Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
권호 표지
DOI QR코드

DOI QR Code

A Review of Acupuncture Treatment Methods for Lumbar Herniated Intervertebral Disc

  • Kim, Sung Jin (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Jeong, Seong Mok (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Lee, Chang Hee (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Yoon, Jin-Young (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Shim, Sung Eun (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Jeong Hyon (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Goo, Bon Hyuk (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Park, Yeon Cheol (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Baek, Yong-Hyun (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Nam, Sang Soo (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Seo, Byung-Kwan (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University)
  • Received : 2018.09.19
  • Accepted : 2018.11.02
  • Published : 2018.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to review clinical studies of lumbar herniated intervertebral disc (LHIVD) treatment using acupuncture. Online database (PubMed, COCHRANE Library, EMBASE, CNKI, KISS, NDSL, KoreaMed, KMbase, OASIS, and KISTI) searches were conducted in May 2018. Studies that used acupuncture, electroacupuncture or warm needle acupuncture were included, along with participants who had lower back pain and radiating pain of their lower limbs consistent with radiological findings. Animal studies and nonclinical data were excluded. Data on treatment methods, site, time, frequency, period, and scales used were analyzed. There were 69 studies including 38 randomized controlled trials, 14 retrospective observational studies, and 17 clinical case studies. There were 51 acupoints selected for acupuncture treatment of LHIVD. The most frequently treated acupoints were BL23, BL25, BL24, and BL40. The mean treatment time, frequency, and duration were $26.06{\pm}6.70$ mins, $6.29{\pm}1.70$ times/week, and $20.57{\pm}11.04$ days, respectively, in randomized controlled trials (RCT), and $18.62{\pm}4.60$ mins, $11.58{\pm}3.99$ times/week, and $34.43{\pm}17.62$ days, respectively, in case/retrospective studies ($mean{\pm}SD$). This review collates information about acupuncture treatment methods for LHIVD.

Keywords

References

  1. Suk SI, Lee CK, Baek GH, Song KS, Lee MC, Lee HM et al. Orthopedics, 7th ed. Seoul (Korea): Choisin publishers Co.; 2013. p. 869-874. [in Korean].
  2. Lee EJ, Choi JJ, Jang ES, Park YC, Jung IC. Effects of Shinchubogun-tang and Common Korean Medicine Treatment on Symptom Reduction in Patients with Intervertebral Lumbar Disc Herniation: A Retrospective Observational Study. Physiol Pathol Korean Med 2016;30:66-72. [in Korean]. https://doi.org/10.15188/kjopp.2016.02.30.1.66
  3. Song BG. Study on the Conservative Treatment of Herniated Lumbar Intervertebral Disc. J Korean Orient Med Soc 1995;16:62-78. [in Korean].
  4. Korean Acupuncture & Moxibustion Medicine Society. The Acupuncture and Moxibustion Medicine. Gyeonggi (Korea): Jipmoondang; 2012. p. 76-136. [in Korean].
  5. Shin WS, Park WH, Cha YY. The Research Trends on the Acupuncture Treatment of Lumbar Herniated Intervertebral Disc Using PubMed Database. J Korean Med Rehabil 2014;24:49-60. [in Korean].
  6. Van Der Windt, Simons E, Riphagen II, Ammendolia C, Verhagen AP, Laslett M et al. Physical examination for lumbar radiculopathy due to disc herniation in patients with low-back pain. Cochrane Database Syst Rev 2010;17:CD007431.
  7. Xue Z, Yang W, Zhao W, Chao W, Wentao D, Zhishum L. A Randomized Clinical Trial Comparing the Effectiveness of Electroacupuncture versus Medium-Frequency Electro therapy for Discogenic Sciatica. Evid Based Complement Alternat Med 2017;2017:9502718.
