Is curing your headache with

acupuncture all in the mind?

Many swear it is as powerful as any headache pill – but the benefits of acupuncture could be all in the mind.

Researchers have found a fake treatment is as good as the real thing at relieving the pain of headaches.

An analysis of dozens of studies involving almost 7,000 men and women showed the ancient Chinese art to be better than tablets at warding off migraines.

Those who had needles incorrectly inserted benefited nearly as much as those who had proper acupuncture

However, fake treatments, in which the needles were placed randomly on the skin, were just as effective at stopping migraines – and almost as good at preventing tension headaches. The findings suggest many of the benefits of acupuncture are in the mind.

Researchers say it is likely patients benefit from the 'placebo effect', in which care, attention and the simple belief the treatment will work, lead to improvements in health.

The analysis, published in the respected Cochrane Library's science review, is far from the first to cast doubts on the validity of the multi million-pound acupuncture industry.

For instance, recent research has shown that acupuncture does nothing to boost a woman's chances of having a baby through IVF – and may even cut her odds of becoming a mother.

However, other studies have proclaimed it to be effective. In order to establish whether acupuncture helps prevent headaches, the German researchers combined the results of 33 clinical trials involving 6,736 patients.

The men and women were treated for at least eight weeks in order to evaluate acupuncture's ability to ease tension headaches or the more severe but less frequent migraines.

Some were treated with normal acupuncture, in which needles are inserted at specific 'energy points' in the skin. Others had a sham procedure, with the needles inserted at other points.

The analysis showed the fake acupuncture to be just as good as the real thing at preventing migraines and almost as good at stopping tension headaches.

Researcher Dr Klaus Linde, from the Centre for Complementary Medicine Research at the Technical University of Munich, said: 'The studies suggest that migraine patients benefit from acupuncture, although the correct placement of needles seems to be less relevant than is usually thought by acupuncturists.

'Much of the clinical benefit of acupuncture might be due to nonspecific needling effects and powerful placebo effects, meaning the selection of specific needle points may be less important than many practitioners have traditionally argued.'

But, with the studies also showing acupuncture to be better than drugs at controlling migraines, the researchers said patients should have access to the treatment.

Dr Linde said: 'Doctors need to know how long improvements associated with acupuncture will last and whether better-trained acupuncturists really achieve better results than those with basic training only.'

Dr Mike Cummings, medical director off the British Medical Acupuncture Society, said: 'We certainly don't call what we do a "sham" procedure, as we believe there is growing evidence for a mechanism behind what we do.



'However, we still don't fully understand what is happening when needles are inserted, although these reviews suggest that for certain conditions, it is effective.'