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CLINICAL PROTOCOLS · BY CONDITION

CLINICAL
ACUPUNCTURE.

115+ medical conditions treatable with evidence-based protocols, organized across 8 specialties. Curated by the team of physician specialists at CEIMEC.

115+ CONDITIONS · 8 SPECIALTIES · UPDATED 2026
01

Orthopedics

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ORTHOPEDICS · FEATURED · ORTHOPEDICS

Acupuncture for Knee Osteoarthritis

How medical acupuncture reduces pain and improves joint function in knee osteoarthritis through nociceptive inhibition and reduction of pro-inflammatory cytokines.

ORTHOPEDICS · CLINICAL PROTOCOL · CEIMEC REVIEW
Acupuncture for Knee Osteoarthritis
Acupuncture for Hip OsteoarthritisOrthopedics
02

Acupuncture for Hip Osteoarthritis

How medical acupuncture acts on the neuromodulation of articular afferent pathways, reducing pain and improving function in coxarthrosis.

Clinical protocol
Acupuncture for Subacromial BursitisOrthopedics
03

Acupuncture for Subacromial Bursitis

How medical acupuncture reduces subacromial impingement through rotator cuff relaxation and control of the neuroimmunological inflammation of the bursa.

Clinical protocol
Acupuncture for Trochanteric BursitisOrthopedics
04

Acupuncture for Trochanteric Bursitis

How neuroimmunological inflammatory control and deactivation of trigger points in the gluteus medius relieve lateral hip pain in trochanteric bursitis.

Clinical protocol
Acupuncture for CoccydyniaOrthopedics
05

Acupuncture for Coccydynia

How needling of the pelvic floor musculature and the sacrococcygeal ligaments relieves chronic coccyx pain — a condition that is often difficult to treat.

Clinical protocol
Acupuncture for Patellar ChondromalaciaOrthopedics
06

Acupuncture for Patellar Chondromalacia

How dry needling of the vastus lateralis and segmental neuromodulation promote patellar realignment, analgesia, and functional recovery.

Clinical protocol
Acupuncture for Trigger FingerOrthopedics
07

Acupuncture for Trigger Finger

How dry needling and acupuncture reduce flexor-tendon tension and A1 pulley inflammation, restoring normal finger glide.

Clinical protocol
Acupuncture for Patellofemoral PainOrthopedics
08

Acupuncture for Patellofemoral Pain

How rebalancing of myofascial forces between the vastus medialis and vastus lateralis through acupuncture resolves patellar tracking dysfunction and anterior knee pain.

Clinical protocol
Acupuncture for Ankle SprainOrthopedics
09

Acupuncture for Ankle Sprain

How electroacupuncture in the subacute phase accelerates edema drainage, analgesia, and proprioceptive recovery after ligamentous ankle sprain.

Clinical protocol
Acupuncture for Lateral EpicondylitisOrthopedics
10

Acupuncture for Lateral Epicondylitis

How dry needling and electroacupuncture promote local vasodilation and healing of the extensor carpi radialis tendon in tennis elbow.

Clinical protocol
Acupuncture for Lumbar SpondylolisthesisOrthopedics
11

Acupuncture for Lumbar Spondylolisthesis

How medical acupuncture controls reactive muscle hypertonia and the radicular pain associated with vertebral slippage, without risk of additional instability.

Clinical protocol
Acupuncture for Cervical SpondylosisOrthopedics
12

Acupuncture for Cervical Spondylosis

How medical acupuncture inhibits facet joint pain and relaxes the cervical paravertebral musculature, reducing pain and stiffness in cervical spine degeneration.

Clinical protocol
Orthopedics · View all
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Additional conditions →
02

Physiatry

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PHYSIATRY · FEATURED · PHYSIATRY

Acupuncture for Tension-Type Headache

Deactivation of pericranial and cervical trigger points, modulation of trigeminal nociception, and reduction in episode frequency — an evidence-based prophylactic alternative.

PHYSIATRY · CLINICAL PROTOCOL · CEIMEC REVIEW
Acupuncture for Tension-Type Headache
Acupuncture for Neck Pain (Cervicalgia)Physiatry
02

Acupuncture for Neck Pain (Cervicalgia)

Deactivation of cervical trigger points, segmental modulation C2–C7, and restoration of mobility — consistent evidence in systematic reviews for chronic neck pain.

Clinical protocol
Acupuncture for MigrainePhysiatry
03

Acupuncture for Migraine

Complementary prophylaxis of migraine with robust evidence (Cochrane review) — trigeminovascular neuromodulation as an option associated with conventional medical treatment.