  8. Tuzun EH, Sila G, Ender A, Bursa HT, Kezban OD, Mehtap M. Effectiveness of dry needling versus a classical physiotherapy program in patients with chronic low-back pain: a single-blind, randomized, controlled trial. J Phys Ther Sci 2017;29:1502-1509. https://doi.org/10.1589/jpts.29.1502
  9. Hu J. Clinical analysis of pain resulted from lumbar intervertebral disc protrusion treated using acupuncture. Neimenggu J Tradit Chin Med 2014;24:68-69. [in Chinese].
  10. Hou S, Feng L, Wang L. Observation of 30 cases of lumbar intervertebral disc protrusion treated using warm acupuncture combined with western medicine. Hebei J Tradit Chin Med 2009;31:588-589. [in Chinese].
  11. Ding W. Observation of 75 cases of protrusion of lumbar intervertebral disc treated using balancing acupuncture. Mod Chin Med 2014;34:48-50. [in Chinese].
  12. Chen MR, Wang P, Cehng G, Guo X, Wei GW, Cheng XH. The Warming Acupuncture for Treatment of Sciatica in 30 cases. J Tradit Chin Med 2009;29:50-53. [in Chinese]. https://doi.org/10.1016/S0254-6272(09)60031-5
  13. Chen H, Huang J, Liu J. Effect of electroacupuncture on the rehabilitation of patients with lumbar disc herniation to sciatica. J Tradit Chin Med 2006;13:81. [in Chinese].
  14. Du Z, Shao P, He Y. Clinical Observation on 32 Cases of Lumber Intervertebral Disc Herniation Treated by Electro-acupuncture on Huatuo Jiaji Points. J Tradit Chin Med 2009;50:617-619. [in Chinese].
  15. Li YQ, Liu YQ. Therapeutic effect of acupuncture on postoperative recovery of prolapse of lumbar intervertebral disc. Zhongguo Zhen Jiu 2006;26:566-568. [in Chinese].
  16. Shan YL. Observation on therapeutic effect of electroacupuncture at Jiaji (EX-B 2) and points of Bladder Meridian mainly for lumbar disc herniation. Zhongguo Zhen Jiu 2011;31:987-990. [in Chinese].
  17. Lu W. Clinical study on treatment of lumbar vertebral disc herniation with lumber du channel electrical acupuncture. Zhongguo Lin Chuang Kang Fu 2002;6:1164-1165. [in Chinese].
  18. Fan Y, Xue LF, Meng XF. Effect anaIysis of warming acupuncture treatment on lumbar intervertebraI disc herniation. Chin Med Mod Distance Educ China 2009;7;114-115. [in Chinese].
  19. Li LX. Therapeutic effect of electroacupuncture on lumbar disc herniation. Journal of Chinese Alternative medicine 2006;22:36-37. [in Chinese].
  20. Zhang ZH, Fan J, QI Z. The clinical and neuroelectrophysiological study of electronic acupuncture on acute lumbar disc herniation. Zhongguo Lin Chuang Kang Fu 2004;19:647-649. [in Chinese].
  21. Feng H, Zhang YF, Ding M. Analysis of therapeutic effect of lower limb sensation disorder after lumbar disc herniation operation treated with plum-blossom needle along meridians. Zhongguo Zhen Jiu 2012;32:129-132. [in Chinese].
  22. Geng X. Clinical Observation on 56 Cases of Lumbar Disc Herniation Treated with Electroacupuncture at Jiaji Points and Traction. Shanxi J Tradit Chin Med 2009;25:36-37. [in Chinese].
  23. Wang XG. Clinical analysis of acupuncture therapy for 52 cases of lumbar disc herniation. Asia Pac Tradit Med 2008;4:39-40. [in Chinese].
  24. Wu YC, Zhang BR. Clinical observation on Electroacupuncture treatment of Lumbar Intervertebral disc protrusion. Sanghai J Acu-mox 2004;23:15-17. [in Chinese].
