The Clinical Observation Of Fu’s Subcutaneous Needling For Low Back Myofascial Pain Syndrome

[Objective]The purpose of this study is to observe and compare the clinical efficacy of Fu’s Subcutaneous Needling(FSN)and external application of fortalin emulsion in the treatment of low back myofascial pain syndrome,as well as evaluate the effectiveness and safety of FSN.[Methods]In this study,a total of 88 patients with low back myofascial pain syndrome who met the diagnostic criteria and inclusion criteria were randomly assigned to a treatment group and a control group.The treatment group was treated with FSN once every other day,3 times a week,and for 2 weeks as a single course.The control group was treated with an external application of fortalin emulsion once a day and for 2 weeks as a single course.The VAS score,ODI score and JOA score were used as evaluation indices,and patients were evaluated before treatment,after treatment and one month after the treatment course.During the course of the study,adverse events were also recorded.[Results].I.The baseline data of the two groups did not show any significant differences.2.VAS scores did not differ significantly between the two groups before treatment(P=0.127).Compared with those before treatment,the VAS scores after treatment and one month after the treatment course were all decreased in both groups(P=0.000).After treatment and 1 month after the treatment course,the VAS scores in the treatment group decreased more obviously than those in the control group(P=0.000).3.ODI scores did not differ significantly between the two groups before treatment(P=0.824).Compared with those before treatment,the ODI scores after treatment and one month after the treatment course were all decreased in both groups(P=0.000).After treatment and one month after the treatment course,the ODI scores in the treatment group decreased more obviously than those in the control group(P=0.001).4.JOA scores did not differ significantly between the two groups before treatment(P>0.05).Compared with those before treatment,the total scores of JOA and its sub-item scores for subjective symptoms,clinical signs and restriction of ADL after treatment and 1 month after treatment course were all increased in both groups(P<0.05).After treatment,the total scores of JOA,the scores of subjective symptoms and clinical signs in the treatment group increased more obviously than those in the control group(P<0.05),but the restriction of ADL scores difference between the two groups was not significant(P=0.111).1 month after treatment course,the total scores of JOA and the scores of subjective symptoms in the treatment group increased more obviously than those in the control group(P<0.05),but the clinical signs scores and restriction of ADL scores differences between the two groups were not significant(P>0.05).5.Evaluation of clinical effectiveness:The total effective rate was 92.7%in the treatment group,which was superior than 76.3%in the control group(P=0.007).6.Evaluation of safety:During the study,no adverse events were reported in the treatment group and one in the control group.[Conclusion]For patients with low back myofascial pain syndrome,treatment with FSN was significantly more effective than external application of fortalin emulsion at reducing pain symptoms and improving lumbar function and quality of life.Additionally,FSN is a safe and convenient method of application,which makes it worthwhile to promote in the clinical setting.