Evaluation of the clinical efficacy of floating needle in the treatment of third lumbar transverse syndrome based on shear wave elastography
Objective To evaluate the clinical efficacy and safety of Fu's subcutaneous needling for the treatment of third lumbar transverse spine syndrome(TLTPS)based on shear wave elastography(SWE)technique.Methods Sixty-four patients with TLTPS diagnosed in the outpatient and inpatient departments of the Department of Therapeutic and Orthopedic Diseases and the Department of Orthopedics of Luohu Hospital of Traditional Chinese Medicine in Shenzhen,China,from August 2022 to July 2023 were included,and the enrolled patients were divided into two groups of 32 cases each according to the method of randomized nu-merical table.The control group used traditional acupuncture+rehabilitation exercise,and the experimental group used floating acupuncture+rehabilitation exercise.The Japanese Orthopaedic Association(JOA),Visual Analogue Scale(VAS),SWE elas-ticity modulus value,clinical efficiency and adverse reaction rate were compared between the two groups before and after treat-ment.Results Compared with the control group,the experimental group was more effective in improving the JOA and VAS scores(both P＜0.05),had a higher total clinical effective rate(P＜0.05),had a significantly lower SWE elasticity modulus value(P＜0.05),and was significantly better than the control group in relieving the pain of patients with TPLPS and improving the recovery of lumbar spine function,and there was no statistical significance in the difference of the rate of adverse reactions be-tween the two groups.Conclusion Fu's subcutaneous needling treatment for TPLPS can effectively reduce the degree of pain and restore lumbar function,significantly slow down the local soft tissue tension,safe clinical operation,significant therapeutic effect,and worthy of further promotion and application.
Shear wave elastographyFu's subcutaneous needlingThird lumbar transverse process syndromeClinical research
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