The Efficacy of Bleeding Acupuncture Point UB-40 in Patients Suffering from Severe Acute Lumbago
Efficacy of Bleeding Acupuncture Point UB-40
DOI:
https://doi.org/10.54393/pjhs.v4i12.1217Keywords:
Acupuncture, UB-40, Pain, Disability, LumbagoAbstract
Severe acute lumbago, or lower back pain, is a common condition that can cause sudden pain and cramping that lasts for days to weeks. The UB-40 acupuncture point, also known as the Urinary Bladder 40, is a sensitive point that provides excellent relief from spinal pain. Objective: To evaluate the efficacy of bleeding acupuncture point UB-40 in patients suffering from severe acute lumbago. Methods: An experimental pre-post study was conducted on 40 participants, recruited from the emergency department (ED) of Iffat Anwar Medical Complex Lahore from January 2021 to February 2023. All the patients were treated with bleeding at UB-40 acupuncture point technique. After the treatment, the patients were followed at baseline, 1-week and 1-month intervals. The primary outcomes of the study were to determine the improvement in acute low back pain by using the visual analogue scale (VAS) and physical impairment using Oswestry low back disability index (ODI) scale. Results: A total of 40 patients were enrolled in the current study. The mean age of patients was 38.7±12.2. Majority of the patients were females (52%). The mean pain score (VAS) at baseline was 8.00±0.751, which reduced at 4th week with a mean pain score of 2.92±1.28. Moreover, at baseline, patients had severe disability with a mean ODI score of 55.58, but after treatment it gradually decreased to (25.55). Conclusions: It was concluded that acupuncture, especially with bleeding at UB-40 point, may provide an immediate significant effect in reducing the acute pain of low back and disability.
References
Li L, Yao H, Wang J, Li Y, Wang Q. The role of Chinese medicine in health maintenance and disease prevention: application of constitution theory. The American Journal of Chinese Medicine. 2019 Apr; 47(03): 495-506. doi: 10.1142/S0192415X19500253. DOI: https://doi.org/10.1142/S0192415X19500253
Yuan W. Self Acupressure for Low Back Pain. Acupuncture Ottawa TCM tcmworks; 2019. [Last cited: 24th Aug 2023]. Available at: https://tcmworks.com/self-acupressure-for-low-back-pain/.
MedlinePlus Medical Encyclopedia. Low back pain - acute. [Last cited: 24th Aug 2023]. Available at: https://medlineplus.gov/ency/article/007425.htm#:~:text=Acute%20low%20back%20pain%20is.
Fayzi R, Karimi A, Fereidouni A, Salavatian A, Imani B, Tavakkol R. Prevalence and Clinical Characteristics of Low Back Pain among Operating Room Personnel: A Cross-Sectional Study in South of Iran. Frontiers in Surgery. 2022 May; 9: 841339. doi: 10.3389/fsurg.2022.841339. DOI: https://doi.org/10.3389/fsurg.2022.841339
Pal S, Ali K, Khaqan MB, Gul H, Javed S. Prevalence of Low Back Pain in Medical Students of United Medical and Dental College Karachi. Journal of Pakistan Orthopaedic Association. 2022 Jun; 34(02): 61-4.
