Needle Out the Lumbar Sprain - The New Indian Express

Needle Out the Lumbar Sprain

Published: 30th March 2014 06:00 AM

Last Updated: 28th March 2014 06:32 PM

Acute lumbar sprain is commonly seen in the youth; it may hit the aged too. It is characterised by a sudden and excruciating pain in the lower back. If not properly managed, the lumbar muscles may retain the imbalance in physiologic processes, resulting in chronic lower back pain.

A study was done in the medical college of TCM, Gansu province, China, to study the affect of acupuncture in the treatment of lumbar sprain. A total of 238 patients were randomised into a treatment group (112 patients) and a control group (126 patients).

The needles were retained for 15-20 minutes. After acupuncture, moxibustion was applied; alternate lower extremity acupoints were also used.

 

Diagnosis

It is marked by a sudden, severe pain in the lumbar area with limited flexion of the trunk and squatting. In isolated cases, the patient might experience the feeling of being choked by the above movements. Definite and localised tenderness in the unilateral or bilateral sides in the lumbar regions may also be experienced. In some patients, the spastic muscle may assume the form of a local and tender mass.

Conventional group

The paravertebral lumbar acupoints were chiefly used, needles were introduced perpendicularly. For lumbar pain, only ipsilateral lumbar acupoints were treated. Supplementary Ashi acupoints (local tender points) were chosen if indicated. The needles were retained for 15-20 minutes. After acupuncture, moxibustion was applied; alternate lower extremity acupoints were also used.

Treatment group

The Yanglao (SI 6) point is located by pressing the left thumb of the acupuncturist on the patient’s healthy hand and the tibial tuberosity in such a way that the palm is facing downward. Then, the acupuncturist’s arm is rotated so that his palm is facing upward. The place where his thumb is should be the Yanglao point. With the needle pointing at this point, it was rapidly pierced to a depth of 0.5-1.0 can, and then twisted for 30-60 seconds to obtain response. It was retained for 10-20 minutes. This point is treated only once. In most patients, the pain is immediately relieved. The patient is instructed to move his body voluntarily during this treatment. After relief of pain, the Ashi point is treated by rapid piercing of the deep muscle (1.5-2.5 cun). Finally, moxibustion is given at the same site for 10-15 minutes.

Results

Complete response:  After one treatment, the lumbar pain completely disappeared, tenderness relieved by 80 per cent, leading to free and unlimited squatting.

Marked response: After three treatments, marked relief in pain was observed, tenderness reduced by 70 per cent, leading to unlimited movement.

Partial response: After five treatments there was complete disappearance of all symptoms. The acupoints chosen were Yanglao and Ashi for the control group. For the treatment group, Jiaji (EX-B 2), Yaotong (EX-UE 7) and Ashi were used. In acute lumbar sprain, most of the diseased tissues are located in the lumbar region and the pulse is normal. Therefore, both the Yaotong point in the treatment group and the Yanglao point in the control group are given the Miao method of acupuncture. Hence, “The right is treated for left-sided pain. The left is treated in right-sided pain.” Thus, a satisfactory result is guaranteed. 

kapuracu@kapuracu.com

Acute Lumbar Sprain

It is marked by a sudden, severe pain in the lumbar area with limited flexion of the trunk and squatting. In isolated cases, the patient might experience the feeling of being choked by the above movements. Definite and localised tenderness in the unilateral or bilateral sides in the lumbar regions may also be experienced.

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