  25. Zhang BM, Wu YC, Shao P, Shen J, Jin RF. Electro-acupuncture therapy for lumbar intervertebral disc protrusion: a randomized controlled study. Journal of Clinical Rehabilitative Tissue Engineering Research 2008;12:353-355. [in Chinese].
  26. Gao H, Zhu H. Clinical Observation on 120 Cases of Lumbar Disc Herniation Treated with Acupuncture and Moxibustion. Mod Med J China 2007;9:71. [in Chinese].
  27. Huang CH, Xue X. Therapeutic effect of acupuncture on lumbar disc herniation. Chin J Misdiagn 2007;7:745-746. [in Chinese].
  28. Ma LX. Clinical Observation on 106 Cases of Lumbar Disc Herniation Treated with Acupuncture. Chin Foreign Med Treatment 2010;12:33. [in Chinese].
  29. Liu DM. Rehabilitation effect of acupuncture physiotherapy in patients with lumbar disc herniation. Contemp Med 2018;24:89-91. [in Chinese].
  30. Jiang JJ, Chen SJ, Huang GF. Clinical Observations on Acupuncture plus Lumbar Vertebra-stabilizing Muscle Group Training for Treatment of Lumbar Intervertebral Disc Herniation. Shanghai J Acu-mox 2017;36:1463-1465. [in Chinese].
  31. Guo JG, Liu Y, Chen BQ, Hu DM, Li YF, Liao HL. Clinical research of balance acupuncture combined with Long's bonesetting massage treating lumbar disc herniation. China Mod Med 2013;20:110-112. [in Chinese].
  32. He Q, Xu LH, Wu WF, Huang ZH, Wu CR, Li.J. Clinical Observation on acupuncture combined with massage for treatment of lumbar intervertebral disc protrusion. J Guangzhou Uni Tradit Chin Med 2010;27:242-245. [in Chinese].
  33. Ji XL, Li D, Cheng T. Comparison of therapeutic effects in treating lumbar disc herniation in prone traction combined with acupuncture and supine traction. J Basic Chin Med 2015;21:1043-1045. [in Chinese].
  34. Qu M. Ding XN, Liu HB, Liu YQ. Clinical observation on acupuncture combined with nerve block for treatment of lumbar disc herniation. Zhongguo Zhen Jiu 2010;30:633-636. [in Chinese].
  35. Hong DF. Effect of acupuncture at the waist and Jiaji points combined with four-finger push-spin adjustment on pain index in patients with lumbar disc herniation. J Emerg Tradit Chin Med 2013;22:318-319. [in Chinese].
  36. Chen Y, Ran QF. Therapeutic effect of massage combined with acupuncture on lumbar disc herniation. Beijing J Tradit Chin Med 2010;29:543-544. [in Chinese].
  37. Zhao BX, Wang KZ, Zhao JX, Wang CS, Huang XH, Ma SQ et al. Clinical Effects of Acupuncture after Surgical Operation in Patients with Prolapse of the Lumbar Intervertebral Disc. J Tradit Chin Med 2008;28:250-4. [in Chinese]. https://doi.org/10.1016/S0254-6272(09)60003-0
  38. Ma S, Ma J, Pan JN, Zhang XS. Comparative research of lumbar disc herniation treated with acupuncture and snake moxibustion. Zhongguo Zhen Jiu 2010;30:563-566. [in Chinese].
  39. Chen RH, Chen SR. Therapeutic effect of acupuncture and massage on lumbar disc herniation. Mod Rehabil 2000;4:766. [in Chinese].
  40. Fu XS. Comparative study on the efficacy of 240 cases of lumbar disc herniation treated with acupuncture and Chinese massage. World J Integr Tradit West Med 2011;6:1058-1060. [in Chinese].
  41. Hu Y. Comparison of Curative Effect Observation of Acupuncture Add Massage Manipulation with Traction and Manipulation of Massage with Traction on Treating Prolapse of Lumbar Intervertebral Disc. J Sichuan Tradit Chin Med 2013;31:137-139. [in Chinese].
