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Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...

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Related Experiment Video

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Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation
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Intraspinal versus Extraspinal Acupotomy Decompression, or Their Combination, for Lumbar Disc Herniation: Protocol

Wenlong Yang1,2, Hailiang Liu2, Muqing Liu1

  • 1School of Acupuncture-Tuina, Shandong University of Traditional Chinese Medicine, Jinan, Shandong Province, People's Republic of China.

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|February 19, 2026
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Summary

This study compares intraspinal acupotomy decompression with traditional methods for lumbar disc herniation (LDH). It investigates a novel technique to improve radicular symptoms and lumbar function in LDH patients.

Keywords:
acupotomyintraspinal decompressionlumbar disc herniationrandomized controlled trial

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Area of Science:

  • Integrative Medicine
  • Minimally Invasive Procedures
  • Spinal Anatomy

Background:

  • Acupotomy, a traditional Chinese medicine technique, is used for low back pain in lumbar disc herniation (LDH).
  • Current acupotomy efficacy for radicular symptoms from nerve root compression in LDH is limited.
  • A novel intraspinal acupotomy decompression technique targets meningovertebral ligaments (MVL) to relieve neural compression.

Purpose of the Study:

  • To evaluate and compare the clinical efficacy of intraspinal acupotomy decompression, extraspinal acupotomy decompression, and a combined approach for LDH.
  • To assess the effectiveness of these techniques in alleviating radicular symptoms and improving lumbar function.
  • To determine the optimal acupotomy decompression strategy for LDH patients.

Main Methods:

  • A three-arm, randomized, single-center, single-blind (assessor-blinded) controlled trial.
  • 210 eligible LDH patients (aged 20-85) will be randomized into three groups (n=70 each): extraspinal, intraspinal, or combined acupotomy.
  • Treatments will be administered weekly for four weeks, with primary outcomes (pain intensity via VAS, lumbar function via JOA) assessed at baseline, 4, and 8 weeks.

Main Results:

  • Primary outcomes include changes in Visual Analogue Scale (VAS) for pain and Japanese Orthopaedic Association (JOA) score for lumbar function.
  • Secondary outcomes include quality of life (SF-36) and adverse events, assessed at 8 weeks.
  • Results will provide data on the comparative efficacy of the three treatment arms.

Conclusions:

  • This study will offer high-quality evidence on the efficacy of the novel intraspinal acupotomy technique for LDH.
  • Findings will guide the selection of the most effective acupotomy decompression strategy for LDH.
  • The novel technique may offer a more effective minimally invasive option for patients experiencing radicular symptoms due to LDH.