Clinical protocol
Acupuncture for Medial Epicondylitis (Golfer's Elbow)Physiatry
04

Acupuncture for Medial Epicondylitis (Golfer's Elbow)

Needling of the wrist flexors and pronator teres, segmental neuromodulation C6-T1, and modulation of insertional tendinopathy — alternative to corticosteroids.

Clinical protocol
Acupuncture for Plantar FasciitisPhysiatry
05

Acupuncture for Plantar Fasciitis

Needling of the gastrocnemius, soleus, and plantar fascia, periosteal electroacupuncture, and reduction of morning pain — an evidence-based alternative for chronic plantar pain.

Clinical protocol
Acupuncture for FibromyalgiaPhysiatry
06

Acupuncture for Fibromyalgia

Modulation of central sensitization, restoration of deep sleep, and reduction of diffuse pain — electroacupuncture as a tool in fibromyalgia.

Clinical protocol
Acupuncture in the Conservative Treatment of Herniated DiscPhysiatry
07

Acupuncture in the Conservative Treatment of Herniated Disc

Segmental neuromodulation, reduction of periradicular inflammation, and control of radicular pain without surgery — evidence and clinical protocols.

Clinical protocol
Acupuncture for Low Back Pain (Chronic Lumbago)Physiatry
08

Acupuncture for Low Back Pain (Chronic Lumbago)

The condition with the highest level of evidence for acupuncture — recommended by the ACP, NICE, and WHO as a first-line treatment for chronic low back pain.

Clinical protocol
Acupuncture for Sports Injury RehabilitationPhysiatry
09

Acupuncture for Sports Injury Rehabilitation

Support for recovery from sprains, strains, and musculotendinous injuries — pain control, edema reduction, and support for safe return to sport with medical acupuncture as an adjunct.

Clinical protocol
Acupuncture for Rhizarthrosis (Thumb Osteoarthritis)Physiatry
10

Acupuncture for Rhizarthrosis (Thumb Osteoarthritis)

Nociceptive modulation of the carpometacarpal joint, reduction of synovial inflammation, and improvement of pinch function — an alternative to chronic NSAID use.

Clinical protocol
Acupuncture for Myofascial Pain SyndromePhysiatry
11

Acupuncture for Myofascial Pain Syndrome

Trigger point deactivation through dry needling and electroacupuncture: neurophysiological mechanisms, evidence, and clinical protocols for chronic myofascial pain.

Clinical protocol
Acupuncture for Torticollis and Cervical SpasmsPhysiatry
12

Acupuncture for Torticollis and Cervical Spasms

Rapid relief of acute spasm of the sternocleidomastoid and scalenes — direct needling for immediate restoration of cervical range of motion.

Clinical protocol
03

Neurology

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NEUROLOGY · FEATURED · NEUROLOGY

Acupuncture for Cluster Headache

Hypothalamic modulation and trigeminal neurostimulation to reduce the frequency and intensity of cluster headache attacks — the most painful of all primary headaches.

NEUROLOGY · CLINICAL PROTOCOL · CEIMEC REVIEW
Acupuncture for Cluster Headache
Acupuncture for Nocturnal Leg CrampsNeurology
02

Acupuncture for Nocturnal Leg Cramps

Complementary approach for involuntary nocturnal muscle contractions, with initial evidence suggesting a role for acupuncture at BL-57 — a point related to the soleus and gastrocnemius — as an option to be considered case by case.

Clinical protocol
Acupuncture for DysautonomiaNeurology
03

Acupuncture for Dysautonomia

Rebalancing the autonomic nervous system — vagal modulation, control of orthostatic hypotension, and improvement of heart rate variability through direct neuromodulation.

Clinical protocol
Acupuncture for Cervical DystoniaNeurology
04

Acupuncture for Cervical Dystonia

Complement to botulinum toxin — support in relieving inter-cycle pain and improving quality of life between injections, always coordinated with the neurologist responsible for the botulinum toxin.

Clinical protocol
Acupuncture for Ménière DiseaseNeurology
05

Acupuncture for Ménière Disease

Support in the control of attacks, tinnitus, and aural fullness as a complement to otorhinolaryngologic management — an option for selected patients, always coordinated with the attending physician.