  42. Liu X. Clinical Observation on Treatment of Lumbar Disc Herniation with Warm Acupuncture and Moxibustion. Mod J Int Tradit Chin West Med 2009,18:641-658. [in Chinese].
  43. Xiong J, Fang JP, Chen X, Jiang LY, Zhou DY. Clinical evaluation of three different treatments: acupuncture, single massage, acupuncture combined with massage for lumbar disc herniation. Guide Chin Med 2013;11:300-301. [in Chinese].
  44. Liu L, Liu LG, Lv M, Ran WJ. Observation on therapeutic effect of electroacupuncture combined with chinese herbs for treatment of prolapse of lumbar intervertebral disc of yang deficiency and cold coagulation type. Zhongguo Zhen Jiu 2009;29:626-628. [in Chinese].
  45. Kim SJ, Lee H. The Clinical Study on 193 Cases with Herniated Lumbar Disc. J Haehwa Med 2010;19:119-128. [in Korean].
  46. Lee EK, Choi EH, Lee JE, Jeon JH, Lee SH, Lee JM et al. The Clinical study on 137 Cases of Herniated Lumbar Disc Patients. J Korean Acupunct Moxib Soc 2008;25:127-138. [in Korean].
  47. Yang MS, Kang DH, Ki YB, Park SG, Cho HG, Choi JB et al. Effects of Treatment of Oriental Medicine and Sling Exercise Therapy on Herniated Lumbar Intervertebral Disc. Korean J Acupunct 2010;27:5-13. [in Korean].
  48. Lee EJ. Choi JJ, Jang E, Park YC, Jung IC. Effects of Shinchubogun-tang and Common Korean Medicine Treatment on Symptom Reduction in Patients with Intervertebral Lumbar Disc Herniation: A Retrospective Observational Study. J Physiol Pathol Korean Med 2016;30:66-72. [in Korean]. https://doi.org/10.15188/kjopp.2016.02.30.1.66
  49. Oh SK. The Clinical Study on the Effect of Conservative Treatment for Patients with Herniated Intervertebral Disc of Lumbar Spine. J Korea CHUNA Man Med 2005; 6:41-50. [in Korean].
  50. Jang SG, Kim YW, Kang JH, Kim JH, Yim YK, Lee H et al. A Clinical Report on 30 Cases with HIVD by Scalp Acupuncture. Korean J Acupunct 2003;20:252-260. [in Korean].
  51. Kim JH, Cho MR, Chae WS. The Clinical effects of chuna treatment for HNP. Korean J Acupunct 2003;20:229-237. [in Korean].
  52. Youn YS, Park WS, Ha IH, Lee JS, Shin HD. A Clinical Study on the Effect of Korean Medical Treatments for Patients with Lumbar Disc Herniation. J Oreint Rehabil Med 2008;18:153-161. [in Korean].
  53. Lee EG, Moon SJ, Ko YS, Park TY, Kong JC, Pi CS et al. Effectiveness of Oriental Medical Treatments to Symptoms and Quality of Life in the Patients with Herniated Lumbar Disc being Suggested Operation. J Orient Rehabil Med 2009;19:165-173. [in Korean].
  54. Kim JS, Kim YJ, Hong JR, Kim MC, Park HS, Kim SY et al. Effects of Integrative Korean Medical Treatment for a Failed Epidural Steroid Injections to L-spine Disk Herniation: A Retrospective Case Series. Acupunct 2015;32:203-211. [in Korean].
