Peter T Dorsher

Peter T Dorsher
Mayo Clinic | MAYO · Department of Physical Medicine and Rehabilitation

Doctor of Medicine

About

58
Publications
56,164
Reads
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590
Citations
Citations since 2016
15 Research Items
364 Citations
20162017201820192020202120220204060
20162017201820192020202120220204060
20162017201820192020202120220204060
20162017201820192020202120220204060
Introduction
Acupuncture mechanisms, relationship of modern concepts of myofascial pain syndrome and myofascial meridians to acupuncture theory and practice, Low level laser therapeutic for treatment of pain

Publications

Publications (58)
Article
Full-text available
Abstract: Ever since acupuncture’s tenets were first delineated in the Huangdi Neijing (Neijing) treatise ~200 BCE, theorists and researchers have sought to define the anatomic and physiologic bases for acupuncture’s beneficial clinical effects in treating pain and non-pain medical conditions. In the last century, technical advances in both the bas...
Article
Though contemporary research meta-analyses and large randomized controlled trials of acupuncture demonstrate its efficacy and efficiency in pain and non-pain conditions, the lack of a defined mechanism for how needling an acupuncture point produces beneficial clinical effects has hindered acupuncture’s integration into allopathic medical practices....
Article
Full-text available
Objective: This pilot study of acupuncture primary channel coupling examined the effect of anterior tibialis (AT) muscle activation (Stomach = ST channel distribution muscle) on ipsilateral anterior deltoid shoulder elevation strength (Large Intestine = LI channel distribution muscle). Design: Pilot study: prospective before and after trial, nonbli...
Article
Full-text available
Objective: Laser acupuncture has become increasingly attractive in clinical practice, especially for patients with needle phobias well as elderly people and children. However, literature concerning the safety of laser acupuncture has been limited. This systematic review synthesizes the current available literature on the safety of laser acupuncture...
Article
Full-text available
Background: Laser acupuncture (LA)-the use of nonthermal, low-intensity laser irradiation to stimulate acupuncture points-has become more common among acupuncture practitioners in recent years. LA is promoted as a safer pain-free alternative to traditional acupuncture, with minimal adverse effects and greater versatility. However, little is known a...
Article
Background: Accumulating evidence from anatomical, physiologic, and neuroimaging research shows that Classical acupuncture points stimulate nerve trunks or their branches in the head, trunk, and extremities. The first part of this series revealed that phenomenon in the extremities. Principal meridian distributions mirror those of major peripheral n...
Article
Background: Accumulating evidence from anatomical, physiologic, and neuroimaging research shows that Classical acupuncture points stimulate nerve trunks or their branches in the head, trunk, and extremities. The first part of this article demonstrated that, in the extremities, Principal meridian distributions mirror those of major peripheral nerves...
Article
Background: There is accumulating evidence from anatomical, physiologic, and neuroimaging research that demonstrate Classical acupuncture points stimulate nerve trunks or their branches in the head, trunk, and extremities. Objective: The aim of this research is to present novel graphic evidence that the embryologic development of the human nervous...
Article
Background: In November of 2016, the National Institute for Health and Care Excellence (NICE) Guidelines for low-back pain (LBP) and sciatica were published. According to the NICE Guidelines Development Group (GDG), acupuncture is no longer a recommended treatment for LBP and sciatica, while other therapies including nonsteroidal anti-inflammatory...
Article
Full-text available
Background: The use of surgically implanted electronic devices for vagus nerve stimulation (VNS) is expanding in contemporary allopathic medical practice as a treatment option for selected clinical conditions, such as epilepsy, depression, tremor, and pain conditions, that are unresponsive to standard pharmacologic interventions. Although VNS devi...
Article
Background: Hot flashes occur in 68%-82% of women during menopause, and are significant side-effects of estrogen antagonist therapies for breast cancer and antiandrogen therapies for prostate cancer. Acupuncture clinical trials for hot flash treatment demonstrate that acupuncture produces clinically significant reductions in the frequency and sever...
Article
Full-text available
