Clinical Study On The Recovery Of Non-specific Low Back Pain Acupuncture

Low back pain (LBP) is a common and easily recurrent clinical disorders, seriously impact on the normal work and life. According to modern medical research low back pain can be classified into three broad categories:nonspecific low back pain, back pain potentially associated with radiculopathy or spinal stenosis, or back pain potentially associated with another specific spinal cause.The treatment of traditional acupuncture for low back pain is usually based on the channel theory and the meridian sinew theory theory. However, this study is based on modern medical awareness of low back pain, the threatment research include patients with nonspecific low back pain and patients whose etiology of the disease as nonspecific low back pain but associated with radiculopathy or spinal stenosis history, and combine einforcement theory and "pain points" theory to guide the treatment. This research mainly discuss and observe the therapeutic effect of acupuncture for the treatment of nonspecific low back pain, and contrast the patients whose etiology of the disease as nonspecific low back pain but associated with radiculopathy or spinal stenosis history and the patients who have clear diagnosis of nonspecific low back pain history with therapeutic effects.Eligible research subjects, complaining of nonspecific low back pain, were selected from Acupuncture and Massage Department of Beijing Hospital. We recorded the patients’medical history and accorded to physical examination to judge the etiology of these patients, then selected the patients who were belong to nonspecific low back pain patients to receive therapy. Meanwhile, according to the patients if have history of radiculopathy or spinal stenosis to divide them into two groups, as group1and group2. Group1refer to the patients whose etiology of the disease as nonspecific low back pain but associated with radiculopathy or spinal stenosis history and group2refer to the patients who have clear diagnosis of nonspecific low back pain histoiy. Then we located the areas of strain and performed Huici on specific trigger point or tender points without retaining the needle. We evaluated patients by utilizing the Visual Analogue Scale index (VAS), Oswestry Disability Index (ODI) and Japanese Orthopaedic Association Questionnaire (JOA) during both prior treatment and post-treatment periods. According to the severity of disease selected patients’therapy, or every other day, or continuous therapy, in total6times.A total of24patients were enrolled, group1included17patients, group2included7patients; all the patients completed the study. The outcome data of VAS, ODI, JOA scores and the JOA improvement rate were analyzed and summarized descriptively. If the data fit in a normal distribution, the t-test was used to compare variables. Otherwise, the Wilcox test was used. All analyses were conducted in the SPSS program (ver.16.0). Results are as follows:①Group1and group2prior treatment and post-treatment comparison:two groups before and after treatment in VAS scores, ODI scores and JOA scores werenot statistically significant differences.②All the patients prior treatment and post-treatment comparison:all the patients before and after treatment in VAS scores, ODI scores and JOA scores are statistically significant (P<0.05), the Huici treatment was statistically significant, offering a therapeutic effect.③Comparison of group1and group2respectively prior treatment and post-treatment:group1and group2before and after treatment in VAS scores, ODI scores and JOA scores are statistically significant (P<0.05).④According to the JOA improvement rate,62.50%patients showed maximal improvement,33.33%patients had moderate improvement, while4.17%patients showed minimal improvement. The total efficacy rate of our study was100%, while group1and group2JOA improvement rate were not statistically significant differences.In this self controlled study, patients need to accept6times Huici therapy, patients" pain, range of motion, and quality of life were significantly improved after receiving. Huici therapy for nonspecific low back pain has advantage of short treatment time and good therapeutic effects. However, in this specific trial, the sample size was small and no control group was identified. Future studies should include a randomized controlled trial with a larger sample size, and the long-term effects should be observed.