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      Journal of Pain Research (submit here)

      This international, peer-reviewed Open Access journal by Dove Medical Press focuses on reporting of high-quality laboratory and clinical findings in all fields of pain research and the prevention and management of pain. Sign up for email alerts here.

      52,235 Monthly downloads/views I 2.832 Impact Factor I 4.5 CiteScore I 1.2 Source Normalized Impact per Paper (SNIP) I 0.655 Scimago Journal & Country Rank (SJR)

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      An evaluation of the effectiveness of acupuncture with seven acupoint-penetrating needles on cervical spondylosis

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          Abstract

          Objective: To investigate the clinical efficacy of acupuncture with seven acupoint-penetrating needles on patients with cervical spondylosis.

          Patients and methods: Sixty patients with cervical spondylosis were grouped using computer-generated random numbers. Group A (n=30) received acupuncture with seven acupoint-penetrating needles combined with traction. Group B (n=30) received acupuncture of non-relevant acupuncture points combined with traction. Clinical efficacy and changes in the Visual Analogue Scale (VAS), Neck Disability Index (NDI), and Pittsburgh Sleep Quality Index (PSQI) scores in the two groups were compared.

          Results: The total effective rate was significantly higher in group A (90.0%) than in group B (76.6%) ( P<0.05). The VAS, NDI, and PSQI scores of the two groups after treatment were significantly lower than scores before treatment ( P<0.05). After treatment, the NDI and PSQI scores of group A were significantly lower than those in group B ( P<0.05).

          Conclusion: Acupuncture using seven acupoint-penetrating needles combined with traction was more effective, reduced neck pain, and improved sleep quality in patients with cervical spondylosis compared to acupuncture of non-relevant acupuncture points.

          Most cited references15

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          Cervical spondylotic myelopathy.

          J D Bartleson, J. Katthleen Tracy (2010)
          Cervical spondylosis is part of the aging process and affects most people if they live long enough. Degenerative changes affecting the intervertebral disks, vertebrae, facet joints, and ligamentous structures encroach on the cervical spinal canal and damage the spinal cord, especially in patients with a congenitally small cervical canal. Cervical spondylotic myelopathy (CSM) is the most common cause of myelopathy in adults. The anatomy, pathophysiology, clinical presentation, differential diagnosis, diagnostic investigation, natural history, and treatment options for CSM are summarized. Patients present with signs and symptoms of cervical spinal cord dysfunction with or without cervical nerve root injury. The condition may or may not be accompanied by pain in the neck and/or upper limb. The differential diagnosis is broad. Imaging, typically with magnetic resonance imaging, is the most useful diagnostic tool. Electrophysiologic testing can help exclude alternative diagnoses. The effectiveness of conservative treatments is unproven. Surgical decompression improves neurologic function in some patients and prevents worsening in others, but is associated with risk. Neurologists should be familiar with this very common condition. Patients with mild signs and symptoms of CSM can be monitored. Surgical decompression from an anterior or posterior approach should be considered in patients with progressive and moderate to severe neurologic deficits.
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            Cervical disc degeneration and neck pain

            Baogan Peng, Michael J DePalma (2018)
            Cervical intervertebral disc has long been considered a common source of neck pain. However, the pain caused by the disc itself has not been clearly defined so far, and its diagnosis and treatment has always been controversial. Degenerative cervical disc has a rich supply of nerve fibers, is prone to inflammatory reactions, and is susceptible to pain that can be provoked by disc stimulation or distention, and can be eliminated by block. Overwhelming clinical evidence demonstrates that neck pain in patients with degenerative cervical radiculopathy or myelopathy can be subsided rapidly by anterior cervical surgery, further indicating that this neck pain stems from the pathology of cervical disc itself. Cervical discography is advocated as the only test that connects disease to symptoms, but the procedure remains controversial. If strict criteria and technique are maintained, discography can discriminate painful, symptomatic discs from nonpainful, asymptomatic discs. Discogenic neck pain alone without cervical disc herniation or cervical spondylosis accounts for a large proportion of chronic neck pain. For these patients who continue to have refractory neck pain and fail to respond to conservative treatment, anterior cervical fusion surgery or artificial cervical disc replacement may be a better choice, and preoperative cervical discography can guarantee the excellent surgical results. Existing basic and clinical studies have scientifically shown that cervical intervertebral disc degeneration can lead to neck pain.
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              Cervical spondylotic myelopathy: diagnosis and treatment.

              S Emery (2015)
              The delineation of cervical spondylotic myelopathy as a clinical entity has improved with the development of high-quality cross-sectional neuroradiologic imaging. The natural history of this disorder is usually slow deterioration in a stepwise fashion, with worsening symptoms of gait abnormalities, weakness, sensory changes, and often pain. The diagnosis can usually be made on the basis of findings from the history, physical examination, and plain radiographs, but confirmation by magnetic resonance imaging or computed tomography and myelography is necessary. Minimal symptoms without hard evidence of gait disturbance or pathologic reflexes warrant nonoperative treatment, but patients with demonstrable myelopathy and spinal cord compression are candidates for operative intervention. Both anterior and posterior approaches have been utilized for surgical treatment of cervical myelopathy. Anterior decompression frequently requires corpectomy at one or more levels and strut grafting with bone from the ilium or fibula. Multilevel laminectomies were initially used for posterior decompression but now are either combined with fusion or replaced by laminoplasty. Any operative technique requires proper patient selection and demands adequate decompression of the canal to effect neurologic improvement. Perioperative complications can be devastating in this group of high-risk patients with cervical spondylotic myelopathy, but careful attention to detail, meticulous technique, and experience can result in excellent outcomes.
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Pain Res
                Journal ID (iso-abbrev): J Pain Res
                Journal ID (publisher-id): JPR
                Journal ID (pmc): jpainres
                Title: Journal of Pain Research
                Publisher: Dove
                ISSN (Electronic): 1178-7090
                Publication date (Electronic): 07 May 2019
                Publication date Collection: 2019
                Volume: 12
                Pages: 1441-1445
                Affiliations
                [1 ]Department of Acupuncture and Moxibustion, Guizhou Orthopaedics Hospital , Guiyang 550007, People’s Republic of China
                [2 ]Department of Rehabilitation, Guizhou Orthopaedics Hospital , Guiyang 550007, People’s Republic of China
                [3 ]Department of Orthopaedics, Guizhou Orthopaedics Hospital , Guiyang 550007, People’s Republic of China
                Author notes
                Correspondence: Chun-Lei GuDepartment of Acupuncture and Moxibustion, Guizhou Orthopaedics Hospital , No. 123 Shachong South Road, Nanming District, Guiyang550007, People’s Republic of ChinaTel +86 851 8579 2149Email chunlei_g@ 123456sina.com
                Article
                Publisher ID: 199798
                DOI: 10.2147/JPR.S199798
                PMC ID: 6511242
                SO-VID: a68dbd0e-00c5-4686-8188-9d4753157f13
                Copyright © © 2019 Gu et al.
                License:

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                Date received : 28 December 2018
                Date accepted : 13 March 2019
                Page count
                Tables: 5, References: 15, Pages: 5
                Categories
                Subject: Original Research

                ScienceOpen disciplines: Anesthesiology & Pain management
                Keywords: cervical spondylosis,acupuncture,seven acupoint-penetrating,traction
                Data availability:
                ScienceOpen disciplines: Anesthesiology & Pain management
                Keywords: cervical spondylosis, acupuncture, seven acupoint-penetrating, traction

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