Clinical Efficacy Of Ultrasound-guided Acupotomy With Shock Wave In The Treatment Of Liotibial Bandsyndrome

Objective:To observe the clinical efficacy of ultrasound-guided acupotomy with shock wave in the treatment of iliotibial band syndrome(ITBS),to analyze the changes of relevant clinical score indexes and clinical efficacy of patients before and after treatment,to confirm the feasibility and clinical efficacy of ultrasound-guided acupotomy with shock wave in the treatment of iliotibial band syndrome,and to explore a more effective treatment for iliotibial band syndrome.Methods:Sixty patients with iliotibial band syndrome diagnosed in the outpatient clinic of the Department of Orthopaedic and Traumatic Surgery,The First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine from September 2021 to December 2022 were collected and divided into 30 patients each in the ultrasound group and the blinded group using the random number table method.The ultrasound group was treated with ultrasound-guided acupotomy with shock wave,while the blinded group was treated with traditional acupotomy with shock wave based on experience and anatomical location.The patients in both groups were treated for 7 days as a course of treatment,and a total of three courses of treatment were given.The patients in the two groups were compared on the thigh analogue pain rating scale(VAS),lower extremity functional rating scale(LEFS),modulus of elasticity(E)of the iliotibial band at the lateral femoral condyle at three time points before,1 week after the end of treatment,and 4 weeks after the end of treatment,as well as to assess the clinical efficacy of the two groups.Results:1.VAS scores:intra-group comparison of pain VAS scores in both groups at 4 weeks after the end of treatment were less than those at 1 week after the end of treatment and before treatment,and inter-group comparison of VAS scores in the ultrasound group at 4 weeks after treatment and at 1 week after treatment were less than those in the blinded group,with statistically significant differences(P<0.05);2.LEFS scores:the LEFS scores of both groups were greater than those of the blinded group at 4 weeks after the end of treatment and before treatment,and the LEFS scores of the ultrasound group were greater than those of the blinded group at 4 weeks after treatment and 1 week after treatment in the intra-group comparison,with statistically significant differences(P<0.05);3.The elastic modulus of the iliotibial band at the lateral femoral condyle(E):the elastic modulus of the iliotibial band at the lateral femoral condyle was smaller in both groups at 4 weeks after the end of treatment than at 1 week after the end of treatment and before treatment,and the elastic modulus of the iliotibial band at the lateral femoral condyle was smaller in the ultrasound group than in the blind group at 4 weeks after treatment and at 1 week after treatment when compared between groups,with statistically significant differences(P<0.05)。Conclusion:1.The clinical efficacy of ultrasound-guided acupotomy with shock wave therapy for iliotibial fasciculus syndrome is better than that of traditional acupotomy with shock wave therapy for iliotibial fasciculus syndrome.2.Ultrasound-guided acupotomy with shock wave therapy not only brings into play the expertise of Chinese medicine,but also can be combined with modern medicine to give full play to its advantages,which is a characteristic therapy combining Chinese and Western medicine and coincides with the present-day concept of minimally invasive.3.Ultrasound guidance helps to treat the patient’s disease with the advantages of less time consuming,faster results,targeted treatment and precise treatment.Ultrasound-guided acupotomy with shock wave therapy can relieve the pain in the lateral thigh caused by iliotibial bundle syndrome,restore the original physiological elasticity of the iliotibial bundle,improve the function of the knee joint,and enhance the quality of life of the patient.