Cliniical Observation Of Radial Extracorporeal Shock Wave Therapy Combined With Acupotomy Intervene In Myofascial Trigger Points For Treatment Of Lumbar Back Myofascitis

Objective:To observe and analyze the clinical effect of radial extracorporeal shock wave therapy(rESWT)combined with acupotomy intervene in myofascial trigger points(MTrPs)for treatment of lumbar back myofascitis(LBM),and to provide scientific and effective data support,at the same time to provide a new idea for the clinical treatment of lumbar back myofascitis.Methods:From January 2022 to January 2023,90 patients with lumbar back myofascitis were collected in the Orthopaedic Outpatient Department of the First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine,the patients who accorded with the standard of this study were randomly assigned to shock wave group,acupotomy group and treatment group with 30 patients in each group.All the patients in the three groups looked for the myofascial trigger points and marked it before treatment,the patients in the shock wave group were treated with radial extracorporeal shock wave therapy,the patients in the acupotomy group were treated with acupotomy,and the patients in the treatment group were treated with radial extracorporeal shock wave therapy combined with acupotomy intervene in myofascial trigger points.The scores of visual analogue scale(VAS),roland-morris disability questionnaire(RDQ),activities of daily living(ADL)and pittsburgh sleep quality index(PSQI)were recorded before treatment,after treatment,1 week and 4 weeks of follow-up.At the same time,thermal mapping technology and the number of myofascial trigger points were recorded before treatment,after treatment and 4 weeks of follow-up,and analyzed by SPSS 26.0 statistical software,the data were compared among the three groups and the clinical effects were evaluated comprehensively.Results:1.According to the analysis of the clinical effective rate after treatment,it can be concluded that the clinical effective rate of the treatment group is higher than that of the acupotomy group and the shock wave group.2.According to statistical analysis of the patients’ pre-treatment age,gender,course of disease,VAS,RDQ,ADL,PSQI,thermal mapping technology and the number of myofascial trigger points were compared among the three groups,the results showed that P>0.05,not statistically significant.3.According to statistical analysis of the VAS,RDQ,ADL,PSQI,thermal mapping technology and the number of myofascial trigger points were compared within the three groups,the results showed that P<0.05,statistically significant.It is indicated that all the three therapies are feasible in clinical treatment.4.According to statistical analysis of post-treatment score of the VAS,RDQ,ADL,PSQI,thermal mapping technology and the number of myofascial trigger points were compared among the three groups,the results showed that P<0.05,statistically significant.It is indicated that all the three therapies are feasible in clinical treatment.5.According to statistical analysis,one week of follow-up,score of the VAS,RDQ,ADL and PSQI were compared among the three groups,the results showed that P<0.05,statistically significant.6.According to statistical analysis,four weeks of follow-up,score of the VAS,RDQ,ADL and PSQI,thermal mapping technology and the number of myofascial trigger points were compared among the three groups,the results showed that P<0.05,statistically significant.Conclusion:1.The clinical effective rate of radial extracorporeal shock wave therapy combined with acupotomy intervene in myofascial trigger points for treatment of lumbar back myofascitis is better than that of the shock wave group and the acupotomy group.2.Radial extracorporeal shock wave therapy combined with acupotomy intervene in myofascial trigger points for treatment of lumbar back myofascitis relieve the patients’pain degree and Roland-morris disability,improve activity of daily living and sleep quality,and improve the abnormal temperature in the lesion area and reduce the number of myofascial trigger points.3.Radial extracorporeal shock wave therapy combined with acupotomy intervene in myofascial trigger points can effectively treat lumbar back myofascitis,which is easy to operate and popularize.