Peter White, PhD, BSc; George Lewith, DM, FRCP; Phil Prescott, PhD, DIC, ARCS, BSc; Joy Conway, PhD
Acknowledgments: The authors thank Professor C. Cooper (Medical Research Council) and Dr. R. Ellis (Southampton General Hospital) for support with this project.
Grant Support: The study protocol was developed in 1997 and was funded by the Henry Smiths Charity and the Hospital Savings Association in 1998. Recruitment began in 1999 and was completed in 2001. Dr. Lewith's post was supported by the Laing Foundation.
Potential Financial Conflicts of Interest: None disclosed.
Requests for Single Reprints: Peter White, PhD, BSc, MCSP, Complementary Medicine Research Unit, Mail Primary Medical Care, University of Southampton, Aldermoor Health Centre, Aldermoor Close, Southampton SO16 5ST, United Kingdom; e-mail, firstname.lastname@example.org.
Current Author Addresses: Drs. White and Lewith: Complementary Medicine Research Unit, Mail Primary Medical Care, University of Southampton, Aldermoor Health Centre, Aldermoor Close, Southampton SO16 5ST, United Kingdom.
Dr. Prescott: School of Mathematics, University of Southampton, Highfield, Southampton SO17 1BJ, United Kingdom.
Dr. Conway: School of Health Professions, University of Southampton, Highfield, Southampton SO17 1BJ, United Kingdom.
Author Contributions: Conception and design: P. White, G. Lewith, J. Conway.
Analysis and interpretation of the data: P. White, G. Lewith, P. Prescott, J. Conway.
Drafting of the article: P. White, G. Lewith, P. Prescott.
Critical revision of the article for important intellectual content: P. White, G. Lewith.
Final approval of the article: P. White, G. Lewith.
Statistical expertise: G. Lewith, P. Prescott.
Obtaining of funding: G. Lewith.
Administrative, technical, or logistic support: G. Lewith, J. Conway.
Collection and assembly of data: P. Prescott.
White P, Lewith G, Prescott P, Conway J. Acupuncture versus Placebo for the Treatment of Chronic Mechanical Neck Pain: A Randomized, Controlled Trial. Ann Intern Med. 2004;141:911-919. doi: 10.7326/0003-4819-141-12-200412210-00007
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Published: Ann Intern Med. 2004;141(12):911-919.
Chronic mechanical neck pain can be caused by dysfunction of a variety of structures within the neck (1-3) but specifically excludes systemic problems such as rheumatoid arthritis. It is usually associated with unspecified degenerative changes (cervical spondylosis) that include osteoarthritis. Neck pain presents a substantial problem and may be responsible for as many days of work absenteeism as low back pain (4). Osteoarthritis is the most common of the chronic diseases and affects most people older than 65 years of age (5). It is degenerative and progressive in nature (1-3, 6). Because there is no cure for cervical spondylosis, treatment tends to center on symptom relief (7, 8). If the condition is symptomatic and symptoms are left untreated, this manifests as increasing episodic pain, stiffness, or both, and patients may then experience a spiral of increasing dysfunction (9).
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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