Acupuncture And Tdp The Efficacy Of Treatment Of Low Back Muscle Fasciitis Observation

Myofascitis of the back region belong to Chinese category of"bi-syndrome"and back-pain, its due to interior etiology of deficiency of liver and kidney, stagnation of qi and blood stasis; exogenous factors of wind, cold and dampness; and unattended injuries or improper treatment, no matter the patient is strong or weak, generally it is cause by blockage of the meridians and collaterals, unnourished tendon and muscle; qi stagnation and blood stasis.Modern medicine believes that injuries and strain or exogenous factor of cold wind is the cause of the disease, which led to changes in non specific inflammation of human muscular fiber tissue which is due to sudden traumatic injury of muscular tendon membrane tissue or chronic strain. At the foundation of muscle overloading fatigue basis can trigger and aggravate the disease.Myofascitis of the back region is a commonly encountered disease in clinic and difficult to recover, it bring great suffer to the patient. This thesis combines tradition medicine and modern medicine, ancient acupuncture and modern mechanism TDP, applys random research methodology, precise diagnostic and execute with tight measures. Patient will be randomly distribute to acupuncture group, TDP group and acupuncture plus TDP group, each group consist of 30 cases, using changes in pain and function impairment as observation indexes, prior and post treatment comparison between groups of all indexes will done to observe the effect of pain relieve and its function changes, as to provide a better foundation for clinical evaluation of back myofascitis.Research result indicates:1. Baseline include age and pattern identification of TCM, both indexes had no difference through comparison analysis (P>0.05), which means 3 group of index comparability were good.2. Amelioration of Pain2.1 Pain relieve assessment result3 group of doctor proceed with pain relieve assessment scoring for treatment before and after pairing comparison, result show that all 3 groups had significant difference of P<0.05, which mean 3 group of three different treatment all show good curative effect of pain relieving. Through comparison between group before and after treatment, though before treatment 3 group do not show any significant difference of P>0.05 but from a further result analysis shows acupuncture plus TDP group had the best pain relieve effect ,followed by acupuncture group and lastly TDP group. 2.2 Patient self-assessment result3 group of patient self-assessment scoring each proceed with before and after treatment pairing comparison, all 3 group show significant difference of P<0.01 before and after treatment, which means 3 group using three different methods in treating back myofascitis all had good pain relieving effect. Through comparison between group of prior and post treatment, though prior treatment comparison between 3 group do not show any significant difference of P>0.05, but through pairing comparison of 3 groups post treatment, discovered that TDP group and acupuncture plus TDP group had significant difference of P<0.05, and acupuncture group and acupuncture plus TDP group show no significant difference of P>0.05, which indicates post treatment of 3 group of therapy, acupuncture plus TDP group has the best improvement in symptom of pain, followed by acupuncture group, lastly TDP group.3. The improvement condition of functional impairment3.1 The improvement condition of functional impairmentUsing Roland～Morris functional impairment form to compare before and after treatment of 3 group function impairment, result show all 3 group had good amelioration effect in functionality. There is no significant difference of P>0.05 in comparison of treatment before and after between 3 group. All three kind of therapy have good amelioration in function effect, but have no significant difference.3.2 Function impairment indexThrough comparison of treatment before and after of pain symptom of 3 group of patient, result show all 3 group of therapy has very good amelioration effect in function. Prior treatment TDP group and acupuncture group has a significant difference of P<0.05, and acupuncture group and acupuncture plus TDP group show no significant difference of P>0.05, which means prior treatment acupuncture group plus TDP group function impairment is the most serious, followed by acupuncture group and lastly TDP group. There is no significant difference of P>0.05 when compare between post treatment of 3 group, no difference in function amelioration, but through correlation of prior and post treatment discover, prior treatment acupuncture plus TDP group has the most serious in function impairment, followed by acupuncture and lastly TDP group; and post treatment of 3 group function condition show similarity, explain acupuncture plus TDP therapy has the best amelioration in function impairment , followed by acupuncture and lastly TDP group has the least amelioration. Summarize the above mentioned, acupuncture and TDP two different methods both have effect in relieving pain, but the combination of both therapies has better effect, followed by acupuncture method. Though acupuncture and TDP therapy alone can have effect in amelioration in functional impairment, but combination of both therapies effect is better, followed by acupuncture, lastly TDP. Therefore, acupuncture plus TDP combination therapy should be the first consideration for clinical treatment of back myofascitis, followed by acupuncture; TDP also has good therapeutic effect, when compared to acupuncture, it is easy to operate, convenient for use as daily healthcare.