One of five Diagnostician acupuncturists with 7 to 18 years experience evaluated participants at each visit using Traditional Chinese Medical (TCM) diagnostic techniques and prescribed individualized TCM treatments to be used only for participants randomized to individualized acupuncture. A Therapist acupuncturist then delivered the assigned treatments, interacting minimally with participants and the Diagnostician, who remained masked to treatment. Treatments were performed in Research Clinics at the two sites by 6 licensed acupuncturists with a with 4 to 19 years experience. All acupuncturists were experienced using TCM acupuncture for musculoskeletal pain. Nine of the 11 study acupuncturists had at least 3 years of formal training and the two others had practiced for over 15 years.
Acupuncturists used sterile disposable 32-gauge needles (0.25 mm) at least 1.5 inches in length. Needling depth varied slightly, depending on the acupoint, but was generally between 1 and 3 cm.
All participants received a self-care book with information on managing flare-ups, exercise, and life-style modifications.18