Browse > Article
http://dx.doi.org/10.13045/jar.2018.00017

The Effects of Acupotomy Therapy on Carpal Tunnel Syndrome: A Report of 4 Cases  

Lee, Seongjin (Department of Acupuncture & Moxibustion Medicine, Wonkwang University Gwangju Korean Medical Hospital)
Cha, Eunhye (Department of Acupuncture & Moxibustion Medicine, Wonkwang University Gwangju Korean Medical Hospital)
Yang, Muhak (Department of Acupuncture & Moxibustion Medicine, Wonkwang University Gwangju Korean Medical Hospital)
Lee, Jongdeok (Department of Radiology, Wonkwang University Gwangju Korean Medical Hospital)
Lee, Jiyoung (Department of Korean Medicine Rehabilitation, Wonkwang University Gwangju Korean Medical Hospital)
Lee, Sojin (Department of Acupuncture & Moxibustion Medicine, Jaseng Hospital of Korean Medicine)
Kim, Deokho (Department of Korean Medicine, Graduate School of Wonkwang University)
Kim, Sungchul (Department of Acupuncture & Moxibustion Medicine, Wonkwang University Gwangju Korean Medical Hospital)
Publication Information
Journal of Acupuncture Research / v.35, no.1, 2018 , pp. 4-10 More about this Journal
Abstract
The aim of this report was to show the effects of acupotomy in patients with carpal tunnel syndrome. Four patients were treated with acupotomy twice. Visual analogue scale (VAS), Tinel's sign, Phalen's test, Boston carpal tunnel syndrome questionnaire (BCTQ), muscular strength test, and a cross-sectional area of median nerve was measured using ultrasound before and after treatment. In all 4 cases, the VAS score, BCTQ score and cross-sectional area of median nerve, all decreased and muscular strength test score increased. Tinel's sign and the Phalen's test changed from a positive to a negative in most cases. This report shows that acupotomy is an effective treatment for carpal tunnel syndrome. Further larger are needed to fully evaluate the beneficial effects of this treatment.
Keywords
acupotomy; carpal tunnel syndrome; musculoskeletal ultrasound; Boston carpal tunnel syndrome questionnaire;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Zhang Y, Guo CQ. Acupotomology: returning to the ancients and innovation of acupuncture. Zhong Guo Zhen Jiu 2011;31:1111-1113. [In Chinese]
2 Park MY, Kim SH, Lee SM, Lee JD, Lim JY, Kwon SY, et al. The case report of posterior headache caused by traffic accident treated with musculoskeletal ultrasound-guided acupotomy therapy. J Acupunct Res 2011;28:165-172. [In Korean]
3 Ma C, Wu S, Li G, Xiao X, Mai M, Yan T. Comparison of miniscalpel-needle release, acupuncture needling, and stretching exercise to trigger point in myofascial pain syndrome. Clin J Pain 2010; 26: 251-257.
4 Buchberger W, Schon G, Strasser K, Jungwirth W. High-resolution ultrasonography of the carpal tunnel. J Ultrasound Med 1991;10:531-537.   DOI
5 Lee SJ, Kim JS, Choi YR, Kim SJ, Kang HJ. Relationship between change of median nerve cross-sectional area measured by ultrasonography and prognosis after carpal tunnel release. J Korean Orthop Assoc 2013;48:290-296. [In Korean]   DOI
6 Lin YM, Lee TS. Cutoff point of 0.10 $cm^2$ appropriate for both hands. Radiology 2005;234:642-643.
7 Kim JI, Kim HS, Park GN, Jeon JH, Kim JH, Kim YI. Miniscalpel needle therapy with integrative Korean medical treatment for carpal tunnel or tarsal tunnel syndrome: case series of three patients. J Acupunct Res. 2017;34:139-152.   DOI
8 Elwakil TF, Elazzazi A, Shokeir H Treatment of carpal tunnel syndrome by low level laser versus open carpal tunnel release. Lasers Med Sci 2007;22:265-270.   DOI
9 Zhu HZ. Acupotomy. Beijing (China): Chinese Medicine Publishing Company; 1992. p. 9-42.
10 Osma FA, Ahmed ME, Nahed T, Ahmed BB. Treatment of mild to moderate carpal tunnel syndrome in patients with diabetic neuropathy using low level laser therapy versus ultrasound controlled comparative study. BBA Clinical 2017;8:43-47.   DOI
11 Kim S. Clinical characteristics of poor responders to acupotomy and safety pretreatment management. J Acupunct Res 2008;25:117-125. [In Korean]
12 Li XL, Zeng J. Clinical analysis of cervical myofascial pain syndrome by nerve block and miniscalpel-needle. Hebei Yi Yao 2012; 34: 2795-2796.
13 Choi CH, Song HS. Effect of Hapgok Needling and Bee Venom Acupuncture Complex Treatment on Patients with Carpal Tunnel Syndrome. J Acupunct Res 2010; 27:159-166. [In Korean]
14 Carlsson AM. Assessment of chronic pain.I.Aspects of the reliability and validity of the visual analogue scale. Pain 1983;16:87-101.   DOI
15 Korean Acupuncture & Moxibustion Society Textbook Compilation Committee. Acupuncture Medicine, 4th ed. Seoul (Korea): Hanmi Medicine Publish Company; 2016. p. 173-180, 460, 560.
16 Ku JY, Lee KH, Cho SW, Lee SC, Youn HM, Jang KJ, et al. Comparison of the Effects between Sweet Bee Venom Pharmacopuncture and Scolopendrid Pharmacopuncture on Carpal Tunnel Syndrome. J Pharmacopuncture 2010;13:75-89. [In Korean]
17 The Korean Orthopaedic Association. Orthopaedics. Seoul (Korea): Choishin: 1997. p. 254, 350.
18 Hagebeuk EEO, Weerd AW. Clinical and electrophysiological follow-up after local steroid injection in the carpal tunnel syndrome. Clin Neurophysiol 2013;15:7-12.
19 Stevens JC, Sun S, Beard CM, O'Fallon WM, Kurland LT. Carpal tunnel syndrome in Rochester, Minnesota, 1961 to 1980. Neurology 1988;38:134-142.   DOI
20 Gupta SK, Benstead TJ. Symptoms experienced by patients with carpal tunnel syndrome. Can J Neurol Sci 1997;24:338-342.   DOI
21 Kang HJ, Hahn SB, Kang ES, Park YS. Endoscopic carpal tunnel release in carpal tunnel syndrome using the agee technique. J Korean Soc Surg Hand 2000;5:54-56. [In Korean]