Pain pressure threshold measurement by hand held algometer has been validated as tool to identify and quantitate myofascial pain sites in an individual. The average of three readings at a given muscle site is used, so the standard error of measurement of these devices must be considered when determining whether paiPain pressure threshold measuremen...
Article
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Congenital anomalies such as meningomyelocele and diseases/damage of the central, peripheral, or autonomic nervous systems may produce neurogenic bladder dysfunction, which untreated can result in progressive renal damage, adverse physical effects including decubiti and urinary tract infections, and psychological and social sequelae related to urin...
Article
Acupuncture has been used to treat health conditions including pain for over 3000 years, yet it has only been in the last half a century that biochemistry and neural imaging advances have allowed scientific understanding of its physiological mechanisms. This treatise reviews the multiple lines of evidence that the endogenous opioid system is involv...
Article
Full-text available
Each year, there are an estimated 12 000 individuals who sustain a spinal cord injury (SCI) in the United States. Improved understanding of the pathophysiology of SCI and its sequelae has over the past 50 years led to the development of medical treatments (especially urologic) that have enhanced short- and long-term survival from these injuries. Th...
Article
Background: The locations of most of the 361 classical acupuncture points are determined in clinical practice by measuring their traditionally described positions using the cun system. Some data suggest the routinely taught methods of cun measurement may lead to inaccurate acupoint localizations. Objectives: To determine the accuracy of the traditi...
Article
Though separated by different millennia, languages, levels of scientific advancement, and views of human physiology, both prehistoric and modern cultures have expressed concepts of evaluating and treating human illness that have remarkable overlap with those of Traditional Chinese Medicine (TCM). These similarities suggest these healing traditions...
Article
Full-text available
Peter T. Dorsher, MS, MD, provides an interesting commentary on the findings of a study by Tan and colleagues that was highlighted in the December issue of the Archives as displaying potential deficiencies in a number of sham acupuncture devices. Dr. Dorsher's comments, while focused on acupuncture, are interesting in their own right. However, a li...
Article
Background: Acupuncture methodology has evolved over millennia with the introduction of new technologies. Modern laser "needle" systems can transmit light energy deep enough through the skin to influence channel acupoints and trigger points. Objectives: To compare whether musculoskeletal pain treatment outcomes with acupuncture are clinically equiv...
Chapter
Full-text available
For millennia, traditional Chinese medicine (TCM) practitioners have treated cancer with Chinese medicinal herbs (CMHs), which continue to be used in combination with conventional chemotherapy and radiotherapy in contemporary oncologic care in Asia. Recent advances in biochemistry and immunology have allowed discovery of the biologically active com...
Article
Full-text available
Acupuncture involves treating illness by inserting needles at specified body locations (acupoints). The Principal meridians are pathways that join acupoints with related physiologic effects. Despite nearly 5000 years of continuous clinical study, an accepted anatomic or physiologic basis for acupuncture's clinical effects has remained elusive. Some...
Article
Background: In the first part of this study, myofascial trigger point regions were demonstrated to have strong (93.3%) anatomic correspondences with classical acupuncture points. The second portion of this study examined the clinical correspondences of trigger point regions and classical acupuncture points in the treatment of both pain and somatovi...
Article
Background: In the first part of this study, myofascial trigger point regions were demonstrated to have strong (93.3 %) anatomic correspondences with classical acupuncture points. The second portion of this study examined the clinical correspondences of trigger point regions and classical acupuncture points in the treatment of both pain and somatov...
Article
Full-text available
Background: Conceptually, acupuncture Principal Meridians course through the myofascial layer of the body and send branches to one another and the organs they influence. Recent literature has described the concept of ''myofascial meridians'' as anatomical pathways that transmit strain and movement through the body's muscle and fascia. Objective: To...
