Joint pain is a
common side effect for women being treated with aromatase
inhibitors for breast cancer. The treatment halts estrogen
production in post-menopausal women, which means less of the
hormone can fuel certain breast cancer cell growth.
While women often
remedy the discomfort with painkillers, researchers wondered
if acupuncture might also help. In a paper published in the
March 1 issue of the Journal of Clinical Oncology, researchers
enrolled 43 women in a randomized, blind study. The women were
being treated with aromatase inhibitors for breast cancer and
were also experiencing musculoskeletal pain.
Some were assigned to
a true acupuncture group, in which joints were specifically
targeted, and others were assigned to a sham acupuncture
group, in which needles were inserted superficially into the
skin in locations that were not real acupuncture points (this
group served as a control for a potential placebo effect).
Treatment went on for 12 sessions over six weeks.
Women were asked to
rate the severity of their pain and its effect on daily
functions, on a scale of 0 to 10. At the beginning of the
study, the true acupuncture group's average pain rating was
6.7, and the sham group's was 5.6. After six weeks, the true
acupuncture group rated their pain on average 3.0, and the
sham group rated theirs 5.5.
In addition to seeing
a significant decrease in the severity of their pain, the true
acupuncture group also noticed improvement in their overall
physical well-being.
"Since aromatase
inhibitors have become an increasingly popular treatment
option for some breast cancer patients, we aimed to find a
non-drug option to manage the joint issues they often create,
thereby improving quality of life and reducing the likelihood
that patients would discontinue this potentially lifesaving
treatment," said Dr. Dawn Hershman, senior author of the
study, in a news release.
Hershman is the
co-director of the breast cancer program at the Herbert Irving
Comprehensive Cancer Center at New York-Presbyterian
Hospital/Columbia University Medical Center, and an assistant
professor of medicine and epidemiology at Columbia University
Medical Center.