Clinical observation on the treatment of lumbar buttocks myofascial pain syndrome with edge acupuncture under ultrasound guidance
DOI: 10.23977/medsc.2023.040517 | Downloads: 10 | Views: 339
Author(s)
Fan Xiang 1, Sun Qing 2
Affiliation(s)
1 Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, 712046, China
2 Xi'an Hospital of Traditional Chinese Medicine, Xi'an, Shaanxi, 710021, China
Corresponding Author
Sun QingABSTRACT
To observe the clinical effect of ultrasound-guided blade acupuncture in the treatment of myofascial pain syndrome (MPS) in the lumbar buttocks. We selected 60 patients with lumbar buttocks myofascial pain syndrome in the Department of Orthopaedic Spine Diseases, Xi'an Hospital of Traditional Chinese Medicine, and randomly divided them into a treatment group and a control group, with 30 cases in each group. The treatment group was treated with ultrasound-guided lower edge acupuncture for MTrPs, and the control group was treated with ordinary acupuncture. The VAS scores, Young's modulus (E) at MTrPs, and MTrPs were observed before treatment, after the first treatment and after the end of the course of treatment. The strain ratio (SR) of normal tissue at the same level. Resultly, the comparison between the two groups of patients before and after VAS treatment had significant statistical differences, P<0.05; the Young's modulus at MTrPs had significant statistical differences before treatment, the first treatment and after treatment, P<0.05, and the control group before treatment , There was significant statistical difference between the first treatment and after the course of treatment. Ridit analysis was used to compare the two groups, P<0.05, there was a statistical difference, the treatment group was better than the control group; MTrPs and the same level of muscle tissue strain ratio (SR), the treatment group Before treatment, compared with the first treatment and after the course of treatment, there was a statistical difference, P<0.05, and the comparison between the two groups after treatment, P<0.05, there was a statistical difference. It shows that the two groups can improve the elasticity and change the local deformation, but the curative effect of the treatment group is better than that of the control group. In conclusion, ultrasound-guided blade needle acupuncture at the trigger point for myofascial pain in the treatment of lumbar and gluteal myofascial pain syndrome can significantly improve patient symptoms, has good clinical efficacy, and promote local muscle tissue elasticity recovery, improve local tissue deformation ability and degree.
KEYWORDS
Ultrasound; trigger point of myofascial pain; acupuncture; myofascial pain syndrome; clinical observationCITE THIS PAPER
Fan Xiang, Sun Qing, Clinical observation on the treatment of lumbar buttocks myofascial pain syndrome with edge acupuncture under ultrasound guidance. MEDS Clinical Medicine (2023) Vol. 4: 124-132. DOI: http://dx.doi.org/10.23977/medsc.2023.040517.
REFERENCES
[1] Dommerholt Jan, Finnegan Michelle, Hooks Todd, ed. A critical overview of the current myofascial pain literature - July 2018[J/OL]. Journal of Bodywork and Movement Therapies, 2018, 22(3): 673-684.
[2] Tang Nengzhang, Chen Shaoqing, Lin Jianping, et al Research progress on muscle fatigue and chronic low back pain [J] Massage and Rehabilitation Medicine, 2015, 6 (18): 7-10.
[3] Cui Jing, Wang Mei, Song Hong, et al. Effect of dry acupuncture under ultrasound guidance on pain and nerve function in patients with myofascial trigger point inactivation [J]. Modern Medical and Health Research Online magazine, 2021, 5 (06): 38-40
[4] Simons David. Myofascial pain and dysfunction: Myofascial trigger point manual [M /OL] Translated by Zhao Chong and Tian Yangchun People's Military Medical Publishing House, 2015.
[5] Pan Chun, Li Honghui, Liming, et al. Observation on the clinical efficacy of ultrasound guided acupuncture in the treatment of chronic non-specific low back pain [J]. Journal of Hunan University of Chinese Medicine, 2021,41 (2): 270-274
[6] Wang Ying, Pan Chuanhui. Etiological analysis and TCM treatment of myofascial pain syndrome [J] Inner Mongolia Journal of Traditional Chinese Medicine, 2022, 41(6):117-119.
