Effects of silver needle comprehensive therapy on the ultrasonographic morphology of multifidus muscles in patients with lumbar disc herniation: an ultrasound morphologic assessment

doi:10.12307/2025.357

Abstract

Abstract: BACKGROUND: Many studies have focused on acupuncture, such as silver needles, for the treatment of lumbar disc herniation, but there are few studies based on the myofascial trigger point theory.
OBJECTIVE: To observe the effects of silver needle comprehensive therapy on the ultrasound morphology and clinical efficacy of multifidus muscles in patients with lumbar disc herniation based on the theory of myofascial trigger points.
METHODS: A total of 159 patients with lumbar disc herniation who were seen from January 2022 to April 2023 were selected as the research subjects and randomly divided into three groups: conventional group (n=53), traditional acupuncture group (n=53), and silver needle group (n=53). The conventional group received routine western medicine treatment; the traditional acupuncture group used traditional acupuncture therapy based on meridian pathways and symptom localization; and the silver needle group used silver needle warm acupuncture at myofascial trigger points for intervention. All three groups received continuous treatment for 4 weeks. The number of myofascial trigger points, pain assessment, lumbar function evaluation, ultrasound morphology changes of multifidus muscles, clinical efficacy, and traditional Chinese medicine symptom score were recorded before and after treatment in the three groups.

RESULTS AND CONCLUSION: (1) After treatment, the number of myofascial trigger points in the lumbar muscles decreased in all groups, and the silver needle group showed a significant reduction compared with the traditional acupuncture group and the conventional group (P < 0.05). (2) The pain rating index score, visual analogue scale score, present pain intensity score, Oswestry disability index score, and Roland-Morris disability questionnaire score in the silver needle group were lower than those in the traditional acupuncture group and the conventional group (P < 0.05). (3) The ultrasound morphology indexes of multifidus muscles in the silver needle group were superior to those in the traditional acupuncture group and the conventional western medicine group (P < 0.05). (4) Traditional Chinese medicine symptom scores in the silver needle group were lower than those in the traditional acupuncture group and the conventional western medicine group (P < 0.05). (5) There were significant differences in clinical efficacy among the three groups (P < 0.05). To conclude, applying silver needle comprehensive therapy based on the theory of myofascial trigger points can effectively reduce pain, improve clinical efficacy, and enhance lumbar spine dysfunction and multifidus muscle morphology in patients with lumbar disc herniation.

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

Key words: ">myofascial trigger points, silver needle, lumbar disc herniation, multifidus muscle, pain, clinical efficacy

CLC Number:

Cao Zhengpei, Lu Shengsheng, Zhang Jiahuan, Wang Xiaoying. Effects of silver needle comprehensive therapy on the ultrasonographic morphology of multifidus muscles in patients with lumbar disc herniation: an ultrasound morphologic assessment [J]. Chinese Journal of Tissue Engineering Research, 2025, 29(11): 2261-2267.

Figures/Tables 6

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