Clinical Effect of Acupuncture on Cervical Spondylotic Radiculopathy: Results of a Case Series

Nakajima, Masahiro; Inoue, Masato; Itoi, Motozumi; Kono, Hiroshi

doi:10.1136/acupmed-2013-010317

Cited by 11 publications

(10 citation statements)

References 8 publications

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“…Acupoint stimulation, including the widely known electroacupuncture (EA) and manual acupuncture, is one of the effective conservative therapies for CSR treatment, especially the associated neck and shoulder pain [ 7 , 8 ]. However, in order to achieve the long-lasting analgesic effects of EA and manual acupuncture in the treatment of CSR and other sources of chronic pain, these techniques need to be applied at high frequency (for example, once per day) [ 9 ], which means more suffering for the patients.…”

Section: Introductionmentioning

confidence: 99%

Acupoint Embedding of Polyglactin 910 Sutures in Patients with Chronic Pain due to Cervical Spondylotic Radiculopathy: A Multicenter, Randomized, Controlled Clinical Trial

Chu

Cui

et al. 2018

Evidence-Based Complementary and Alternative Medicine

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Objective We aimed to investigate the effectiveness of acupoint polyglactin 910 (PGLA) embedding in patients with cervical spondylotic radiculopathy (CSR). Methods A total of 102 CSR patients with neck and shoulder pain were recruited and assigned randomly into three groups: the sham acupoint embedding (SAE) group, the middle-layer acupoint PGLA embedding (MAPE) group, and the deep-layer acupoint PGLA embedding (DAPE) group. The primary outcomes were Visual Analog Scale (VAS) scores showing the analgesic effects of treatment. Secondary outcomes included clinical symptoms (evaluated by the Yasuhisa Tanaka 20 (YT-20) score and the neck disability index (NDI)) and patient health status (evaluated by the 36-item short-form survey (SF-36)) as reported in the trial. Results Compared with the SAE group, VAS scores were significantly reduced at 1, 2, 3, 4, and 10 weeks after the first treatment in both the DAPE and MAPE groups (P < 0.001). Moreover, there were statistically significant increases in the weekly YT-20 scores and significant reductions of the weekly NDI scores compared with baseline values in both the DAPE and MAPE groups (P < 0.001). Compared with baseline values, both the physical component summary (PCS) and the mental component summary scores of the SF-36 at 2, 3, 4, and 10 weeks were significantly higher in the DAPE and MAPE groups (P < 0.001). There were significant lower VAS scores (P < 0.01), higher PCS scores (P < 0.05) at 3 weeks, and lower NDI scores (P < 0.05) at 4 weeks in the DAPE group compared with the MAPE group. Conclusions Both DAPE and MAPE showed significant and long-lasting effects on alleviating pain and improving clinical symptoms as well as quality of life in CSR patients with neck and shoulder pain. A more intense effect was seen in the DAPE group compared with the MAPE group.

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Section: Introductionmentioning

confidence: 99%

Acupoint Embedding of Polyglactin 910 Sutures in Patients with Chronic Pain due to Cervical Spondylotic Radiculopathy: A Multicenter, Randomized, Controlled Clinical Trial

Chu

Cui

et al. 2018

Evidence-Based Complementary and Alternative Medicine

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“…This may induce reflex effects throughout the spinal segment and alleviate radicular symptoms in the upper extremities. [ 2 ] It has been proven that acupuncture at the cervical acupoints can relieve the oppressed sympathetic nerves of the neck and reduce the excitability of the sympathetic nerve to relieve symptoms of numbness and pain caused by cervical compression. [ 15 , 19 ]…”

Section: Discussionmentioning

confidence: 99%

Yunmen (LU 2) combined with neck-seven-acupoint acupuncture for arm numbness caused by cervical spondylotic radiculopathy

Zhang¹,

Han

Wang

et al. 2021

Medicine

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Rationale: Cervical spondylotic radiculopathy (CSR) is a common sensory, motor, and reflex disorder. Numbness, a common subjective symptom of CSR, lacks objective quantitative indicators and recognized effective treatments, but is also difficult to recover from. We present a case report describing a traditional acupuncture treatment for CSR, utilizing a special acupuncture method and point, namely the Yunmen point. Patient concerns: A 40-year-old woman presented with unilateral arm numbness caused by CSR. Diagnoses: A diagnosis of CSR was made in the orthopedic department of a local hospital. Interventions: We attempted acupuncture at the Yunmen (LU 2) acupoint combined with neck-seven-acupoint under computed tomographic guidance. Outcomes: After 10 times treatment sessions, the patient no longer experienced weakness, coldness, or numbness in the affected upper limb. In addition, the stiffness in the neck and shoulders was reduced. On physical examination, the patient's left brachial plexus traction test was negative; reassessment of the CSR-20-point score scale showed a perfect score, and the visual analog scale score was 0. Lessons: Our report indicates that acupuncture at the LU 2 acupoint combined with neck-seven-acupoint is effective in treating numbness and coldness of the arm, and other neurological symptoms caused by cervical spondylosis. Moreover, with the appropriate acupuncture technique, the risk of acupuncture at the LU 2 acupoint can be minimized.

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“…Kin [22] states in his study with a sample of 2.167 patients that acupuncture is recommended for the management of persistent chronic pain conditions. In addition, it demonstrates that most of the symptoms treated by acupuncture are low back pain (30.5%) and cervical pain (29.4%) and needle stimulation techniques are manual in 52% of cases or via electroacupuncture in 47.4% of the 16,965 acupuncture sessions performed in their studies.…”

Section: Field Studymentioning

confidence: 99%

Effectiveness of acupuncture and myofascial release in analgesia of women with tensional neck pain: Systematic review

Araújo¹,

Oliveira²,

Araujo³

et al. 2019

IJAERS

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Introduction: Neck pain is defined as the presence of pain in the posterior or lateral postero of the neck and cervical region, which may radiate to the adjacent segments, being a bone, joint or muscle pain. It is a common painful condition that has many forms of treatment, including acupuncture and myofascial release. Objective: To review the analgesic effect of acupuncture and myofascial release in the treatment of patients with tension neck pain. Material and Method: This is a systematic literature review, conducted through a bibliographic survey of articles, theses, monographs, dissertations published from 2005 and books without a specific year. Exclusion attributes were: publications inferior to the year 2005 and that escape the selected theme. Searches were performed on the following databases, Medline, Bvs, Lilacs, Scielo and Google Scholar. Conclusion: It can be concluded that both acupuncture and myofascial release improve pain and quality of life of patients with tension neck pain.

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Clinical Effect of Acupuncture on Cervical Spondylotic Radiculopathy: Results of a Case Series

Cited by 11 publications

References 8 publications

Acupoint Embedding of Polyglactin 910 Sutures in Patients with Chronic Pain due to Cervical Spondylotic Radiculopathy: A Multicenter, Randomized, Controlled Clinical Trial

Acupoint Embedding of Polyglactin 910 Sutures in Patients with Chronic Pain due to Cervical Spondylotic Radiculopathy: A Multicenter, Randomized, Controlled Clinical Trial

Yunmen (LU 2) combined with neck-seven-acupoint acupuncture for arm numbness caused by cervical spondylotic radiculopathy

Effectiveness of acupuncture and myofascial release in analgesia of women with tensional neck pain: Systematic review

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