Acupuncture for Lupus: Can It Work for You?

These signals travel to the brain and trigger the release of natural chemicals, such as endorphins, that help reduce pain and promote a sense of well-being.

More recent research also suggests acupuncture may influence how the brain processes pain, regulates inflammation, and affects the autonomic nervous system (which controls functions like heart rate and stress response). However, these effects vary and are still being studied.

How commonly is acupuncture used?

Acupuncture is now widely used in the United States, particularly for pain-related conditions. Since the late 1990s, research and clinical guidelines have increasingly supported its use for certain types of chronic pain, including low back pain and osteoarthritis. Today, acupuncture is often considered as part of a broader, integrative approach to care and used alongside, not instead of, standard medical treatments. Recent studies suggest that many patients with autoimmune diseases, including lupus, use complementary therapies such as acupuncture as part of their overall care.

What about acupuncture for lupus?

There is still limited high-quality research specifically on acupuncture for systemic lupus erythematosus ("lupus" or "SLE"). Reviews of non-pharmacologic therapies in lupus suggest that approaches like acupuncture may help with symptom management, but evidence remains limited and inconsistent.

That said, acupuncture may help with some symptoms associated with lupus, particularly:

• joint and muscle pain
• chronic pain syndromes
• possibly fatigue (though evidence is less consistent)

There is no evidence that acupuncture can treat the underlying disease process of lupus or prevent organ involvement. It has not been shown to help serious complications such as kidney disease (lupus nephritis), anemia, or skin manifestations.

Why consider acupuncture?

You might consider acupuncture if:

• Your pain is not adequately controlled with standard treatments.
• You are experiencing side effects from medications.
• You are interested in a complementary, non-drug approach.

Compared to medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) or opioids, acupuncture is generally well tolerated and does not carry risks like gastrointestinal irritation, sedation, or dependence.

Is acupuncture safe?

Acupuncture is generally safe when performed by a licensed and trained practitioner.

Possible side effects include:

• mild soreness or bruising at needle sites
• lightheadedness or fatigue
• occasional nausea

Serious complications such as infection, nerve injury, or organ puncture are very rare and are typically associated with improper technique.

If you want to try acupuncture

If you are considering acupuncture:

• Discuss it with your rheumatologist first.
• Continue all prescribed lupus medications.
• Do not use acupuncture as a replacement for medical treatment.

Acupuncture may be a helpful addition for symptom management, but it does not treat the underlying autoimmune condition.

It is also important to:

• Choose someone who is trained in acupuncture.
• Look for someone experienced in treating patients with autoimmune conditions.
• Inform them of all medications you are taking.
• Avoid herbal treatments unless approved by your physician.

What to expect during treatment

During a session:

• You will lie comfortably while thin, single-use needles are inserted.
• The skin should be cleaned beforehand.
• Needles are typically left in place for 15 to 30 minutes.

Most people experience little to no pain. Sensations may include mild tingling, heaviness, or warmth. Many patients find treatments relaxing and may even fall asleep.

Costs and insurance coverage

Acupuncture treatments often cost over $100 per session. Insurance coverage has expanded in recent years but varies widely by plan. Medicare now covers acupuncture for certain types of chronic low back pain, but not specifically for lupus.

Before starting treatment:

• Check your insurance coverage.
• Ask about out-of-pocket costs.
• Consider setting a trial period (for example, 4 to 6 sessions) to assess whether it is helpful.

This article is based on a 2002 presentation by Charis F. Meng, MD, to the SLE Workshop, a free support and education group hosted monthly by HSS.