Clinical protocol
Acupuncture for Central Post-Stroke PainNeurology
06

Acupuncture for Central Post-Stroke Pain

Thalamic and spinothalamic pathway modulation for control of Dejerine-Roussy syndrome: the central neuropathic pain most refractory to conventional pharmacotherapy

Clinical protocol
Acupuncture for Sciatic Nerve Pain (Sciatica)Neurology
07

Acupuncture for Sciatic Nerve Pain (Sciatica)

Sciatic nerve neuromodulation and reduction of L4–S1 periradicular inflammation with medical acupuncture: relief of leg radiating pain without dependence on opioids

Clinical protocol
Acupuncture in Multiple SclerosisNeurology
08

Acupuncture in Multiple Sclerosis

Management of neurological symptoms — spasticity, fatigue, and neuropathic pain — as a complement to disease-modifying therapies.

Clinical protocol
Acupuncture for Post-Stroke SpasticityNeurology
09

Acupuncture for Post-Stroke Spasticity

Reduction of spastic hypertonia, prevention of contractures, and facilitation of motor neuroplasticity after stroke with medical electroacupuncture

Clinical protocol
Acupuncture for Trigeminal NeuralgiaNeurology
10

Acupuncture for Trigeminal Neuralgia

How medical acupuncture modulates the spinal trigeminal nucleus (caudal subnucleus) and uses low-frequency electrostimulation to control severe facial neuropathic pain.

Clinical protocol
Acupuncture for Post-Herpetic NeuralgiaNeurology
11

Acupuncture for Post-Herpetic Neuralgia

Treatment of chronic neuropathic pain after herpes zoster with medical acupuncture: neuromodulation of the affected dermatome and control of allodynia without opioid dependence

Clinical protocol
Acupuncture for Diabetic NeuropathyNeurology
12

Acupuncture for Diabetic Neuropathy

Support in the control of burning pain, tingling, and paresthesias of diabetic peripheral polyneuropathy with medical acupuncture — as a complement to conventional pharmacological treatment

Clinical protocol
Neurology · View all
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Additional conditions →
04

Rheumatology

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RHEUMATOLOGY · FEATURED · RHEUMATOLOGY

Acupuncture for Rheumatoid Arthritis

How medical acupuncture activates the vagal anti-inflammatory pathway and modulates the HPA axis for systemic pain control and reduction of pro-inflammatory cytokines in rheumatoid arthritis.

RHEUMATOLOGY · CLINICAL PROTOCOL · CEIMEC REVIEW
Acupuncture for Rheumatoid Arthritis
Acupuncture for Psoriatic ArthritisRheumatology
02

Acupuncture for Psoriatic Arthritis

Control of arthralgia and complement to cutaneous improvement — integrated approach to psoriasis and arthritis through shared immunological and analgesic mechanisms.

Clinical protocol
Acupuncture for Paget Disease of BoneRheumatology
03

Acupuncture for Paget Disease of Bone

Periosteal analgesia and control of compensatory muscle spasm in Paget disease — without altering alkaline phosphatase or the structural progression of the disease.

Clinical protocol
Acupuncture for Ankylosing SpondylitisRheumatology
04

Acupuncture for Ankylosing Spondylitis

Control of inflammatory axial pain and functional improvement as a complement to NSAIDs and biologic agents — reduction in BASDAI and morning stiffness documented in 9 RCTs.

Clinical protocol
Acupuncture for GoutRheumatology
05

Acupuncture for Gout

Relief of acute flares and reduction in episode frequency — action on IL-1β and uric acid as a complement to urate-lowering therapy.

Clinical protocol
Acupuncture for Hypermobility and Ehlers-DanlosRheumatology
06

Acupuncture for Hypermobility and Ehlers-Danlos

Control of chronic musculoskeletal pain and fatigue in hypermobility syndrome — a specialized approach with technique adapted for defective collagen.

Clinical protocol
Acupuncture in Systemic Lupus ErythematosusRheumatology
07

Acupuncture in Systemic Lupus Erythematosus

Management of arthralgia, fatigue, and quality of life as a complement to rheumatologic treatment — documented immunomodulation with reduction of IL-6 and SLEDAI.

Clinical protocol
Acupuncture for Osteoporosis-Related PainRheumatology
08

Acupuncture for Osteoporosis-Related Pain

Analgesia in osteoporotic vertebral fractures and chronic osteoporotic back pain — reduction of opioid consumption and functional improvement in the frail elderly patient.

Clinical protocol
Acupuncture for Polymyalgia RheumaticaRheumatology
09

Acupuncture for Polymyalgia Rheumatica

Adjunct for control of residual pain and support during the gradual corticosteroid taper supervised by the rheumatologist — preservation of function in the older adult.

Clinical protocol
Acupuncture for Sjögren's SyndromeRheumatology
10

Acupuncture for Sjögren's Syndrome

Reflex stimulation of the salivary and lacrimal glands as a complementary option — possible gains in salivary flow and dry-eye symptoms described in studies of moderate evidence.

