Search

Objective: To investigate the clinical curative effect of spinal balancing manipulation combined with acupuncture in the treatment of third lumbar transverse process syndrome. Methods: A total of 100 patients with third lumbar trans-verse process syndrome were divided into two groups, as the study group and the control group, with 50 patients in each group. Patients in the control group were given drug treatment of Celecoxib. On the basis of drug treatment in the control group, patients in the study group were given spinal balancing manipulation combined with acupuncture treatment. The clinical efficacy (total effective rate) after treatment was compared between the two groups. The efficacy rating scale for lower back pain disorders, Japanese orthopaedic association (JOA), was applied to evaluate the lumbar function of the patient. Serum interleukin 6 (IL-6), prostaglandin E2 (PGE2), and interleukin 10 (IL-10) levels of the two groups were measured before and after treatment. The visual analogue scoring (VAS) was applied to evaluate the subjective pain degree of patient's lower back. Results: After treatment, total effective rate of the study group was 94.00%, and the control group was 80.00%. The total effective rate of the study group was higher than that of the control group, and the difference was statistically significant (P < 0.05). After treatment, the subjective symptoms, clinical signs, ability of daily living and JOA score were significantly decreased in patients of the two groups. Moreover, the decreased degree was more obvious in the study group than that in the control group, and the differences were statistically significant (P < 0.05). After treatment, the IL-6, PGE2 and IL-10 levels of the two groups obviously decreased comparing with those before treatment, and the differences were statistically significant (P < 0.05). After treatment, the IL-6, PGE2 and IL-10 levels of the study group were lower than those of the control group, and the differences were statistically significant (P < 0.05). After treatment, the subjective pain degree (VAS score) significantly decreased in the two groups, and the decreased degree in the study group was more obvious than the control group. Moreover, the differences were statistically significant (P < 0.05). Conclusions: The spinal balancing manipulation combined with acupuncture treatment can effectively improve the curative effect of third lumbar transverse process syndrome. The therapeutic method can improve lumbar function, relieve pain and reduce inflammatory response. [ABSTRACT FROM AUTHOR]