Exploring Mechanisms of Different Types of Acupuncture in Treating NSLBP Based on Myofascial Theory
Low back pain affects approximately two-thirds of the population and is a major health concern.Among these cases,about 85％are classified as no-specific low back pain(NSLBP).Myofascial trigger points(MTrPs)in the lumbar and back muscles are the primary source of pain for many patients,and over time,these areas can gradually develop into fibrotic bands and nodules,forming what is known as'knot-like lesions'.These lesions are closely associated with myofibroblasts,extracellular matrix(ECM)and hyaluronic acid(HA)in the myofascia.Acupuncture has been shown to effectively target the myofascia,breaking down adhesive fivers while promoting tissue repair,thus'resolving knot'and improving patients symptoms.This study primarily investigate the mechanisms by which non-conventional acupuncture techniques,including floating needling,acupotomy,dry needling,retention needling,new nine needles and catgut embedding,affect the myofasica in treatment of NSLBP.The aim is to explore new clinical treatment methods and provide a theoretical basis for their application.
Non-specific low back painMyofasciaMyofascial trigger pointsNodular focal pointAcu-puncture
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