Ultrasound-Guided Electroacupuncture Treatment for Rotator Cuff Tendinopathy: Proposing an Effective Alternative to Nonoperative Medical Treatments.

IF 0.8 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Medical Acupuncture Pub Date : 2023-10-01 Epub Date: 2023-10-17 DOI:10.1089/acu.2023.0042
Chaney G Stewman
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Abstract

Background: Rotator cuff (RTC) tendinopathy is a common painful condition of the shoulder that impairs function and quality of life. Nonoperative treatments when physical therapy and oral medications have not resolved the issue often consist of different strategies to improve blood flow and promote growth factors, thereby creating regeneration and healing of injured tissue in the RTC tendons. Acupuncture could serve in a similar role when needles are strategically targeted into injured tissue utilizing ultrasound visualization.

Case: A 58-year-old male presented with over 1 year of symptomatic RTC tendinopathy involving the supraspinatus and infraspinatus tendons. He had not gotten sustained pain relief with physical therapy or a corticosteroid injection to the subacromial bursa and was not a surgical candidate for RTC repair due to only having small partial tearing of the tendons. He wanted to consider alternative treatment options and it was decided that he could pursue ultrasound-guided electroacupuncture.

Results: Treatment was successful and completed within 4 weekly sessions. He reported 85% improvement in symptoms two months after starting treatment and is now over 1 year out from treatment, with what the patient states as "minimal" residual discomfort with one stretching movement.

Conclusions: Ultrasound guidance of acupuncture needles into areas of RTC tendon injury simulates many of the current nonoperative treatment modalities sports medicine has to offer for RTC tendinopathy. This short- and long-term successful case report provides a steppingstone for future research into this area.

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超声引导电针治疗肩袖肌腱病变:提出一种替代非手术治疗的有效方法。
背景:肩袖肌腱病是一种常见的肩部疼痛状况,会损害功能和生活质量。当物理治疗和口服药物没有解决这个问题时,非手术治疗通常包括不同的策略来改善血液流动和促进生长因子,从而在RTC肌腱中产生损伤组织的再生和愈合。当利用超声波可视化将针头战略性地对准受伤组织时,针灸也可以发挥类似的作用。病例:一名58岁男性,症状性RTC腱病1年以上,累及冈上肌和冈下肌腱。他没有通过物理治疗或向肩峰下囊注射皮质类固醇来持续缓解疼痛,也不是RTC修复的手术候选者,因为肌腱只有小的部分撕裂。他想考虑其他治疗方案,并决定可以采用超声波引导的电针治疗。结果:治疗成功,在每周4次疗程内完成。他报告说,在开始治疗两个月后,症状改善了85%,现在已经结束治疗一年多了,患者称一次伸展运动的残余不适“最小”。结论:超声引导针灸进入RTC肌腱损伤区域模拟了运动医学目前为RTC肌腱病提供的许多非手术治疗模式。这份短期和长期的成功案例报告为该领域的未来研究提供了一个跳板。
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来源期刊
Medical Acupuncture
Medical Acupuncture INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
1.80
自引率
18.20%
发文量
73
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