Case Study of Oriental Medicine Treatment with acupotomy Therpy of the Tarsal tunnel Syndrome

Lim, Na-Ra; Jang, Eun-Ha; Park, Man-Young; Kim, Sung‐Chul

doi:10.3831/kpi.2009.12.1.109

Cited by 12 publications

(9 citation statements)

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“…[4,5] Consequently, acupotomy treatment has been applied for various musculoskeletal diseases. [6][7][8][9][10][11] Moreover, in China where acupotomy-related studies are actively being conducted, a total of 36 randomized controlled trials (RCTs) on lumbar disc herniation were published between 2006 and 2016, [12] and 5 RCTs related to lumbar spinal stenosis were reported until 2017. [13] However, in both China and Korea, there is no study on the effects of using both acupotomy and NBT as a combination treatment for lumbosacral radiculopathy.…”

Section: Introductionmentioning

confidence: 99%

A comparative study of a nerve block therapy with and without a deeply inserted acupotomy applied to hyeopcheok points for lumbosacral radiculopathy

et al. 2022

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Introduction:The prevalence of lumbosacral radiculopathy is estimated to be approximately 3% to 5% in patient populations. Lumbosacral radiculopathy is largely caused by a complex interaction between biomechanical and biochemical factors. Nerve block therapy (NBT) mainly treats lumbosacral radiculopathy by improving the biochemical factors, whereas acupotomy mainly focuses on improving the biomechanical factors. Therefore, it is thought that synergistic effects may be obtained for the treatment of lumbosacral radiculopathy when both NBT and acupotomy are combined. However, no study in China and Korea, where acupotomy is majorly provided, has reported the effects of such a combination treatment. Therefore, this study aimed to evaluate the safety, effectiveness, and cost-effectiveness of the concurrent use of a deeply inserted acupotomy and NBT for the treatment of lumbosacral radiculopathy.Methods/design:This is an open-label, parallel, assessor-blinded, randomized controlled trial, which will include 50 patients with lumbosacral radiculopathy. After patients voluntarily agree to participate in the study, they will be screened, and will undergo necessary examinations and tests according to the protocol. Those who satisfy the selection criteria will be randomly assigned to either the NBT + acupotomy or NBT groups in a 1:1 ratio. Both groups will undergo 2 NBTs once every 2 weeks from 1 week after the screening test. The treatment group will receive additional acupotomy twice a week for 4 weeks. The primary endpoint is the Oswestry Disability Index, whereas the secondary endpoints are the Numeral Rating Scale, European Quality of Life 5-dimension, McGill pain Questionnaire, Roland-Morris Disability Questionnaire, safety assessment, and economic feasibility evaluation. The measurements will be made at 0, 2, 4, and 8 weeks.Ethics and dissemination:This trial has received complete ethical approval from the Ethics Committee of Catholic Kwandong University International St. Mary's Hospital (IS20OISE0085). We intend to submit the results of the trial to a peer-reviewed journal and/or conferences.

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Section: Introductionmentioning

confidence: 99%

A comparative study of a nerve block therapy with and without a deeply inserted acupotomy applied to hyeopcheok points for lumbosacral radiculopathy

et al. 2022

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“…Dr. Zhou Han Zhang of China tried this method for the first time by using a therapeutic tool called the small acupotomy, integrating a needle and a knife [ 18 ]. Acupotomy is a therapy to exfoliate synechia by applying a knife shaped needle tip to the synechia around muscles and ligaments [ 27 ]. Once recovered by acupotomy, the synechia is removed and tissues are free to move during activity.…”

Section: Discussionmentioning

confidence: 99%

Effects of Wonli Acupuncture Procedure in Patients with LSS: A Clinical, Retrospective Study

