Clinical Observation And Analysis Of Tenderness Of Dorsal Myofascitis

Objective:Low back myofascitis, Chinese medicine called lumbar muscle strain, while western medicine call the name of the relevant syndrome, waist muscle aseptic inflammation, waist muscle inflammation and lumbar myofascial pain syndrome. Back muscle fasciitis is a chronic lumbar back pain disorders. In recent years, the incidence continues to increase, the onset of the diseases in the crowd gradually become younger. With the development of economy, faster pace of life and work pressure, psychological pressure, all make people begin to face different lifestyle from the past. Sedentary lifestyle, long-time stay in air-conditioned room, with frequency use of a wide range of 3C products, many people usually maintain a fixed posture for a long time, making the muscles in the tension and fatigue state. Without proper training, the opportunity of having back myofascitis greatly increase. Modern TCM admiral back myofascitis classified in "Bi syndrome", "sinew disease" category, due to liver and kidney deficiency, deficiency of liver and kidney, qi stagnation and blood stasis, in due to wind cold dampness, trauma, strain due to interaction and lead to stagnation of Qi and blood, tendons rheumatism. Western medicine is the etiology is attributed to chronic strain, acute soft tissue injury, improper treatment, bad posture caused by human soft tissue e.g. fascia, tendons, ligaments, and aseptic inflammation. Clinical often showed soft tissue dysfunction, fascia, muscles, ligaments and joints pain, muscle stiffness, tension, touch the cord or nodules, specific press pain point, patients fear the cold, pain in wet weather or overworked aggravate. The pain is one of the important characteristics of back myofascitis. More and more clinical observation can be found many back myofascitis of the patient’s body can be found a pain points and these pain points tend to have a certain distribution, and in the clinical often the patient complains of caused the primary troubling was the pain. Therefore, for patients to solve find the root cause of the slow pain has become the main problem. In this study, through the distribution of tenderness point of observation and analysis, and through the silver needle a treatment of observation of patients and pain in both before and after treatment pain, hope in the treatment of low back muscle fasciitis provide different entry points and ideas to enhance the clinical efficacy.1. Through selected pain points of tenderness test, observation of tenderness points in frequency, tenderness values, comparative analysis, understand the characteristics of myofascitis tenderness point, different starting options for the treatment of patients with the disease.2.The use of thermal silver needle acupuncture tenderness point after observation and analysis of patients with subjective feelings and tenderness point values are compared to understand the patient’s pain improvement.Research method:1. Myofascitis tenderness point to analyze the observational study included met the inclusion criteria were 113 cases, by finger pressing and tenderness values tester for detection, match using visual analogue scale (visual analogue. VAS), explore the tenderness point frequency, pain in such a numerical correlation study.2. Thermal silver needle acupuncture point tenderness alleviate pain efficacy observation of were included according to the inclusion inclusion criteria were 113 cases of 50 cases, with silver needle with the heating inspection instrument of tenderness points were treated once, a week after again on the tenderness point were detected and collocation of the use visual analog quasi scale (visual analogue. VAS) before and after treatment in comparison to explore the improvement of subjective feeling, pain, numerical with tenderness.Research results:1.(1) The amount of tenderness points was lower in the spike than in the corresponding spines.(2) The highest rate of tenderness points was the highest in the L3 spine, followed by L4 and L2.(3) L3 transverse process tenderness was much higher than other transverse processes in the lumbar.(4) Back myofascitis tenderness point location with spinous process, L3 transverse process, spinous process, the posterior superior iliac spines, iliac spine, sacroiliac joint, respectively2. Tenderness point after a silver needle therapy compared with patients before and after the vas and tenderness numerical statistical appraisal of paired t test can be found both P values were less than 0.01, with significant differences. It means that the pain of the patients after treatment has obviously relieved, and the pain of the pain points of the pain value of the numerical tolerance of the patient has increased significantly, showing that the patient’s pain improved.Conclusion:1. Spinous process, L3 transverse process, spinous process, posterior on spines, iliac spine, sacroiliac joint, is the place back myofascitis high-frequency pain points, as a new starting point in the treatment of low back muscle fasciitis.2. After a silver needle acupuncture treatment, patients’pain caused by the lumbodorsal fascia obviously decrease and feel better, shows that one time single silver needle treatment on the tender point has good effect.