Clinical Study of "Three Steps-seven Methods of Tuina" Combined with Warm Acupuncture in the Treatment of Patients with Lumbar Disc Herniation

Abstract

Objective To explore the clinical effect of three-step and seven-method of Tuina combined with warm acupuncture in the treatment of patients with lumbar disc herniation. Methods 118 LDH patients who were treated in our hospital from March 2019 to January 2022 were randomly divided into a control group and an observation group, with 59 cases in each group. Patients in the control group were treated with warm acupuncture, and those in the observation group were treated with three-step and seven-method of Tuina on the basis of the control group. Clinical efficacy, nerve conduction velocity, inflammatory factors and visual analogue scale (VAS) scores, FairbankJC low back pain scores, and Japanese orthopaedic association (JOA) scores were compared between the two groups. Results The total effective rate of the observation group was significantly higher than that of the control group (P<0.05). After treatment, the nerve conduction velocities of the tibial nerve and the common peroneal nerve in the two groups were evidently higher than those before treatment (P<0.05), and those of the observation group were obviously higher than those of the control group (P<0.05). After treatment, the levels of tumor necrosis factor-α (TNF-α), interleukin-1 (IL-1), interleukin-6 (IL-6) and VAS, FairbankJC, and JOA were significantly lower than those before treatment (P<0.05), and those of the observation group were markedly lower than those of the control group (P<0.05). Conclusion "Three-step and seven-method of Tuina" combined with warm acupuncture can effectively alleviate the clinical symptoms of LDH patients, help improve the speed of nerve conduction, reduce the body's inflammatory response, relieve pain, and enhance lumbar spine function.