Lumbar Disc Herniation
Conditions
Interventions
Normal control group:Non-interference
The basic drug therapy control group.:Dehydration treatment, analgesia, promoting blood circulation and anti-inflammatory effects, etc., as symptomatic treatment.
Experimental Group A:Tuina + Acupuncture
Trial Group B:Formulation Group
Experimental Group C:Tuina + Acupuncture + Formulation group
Sponsors
Kunshan Hospital of Chinese Medicine
Eligibility
Sex/Gender
All
Age
20 Years to 60 Years
Inclusion criteria
Inclusion criteria: According to the "Criteria for Diagnosis and Therapeutic Efficacy of Chinese Medicine Diseases" issued by the National Administration of Traditional Chinese Medicine, the following standards are referenced: 1. There is a history of lumbar trauma, chronic strain, or exposure to cold and dampness. Most patients have a history of chronic low back pain before the onset of the disease. 2. Lumbar pain may be accompanied by numbness and radiation in the buttocks and lower extremities. The pain worsens with increased abdominal pressure (e.g., coughing or sneezing). 3. Spinal scoliosis is present, with the physiological curvature of the lumbar spine disappearing or becoming kyphotic. Tenderness is present at the affected vertebral segments, which may radiate to the lower extremities. Lumbar mobility is significantly restricted. 4. The affected nerve distribution areas of the lower extremities exhibit sensory hypersensitivity or hypoesthesia. In long-standing cases, muscle atrophy may occur. The straight leg raise test or its reinforcement test is positive, knee and Achilles tendon reflexes are diminished or absent, and dorsiflexion or plantar flexion strength of the great toe is weakened. 5. X-ray examination may show: spinal scoliosis, disappearance of the physiological anterior convexity of the lumbar spine, possible narrowing of the intervertebral disc space, and osteophyte proliferation at adjacent margins. CT examination may show: the location and degree of intervertebral disc protrusion, and assessment of lumbar spinal canal stenosis. MRI examination may show: intervertebral disc degeneration, high-signal zones posterior to the annulus fibrosus, nucleus pulposus protrusion, compression of the dural sac and nerve roots, and differentiation from intraspinal tumors. Imaging examinations aid in confirming the diagnosis and selecting appropriate treatment methods. 6. The patient has signed an informed consent form, is willing to undergo the rehabilitation treatment plan, and the clinical diagnostic and treatment process conforms to medical ethical standards.
Exclusion criteria
Exclusion criteria: 1) Those who do not meet the above inclusion criteria. 2) Patients with lumbar spondylolisthesis of grade II or higher,. Patients with lumbar spondylolisthesis of grade II or higher, isthmic spondylolisthesis, or significant lumbar instability. 3) Patients with significant lumbar spinal stenosis, hypertrophy, or calcification of the ligamentum flavum. 4) Patients with abnormal bowel or bladder function, saddle anesthesia, or other symptoms of cauda equina syndrome. 5) Patients with a history of tumors, tuberculosis, blood disorders, infections, or allergies to related medications. 6) Patients with deficits in lower extremity motor function,, hyperactive tendon reflexes, ankle clonus, or other signs of upper motor neuron or spinal cord lesions. 7) Patients with gait abnormalities such as weakness, festination, swaying, or ataxia, suggesting possible central, spinal cord, or skeletal muscle abnormalities. 8) Patients with severe cardiovascular, cerebrovascular, liver, or kidney diseases; poorly controlled diabetes; or severe mental illness that poses a serious threat to life. 9) Patients with weak physical condition or severe osteoporosis. 10) Pregnant women, breastfeeding women, and women during menstruation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Medical Outcomes Survey Short Form-36;Oswestry Disability Index; | — |
Secondary
| Measure | Time frame |
|---|---|
| Hamilton Rating Scale for Depression,HRSD-17);Hamilton Rating Scale for Anxiety; | — |
Countries
China
Contacts
Public ContactDAI DECHUN
Kunshan Hospital of Chinese Medicine
Outcome results
None listed