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The aim of this editorial is to demonstrate publications on self-acupuncture from both the East (China) and the West and to bring new variants such as self-applied laser medicine into the focus of interest. Self-acupuncture with needles may of course only be carried out according to the applicable laws of the respective country and these are naturally very different. However, important evidence from the studies published so far has not yet been clearly proven. The answer to a question resulting from the editorial, how tradition and innovation in the field of self-acupuncture can be efficiently combined, will have to be proven by future studies. [ABSTRACT FROM AUTHOR]

The aim of this editorial is to demonstrate publications on self-acupuncture from both the East (China) and the West and to bring new variants such as self-applied laser medicine into the focus of interest. Self-acupuncture with needles may of course only be carried out according to the applicable laws of the respective country and these are naturally very different. However, important evidence from the studies published so far has not yet been clearly proven. The answer to a question resulting from the editorial, how tradition and innovation in the field of self-acupuncture can be efficiently combined, will have to be proven by future studies.

Background Maintenance acupuncture is advocated by clinicians after successful clinic-based acupuncture. We aimed to assess the effectiveness of maintenance acupuncture in the management of cancer-related fatigue (CRF); treatment delivered by therapists or self-acupuncture/self-needling was compared with no maintenance treatment. Methods Breast cancer patients who participated in a randomized trial of acupuncture for CRF management (reported elsewhere) were re-randomized to receive an additional four acupuncturist-delivered weekly sessions; four self-administered weekly acupuncture sessions (self-needling); or no acupuncture. Primary outcome was general fatigue (Multidimensional Fatigue Inventory). Mood, quality of life and safety were also assessed. Results In total, 197 patients were re-randomized, with 65 to therapist-delivered sessions, 67 to self-acupuncture/self-needling and 65 to no further acupuncture. Primary outcome scores were equivalent between the therapist-delivered acupuncture and self-acupuncture (P > 0.05). A non-significant trend in improving fatigue was observed at the end of 4 weeks in the combined acupuncture arms (P = 0.07). There was no impact on mood or quality of life of the further acupuncture sessions at 18 weeks beyond the improvement observed in initial trial. Conclusion Self-acupuncture is an acceptable, feasible and safe maintenance treatment for patients with CRF. However, overall, maintenance acupuncture did not yield important improvements beyond those observed after an initial clinic-based course of acupuncture. Trial Registration number NCT00957112. [ABSTRACT FROM AUTHOR]