We report the case of bilateral hand swelling following acupuncture therapy for chronic low back pain. Despite thorough history, examination and laboratory testing no systemic cause for the swelling could be elicited. This case highlights the incomplete knowledge of acupuncture mechanisms and that limited acupuncture therapy can have significant adverse effects.
aDepartment of Anaesthesia, Grampian University Hospitals NHS Trust, Foresterhill, Aberdeen AB25 2ZD, Scotland, UK
bDepartment of Immunopathology, Grampian University Hospitals NHS Trust, Foresterhill, Aberdeen AB25 2ZD, Scotland, UK
* Corresponding author. Department of Pain Management and Regional Anaesthesia, Toronto Western Hospital University Health Network, 399 Bathurst Street, Toronto, Canada M5T 2S8. Tel.: +1-416-603-5118; fax: +1-416-603-6494
Received June 24, 1999; accepted September 18, 1999