Abstract

The aim of this paper was to explore the long-term effects and pain relief mechanism of acupuncture knife on third lumbar vertebrae (L3) transverse process syndrome. Forty SD rats were randomized into control, model, electroacupuncture (EA), and acupuncture knife (AK) group. Except control rats, other rats were subjected to an operation to emulate L3 transverse process syndrome. Fourteen days after the operation, EA and AK rats were given electroacupuncture and acupuncture knife treatments, respectively. Fifty-six days after the operation, enzyme-linked immunosorbent assay was used to measure substance P (SP), 5-hydroxytryptamine (5-HT), interleukin-1β (IL-1β), interleukin-10 (IL-10), tumor necrosis factor-α (TNF-α), and transforming growth factor-β (TGF-β) in peripheral blood. The tail flick test was used to observe pain threshold. We found that rats with the simulation operation had significantly higher levels of SP, 5-HT, IL-1, IL-10, TNF-α, and TGF-β, while the AK rats had lower levels. In addition, the pain threshold of AK rats was similar to that of control rats. AK pretreatment could alleviate pain through modulating inflammatory response.

Highlights

  • Low back pain is one of the most common medical problems and is caused by myofascial, intervertebral disk (IVD), facet joint, or sacroiliac joint problems

  • L3 transverse process syndrome is characterized by regional tenderness caused by overuse and injury of soft tissues adhering to the transverse process of L3

  • Our results showed that the serum levels of transforming growth factor-β (TGF-β) in model, EA, and acupuncture knife (AK) rats were significantly higher than those in normal rats, which implies that the peripheral injury tissue is under the fibroplasia stage

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Summary

Introduction

Low back pain is one of the most common medical problems and is caused by myofascial, intervertebral disk (IVD), facet joint, or sacroiliac joint problems. L3 transverse process syndrome is characterized by regional tenderness caused by overuse and injury of soft tissues adhering to the transverse process of L3. This syndrome is caused by peripheral sensitization of local muscle nociceptors. According to previous randomized controlled multicenter clinical study, acupuncture knife can restore the dynamic balance and relieve pain by relaxing and stripping the taut node and cord formed in the L3 transverse process tip, which is more effective than that of other medical produces [2, 3].

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