| Neck and Shoulder MPS is one of the common pain diseases occurring in neck and shoulder, which is found in numerous smart-phone addicts who can be seen from metro to bus to train with modern life development, popularity of smart-phones, tablet PC, and paperless office system. It causes high tension in muscles and leads to chronic static loading damage symptoms if one remain his position unchanged, including muscle soreness and pains. There will be adhesion of soft tissues, forming cord-like nodules of various sizes as time goes by. Although the illness will not put one’s life in endangering situation, many of the patients suffer a lot from pains, which exerts adverse impacts on their life quality and emotions. The author has treated a large amount of such patients and found in close clinical observation that small needle scalpel therapy, a strong mechanical stimulation, can reach the deep lesion to release the adhesion through stripping, cutting, and channeling the adhesion and nodules of soft issues. TDP local irradiation heat can effectively penetrate the lesion, improve local blood circulation, accelerate metabolism lesion and effectively metabolize the cut adhesion and nodular tissues. It has been demonstrated that the combination of small needle scalpel and TDP irradiation is effective on the illness.ObjectiveNeck and Shoulder MPS is frequently found in clinical from more and more younger people. Although there are a bunch of single or combined therapies being used in clinics, researches have indicated that it cannot be cured thoroughly at present by resorting to one mere medicine or therapy. This essay compares therapeutic effects on the illness from two different combined therapies:small needle scalpel+TDP and common electro acupuncture+TDP, aiming to obtain a more effective, simple, and acceptable treatment.MethodsThis study covers 60 cases performed in Fist Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine when the author was working there from Jan.2014 to Jan.2015. The 60 patients were carefully selected by attending doctors or doctors at higher levels, and then divided randomly into two groups:treatment group (small needle scalpel and TDP irradiation) and control group (electro acupuncture and TDP). For patients of the treatment group, they were first treated with small needle scalpel at the myofascial trigger points and then followed by 30 minutes of TDP treatment thereafter. The treatment was given every seven days and three times of such treatment makes a complete course.While for patients of the Control Group, their acupuncture points were selected according to prescriptions provided in the text book Acupuncture, edited by Shi Xuemin and published in 2007 by China TCM Press. Then, they were first treated with conventional acupuncture method with needles connected to a Korean therapy instrument, whose wave frequency range was set from 50 to 100HZ as recommended by Sun Shi . The needle was left for 30 minutes with TDP irradiation over their shoulders and necks at the same time. The treatment was given every two days and ten times of such treatment makes a complete course.Based on VAS, referring to Clinical Guidelines for Soft Issue Injuries Treatment with New Traditional Chinese Medicine and taking into consideration unique characteristics of this kind of disease, a Score Table for Signs and Syndromes of Soft Issues Injuries was created for both groups and quantified into score points. Scores were marked before patients receiving treatments and three weeks after one course completed. Data were judged according to evaluation criteria for effectiveness of soft issues injury repair and put into the statistical software SPSS18.0 for statistical analysis.Results1. Comparison between the base line:there are no significant differences between the two patient groups in gender, age, and pathema degree before treatment (p-value> 0.05), which suggests favorable comparability of the two base line for concurrent studies.2. Comparison between therapeutic effects and satisfaction:comparison in total efficacy after treatment:the treatment group has a total efficacy of 93.33%, which was much higher than 80% of the control group (P<0.05). Comparison in satisfaction over the treatment received:the treatment group has a satisfaction percentage of 90%, which was higher than 80% of the control group as well (P<0.05).3. Comparison in VAS:no significant differences are found between the two patient groups on VAS scores before treatment (p-value> 0.05), which suggests the comparability between two groups in VSA. There is a significant differences in VAS scores for each group before and after the treatment (p-value< 0.05), which suggests both therapies are effective for the alleviation of the patients’sufferings to some degree. There are significant differences between the two groups on VAS scores after the treatment (p-value < 0.05) with a more distinct drop of VAS scores on the treatment group, which suggests the treatment group is better than the control group on the alleviation of the pain.4. Comparison between scores for signs and syndromes of soft issues injuries:no significant differences were found between the two groups before treatment (p-value> 0.05), which suggests the comparability in this aspect. There is a significant difference before and after the treatment for both groups (p-value< 0.05), which suggests both therapies are effective to some degree. There is also a significant difference between the two groups after the treatment (p-value< 0.05) with a more distinct drop on the treatment group, which suggests the therapy adopted by the treatment group is more effective than that of the control group.ConclusionNeck and Shoulder MPS falls into the scope of "Xiang Bi" in Traditional Chinese Medicine and reasons behind include chronic strain, invasion of wind, cold, damp and pathogen, etc, which causes adhesion and cord-like nodules to form, thus obstructing channel networks for blood and Qi. Where there is obstruction, there is pain. As a result, main symptoms of this disease are pains. The key point to deal with it is to channel.This study bases on observations over therapeutic efficacy of combining small needle scalpel and TDP and focuses on using small needle scalpel to stimulate circulations through a network of channels by cutting, peeling or releasing adhesion and core-like nodules and using TDP to warm blood vessels and channels so as to stimulate the circulation of blood and alleviate pains as well. By adopting both a compelling way and a moderate way, this therapy achieves stimulation and has very obvious effects on alleviation of pains caused by the illness. Besides, the author also notices from observations that occurring of Neck and Shoulder MPS has a lot to do with patient’s living environment, habits and exercises or not. Therefore, the illness can only be cured if patients can abandon bad life habits (especially sit postures), do more exercises and strengthen targeted soft issues via specific treatment. |
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