[7] Chen Decheng. Dynamic Tendon Acupuncture and Myofascial Release [J] Journal of Changchun University of Traditional Chinese Medicine, 2018, 34 (05): 902-904+1031.
[8] Liu Lin, Huang Qiangmin, Tang Li. Trigger points for myofascial pain [J] China Tissue Engineering Research, 2014, 18 (46): 7520-7527.
[9] Wang Lina, Huang Qiangmin. Progress in theory and practice of Myofascial trigger point technology [J] Chinese Journal of Pain Medicine, 2021, 27 (06): 413-419.
[10] Shankar H, Cummings C. Ultrasound Imaging of Embedded Shrapnel Facilitates Diagnosis and Management of Myofascial Pain Syndrome[J/OL]. Pain Practice, 2013, 13(5): 405-408.
[11] Yin Li, Mi Shijun, Ma Xiuqing, et al. Evaluation of myofascial pain trigger points in patients with myofascial pain syndrome by gray-scale ultrasound combined with shear wave elastography [J]. China Medical imaging Technology, 2019, 35 (08): 1133-1137.
[12] Chen Liyuan, Shen Chongqing, Li Changhui. Exploring the mechanism of massage therapy for chronic lumbar muscle strain based on muscle mechanical properties [J/OL] Smart Health, 2022, 8(2):33-35.
[13] Cao Junying, Jin Zhuang. Progress in the application of muscle bone ultrasound in clinical diagnosis [J] Chinese Journal of Modern Medicine, 2022, 32 (22): 1-5.
[14] Wu Qianyu, Huang Liqun, Wang Lina. Research progress in ultrasound-guided diagnosis and treatment of Myofascial trigger point [J /OL] Journal of Lanzhou University (Medical Edition), 2022, 48 (9): 57-60+65.
[15] Huang Lixia, Zhang Baoyun, Wang Mengmeng, et al. Progress in research mechanism of Trigeminal nerve vascular theory of acupuncture treatment of migraine [J]. Shanghai Journal of Acupuncture and Moxibustion, 2023, 42(7):774-778.
[16] Li Wei, Tang Huiling, Qin Siru, et al. Research progress on acupuncture treatment of non-specific lower back pain [J] Acupuncture Research, 2020, 45 (08): 682-686.
[17] Guo Qiulei, Jia Wenrui, Sun Qisheng, et al. The Meridian Differentiation and Treatment of Low Back Pain in the Internal Classic [J/OL] China acupuncture and moxibustion, 2017, 37 (6): 658-662.
[18] Chen Shufang, Wang Kaiqiang, Huang Qiangmin, et al. Observation on the clinical efficacy of acupuncture at myofascial trigger points and meridian points combined with massage in the treatment of lumbar disc herniation [J]. Hebei Traditional Chinese Medicine, 2017, 39 (09): 1378-1383.
[19] Li Yu, Yan Dezheng, Wang Feihu, et al. Observations on the efficacy of acupuncture and pricking bloodletting plus medicine for chronic spontaneous urticaria [J]. Shanghai Journal of Acupuncture and Moxibustion, 2023, 42(3):268-273.
[20] Lv Shiqi, Wang Bin, Zhao Rujia. Observation on the therapeutic effect of acupuncture and moxibustion on psoriasis vulgaris [J] Shanghai Journal of acupuncture and moxibustion, 2019, 38 (12): 1370-1374.
[21] Wei Ling, Yuan Guibi, Lei Li. Observation on the therapeutic effect of Jiaji point injection plus acupuncture on Neuralgia after Shingles in the elderly [C /OL] China Association of acupuncture and moxibustion Moxibustion, 2011: 1108-1111.
[22] Han Mingjuan, Zhao Hong, Jing Xianghong, et al. Literature analysis on the effect of different needle retention times on acupuncture efficacy [J] Journal of Traditional Chinese Medicine, 2017, 58 (4): 334-339.
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