Clinical protocol
05

Gynecology and Urology

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GYNECOLOGY AND UROLOGY · FEATURED · GYNECOLOGY AND UROLOGY

Acupuncture for Dysmenorrhea (Menstrual Cramps)

How medical acupuncture reduces menstrual pain through uterine artery vasodilation, prostaglandin reduction, and activation of descending pain inhibitory pathways.

GYNECOLOGY AND UROLOGY · CLINICAL PROTOCOL · CEIMEC REVIEW
Acupuncture for Dysmenorrhea (Menstrual Cramps)
06

Gastroenterology

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GASTROENTEROLOGY · FEATURED · GASTROENTEROLOGY

Acupuncture for Biliary Colic

Relief of biliary smooth muscle spasm and acute visceral analgesia through neurovegetative mechanisms — a complementary option to conventional treatment, not a substitute for cholecystectomy when indicated.

GASTROENTEROLOGY · CLINICAL PROTOCOL · CEIMEC REVIEW
Acupuncture for Biliary Colic
Acupuncture for Infant ColicGastroenterology
02

Acupuncture for Infant Colic

Pediatric technique adapted with superficial needling for autonomic regulation of the infant — reduction of inconsolable crying documented in randomized controlled trials.

Clinical protocol
Acupuncture for Chronic ConstipationGastroenterology
03

Acupuncture for Chronic Constipation

Increased stool frequency, improved stool consistency, and relief of abdominal discomfort — electroacupuncture with evidence from a large clinical trial in The Lancet.

Clinical protocol
Acupuncture for Functional DyspepsiaGastroenterology
04

Acupuncture for Functional Dyspepsia

Relief of postprandial fullness, early satiety, and epigastric pain — studies suggest improvement in gastric emptying and reduction of dyspeptic symptoms, as a complement to gastroenterologist evaluation.

Clinical protocol
Acupuncture for Crohn DiseaseGastroenterology
05

Acupuncture for Crohn Disease

Modulation of transmural inflammation and regulation of the enteric-cerebral axis as an adjuvant strategy in the control of chronic inflammatory bowel disease.

Clinical protocol
Acupuncture for Functional Abdominal PainGastroenterology
06

Acupuncture for Functional Abdominal Pain

Reduction of central visceral hyperalgesia and modulation of the gut-brain axis in chronic abdominal pain syndrome without identifiable organic substrate.

Clinical protocol
Acupuncture for Chronic GastritisGastroenterology
07

Acupuncture for Chronic Gastritis

Possible modulation of gastric motility and symptomatic control, with neurovegetative mechanisms suggested in preliminary studies; adjuvant therapy to conventional clinical management.

Clinical protocol
Acupuncture for Gastroesophageal Reflux Disease (GERD)Gastroenterology
08

Acupuncture for Gastroesophageal Reflux Disease (GERD)

How medical acupuncture increases lower esophageal sphincter tone via vagal modulation, reduces transient relaxations, and controls acid secretion for sustained reflux relief.

Clinical protocol
Acupuncture for Ulcerative ColitisGastroenterology
09

Acupuncture for Ulcerative Colitis

Possible autonomic modulation through the anti-inflammatory vagal reflex as an adjuvant in the control of chronic inflammatory bowel disease; evidence in early studies.

Clinical protocol
Acupuncture for Intractable HiccupsGastroenterology
10

Acupuncture for Intractable Hiccups

Possible reduction of persistent and intractable hiccups — hypothesized inhibition of the phrenic reflex arc via PC-6 and central modulation, with response reported in a portion of cases as early as the first sessions.

Clinical protocol
07

ENT and Respiratory

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ENT AND RESPIRATORY · FEATURED · ENT AND RESPIRATORY

Acupuncture for Allergic Rhinitis

How medical acupuncture modulates the cellular immune response, reduces histamine release by nasal mast cells, and controls allergic rhinitis symptoms in a sustained manner.

ENT AND RESPIRATORY · CLINICAL PROTOCOL · CEIMEC REVIEW
Acupuncture for Allergic Rhinitis
08

Mental Health and Dermatology

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MENTAL HEALTH AND DERMATOLOGY · FEATURED · MENTAL HEALTH AND DERMATOLOGY

Acupuncture for Bruxism

How medical acupuncture deactivates trigger points in the masticatory muscles, reduces nocturnal electromyographic activity, and modulates the HPA axis to control bruxism at its source.

MENTAL HEALTH AND DERMATOLOGY · CLINICAL PROTOCOL · CEIMEC REVIEW
Acupuncture for Bruxism