplinary-collaboration-in-oregon\/","video":[{"@context":"http:\/\/schema.org\/","@type":"VideoObject","@id":"https:\/\/www.youtube.com\/watch?v=TJc3BSxB0q4#VideoObject","contentUrl":"https:\/\/www.youtube.com\/watch?v=TJc3BSxB0q4","name":"CME: Acupuncture Evidence, Pain Management, Opiate Crisis, Addiction Recovery | OPAT Conference 2024","description":"Many doctors and patients want to know \u201cDoes acupuncture work?\u201d Most doctors I meet haven\u2019t read the research that shows the extensive scientific evidence of how acupuncture works or integrate acupuncture into pain management strategies.  Despite the research showing acupuncture is one of the most effective therapies for pain management, only 1.7% of Americans use acupuncture per year (NIH study from 2022).  There is a great need for interdisciplinary collaboration between doctors and acupuncturists.\n\nTo expand this conversation, I was invited to provide this Continuing Medical Education (CME) lecture for doctors and other medical professionals given at the 2024 OPAT conference (Oregon Opiate Prescribing, Pain Management, and Addictions Treatment Conference) as put on by Lines for Life (www.linesforlife.org).  My purpose is to explore the science of acupuncture in modern language, help doctors recognize a good patient referral, build trust between acupuncturists, doctors, and patients, and help policy makers understand how to build a better health care delivery system.\n\nDoctors are busy. I get it, but acupuncture has been shown to be effective for many pain conditions and patients report \u2018added benefits\u2019 rather than side effects with an improved quality of life.  There\u2019s more to pain management than pills, some surgeries can be avoided, and physical therapy works better with real acupuncture. Dry needling is only a tiny fraction of what acupuncture is and isn\u2019t it better to have your \u2018cake and eat it too\u2019?  \n\nWe explore the science behind acupuncture. And you might just agree that it is extremely interesting.  Acupuncture has been hidden in myths and misconceptions for far too long.  The opiate crisis drags on and patients need more solutions.  The research shows that acupuncture can help.   With better communication, the biological mechanisms of acupuncture can help more people.  Not only that, with increased collaboration, the science shows that the principles of acupuncture will contribute to the development of the next generation of biotechnology and electroceuticals.\n\nJohn Rybak is a biologist, clinical acupuncturist and in the process of completing his doctoral studies.  \n\nEveryone is encouraged to review the references to this paper presentation: https:\/\/wellbridgeclinic.com\/references-for-acupuncture-in-pain-management-a-pathway-to-interdisciplinary-collaboration-in-oregon\/","thumbnailUrl":["https:\/\/i.ytimg.com\/vi\/TJc3BSxB0q4\/default.jpg","https:\/\/i.ytimg.com\/vi\/TJc3BSxB0q4\/mqdefault.jpg","https:\/\/i.ytimg.com\/vi\/TJc3BSxB0q4\/hqdefault.jpg","https:\/\/i.ytimg.com\/vi\/TJc3BSxB0q4\/sddefault.jpg","https:\/\/i.ytimg.com\/vi\/TJc3BSxB0q4\/maxresdefault.jpg"],"uploadDate":"2024-05-13T19:00:06+00:00","duration":"PT1H7M20S","embedUrl":"https:\/\/www.youtube.com\/embed\/TJc3BSxB0q4","publisher":{"@type":"Organization","@id":"https:\/\/www.youtube.com\/channel\/UC1NssDgMnX-Szx52sc-J_fQ#Organization","url":"https:\/\/www.youtube.com\/channel\/UC1NssDgMnX-Szx52sc-J_fQ","name":"The WellBridge