Treatment of Sciatica with Acupuncture
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Published:
Apr 26, 2018
Keywords:
sciatica acupuncture herniated intervertebral disc
Main Article Content
Abstract
Sciatica, mostly caused by intervertebral disc herniation, is one of the common problems among adults aged 45–64 years, accounting for 5–10% of patients suffering from low back pain. Its risk factors are age, height, body weight, stress, smoking, and overwork, especially when lifting a heavy object in the position of bending forward and twisting of the trunk. The result of treatment for acute sciatica is favorable. At present, there are many reports of using traditional Chinese medicine diagnosis and treatment principles including acupuncture for sciatica with satisfactory results. This article has reviewed the commonly used diagnostic and treatment methods for sciatica in the practice of modern and traditional Chinese medicine.
Article Details
Section
Review Article
References
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28. Chen MR, Wang P, Cheng G, Guo X, Wei GW, Cheng XH. The warming acupuncture for treatment of sciatica in 30 cases. J Tradit Chin Med. 2009;29(1):50-3.
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31. Zhang RZ. Clinical experience in treating sciatica with warm needle in 58 cases. J Clin & Experi Med. 2006;5(11):1821.
32. ธวัช บูรณถาวรสม, สมคิด ปิยะมาน. การฝังเข็มในเวชปฏิบัติ: ประสบการณ์ 40 ปี ศาสตราจารย์ เหยียน ลี่. กรุงเทพฯ: ร้านพุ่มทอง; 2552. หน้า 27-30.
2. Younes M, Bejia I, Aguir Z, Letaief M, Hassen-Zrour S, Touzi M, et al. Prevalence and risk factors of disk-related sciatica in an urban population in Tunisia. Joint Bone Spine. 2006;73(5):538-42.
3. Koes BW, van Tulder MW, Peul WC. Diagnosis and treatment of sciatica. BMJ. 2007;334(7607):1313-7.
4. Miranda H, Viikari-Juntera E, Martikainen R, Takala E, Rihimaki H. Individual factors, occupational loading, and physical exercises as predictors of sciatic pain. Spine. 2002;27:1102-9.
5. อำนวย อุนนะนันทน์. เรื่องของโรคกระดูกสันหลังที่ควรรู้. กรุงเทพฯ: เรือนแก้วการพิมพ์; 2542. หน้า 129–74.
6. Deyo RA, Loeser JD, Bigos SJ. Herniated lumbar intervertebral disk, Ann Intern Med. 1990;112(8):598-603.
7. Spangfort EV. The lumbar disc herniation: a computer-aided analysis of 2,504 operations. Acta Orthop Scand Suppl. 1972;142:1-95.
8. Boden SD, Davis DO, Dina TS, Patronas NJ, Wiesel SW. Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subject: a prospective investigation. J Bone Joint Surg Am. 1990;72(3):403-8.
9. Jarvik JJ, Hollingworth W, Heagerty P, Haynor DR, Deyo RA. The longitudinal assessment of imaging and disability of the back (LAID Back) study: baseline data. Spine. 2001;26(10):1158-66.
10. Jensen MC, Brant-Zawadzki MN, Obuchowski N, Modic MT, Malkasian D, Ross JS. Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med. 1994;331(2):69-73.
11. Deville WLJM, Windt DAWM, van der Dzaferagic A, Bezemer PD, Bouter LM. The test of Lasegue: systemic review of the accuracy in diagnosing herniated discs. Spine. 2000;25:1140-7.
12. Bogduk N, McGuirk B. Medical management of acute and chronic low back pain: an evidence based approach. Amsterdam: Elsevier; 2002.
13. ก่อกู้ เชียงทอง, ต่อพงษ์ บุญมาประเสริฐ. โรคกระดูกสันหลังเสื่อม Degenerative diseases of the spine. เชียงใหม่: โรงพิมพ์แสงศิลป์; 2550. หน้า 219-32.
14. Jensen MC, Brant-Zawadzki MN, Obuchowski NA, Modic MT, Malkasian D, Ross JS. Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med. 1994;331:69-73.