  55. Song HG, Choi JY, Kang JH, Lee H. The Effect of the Acupuncture Therapy in Combination with Soyeom Pharmacopuncture Therapy on the Improvement of the Symptoms of the Patients with Herniated Intervertebral Disk of L-spine in His Initial Stage of Hospitalization. J Pharmacopuncture 2009;12:111-118. [in Korean]. https://doi.org/10.3831/KPI.2009.12.4.111
  56. Lim SS, Sung HE, Lee CK, Choi HY, Roh JD, Lee EJ. The Effect of Thread Embedding Acupuncture on Lumbar Herniated Intervertebral Disc Patients: A Retrospective Study. Acupunct 2016;33:39-47. [in Korean]. https://doi.org/10.13045/acupunct.2016053
  57. Lee SY, Cheong PS, Han SH, Hwang CH, Yoon YJ, Kim HS et al. 10 Cases of Patients with Lumbar Disc Herniation Improved after Oriental Intensive Therapy. Korean J Orient Physiol Pathol 2011;25:702-707. [in Korean].
  58. Kim YH, Lee JM, Lee EJ, Oh MS. Effects of Daoyin Exercise Therapy Combined with Korean Medicine Treatment on the Pain and Function Improvement of Low Back Pain Patients Diagnosed with Lumbar Disc Herniation: A Retrospective Observational Study. J Physiol Pathol Korean Med 2017;31:238-245. [in Korean]. https://doi.org/10.15188/kjopp.2017.08.31.4.238
  59. Kim HS, Kim SY, Kim HJ, Kim ES, Kim YI. The Effect of Acupotomy on Lumbar Herniated Intervertebral Disc: Report of a Case Series. Acupunct 2015;32:185-195. [in Korean]. https://doi.org/10.13045/acupunct.2015050
  60. Kim JY, Lee H. Clinical study on 3 cases of HIVD patients recommended to a operation. J Haehwa Med 2006;15:53-58. [in Korean].
  61. Song KC, Seo JY, Song SB, Cho MU, Monn HY, Kwon KJ et al. A Case Report of Nocturnal pain in Patients Diagnosed with HIVD of L-spine Treated by Samul-tang (Siwu-tang) Gagam and Chuna Manual Treatment. J Korean Chuna Man Med Spine Nerves 2017;12:43-52. [in Korean].
  62. Hong SP, Bae JM, Kim DH, Yang GY, Lee BR. The Effect of Korean Medicine with Needle-embedding Therapy on a Lumbar Herniated Intervertebral Disc: A Case Report. Acupunct 2016;33:219-224. [in Korean]. https://doi.org/10.13045/acupunct.2016068
  63. Kwon HK, Park SA, Ahn CB. The Case study on 1 case of patients with Ruptured Intervertebral Lumbar Disc, treated with Korean medicine. J East West Med 2014;39:21-32. [in Korean].
  64. Cho HS. A Case Report of HNP at L-spine during Pregnancy. J Korean Med Obstet Gynecol 2012;25:161-170. [in Korean].
  65. Kim JH, Lee SM, Shin WY, Choi YJ, Kim SJ, Jun TY et al. A Clinical Case Study of Patient that Not Improved Foot Drop After Herniated Intervertebral Lumbar Disc Surgery. J Korean Acupunct Moxib Soc 2011;28:173-181. [in Korean].
  66. Lee BH, Kim CH, Seo JC, Youn HM, Jang KJ, Song CH et al. A Case of The Reduction of Symptoms, But No Change on The CT Scanning in HNP by Oriental Medical Treatment Added Mori cortex-Bee Venom Acupuncture. J Pharmacopuncture 2001;4:17-25. [in Korean]. https://doi.org/10.3831/KPI.2001.4.2.017
  67. Rhee SH, Cho TY, Jin SS, Park JS, Yeo HS, Lim HH. The Case Reort about Herniation of Inter-Vertebral Disc Treated with Bee Venom Acupuncture Therapy. J Korean Chuna Man Med Spine Nerves 2006;1:73-81. [in Korean].
  68. Kim SJ, Min BK, Yoon IJ, Oh MS. A Case Report on the Thoracic & Lumbar Disc and Scoliosis Treated by Flexion-Distraction Technique. J Korean Chuna Man Med Spine Nerves 2006;1:73-80. [in Korean].
