Musculoskeletal ultrasound-guided needle knife therapy in the treatment of refractory nonspecific low back pain: A single-blind, randomized controlled trial
2024

Needle Knife Therapy for Low Back Pain

Sample size: 66 publication 10 minutes Evidence: moderate

Author Information

Author(s): Xia Li, Hongkai Zhang, Sidi Zhang, Mingqi Wu, Shiyun Wang, Zhanying Tang, Jing Xiao

Primary Institution: Longhua Hospital, Shanghai University of Traditional Chinese Medicine

Hypothesis

Does musculoskeletal ultrasound-guided needle knife therapy improve outcomes for patients with refractory nonspecific low back pain compared to usual care?

Conclusion

Needle knife therapy effectively reduces pain and improves lumbar spine function in patients with refractory nonspecific low back pain.

Supporting Evidence

  • Both groups showed improvement in pain and function, but the needle knife therapy group had better results.
  • NRS scores decreased significantly in the observation group compared to the control group at multiple time points.
  • ODI and JOA scores also showed significant improvement in the observation group.
  • The thickness of the multifidus muscle increased significantly in the observation group at follow-up.

Takeaway

This study shows that a special needle treatment can help people with back pain feel better and move easier.

Methodology

A single-blind, randomized controlled trial with 66 patients divided into an observation group receiving needle knife therapy and a control group receiving usual care.

Potential Biases

Single-blind design may introduce bias in subjective outcome measures.

Limitations

Short clinical observation period and small sample size.

Participant Demographics

Patients aged 32 to 66 years, with a mean age of 46 years and 53.03% female.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1097/MD.0000000000041066

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