Dr George Mandler CNS LDN LicAc DAcCHM FABORM

Wrist-ankle acupuncture during the postpartum period is effective for perineal pain relief after mediolateral episiotomy

Institute: Department of Obstetrics and Gynaecology, San Gerardo Hospital , Monza, Italy .

Author: Marra C, Pozzi I, Ceppi L, Sicuri M, Veneziano F, Regalia AL.

Journal: J Altern Complement Med.

Abstract Objectives: The purpose of this pilot study was to evaluate the efficacy of acupuncture in relieving perineal pain after mediolateral episiotomy during childbirth.

Design and subjects: Women with mediolateral episiotomy during delivery were enrolled in this study and were assigned to be treated or not with acupuncture. Outcomes measures: Perineal pain relieving effect of acupuncture was evaluated considering oral analgesics request during post-partum period and was the main outcome of this trial.

Results: A total of 42 women were enrolled in this trial. Twenty-one (21) women were treated with “wrist-ankle” acupuncture, inserting one needle in their right ankle. A second group of 21 women was not treated with acupuncture. Women in the acupuncture group were significantly less likely to experience pain; only 8 of them (38.1%) asked for analgesics. All women in the second group assumed oral analgesics because of perineal pain (p?<?0.01).

Conclusions: Wrist-ankle acupuncture during the postpartum period is effective for perineal pain relief after mediolateral episiotomy.

About George Mandler

Hi, I’m Dr. George Mandler. I’m a Doctor of Acupuncture and Chinese Herbal Medicine and a Licensed Dietitian with more than 20 years of clinical experience. I believe that lasting health comes from understanding the unique factors that influence each person’s well-being, rather than relying on a one-size-fits-all approach.

Through acupuncture, nutrition, functional medicine, and personalized health strategies, I help patients address the root causes of their symptoms and build a foundation for better long-term health. My goal is to provide practical guidance, compassionate care, and evidence-informed solutions that help patients feel their best.