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Minimally Invasive Widening of the Facet Joints in Cervical Radiculopathy by Modified Needles： Technical Report

Journal of Pharmacy and Pharmacology 2015年第6期3卷 285-292页

作者： GeonMok Lee HyangJoo Lee Yong Suk Kim JongHyun Han EunYong Lee HoSueb Song TaeHan Yook JaeSoo Kim kyongha cho SeRin Kang SangHoon Yoon Department of Acupotomy LeeGeonmok Wonli Korean Medicine Hospital Seoul 137-829 Republic of Korea Department of Anesthesiology LeeGeonmok Wonli Korean Medicine Hospital Seoul 137-829 Republic of Korea Department of Acupuncture and Moxibustion Kyunghee University Seoul 135-501 Republic of Korea Department of Pharmacology Wonkwang University Iksan 570-749 Republic of Korea Department of Acupuncture and Moxibustion Semyung University Chungju 380-080 Republic of Korea Department of Acupuncture and Moxibustion Gachon University Seongnam 461-701 Republic of Korea Department of Acupuncture and Moxibustion Woosuk University Wanju 565-701 Republic of Korea Department of Acupuncture and Moxibustion Daegu Hanny University Daegu 706-828 Republic of Korea

Surgical treatment and ESI （epidural steroid injection） are widely used forms of treatment for cervical radiculopathy but they are controversial and burdensome for patients. To relief pain fast without side effects, we devised a new minimally invasive treatment method that widens the facet joints to decompress nerve roots and release the muscle spasm in cervical radiculopathy with acupuncture needles with blunt tip and mini-scalpel, and named it modified acupuncture procedure. MAP （Modified acupuncture procedure） was administered for 37 patients （mean age = 53.1 years, follow-up = 14.2 months） with cervical radiculopathy who did not recover from 4 weeks of nonsurgical treatment. We analyzed clinical outcomes of patients before and after the procedure through VAS （Visual Analogue Scale） and NDI （Neck Disability Index）. On average, patients received 1.4 MAP （modified acupuncture procedures）. The VAS score difference on the day after procedure and at 1 year follow-up was 36.8 ± 26.5 （from 60.1 ± 25.3 at the baseline to 25.3 ± 17.8 at the reading）（P 〈 0.01） and 31.0 ± 30.4 （29.0 ± 21.8 at the reading） respectively. The NDI value dropped by 19.9 ± 18.3 （from 37.2 ± 19.7 at the baseline to 17.2 ± 15.0 at the reading）（P〈 0.01） on 1 year follow up. MAP was found to have clinical efficacy for cervical radiculopathy.

关键词： Minimally invasive procedure facet joint cervical radiculopathy acupuncture acupotomy adhesion muscle spasm.

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