We report the ease of bilateral hand swelling following acupuncture therapy
for-chronic low back pain. Despite thorough history, examination and labor
atory testing no systemic cause for the swelling could be elicited. This ca
se highlights the incomplete knowledge of acupuncture mechanisms and that l
imited acupuncture therapy can have significant adverse effects. (C) 2000 i
nternational Association for the Study of Pain. Published by Elsevier Scien
ce B.V.