Coral Springs Animal Hospital's Pawfessional PAWfessional Rehab Issue 2017 | Page 15

with all other groups. Researchers concluded that both acupuncture and cetirizine significantly reduced type I hypersensitivity itch in patients with atopic dermatitis, compared with both placebo and no intervention. Timing of the acupuncture treatment was important, as concurrent acupuncture had the most significant effect on itch, potentially because of counter-irritation. While acupuncture is typically considered to be a safe and minimally invasive modality, there are some conditions that warrant caution or contraindication. For example, caution must be used when treating a weak, debilitated, or obtunded patient. Generally, fewer needles and less stimulation are used. It is contraindicated to needle directly into skin lesions, ulcers, scar tissue, umbilicus, tumors or masses. Specific acupuncture points around the abdomen and lumbar area are contraindicated in pregnancy. Electro-acupuncture wire leads should not be connected through or across a known or suspected tumor or mass. Electro-acupuncture wire leads should not be connected around or across the chest of animals with pacemakers. Electro- acupuncture should not be used in patients with a history of seizures. In the past 30 years there has been increasing evidence to support the use of acupuncture as a therapeutic modality in veterinary medicine. There has been extensive research proving its analgesic effects, therefore it is the primary clinical indication for its use in both human medicine and veterinary medicine. Due to the intrinsic nature of the anatomical structures associated with the location of acupuncture points there are numerous systemic, local and endocrine effects. For that reason, there are a variety of valuable clinical indications from pain management to pruritis control and others.