Individuals with rheumatic disorders, particularly those with more severe,
chronic conditions, are likely to be frequent users of complementary and al
ternative medical therapies. Although large-scale clinical trials have yet
to be conducted, there is moderately strong evidence that acupuncture may b
e effective for treating both osteoarthritis and fibromyalgia. The utility
of acupuncture in treating rheumatoid arthritis has not been demonstrated i
n large, randomized controlled trials. Physicians who treat patients with r
heumatic conditions should become knowledgeable about the literature on bot
h the effectiveness of acupuncture for conditions as well as its potential
to cause adverse side effects in particular patient groups.