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- Title
Clinical Research on Clinical Curative Effect of Early Acupuncture Treating Sciatica Caused by Lumbar Disc Herniation.
- Authors
Zhang Hao Lin; He Lan; Guo Jia; Huo Ze Jun
- Abstract
Sciatica is a syndrome of pain along the sciatic nerve pathway and distribution due to primary or secondary damage of sciatic nerve caused by various reasons [1], which is one of the clinical common diseases and frequently occurring diseases. It is suggested that 85% of sciatica is caused by lumbar disc herniation from the researches of Lewis, et al. Moreover, as to the population with this disease, most of them are 40–60 yr old. The main clinical manifestations include radiating pain from the waist to the posterior-lateral side of the lower leg, hips and the area from the back of the thigh to the dorsum of the foot. It is often accompanied by hypoesthesia and needling type sensation in the corresponding skin area. This disease seriously affects the quality of life of affected patients. Clinical treatment for sciatica mainly includes drug therapy, epidural injection, acupuncture treatment and surgery. Compared with surgical treatment, most patients prefer to conservative treatment at the first visit after they got this disease, especially acupuncture treatment. Acupuncture treatment has become one of the first choices for the treatment of sciatica caused by lumbar disc herniation because of its advantages of “quick curative effect and small adverse reactions”. Previous studies have also confirmed the therapeutic effect and partial mechanism of acupuncture treating sciatica [2]. However, the individualized characteristics of acupuncture treatment is obvious, and the treatment plan and course of treatment of the same disease may be different from different doctors. Previous studies reported that the course of treatment ranged from 1 to 8 weeks [2]. Therefore, there are few reports on precise indications and standardized treatment of acupuncture for sciatica. In this way, clinical workers also choose individualized treatment for newly diagnosed patients according to their personal experiences, which might lack the reference of standardized treatment scheme, and the curative effect is uneven. In this research, 67 cases of sciatica treated with acupuncture were analyzed retrospectively. Clinical studies have found that acupuncture treatment of sciatica should last at least 4 weeks, and short term treatment has no effect. In addition, prolonged treatment did not significantly increase the efficacy. This research also showed that acupuncture treatment had the best effect to the patients with the course of disease less than one year, and the patients aged between 40 and 50 yr old with sciatica caused by lumbar disc herniation. From these research results, it is suggested that acupuncture can obviously improve the sciatica caused by lumbar disc herniation, and timely and early acupuncture treatment is conducive to physical recovery in patients with sciatica.
- Publication
International Journal of Clinical Acupuncture, 2021, Vol 30, Issue 2, p87
- ISSN
1047-1979
- Publication type
Academic Journal
- DOI
10.3103/S1047197921020125