Tsai SL, Fox LM, Murakami M, Tsung JW. Auricular acupuncture in emergency department treatment of acute pain. Annals of Emergency Medicine. 2016 Nov; 68(5): 583-5. doi: 10.1016/j.annemergmed.2016.05.006. DOI: https://doi.org/10.1016/j.annemergmed.2016.05.006
Xiang Y, He JY, Tian HH, Cao BY, Li R. Evidence of efficacy of acupuncture in the management of low back pain: a systematic review and meta-analysis of randomised placebo-or sham-controlled trials. Acupuncture in Medicine. 2020 Feb; 38(1): 15-24. doi: 10.1136/acupmed-2017-011445. DOI: https://doi.org/10.1136/acupmed-2017-011445
Waddell G and Burton AK. Occupational health guidelines for the management of low back pain at work: evidence review. Occupational Medicine. 2001 Mar; 51(2): 124-35. doi: 10.1093/occmed/51.2.124. DOI: https://doi.org/10.1093/occmed/51.2.124
Atlas SJ and Deyo RA. Evaluating and managing acute low back pain in the primary care setting. Journal of General Internal Medicine. 2001 Feb; 16: 120-31. doi: 10.1111/j.1525-1497.2001.91141.x. DOI: https://doi.org/10.1111/j.1525-1497.2001.91141.x
Henschke N, Maher CG, Refshauge KM, Herbert RD, Cumming RG, Bleasel J, et al. Characteristics of patients with acute low back pain presenting to primary care in Australia. The Clinical Journal of Pain. 2009 Jan; 25(1): 5-11. doi: 10.1097/AJP.0b013e3181817a8d. DOI: https://doi.org/10.1097/AJP.0b013e3181817a8d
Manheimer E, White A, Berman B, Forys K, Ernst E. Meta-analysis: acupuncture for low back pain. Annals of Internal Medicine. 2005 Apr; 142(8): 651-63. doi: 10.7326/0003-4819-142-8-200504190-00014. DOI: https://doi.org/10.7326/0003-4819-142-8-200504190-00014
Mindbodygreen. Acupressure Techniques to Relieve Lower Back Pain. 2018. [Last cited: 24th Aug 2023]. Available at: https://www.mindbodygreen.com/articles/acupressure-for-lower-back-pain.
DeVine J, Norvell DC, Ecker E, Fourney DR, Vaccaro A, Wang J, et al. Evaluating the correlation and responsiveness of patient-reported pain with function and quality-of-life outcomes after spine surgery. Spine. 2011 Oct; 36: S69-74. doi: 10.1097/BRS.0b013e31822ef6de. DOI: https://doi.org/10.1097/BRS.0b013e31822ef6de
Fairbank JC and Pynsent PB. The Oswestry disability index. Spine. 2000 Nov; 25(22): 2940-53. doi: 10.1097/00007632-200011150-00017. DOI: https://doi.org/10.1097/00007632-200011150-00017
Fairbank JC. Oswestry disability index. Journal of Neurosurgery: Spine. 2014 Feb; 20(2): 239-42. doi: 10.3171/2013.7.SPINE13288. DOI: https://doi.org/10.3171/2013.7.SPINE13288
Henschke N, Maher CG, Refshauge KM, Herbert RD, Cumming RG, Bleasel J, et al. Prognosis in patients with recent onset low back pain in Australian primary care: inception cohort study. BMJ. 2008 Jul; 337: a171. doi: 10.1136/bmj.a171. DOI: https://doi.org/10.1136/bmj.a171
Costa LD, Maher CG, Hancock MJ, McAuley JH, Herbert RD, Costa LO. The prognosis of acute and persistent low-back pain: a meta-analysis. CMAJ. 2012 Aug; 184(11): E613-24. doi: 10.1503/cmaj.111271. DOI: https://doi.org/10.1503/cmaj.111271
da Silva T, Mills K, Brown BT, Pocovi N, de Campos T, Maher C, et al. Recurrence of low back pain is common: a prospective inception cohort study. Journal of Physiotherapy. 2019 Jul; 65(3): 159-65. doi: 10.1016/j.jphys.2019.04.010. DOI: https://doi.org/10.1016/j.jphys.2019.04.010
Macedo LG, Maher CG, Latimer J, McAuley JH, Hodges PW, Rogers WT. Nature and determinants of the course of chronic low back pain over a 12-month period: a cluster analysis. Physical Therapy. 2014 Feb; 94(2): 210-21. doi: 10.2522/ptj.20120416. DOI: https://doi.org/10.2522/ptj.20120416
Ostelo RW and de Vet HC. Clinically important outcomes in low back pain. Best Practice & Research Clinical Rheumatology. 2005 Aug; 19(4): 593-607. doi: 10.1016/j.berh.2005.03.003. DOI: https://doi.org/10.1016/j.berh.2005.03.003
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