  69. Lim GM, Moon SJ, Jun KS, Shin HK, Ko YS. A Clinical Case of Oriental Medical Treatment on Failed Back Surgery Syndrome. J Korean Chuna Man Med Spine Nerves 2011;6:23-32. [in Korean].
  70. Park HH, Jung JE, Jung WH, Kim MC. A Clinical Study of Foot Drop Patient with Herniated Intervertebral Lumbar Disc treated by Chuna & General Oriental Therapy. J Korean Chuna Man Med Spine Nerves 2008;3:19-28. [in Korean].
  71. Kim JY, Kim SM, Kim TH, Park BY, Jun BC, Choi WS. A Case Report of Patient with Muscles Weakness Caused by Chronic Lumbar Disc Herniation. J Korean Chuna Man Med Spine Nerves 2010;5:159-168. [in Korean].
  72. Kang JH, Jang SK, Yim YK, Lee H, Lee BR. The Clinical Study on 1 Case of HNP Patient with Sequela of Epidural Block. J Korean Orient Med 2004;25:213-219. [in Korean].
  73. You KG, Park MJ, Jung IM, Yeom SR, Kwon YD. A Case Report of Oriental Medical Treatment for the Left Lower Limb Monoplegia after Herniated Intervertebral Disc Operation at L-spine. J Orient Rehabil Med 2011;21:227-239. [in Korean].
  74. Kim SN, Lim JA, Lee SY, Yun JM, Choi SY, Kim HH et al. A Case of Neurogenic Bladder Patient with Lumbar Disc Herniation. J Korean Acupunct Moxib Soc 2005;22:155-163. [in Korean].
  75. Hwang GT. Kim YI, Hong KE, Yim YK, Lee H. A Case of chronic sciatica patient with HIVD of L-Spine treated with Ohotics. J Haehwa Med 2005;14:95-100. [in Korean].
  76. Health Insurance Review & Assessment Service [Internet]. Medical Statistics Index in 2017. Available from: https://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020045010000&brdScnBltNo =4&brdBltNo=2296&pageIndex=1#none.
  77. Zhao ZQ. Neural mechanism underlying acupuncture analgesia. Prog Neurobiol 2008;85:355-375. https://doi.org/10.1016/j.pneurobio.2008.05.004
  78. Wong Lit Wan D, Wang Y, Wang LP, Zheng Z, Liang FR. Local and distant acupuncture points stimulation for chronic musculoskeletal pain: A systematic review on the comparative effects. Eur J Pain 2015;19:1232-1247. https://doi.org/10.1002/ejp.671
  79. Carlsson C. Acupuncture mechanisms for clinically relevant long-term effects. Acupunct Med 2002;20:82-99. https://doi.org/10.1136/aim.20.2-3.82
  80. Goldman N, Chen M, Fujita T, Xu Q, Peng W, Liu W, Jensen TK et al. Adenosine A1 receptors mediate local anti-nociceptive effects of acupuncture. Nat Neurosci 2010;13:883-888. https://doi.org/10.1038/nn.2562
  81. Cui JM, Ma SX, Wu SJ, Yang XX, Qi F. Effect of needling "Housanli" (ST 36) with different retaining-needle time on the pain threshold of mice using the hot water tail-flick test. Zhongguo Zhen Jiu 2009;29:653-654.
  82. Burr R. Clinical guidelines for diagnosis and treatment of lumbar disc herniation with radiculopathy. North American Spine Society; 2012.

Cited by

  1. Warm Needling Treatment in Korea: A Literature Review vol.37, pp.2, 2018, https://doi.org/10.13045/jar.2020.00087
  2. 온침이 만성요통에 미치는 효과에 대한 무작위배정 대조군 예비 임상연구 프로토콜 vol.30, pp.4, 2018, https://doi.org/10.18325/jkmr.2020.30.4.155
  3. Research Progress on the Mechanism of the Acupuncture Regulating Neuro-Endocrine-Immune Network System vol.8, pp.8, 2021, https://doi.org/10.3390/vetsci8080149