A recent clinical trial has demonstrated that acupuncture can significantly reduce pain and improves function in individuals suffering from sciatica. The study, published in JAMA Internal Medicine, found that true acupuncture outperformed a sham treatment, suggesting that the ancient practice may offer relief to those who have not responded well to other therapies.
The trial involved 220 participants, all diagnosed with sciatica due to herniated discs, a condition that causes severe pain, numbness, and weakness in the lower body. These individuals were divided into two groups: one received real acupuncture, while the other received sham acupuncture, where needles were placed in non-therapeutic locations or simply on the skin without insertion. Researchers followed the participants for a full year, evaluating pain levels and daily functioning.
By the second week of treatment, significant differences were observed between the groups, with the real acupuncture group experiencing more pain relief and improved function. These benefits persisted throughout the 52-week follow-up. Importantly, this study was methodologically rigorous, using experienced acupuncturists and a placebo that closely mimicked real acupuncture. Prior studies suggested acupuncture might help with sciatica, but this trial provides the strongest evidence yet.
Sciatica treatment can be notoriously challenging, with options ranging from painkillers to surgery—both of which carry risks and do not always provide lasting relief. This study’s results offer healthcare providers a potential alternative. Acupuncture, which has been shown to provide significant benefits without serious side effects, could be a viable non-pharmacological option for patients. The findings may also encourage health systems and insurers to consider acupuncture as part of a comprehensive approach to managing chronic sciatica.