Clinic","description":"","logo":{"url":"https:\/\/yt3.ggpht.com\/ytc\/AIdro_nEDOUsDPFdZGq5nzZwUTQRz2Dar0qNZRX34r4VOtNDvg=s800-c-k-c0x00ffffff-no-rj","width":800,"height":800,"@type":"ImageObject","@id":"https:\/\/www.youtube.com\/watch?v=TJc3BSxB0q4#VideoObject_publisher_logo_ImageObject"}},"potentialAction":{"@type":"SeekToAction","@id":"https:\/\/www.youtube.com\/watch?v=TJc3BSxB0q4#VideoObject_potentialAction","target":"https:\/\/www.youtube.com\/watch?v=TJc3BSxB0q4&t={seek_to_second_number}","startOffset-input":"required name=seek_to_second_number"},"interactionStatistic":[[{"@type":"InteractionCounter","@id":"https:\/\/www.youtube.com\/watch?v=TJc3BSxB0q4#VideoObject_interactionStatistic_WatchAction","interactionType":{"@type":"WatchAction"},"userInteractionCount":188}],{"@type":"InteractionCounter","@id":"https:\/\/www.youtube.com\/watch?v=TJc3BSxB0q4#VideoObject_interactionStatistic_LikeAction","interactionType":{"@type":"LikeAction"},"userInteractionCount":8}]},{"@context":"http:\/\/schema.org\/","@type":"VideoObject","@id":"https:\/\/www.youtube.com\/watch?v=ZSddchIGNG0#VideoObject","contentUrl":"https:\/\/www.youtube.com\/watch?v=ZSddchIGNG0","name":"The secret to how the body works: Biologists explains bioelectricity | Michael Levin and Lex Fridman","description":"Lex Fridman Podcast full episode: https:\/\/www.youtube.com\/watch?v=p3lsYlod5OU\nPlease support this podcast by checking out our sponsors:\n- Henson Shaving: https:\/\/hensonshaving.com\/lex and use code LEX to get 100 free blades with your razor\n- Eight Sleep: https:\/\/www.eightsleep.com\/lex to get special savings\n- LMNT: https:\/\/drinkLMNT.com\/lex to get free sample pack\n- InsideTracker: https:\/\/insidetracker.com\/lex to get 20% off\n\nGUEST BIO:\nMichael Levin is a biologist at Tufts University working on novel ways to understand and control complex pattern formation in biological systems.\n\nPODCAST INFO:\nPodcast website: https:\/\/lexfridman.com\/podcast\nApple Podcasts: https:\/\/apple.co\/2lwqZIr\nSpotify: https:\/\/spoti.fi\/2nEwCF8\nRSS: https:\/\/lexfridman.com\/feed\/podcast\/\nFull episodes playlist: https:\/\/www.youtube.com\/playlist?list=PLrAXtmErZgOdP_8GztsuKi9nrraNbKKp4\nClips playlist: https:\/\/www.youtube.com\/playlist?list=PLrAXtmErZgOeciFP3CBCIEElOJeitOr41\n\nSOCIAL:\n- Twitter: https:\/\/twitter.com\/lexfridman\n- LinkedIn: https:\/\/www.linkedin.com\/in\/lexfridman\n- Facebook: https:\/\/www.facebook.com\/lexfridman\n- Instagram: https:\/\/www.instagram.com\/lexfridman\n- Medium: https:\/\/medium.com\/@lexfridman\n- Reddit: https:\/\/reddit.com\/r\/lexfridman\n- Support on Patreon: https:\/\/www.patreon.com\/lexfridman","thumbnailUrl":["https:\/\/i.ytimg.com\/vi\/ZSddchIGNG0\/default.jpg","https:\/\/i.ytimg.com\/vi\/ZSddchIGNG0\/mqdefault.jpg","https:\/\/i.ytimg.com\/vi\/ZSddchIGNG0\/hqdefault.jpg","https:\/\/i.ytimg.com\/vi\/ZSddchIGNG0\/sddefault.jpg","https:\/\/i.ytimg.com\/vi\/ZSddchIGNG0\/maxresdefault.jpg"],"uploadDate":"2022-10-05T00:00:04+00:00","duration":"PT14M18S","embedUrl":"https:\/\/www.youtube.com\/embed\/ZSddchIGNG0","publisher":{"@type":"Organization","@id":"https:\/\/www.youtube.com\/channel\/UCJIfeSCssxSC_Dhc5s7woww#Organization","url":"https:\/\/www.youtube.com\/channel\/UCJIfeSCssxSC_Dhc5s7woww","name":"Lex Clips","description":"Clips from the Lex Fridman podcast. Visit the main channel for full conversations and other