J Korean Acupunct Moxib Soc Search


J Acupunct Res > Volume 30(5); 2013 > Article
Noh, Kim, Kim, Lee, Ryu, Kim, Lee, and Yang: Effects of Acupuncture on Acute Musculoskeletal Pain Transferred from Emergency Department: Case Report※
See the Original "".



The aim of this study was to report the effects of acupuncture on the patients with severe acute musculoskeletal pain transferred from emergency department(ED).


Three patients were transferred from ED of western medicine, and treated with Korean medicine treatments composed of acupuncture mainly and cupping, herbal steaming, and herbal decoction additionally.


All patients showed pain-reduction and relaxation both physically and mentally immediately after the first acupuncture treatment. In cases 1 and 2, the pain numerical rating scale(NRS) decreased after the day of admission from 8 to 4 and 10 to 2, respectively. In case 3, pain NRS also gradually decreased from 8 to 4 after three days.


Acupuncture was effective for immediate pain reduction in patients with severe acute musculoskeletal pain transferred form ED. Further studies are warranted to confirm the immediate pain-reduction effect of acupuncture on acute musculoskeletal patients visiting or transferred from ED.

Fig. 1.
Changes of pain numerical rating scale (NRS) of case 1
Fig. 2.
Changes of pain of case 1 measured with baseline evaluation, visual analogue scale(VAS), numerical rating scale(NRS), Oswestry disability index(ODI) and Rolland-Morris disability questionnaire(RMDQ) at admission and discharge(4th day of admission)
Fig. 3.
Changes of pain numerical rating scale (NRS) of case 2
Fig. 4.
Changes of pain of case 2 measured with baseline evaluation, visual analogue scale(VAS) and numerical rating scale(NRS) at admission and discharge(4th day of admission)
Fig. 5.
Changes of pain numerical rating scale (NRS) of case 3 for the initial 4 days from admission
Fig. 6.
Changes of pain of case 3 measured with baseline evaluation, visual analogue scale (VAS) and numerical rating scale(NRS) at admission and discharge(17th day of admission)

VI. References

1. Korea Ministry of Government Legislation. Emergency Act. Available from: URL:http://www.law.go.kr/lsInfoP.do?lsiSeq=140932&efYd=20130604#0000. Accessed on November 8, 2013.

2. National Emergency Medical Center. 2011 Statistical Yearbook of Emergency Medicine. 2012;

3. National Emergency Medical Center. 2012 Statistical Yearbook of Emergency Medicine. 2013;

4. Kim TH, Shin HJ, Cha YS, et al. The Effectiveness of Fast Track for Minor Patients in the Emergency Department. J Korean Soc Emerg Med. 2012;23(2):255–61.

5. Shin WS, Kim YW, Yoon YS, Cha JH, Choi JC, Park DH. The Use of Vapocoolant Spray for the Treatment of Minor Trauma in the Hospital Emergency Department. J Korean Soc Emerg Med. 2012;23(1):33–40.

6. Lee SB, Kim DH, Jung SM, et al. Effect of a SMS (short message service) System on Emergency Department Overcrowding. J Korean Soc Emerg Med. 2012;23(2):262–9.

7. Derlet RW, Kinser D, Ray L, Hamilton B, McKenzie J. Prospective identification and triage of non-emergency patients out of an emergency department: a 5-year study. Ann Emerg Med. 1995;25(2):215–23.
crossref pmid
8. Furlan AD, van Tulder MW, Cherkin DC, et al. Acupuncture and dry-needling for low back pain. Cochrane Database Syst Rev. 2005;(1):CD001351.
crossref pmid
9. Linde K, Allais G, Brinkhaus B, Manheimer E, Vickers A, White AR. Acupuncture for tension-type headache. Cochrane Database Syst Rev. 2009;(1):CD007587.
crossref pmid pmc
10. Witt C, Brinkhaus B, Jena S, et al. Acupuncture in patients with osteoarthritis of the knee: a randomised trial. Lancet. 2005;366(9480):136–43.
crossref pmid
11. Shin JS, Ha IH, Lee J, et al. Effects of motion style acupuncture treatment in acute low back pain patients with severe disability: a multicenter, randomized, controlled, comparative effectiveness trial. Pain. 2013;154(7):1030–7.
crossref pmid
12. Cha JH, Chang SY, Lee TH, Owi JS, Lee EY. The comparison of effective between acupuncture and bee venom acupuncture on the treatment of acute lumbar herniation of intervertebral disc. J of Pharmacopuncture. 2006;9(2):67–71.
13. Song IK, Park JS, Kim WY, Lee SD, Kim KS. Case of acute posterior cruciate ligament complete injury of knee improve by acupuncture therapy. J of Korean Acupuncture & Moxibustion Soc. 2003;20(6):210–7.
14. Lee H. The comparative study on the bee-venom therapy and common acupuncture therapy for the acute ankle sprain. Kor J of Acupuncture. 2004;21(4):133–43.

15. Myers CP. Acupuncture in general practice: effect on drug expenditure. Acupunct Med. 1991;9(2):71–2.
16. Yoon DR, Lee JS, Noh HI, Yi SR, Ryu JH. Single hospital-based clinical analysis of 1,119 patients visited oriental medical hospital emergency room. Kor J Orient Int Med. 2012;33(2):188–96.

17. So HJ, Ryu JH, Kim YC, Lee BJ. Clinical Analysis of Patients Who Visited the Emergency Room of an Oriental Medical Center. J Korean Oriental Med. 2007;28(3):197–206.

18. Kim GW, Kim WH. The effects of Bojungikgitang and Yugmijihwangtang on the ability of rat to recover from exhaustion after maximum swimming. J of Eastern Physiology. 1987;2(1):1–13.

19. Song SG, Keum DH, Oh JG, Lee MJ. The effects of Bo-jung-ik-gi-tang administration on metabolic response ; changes in the energy and electrolyte metabolism among long distance runners. Dongguk J the institue of oriental medicine. 1998;7(1):99–117.

20. Irnich D, Behrens N, Gleditsch JM, et al. Immediate effects of dry needling and acupuncture at distant points in chronic neck pain: results of a randomized, double-blind, sham-controlled crossover trial. Pain. 2002;99(1–2):83–9.
crossref pmid
21. White A, Cummings M, Filshie J. An introduction to western medical acupuncture. 1ed. Seoul: Elsevier Korea. 2010:41–60.

22. Trinh K, Graham N, Gross A, et al, Cervical Overview Group. Acupuncture for neck disorders. Cochrane Database of Syst Rev. 2006;(3):CD004870.

23. Kim KH, Lee BR, Ryu JH, Choi TY, Yang GY. The role of acupuncture in emergency department settings: A systematic review. Complement Ther Med. 2013;21(1):65–72.
crossref pmid
24. Kim YS, Lim KS, Hwang SO, Yoon YG. The perspective research of the prehospital emergency system and transfer system of emergency patients. J Korean Soc Emerg Med. 1992;3(2):46–55.

Article and Issues
For this Journal
For Authors
Submit Manuscript
Editorial Office
Gil Korean Medical Hospital, Gachon University
Keunumul-Ro, Chung-Ku, Inchoen 22138, Korea
Tel: +82-70-7606-6353,4    Fax: +82-32-232-3334    E-mail: jared@e-jar.org                

Copyright © 2022 by Korean Acupuncture & Moxibustion Medicine Society.

Developed in M2PI

Close layer
prev next