15. Modic MT, Ross JS, Obuchowski NA, Browning KH, Cianflocco AI, Mazanec DJ. Contrast-enhanced MR imaging in acute lumbar radiculopathy: a pilot study of the natural history. Radiology. 1995;195:429-35.
16. Modic MT, Obuchowski NA, Ross JS, Brant-Zawadzki MN, Grooff PN, Mazanec DJ, et al. Acute low back pain and radiculopathy: MR imaging findings and their prognostic role and effect on outcome. Radiology. 2005;237:597-604.
17. Braddom RL, editor. Physical medicine & rehabilitation. 4th ed. Philadelphia: Elsevier Saunders; 2011. p. 901–2.
18. Hagen KB, Hilde G, Jamtvedt G, Winnem M. Bed rest for acute low-back pain and sciatica. Cochrane Database Syst Rev. 2004;(4):CD001254.
19. Roelofs PD, Deyo RA, Koes BW, Scholten RJ, van Tulder MW. Non-steroidal anti-inflammatory drugs for low back pain. Cochrane Database Syst Rev. 2008;(1):CD000396.
20. Chiodo A, Haig AJ. Lumbosacral radiculopathies: conservative approaches to management. Phys Med Rahabil Clin N Am. 2002; 13(3):609-21, vii.
21. Lutz GE, Vad VB, Wisneski RJ: Fluoroscopic transforaminal lumbar epidural steroids: an outcome study. Arch Phys Med Rehabil. 1998; 79(11):1362-6.
22. Riew KD, Yin Y, Gilula L, Bridwell KH, Lenke LG, Lauryssen C, Goette K. The effect of nerve-root injections on the need for operative treatment of lumbar radicular pain: a prospective, randomized, controlled, double-blind study. J Bone Joint Surg Am. 2000;82(11):1589-93.
23. Vad VB, Bhat AL, Lutz GE, Cammisa F. Transforaminal epidural steroid injections in lumbosacral radiculopathy: a prospective randomized study. Spine. 2002;27(1):11-6.
24. Weinstein JN, Lurie JD, Tosteson TD, Skinner JS, Hanscom B, Tosteson AN, et al. Surgical vs nonoperative treatment for lumbar disk herniation: the spine patient outcomes research trial (SPORT) observational cohort. JAMA. 2006;296(20):2451-9.
25. Vroomen PCAI, Krom MCTFM, de Slofstra PD, Knottnerus JA. Conservative treatment of sciatica: a systemic review. J Spinal Dis. 2000;13:463-9.
26.Xu HZ. editor. Acupuncture & moxibustion. Beijing: Ren Min Wei Sheng; 2002. Chapter 7, Diseases treated by acupuncture; p. 310-7.
27. Wang ZX. Clinical observation on electroacupuncture at acupoints for treatment of senile radical sciatica. Zhongguo Zhen Jiu. 2009;29(2):126-8.
28. Chen MR, Wang P, Cheng G, Guo X, Wei GW, Cheng XH. The warming acupuncture for treatment of sciatica in 30 cases. J Tradit Chin Med. 2009;29(1):50-3.
29. Liu BL. Evaluation of clinical outcome of acupuncture treatment of sciatica. Guide of China Medicine. 2012;24(10):590-1.
30. Qiu ML, Zhang SZ. editors. Acupuncture & moxibustion. Shanghai: Shanghai Ke Xue Ji Shu; 1984. Chapter 2, Diseases treated by acupuncture; p. 218-21.
31. Zhang RZ. Clinical experience in treating sciatica with warm needle in 58 cases. J Clin & Experi Med. 2006;5(11):1821.
32. ธวัช บูรณถาวรสม, สมคิด ปิยะมาน. การฝังเข็มในเวชปฏิบัติ: ประสบการณ์ 40 ปี ศาสตราจารย์ เหยียน ลี่. กรุงเทพฯ: ร้านพุ่มทอง; 2552. หน้า 27-30.