What do the NICE guidelines say about acupuncture?
The National Institute for Health and Care Excellence (NICE) is the independent body responsible for producing clinical guidelines for the NHS in England. These guidelines are based on rigorous reviews of available evidence, and help shape decisions about which treatments are offered to patients. When NICE recommends something, it has been assessed not only for effectiveness, but also for safety and cost-efficiency.
Acupuncture is currently recommended by NICE for several key areas, including headache prevention, chronic primary pain, and persistent hiccups.
Don’t worry about sounding professional. Sound like you. There are over 1.5 billion websites out there, but your story is what’s going to separate this one from the rest. If you read the words back and don’t hear your own voice in your head, that’s a good sign you still have more work to do.
Be clear, be confident and don’t overthink it. The beauty of your story is that it’s going to continue to evolve and your site can evolve with it. Your goal should be to make it feel right for right now. Later will take care of itself. It always does.
1. Headaches and Migraines (CG150)
The NICE guideline titled Headaches in over 12s: diagnosis and management (CG150) recommends acupuncture for the prevention of chronic tension-type headaches and migraines.
This is particularly relevant for patients who want to avoid taking daily medication or who haven’t found relief through conventional methods. A course of up to 10 acupuncture sessions over 5–8 weeks is suggested.
2. Chronic Primary Pain (NG193)
In 2021, NICE published updated guidance titled Chronic pain (primary and secondary) in over 16s: assessment of all chronic pain and management of chronic primary pain (NG193).
This guideline recommends acupuncture as a treatment option for people experiencing chronic primary pain without a clear underlying cause. Conditions that fall under this category include fibromyalgia, complex regional pain syndrome, and some types of musculoskeletal pain.
Rather than relying on strong painkillers (which are no longer recommended as first-line treatments), acupuncture is one of the few therapies positively recommended in this context.
3. Persistent Hiccups
Though less widely known, NICE and NHS guidance also mention acupuncture as a possible intervention for persistent hiccups, which can significantly impact wellbeing when it fails to resolve naturally. When conventional methods are ineffective, acupuncture may be explored as part of a broader plan.
Why These Guidelines Matter
The inclusion of acupuncture in NICE guidelines reflects growing recognition of its role as a complementary, integrated, evidence-informed approach. These guidelines help support wider access to acupuncture in NHS settings and private practice alike.
What About Other Conditions?
While NICE currently includes acupuncture in guidance for headache prevention, chronic primary pain, and persistent hiccups, research into its role in supporting other areas is growing. These include:
Menopause
Menstrual health (dysmenorrhoea, PMDD)
Emotional wellbeing (anxiety, depression, PTSD)
Sleep support
Musculoskeletal discomfort (like knee pain or sciatica)
Integrated oncology
These topics may be reflected in future guidance as the evidence base continues to develop.
Final Thoughts
At Emma Hart Acupuncture, I welcome people navigating many of the areas mentioned above. Whether you’ve been referred by a GP, are living with long-term symptoms, or are simply curious about how acupuncture may support your wellbeing, I aim to provide a safe, grounded, and personalised experience.
Every session is tailored to your unique presentation and can be used alongside most conventional healthcare approaches. If you’d like to find out more, you’re warmly invited to get in touch.
This blog is for general information only and does not replace medical advice. Always consult your healthcare provider before making decisions about your care.