Lee

Eunyong

Han

et al. 2014

Evidence-Based Complementary and Alternative Medicine

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Background. Lumbar spinal stenosis (LSS) is a disease with increasing prevalence due to prolongation of average life span. Despite various treatment methods, many limitations remain unsolved. Objective. We are reporting cases of patients who have been treated with Wonli Acupuncture, a method of treating LSS by directly approaching the intervertebral foramen and interlaminar space with acupuncture needles different from those used in original acupuncture. Methods. A total of 82 patients with LSS were treated with Wonli Acupuncture, and out of those, 47 patients without exclusion criteria were selected for the following research. We compared the pretreatment VAS and ODI scores based on 1-year follow-up measurements. Results. The ODI value dropped by 15.3 ± 24.8 on average (from 35.2 ± 19.9 at the baseline to 19.8 ± 20.6 at the reading) (P < 0.01) and the average VAS also dropped by 19.2 ± 37.2 (from 60.7 ± 23.1 at baseline to 41.5 ± 31.9 at the reading) (P < 0.01). Conclusions. Wonli Acupuncture was found to have clinical efficacy for lumbar spinal stenosis.

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“…Korean traditional medical treatments for CTS typically include acupuncture, although studies have contradictorily demonstrated the superior and inferior efficacy of acupuncture to placebo or sham acupuncture [ 11 ]. Korean studies of acupuncture for CTS include a randomized control trial (RCT) that compared the effectiveness of Sweet Bee Venom pharmacopuncture to that of Scolopendrid pharmacopuncture, case reports of pharmacopuncture (CA; Scolopendrid , Carthmi-Flos , and Sweet Bee Venom, along with Jungsongouhyul and Hwangryunhaedok-tang pharmacopunctures) and acupotomy, and papers on acupuncture-based treatment [ 12 , 13 ]. Systematic reviews (SR) of Korean medical treatments, including acupuncture, for CTS were conducted [ 11 , 14 - 17 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of Manual Acupuncture for Mild-to-Moderate Carpal Tunnel Syndrome: A Systematic Review

2021

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Objectives Despite the low cost and high accessibility of manual acupuncture (MA) treatments for the carpal tunnel syndrome (CTS), this intervention has not been uniformly evaluated in systematic reviews (SR), and no SR has evaluated MA monotherapy for CTS. This review was conducted to summarize the findings and undertake a quality assessment of randomized controlled trials (RCTs) of acupuncture treatment methods for mild-to-moderate CTS to identify clinical evidence for the use of MA in CTS. Methods We searched five databases for articles on relevant RCTs that were published until June 2021 without imposing specific restrictions, such as age or sex, on CTS patients. RCTs that evaluated MA were included without any restriction on comparator interventions. Measurement tools for evaluating pain reduction and functional improvement or for evaluating efficacy using electrophysiological indicators were included as outcome measures. Results We included seven RCTs, of which three studies reported both post-treatment improvement effects and statistical significance using p-values for all outcomes. Five studies reported statistically significant intergroup differences (p-values for all outcomes) in post-treatment improvement. None of the studies reported severe adverse effects of MA. In all of the RCTs, the reporting rates of the 2c, 2a, and 6a items of STRICTA 2010 were 14%, 29%, and 29%, respectively. PC7 ( Daereung ) was used to treat CTS in all of the included studies. Conclusion MA can be used for CTS treatment without serious adverse effects. PC7 was the most commonly used acupoint. In order to ensure objective and reliable reporting, accurate standardization of acupuncture treatment methods acupoint terms should be undertaken in future RCTs.

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Case Study of Oriental Medicine Treatment with acupotomy Therpy of the Tarsal tunnel Syndrome

Cited by 12 publications

References 1 publication

A comparative study of a nerve block therapy with and without a deeply inserted acupotomy applied to hyeopcheok points for lumbosacral radiculopathy

A comparative study of a nerve block therapy with and without a deeply inserted acupotomy applied to hyeopcheok points for lumbosacral radiculopathy

Effects of Wonli Acupuncture Procedure in Patients with LSS: A Clinical, Retrospective Study

Effect of Manual Acupuncture for Mild-to-Moderate Carpal Tunnel Syndrome: A Systematic Review

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