Lumbar Disc Herniation (LDH) Radicular Pain
Conditions
Interventions
Tractive Vibration Thrust Group:Prone Tractive Vibration Thrust Manipulation plus Basic Care (bed rest, lumbar brace, acupuncture, and optional Celecoxib/Eperisone for acute pain)
Conventional Massage Group (Supplementary):Conventional Massage plus Basic Care (bed rest, lumbar brace, acupuncture, and optional Celecoxib/Eperisone for acute pain)
Sponsors
Guangdong Second Traditional Chinese Medicine Hospital
Eligibility
Sex/Gender
All
Age
25 Years to 60 Years
Inclusion criteria
Inclusion criteria: 1)Meet the diagnostic criteria for lumbar disc herniation (LDH) according to the Clinical Diagnosis and Treatment Guidelines - Orthopedics Volume (Chinese Medical Association, 2009) and the Diagnostic Efficacy Criteria for Traditional Chinese Medicine Diseases - Lumbar Disc Herniation Diagnostic Criteria (State Administration of Traditional Chinese Medicine, 1994), with associated radicular pain; 2)Right-handed; 3)Aged between 25 and 60 years; 4)Disease duration = 3 months and Visual Analog Scale (VAS) score = 4; 5)No pain in other areas except that caused by LDH; 6)No regular treatment received within 3 months prior to enrollment; 7)Volunteer to participate in this trial and sign the informed consent form.
Exclusion criteria
Exclusion criteria: 1) Patients with clinical manifestations predominantly characterized by soreness, distension, or numbness rather than pain as the primary symptom, or pain caused by other diseases; 2) Patients complicated with urinary/fecal incontinence or foot drop; 3) Patients with extremely severe clinical symptoms requiring surgical treatment; 4) Contraindications to MRI examination (e.g., metal implants, claustrophobia, etc.); 5) Long-term use of analgesics, history of smoking or alcohol addiction; 6) Complicated with severe primary diseases of the digestive system, cardiovascular system (such as hypertension, coronary heart disease), hematopoietic system, or mental disorders; women who are lactating or pregnant; 7) Complicated with vertebral fractures, spinal cord tumors, or compression symptoms caused by factors other than lumbar disc herniation; 8) Poor compliance, inability to return for follow-up visits, inability to undergo MRI examination, or incomplete imaging data.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual Analog Scale (VAS) Score;Japanese Orthopaedic Association (JOA) Low Back Pain Score;Oswestry Disability Index (ODI);Biomechanical Parameters Measured by the DIERS formetric 3D System;Morphological Parameters of Nerve Root and Intervertebral Disc Measured by MRI; | — |
Secondary
| Measure | Time frame |
|---|---|
| Straight Leg Raise (SLR) Angle;Excellent and Good Rate of Therapeutic Effect; | — |
Countries
China
Contacts
Public ContactZhang Yanming
Guangdong Second Traditional Chinese Medicine Hospital
Outcome results
None listed