THE EFFECTS OF ELECTRICAL ACUPUNCTURE AT LUMBAR NERVE ROOT FOR RADICULAR SCIATICA DUE TO LUMBAR DISC HERNIATION

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  • INOUE MOTOHIRO
    Department of Clinical Acupuncture and Moxibustion II, Meiji University of Oriental Medicine
  • HOJO TATSUYA
    Department of Orthopedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
  • ITOI MEGUMI
    Department of Orthopedic Surgery, Meiji University of Oriental Medicine
  • KITAKOJI HIROSHI
    Department of Clinical Acupuncture and Moxibustion II, Meiji University of Oriental Medicine
  • YANO TADASHI
    Department of Health Promoting Acupuncture and Moxibustion, Meiji University of Oriental Medicine
  • KATSUMI YASUKAZU
    Department of Orthopedic Surgery, Meiji University of Oriental Medicine

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  • Effects of Electrical Acupuncture at Lumbar Nerve Root for Radicular Sciatica due to Lumbar Disc Herniation

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Abstract

We applied electrical acupuncture to the spinal nerve root by inserting needles under x-ray control in two cases with radicular sciatica as a non-pharmacological substitute for the lumbar spinal nerve block. In both cases, symptoms were markedly reduced after electrical acupuncture to the spinal nerve root. The sustained effect was noticeably longer than that of caudal anesthesia previously performed one time on one of the cases. We suggest that descending inhibitory control, inhibitory control at the spinal level, or changes in nerve blood flow may be involved in the mechanism of the effect of electrical acupuncture to the spinal nerve root. These results suggest that electrical acupuncture to the spinal nerve root may be superior to lumbar spinal nerve block or caudal anesthesia when it is applied appropriately in certain cases of radicular sciatica, taking into consideration of patient age, severity of symptoms and duration of the disorder.

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