Symphysiolysis: Acupuncture Therapeutic Benefits: a Randomized Placebo Controlled Study.
Symphysiolysis: Acupuncture Therapeutic Benefits: a Randomized Placebo Controlled Study.
a randomized, observer blind and placebo-controlled cross-over study in which true
 acupuncture (Verum)(V) was compared to "placebo" acupuncture (P).

 the investigators evaluate the effect of the acupuncture on the pain and the ability of the
 pregnant patient.
the investigators recruit women who diagnose with symphysiolisis by having 2 out of 3 of the
 follow:

 -  Examine for pain or sensitivity to touch on pubic symphysis joint.

 -  Modified Trendelenburg's test

 -  Active straight leg raise test The trial doctor will mark the woman's chart with a
 continuous number that will become her number in the trial, and she will then be
 referred to the acupuncturist.

 Women will be randomly divided at a 1:1 ratio, according to the randomized number chart
 prepared by the trial's statistician. The list of random numbers will be delivered to the
 head of the acupuncturist team and it will be the only copy in existence aside from the one
 belonging to the statistician. According to that list of numbers, the head acupuncturist will
 instruct the acupuncturist on call as to the type of acupuncture to be performed, true (V)
 vs. placebo (P) on the participant . The type of acupuncture (V or P) will be recorded in the
 woman's chart.

 The treatment will be conducted by one of the acupuncturists on staff at the integrative
 medical center. All the acupuncturists have many years of experience in treating pregnant
 women with Chinese medicine. The acupuncture will be carried out with 0.18/40mm single use
 needles. Point selection and numbers of points used will be determined following the
 evaluation of the acupuncturist according to the accepted standards of in Chinese medicine.
 They will not, however, deviate from the list of true acupuncture points in the list of
 possible true paints . Placebo acupuncture will be three to four points selected at random
 from the list of placebo points . The acupuncturist's evaluation in the placebo group will be
 the same as in the evaluation in the treatment group and the true acupuncture points selected
 during that time will be the ones used in case of failure and continued pain following the
 first (placebo) treatment, after cross over.

 It should be noted that the woman's assessment and the exam will take place before the
 acupuncture treatment begins, whether it is the true or placebo group.

 Approximately 30 minutes after the acupuncture treatment began, the woman will be asked once
 again to assess her level of pain. An improvement of 1.5 marks on the NRS scale is considered
 a positive response. Women whose response after 30 minutes of acupuncture is less than this
 will be given the opposite acupuncture treatment. Those who received V acupuncture will
 receive P acupuncture and those who received P acupuncture will receive V acupuncture. A
 woman will be called our team if her pain is significantly worse. She will then receive the
 treatment that has been found most effective between the two acupuncture treatments she
 received previously.
Inclusion Criteria:

 -  Women > 18 years

 -  Single embryo pregnancy in week 24-42

 -  was diagnosed with symphysiolisis according to written above

 -  Pain/sensitivity >5 on NRS scale in symphysis pubis area for more than two weeks

 Exclusion Criteria:

 -  Lack of proficiency in Hebrew or English

 -  Pain from a different source

 -  pelvic bone disease or history of severe pelvic bone injury

 -  Thrombocytopenia (plt<50.000)

 -  Acupuncture treatment is contraindicated

 -  High risk pregnancy