Case report: Spontaneous regression of extruded lumbar disc herniation with acupuncture therapy

Haiwen Liang, Jianhao Huang
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Abstract

Most patients with lumbar disc herniation (LDH) derive benefit from conservative treatment, prompting growing global interest in non-surgical approaches. Despite being recognized as one of the effective conservative therapies, there is currently limited evidence to support the sole efficacy of acupuncture in treating patients with acute extruded LDH. Here we report the case of a 52-year-old male who presented with low back pain and persistent radiating lower limb pain and numbness. Physical examination and magnetic resonance imaging (MRI) revealed an extruded LDH at the L5/S1 level, compressing the nerve root and causing severe radiculopathy symptoms. After 23 days of continuous inpatient acupuncture treatment, followed by 5 intermittent outpatient acupuncture treatment over 2 months, patient’s pain and numbness was significantly alleviated and a followed-up MRI showed a remarkable regression of the extruded disc fragment. In this case, acupuncture as a monotherapy is safe and effective, but more conclusive evidence is needed.
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病例报告:针灸疗法使腰椎间盘突出症自然消退
大多数腰椎间盘突出症(LDH)患者都能从保守治疗中获益,这促使全球对非手术疗法的兴趣与日俱增。尽管针灸是公认的有效保守疗法之一,但目前仅有有限的证据支持针灸治疗急性腰椎间盘突出症患者的疗效。在此,我们报告了一例 52 岁男性患者的病例,该患者出现腰背痛、持续性下肢放射痛和麻木。体格检查和磁共振成像(MRI)显示,L5/S1 水平有一挤压性 LDH,压迫神经根,导致严重的根性病变症状。经过 23 天的连续住院针灸治疗,以及 2 个月内 5 次间歇性门诊针灸治疗后,患者的疼痛和麻木症状明显缓解,随访的核磁共振成像显示挤压的椎间盘碎片明显消退。在这个病例中,针灸作为单一疗法是安全有效的,但还需要更多确凿证据。
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