videos.","logo":{"url":"https:\/\/yt3.ggpht.com\/ytc\/AIdro_mqpG4xlDaXgYX1s4p2YLKke5KfakvFRmhPNXqT1VdpHaM=s800-c-k-c0x00ffffff-no-rj","width":800,"height":800,"@type":"ImageObject","@id":"https:\/\/www.youtube.com\/watch?v=ZSddchIGNG0#VideoObject_publisher_logo_ImageObject"}},"potentialAction":{"@type":"SeekToAction","@id":"https:\/\/www.youtube.com\/watch?v=ZSddchIGNG0#VideoObject_potentialAction","target":"https:\/\/www.youtube.com\/watch?v=ZSddchIGNG0&t={seek_to_second_number}","startOffset-input":"required name=seek_to_second_number"},"interactionStatistic":[[{"@type":"InteractionCounter","@id":"https:\/\/www.youtube.com\/watch?v=ZSddchIGNG0#VideoObject_interactionStatistic_WatchAction","interactionType":{"@type":"WatchAction"},"userInteractionCount":276867}],{"@type":"InteractionCounter","@id":"https:\/\/www.youtube.com\/watch?v=ZSddchIGNG0#VideoObject_interactionStatistic_LikeAction","interactionType":{"@type":"LikeAction"},"userInteractionCount":7377}]}],"about":["Acupuncture","Community","Pain Relief"],"wordCount":2140,"articleBody":"\t\t\t\t\t[et_pb_section fb_built=”1″ _builder_version=”4.19.0″ _module_preset=”default” custom_margin=”||||false|false” custom_padding=”||||false|false” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_row _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_column type=”4_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_image src=”https:\/\/wellbridgeclinic.com\/wp-content\/uploads\/2024\/04\/Oregon-Conference-Featured.jpg” alt=”Oregon Conference” title_text=”Carpal Tunnel Syndrome and Treatment with the Wellbridge Clinic in Portland Oregon” url=”https:\/\/www.oregon.gov\/omb\/Newsletter\/Fall%202023.pdf” url_new_window=”on” force_fullwidth=”on” _builder_version=”4.25.0″ _module_preset=”default” custom_margin=”||||false|false” global_colors_info=”{}” theme_builder_area=”post_content”][\/et_pb_image][et_pb_text _builder_version=”4.25.1″ _module_preset=”default” link_font=”||||on||||” ul_font=”||||||||” ul_font_size=”18px” ul_line_height=”1.6em” header_font=”Exo|900||on|||||” header_text_color=”#822631″ header_font_size=”45px” header_font_size_phone=”35px” global_colors_info=”{}” theme_builder_area=”post_content”]References for \u201cAcupuncture in Pain Management: A Pathway to Interdisciplinary Collaboration in Oregon\u201dAs presented at the 2024 Oregon Conference on Opioids + other Drugs, Pain + Addictions TreatmentJohn Rybak, LAc, Medical Director[\/et_pb_text][et_pb_text _builder_version=”4.25.1″ _module_preset=”default” link_font=”||||on||||” ul_font=”||||||||” ul_font_size=”18px” ul_line_height=”1.6em” header_font=”Exo|900||on|||||” header_text_color=”#822631″ header_font_size=”45px” hover_enabled=”0″ header_font_size_phone=”35px” global_colors_info=”{}” theme_builder_area=”post_content” sticky_enabled=”0″]The purpose of the OPAT conference is to collaborate and share our lessons in pain management and the opiate crisis to create better interventions leading to prevention and actionable steps forward. This year\u2019s conference is unique in that it has two acupuncturists presenting on this crucial topic.