STRICTA checklist items Acupuncture Pharmacopuncture Acupuncture rationale (1a) Style of acupuncture Refer to Table 4. (1a) Type of pharmacopuncture Refer to Table 4. (1b) Reasoning for treatment provided Anatomical structure likely to cause symptoms (e.g., shortened scalenes and shortened suboccipital muscles) 140 (71.1) Spinal levels of pathology as confirmed through imaging (e.g., site of disc herniation 118 (59.9) Tender points, trigger points, and other points that elicit a painful response upon palpation 105 (53.3) Ashi points (site of pain) 86 (43.7) Effective acupoints as observed through clinical experience 66 (33.5) Academic knowledge acquired from research articles and clinical practice guidelines 28 (14.2) Acupoints based on Korean Medicine principles (e.g., GB20, GB21, LI11, LI04, and SI03) 28 (14.2) Knowledge acquired through formal education 17 (8.6) Details of needling (2a) Number of needle insertions per subject per session 10.0±3.5 (2a) Number of acupoint injections per subject per session (range) Anterior 3.6±2.3 Posterior 6.1±3.6 (2a) Amount of pharmacopuncture solution injected per session (range, cc) Anterior 1.1±0.7 Posterior 2.6±1.9 (2b) Names of points used Refer to Table 5. (2b) Names of points used Refer to Table 5. (2c) Depth of insertion (cm) 2.1±0.9 (2c) Depth of insertion (range, cm) Anterior 1.3±0.8 Posterior 2.7±1.3 (2d) Responses sought De qi sensation 5.2±1.4 Muscle twitch response 5.1±1.2 (2e) Needle stimulation Motion Style Acupuncture Treatment (MSAT) 111 (56.3) Lifting and thrusting ( ) 75 (38.1) Holding and twisting ( ) 74 (37.6) Percentage of patients treated with electroacupuncture (%) 93.5±15.8 (2f) Needle retention time (minutes) 13.3±2.5 (2g) Needle type Diameter of needle (mm) 16.1±11.7 Treatment regimen (3a) Number of treatment sessions Refer to Table 2. (3a) Number of treatment sessions Refer to Table 2. (3b) Frequency of treatment sessions (sessions/week) 2.1±1.1 (3b) Frequency of treatment sessions (sessions/week) 3.2±7.1 (3b) Duration of treatment sessions (minutes) 13.3±2.5 (3b) Duration of treatment sessions (range, minutes) Anterior 2.6±2.9 Posterior 4.3±4.0 Other components of treatment (4a) Other interventions administered Refer to Table 2. (4a) Other interventions administered Refer to Table 2. Practitioner background (5) Description of participating acupuncturists Refer to Table 1. (5) Description of participating acupuncturists Refer to Table 1.