Acupuncture for Pain and Sleep Disturbance in Knee Osteoarthritis

Exclusion Criteria

• •1. Patients with diagnosis of obstructive sleep apnea (OSA). OR,
• •2. Patients with dense hemiplegia secondary to cerebrovascular accident. OR,
• •3. NYHA Class III - patients with heart failure condition limited by minimal activity. OR,
• •4. Severe COPD with shortness of breath at minimal exertion. OR,
• •5. Peripheral vascular disease with severe claudication. OR,
• •6. Dementia with Mini Mental Status Exam score of 20 or less. OR,
• •7. Patients who received knee intra-articular corticosteroid injection within 4 weeks prior to the study or who received acupuncture treatment within 6 months. OR,
• •8. Unwilling to come off narcotic pain medication. OR,
• •9. History of bleeding diathesis or currently on anticoagulation. OR,
• •10. Patients currently engaged in medical legal cases related to OA or disability.