\u00a0 If there’s one thing that’s been missing from this crisis it is acupuncture as an integrative approach. My purpose here at the conference is to expand the conversation and actionable tools for providers, policy makers, and patients in the effort to provide better care for pain management, addiction prevention, and addiction recovery.Acupuncture has been hidden behind bias for decades. Over 50 years of research into the mechanisms of action have shown fascinating prospects of how acupuncture can be integrated to provide care for multiple health conditions including pain and addiction therapies. \u00a0 These are the references of my presentation given at the Oregon Conference on Opioids Other Drugs Pain and Addictions Treatments for Lines of Life in 2024.I’m here to provide a high level review of evidence based acupuncture mechanisms of action and how this medically relevant therapy can be implemented on a broader scale. It’s important to note that in 2022 a National Institutes of Health survey showed that only 1.7% of Americans utilized acupuncture therapies. My purpose is not to say acupuncture is the complete answer to pain management, opiate alternatives, addiction prevention and addiction recovery. Rather, my purpose is to raise awareness of a tool that is frighteningly underused and subjected to disproportionate bias.I fully acknowledge that the acupuncture profession has not communicated its value in evidence-based terms using modern physiologic terminology. You are invited to use these references as a jumping off point to better understand the evidence base, cost savings, implementation models, and opportunities for integration and collaboration amongst a greater field of medical professionals. In doing so the evidence indicates that not only do patient outcomes improve but patients also report an improved quality of life with acupuncture care.[\/et_pb_text][et_pb_text _builder_version=”4.25.0″ _module_preset=”default” link_font=”||||on||||” ul_font=”||||||||” ul_font_size=”18px” ul_line_height=”1.6em” header_font=”Exo|900||on|||||” header_text_color=”#822631″ header_font_size=”45px” custom_padding=”5px||||false|false” header_font_size_phone=”35px” global_colors_info=”{}” theme_builder_area=”post_content”]ReferencesAlberts B, Johnson A, Lewis J, et al. Molecular Biology of the Cell. 4th edition. New York: Garland Science; 2002. Ion Channels and the Electrical Properties of Membranes. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK26910\/Amorim, D., Amado, J., Brito, I., Fiuza, S. M., Amorim, N., Costeira, C., & Machado, J. (2018). Acupuncture and electroacupuncture for anxiety disorders: A systematic review of the Clinical Research. Complementary Therapies in Clinical Practice, 31, 31\u201337. https:\/\/doi.org\/10.1016\/j.ctcp.2018.01.008Armour, M., Smith, C., Wang, L.-Q., Naidoo, D., Yang, G.-Y., MacPherson, H., Lee, M., & Hay, P. (2019). Acupuncture for depression: A systematic review and meta-analysis. Journal of Clinical Medicine, 8(8), 1140. https:\/\/doi.org\/10.3390\/jcm8081140Becker, R. O. (2020). The Body Electric: Electromagnetism and the Foundation of Life. William Morrow.Bleck, R., Marquez, E., Gold, M. A., & Westhoff, C. L. (2020). A scoping review of acupuncture insurance coverage in the United States. Acupuncture in Medicine, 39(5), 461\u2013470. https:\/\/doi.org\/10.1177\/0964528420964214Bonafede, M., Dick, A., Noyes, K., Klein, J. D., & Brown, T. (2008). The effect of acupuncture utilization on healthcare utilization. Medical Care, 46(1), 41\u201348. https:\/\/doi.org\/10.1097\/mlr.0b013e3181589b7dDavis, R. T., Badger, G., Valentine, K., Cavert, A., & Coeytaux, R. R. (2018). Acupuncture for chronic pain in the vermont medicaid population: A prospective, pragmatic intervention trial. Global Advances in Health and Medicine, 7, 216495611876955. https:\/\/doi.org\/10.1177\/2164956118769557Ding HL, Huang ZH, Ren ZF, et al. Effects of acupuncture on endoplasmic reticulum pathway in exercise-induced skeletal muscle damage in rats and its mechanism. Zhongguo Ying Yong Sheng li xue za zhi = Zhongguo Yingyong Shenglixue Zazhi = Chinese Journal of Applied Physiology. 