Article
Background Anatomic comparisons of the locations of myofascial trigger points (mTrPs) to those of classical acupuncture points in the first part of this study showed that at least 238 (93.3%) of 255 “common” mTrPs described by the Trigger Point Manual have proximate, anatomically corresponding classical acupoints that anatomy references document en...
Article
Unlabelled: Recently published data suggest substantial anatomic, clinical, and physiologic (referred pain to meridian) overlap of myofascial trigger points and acupuncture points, particularly in the treatment of pain disorders. This qualitative study examines whether myofascial referred-pain data from the Trigger Point Manual can provide indepen...
Article
Background: The Consolidated Standards of Reporting Trials (CONSORT) guidelines were developed in 1996 by researchers and journal editors to improve the quality of reporting of biomedical research by providing a standardized format for researchers to present information on randomized controlled clinical trials (RCTs). This improved data reporting...
Article
Background: Urinary incontinence related to thoracolumbar upper motor neuron spinal cord injuries has been reported to have poor long-term prognosis for recovery. There is limited research on the use of acupuncture for this condition. Objective: To describe acupuncture therapy for urinary incontinence due to spinal cord injury. Design, Setting, and...
Article
Background Data from a recently published study suggest that substantial anatomic, clinical, and physiologic overlap of myofascial trigger points (mTrPs) and acupoints exists in the treatment of pain disorders.Objective To evaluate the anatomic relationships between classical acupoint locations and those of mTrPs both qualitatively and quantitative...
Article
The immediate onset of severe postoperative pain, especially pain radiating distant from the incision site, is uncommon after dermatologic surgery. A 37-year-old woman undergoing excision of a nevus from the left side of her midback had an exquisitely tender spot along the incision lines. This tender spot was hard to anesthetize and was clinically...
Article
Background: Anatomic comparisons of the locations of myofascial trigger points (mTrPs) to those of classical acupuncture points in the first part of this study showed that at least 238 (93.3 %) of 255 "common" mTrPs described by the Trigger Point Manual have proximate, anatomically corresponding classical acupoints that anatomy references document...
Article
Full-text available
Fibromyalgia is believed to affect at least 2% of the population. Despite advances in the scientific understanding of the derangements of central and peripheral pain processing mechanisms in fibromyalgia, no current models of its pathophysiology account for the other clinical conditions associated with it such as fatigue, migraine headache, irritab...
Article
Three basic classes of acupuncture points are described: the 361 classical ("channel") acupoints, extra (extraordinary) points that are almost always off-channel, and Ah Shi local tender points. The classical acupuncture points are the oldest and most clinically important points. Their locations, as well as those of the extra points, have tradition...
Article
A 1977 study by Melzack et al. reported 100% anatomic and 71% clinical pain correspondences of myofascial trigger points and classical acupuncture points in the treatment of pain disorders. A reanalysis of this study's data using different acupuncture resources by Birch a quarter century later concluded that correlating trigger points to classical...
Article
Background: Data from a recently published study suggest that substantial anatomic, clinical, and physiologic overlap of myofascial trigger points (mTrPs) and acupoints exists in the treatment of pain disorders. Objective: To evaluate the anatomic relationships between classical acupoint locations and those of mTrPs both qualitatively and quantitat...
Article
The medical records of 31 patients (19 male and 12 female) with clinical and electrophysiologic features of Wohlfart-Kugelberg-Welander syndrome were reviewed. The reported age at onset ranged from less than one year to 46 years, and the age at diagnosis ranged from three to 66 years. Proximal muscle weakness, especially of the lower extremities, a...
Article
Full-text available
T ennis elbow (lateral elbow pain) has a prevalence of 1.3% with no gender predominance. The pathology is thought to be due to an overuse syndrome of the long extensor muscles of the forearm leading to a localized fas-ciitis or enthesopathy at lateral epicondyle where the ex-tensor tendons insert. Lateral elbow pain is brought on by resisted supina...

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