Therapeutic Effect Of 30 Cases Of Cervical Spondylosis With Anxiety In The Treatment Of Acupuncture And Moxibustion

Cervical spondylosis is a broad set of degenerative diagnoses of the cervical spine.Patients diagnosed with cervical spondylosis often suffer from long-term chronic neck pain and are predisposed to developing mental disorders-related symptoms such as anxiety,depression etc.More studies have found that patients with cervical spondylosis are predisposed to suffer from prolonged state of anxiety.Recent western and eastern medical studies have found the management of such patients lacking,and available workups inconvenient and time-consuming for patients.Thus coming up with a novel management plan that is more convenient,safer and time-efficient will do help to improve the life quality of these patients.Tuina is often used to treat orthopaedic diseases such as cervical spondylosis.Zhen-Fu Tuina,an important subset of Zang-Fu Tuina,is an effective treatment for internal medicine related diseases.The treatment process helps the patient to calm down,which in turn,aid in the process of reducing symptoms of anxiety and reducing pain.After multiple sessions of clinical internship with Prof Fu,I observed that Prof Fu had successfully aid in the improvement of symptoms for many similar cases of cervical spondylosis coupled with anxiety using Zhen-Fu Tuina.However,the scientific research analyzing its efficacy remains lacking.Thus this study aims to observe the efficacy of Zhen-Fu Tuina in relieving symptoms of anxiety and pain in cervical spondylosis patients with state of anxiety.This study aims to investigate the efficacy of Zhen-Fu Tuina therapy in the treatment of cervical spondylosis and prolonged state of anxiety.30 patients from the outpatient clinic were recruited and evaluated using VAS and SAS surveys.The patients were then required to undergo 3 sessions of treatment per week for a month.The patients were re-evaluated using VAS and SAS surveys again after one month of treatment.The mean VAS scores before treatment was 7.50±1.33 while the scores after treatment was 53.50±3.92.The mean SAS scores before treatment was 53.50±13.92 while the scores after treatment was 34.30±6.61.The scores were analyzed using paired t-test and were found to be statistically significant(P<0.01).This shows that Zhen-Fu Tuina therapy can help to relieve pain and anxiety symptoms of cervical spondylosis patients with prolonged state of anxiety.Further analysis of the SAS scores for different categories of anxiety symptoms were processed to investigate how each of the elements in SAS questionnaire improved with the treatment.The results showed that patients saw significant improvements in anxiety,fear,panic of category I,pain of the extremities for category II,insomnia and restlessness for category Ⅲ,and lastly,fatigue,stomach discomfort and pain of extremities for the miscellaneous categories.In addition,linear regression of SAS against VAS was done and the results showed that the two have linear relationship.Conclusion:This study can thus conclude that Zhen-Fu Tuina therapy can relieve symptoms of cervical spondylosis patients with state of anxiety.Not only does it have an analgesic and calming effect on such patients,it also helps to relieve symptoms of anxiety,specifically the severity of emotional encounters,pain,insomnia,fatigue etc.From the perspective of Traditional Chinese Medicine,Zhen-Fu works by adjusting Qi and Shen which in turn bring restoration of balance to Qi and Blood of different organs.