2021 Jul;37(4):359-364. DOI: 10.12047\/j.cjap.6097.2021.044. PMID: 34374254.Fan, J., Lu, W., Tan, W., Liu, X., Wang, Y., Wang, N., & Zhuang, L. (2022). Effectiveness of acupuncture for anxiety among patients with parkinson disease. JAMA Network Open, 5(9). https:\/\/doi.org\/10.1001\/jamanetworkopen.2022.32133Han, J.-S. (2003). Acupuncture: Neuropeptide release produced by electrical stimulation of different frequencies. 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Long-term effect of acupuncture on the medical expenditure and risk of depression and anxiety in migraine patients: A retrospective cohort study. Frontiers in Neurology, 11. https:\/\/doi.org\/10.3389\/fneur.2020.00321Liddle, C. E., & Harris, R. E. (2018). Cellular reorganization plays a vital role in acupuncture analgesia. Medical Acupuncture, 30(1), 15\u201320. https:\/\/doi.org\/10.1089\/acu.2017.1258Lin, Jaung-Gen, Kotha, P., Chen, Y-H. (2022). Understandings of Acupuncture Application and Mechanisms. American Journal of Translational Research, 14(3), 1469-1481. PMID: 35422904; PMCID: PMC8991130.Maeda, Y., Kim, H., Kettner, N., Kim, J., Cina, S., Malatesta, C., Gerber, J., McManus, C., Ong-Sutherland, R., Mezzacappa, P., Libby, A., Mawla, I., Morse, L. R., Kaptchuk, T. J., Audette, J., & Napadow, V. (2017). Rewiring the primary somatosensory cortex in carpal tunnel syndrome with acupuncture. Brain, 140(4), 914\u2013927. https:\/\/doi.org\/10.1093\/brain\/awx015MacPherson, H., & Hammerschlag, R. (2012). Acupuncture and the emerging evidence base: Contrived controversy and rational debate. Journal of Acupuncture and Meridian Studies, 5(4), 141\u2013147. https:\/\/doi.org\/10.1016\/j.jams.2012.05.001Makary, M. A., & Daniel, M. (2016). Medical error\u2014the third leading cause of death in the US. BMJ, i2139. https:\/\/doi.org\/10.1136\/bmj.i2139McFadden, J., & Al-Khalili, J. (2016). Life on the edge: The coming of age of Quantum Biology. Broadway Books.MacPherson, H., Hammerschlag, R., Coeytaux, R., Davis, R., Harris, R., Kong, J., Langevin, H., Lao, L., Milley, R., Napadow, V., Schnyer, R., Stener-Victorin, E., Witt, C., & Wayne, P. (2016). Unanticipated Insights into Biomedicine from the Study of Acupuncture. Journal of Alternative Complementary Medicine, 22(2), 101-107. doi: 10.1089\/acm.2015.0184MacPherson, H., Vertosick, E. A., Foster, N. E., Lewith, G., Linde, K., Sherman, K. J., Witt, C. M., & Vickers, A. J. (2016). The persistence of the effects of acupuncture after a course of treatment: A meta-analysis of patients with chronic pain. Pain, 158(5), 784\u2013793. https:\/\/doi.org\/10.1097\/j.pain.0000000000000747Martin, B. I., Mirza, S. K., Spina, N., Spiker, W. R., Lawrence, B., & Brodke, D. S. (2019). Trends in lumbar fusion procedure rates and associated hospital costs for degenerative spinal diseases in the United States, 2004 to 2015. Spine, 44(5), 369\u2013376. https:\/\/doi.org\/10.1097\/brs.0000000000002822Nahin, R. L. (2022). Use of multimodal multidisciplinary pain management in the US. JAMA Network Open, 5(11). https:\/\/doi.org\/10.1001\/jamanetworkopen.2022.40620Nahin, R. L., Rhee, A., & Stussman, B. (2024). Use of complementary health approaches overall and for pain management by US adults. 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