Abstract

Conservative treatment of spine disease with acupuncture involves using acupuncture to stimulate healing, reduce pain, and improve function. Presently, No method or treatment is considered ideal for handling spine problems. Acupuncture is scientific, effective, and without any side effects. Moreover, Acupuncture treatment can be continued with other therapies without any interaction. Several studies based on systematic reviews show a short-term clinically relevant reduction of pain in Chronic Lower back pain. World Health Organization anticipated that spinal problems would be common in elderly people. Hence,these acupuncture treatments can provide the best results with other ongoing Western medicines. Studies also suggested that post-operative care could give the best and quickest outcomes if acupuncture treatments were administered with Western treatment. Huge clinical trials with long-term follow-ups need to be declared to the level of choice of treatment.
 

• 1.   Buchbinder R, Blyth F, March L et al. Placing the global burden of low back pain in context. Best Pract Res Clin Rheumatol. 2013; 27;575-589.
• 2.   Hoy D, March L, Brooks P, et al. The global burden of low back pain: estimates from the Global Burden of disease 2010 study. Ann Rheum Dis. 2014; 73:968- 974.
• 3.   Lam M, Galvin R, Curry P. Effectiveness of acupuncture for non-specific chronic low back pain: a systematic review and meta-analysis. Spine. 2013; 38:2124-2138.
• 4.   Yuan QL, Guo TM, Liu L et al. Traditional Chinese medicine for neck pain and low back pain: a systematic review and meta-analysis. Plos One. 2015; 10:e0117146.
• 5.   Balague F, Mannion AF, Pellise F, et al.Non - specific low back pain. Lancet. 2012; 379(9814):482-491. 6. Katz JN. Lumbar disc disorders and low back pain: Socioeconomic factors and consequences. J Bone Joint Surg Am. 2006; 88:21-24.
• 7.   Stauss WL, Cave JE. Pathology and the posture of Neanderthal man. Q Rev Biol. 1957; 32(4):348-363. 8. Bourke JB. The Paleopathology of the vertebral body in ancient Egypt and Nubia. Med Hist. 1971; 15 (4):363-375.Sherk HH.Commentaries on the history and cure of diseases: Digitorum Nodi by William Heberden,MD. Clin Orthop Relat Res. 2004; 427;S3-S4
• 9.   Johnson GA. Lecture in (sic) backache and the diagnosis of various causes with hints on treatment. Br Med J. 1881; 1(1050):222-224
• 10.   Brown T. On irritation of spinal nerves. Glasgow Med J.1828:1(2):131-160
• 11.   Lancet Commission. The influence of railway traveling on public health. Lancet. 1862;15-19,48- 53,79-84
• 12.   WJ Mixter, JS Barr. Rupture of the Intervertebral Disc with Involvement of the Spinal Canal.N Engl J Med 1934;211(5):210-215
• 13.   Poovadan Sudhakaran. Acupuncture of Low - back pain. Med Acupuncture. 2021; 33(3):219-225
• 14.   White A.A cumulative review of the range and incidence of significant adverse events associated Atul Dwivedi Shweta Dwivedi Malik Raheel Tari, Comprehensive Review: Conservative Treatment of Spine Problems through Acupuncture TechniquesJournal of Orthopedic Education 97 Volume 10 Number 3, September-December 2024 Atul Dwivedi Shweta Dwivedi Malik Raheel Tari, Comprehensive Review: Conservative Treatment of Spine Problems through Acupuncture Techniques with acupuncture.Acupunct Med. 2004;22(3):122- 133
• 15.   Witt CM, Pach D, Brinkhaus B et al. Safety of acupuncture: Results of prospective observational study with 229,230 patients and introduction of a medical information and consent form. Forch Komplemented. 2009;16(2):91-97
• 16.   vickers AJ, Cronin AM, Maschino AC, etal. Acupuncture for chronic pain: An individual patient data meta - analysis. Arch Intern Med. 2012;172(19):1444-1453
• 17.   Vickers Aj,Vertosick EA, Lewith G etal. Acupuncture for chronic pain: update of an individual patient data metaanalysis.J pain. 2108;19(5):455-474
• 18.   Mac Pherson H, Vertosick EA, Foster NE, etal. The persistence of the effects of acupuncture after a course of treatment: A meta - analysis of patient with chronic pain. Pain.2107; 158(5):784-793
• 19.   Witt CM, Jena S, Selim D et al. Evaluating the clinical and economic effectiveness of acupuncture for Chronic low back pain.Am J Epidemiol. 2006;164(5):487-496
• 20.   Ratcliffe J, Thomas KJ, Mac Pherson H. A randomized controlled trial of acupuncture care for persistent low back pain: Cost effective analysis. BMJ. 2006;333(7569):626.
• 21.   Dwivedi A, Dwivedi SS, Tariq MR, et al. Stem cell regenerative medicine -A new hope in orthopedics - Review Article. J Stem Cell Biol Transplant 2019;3:1-4.
• 22.   Dwivedi A, Dwivedi SS, Su Zhenhong etal. Open reduction and internal fixation of posterior pilon variant fractures with Butteress plate through a posterolateral approach. Int J Contemporary Med Res 2018; 5:1-5
• 23.   Sakai D, Mochida J, Iwashina T, etal. Differentiation of mesenchymal stem cells transplanted to a rabbit degenerative disc model; potential and limitation for stem cell therapy in disc regeneration. Spine 2005; 30:2379-2387
• 24.   Dwivedi A, WX Jian, Dwivedi SS, etal Artificial ervical disc replacement, a double edged sword A clinical review. nt JContemporary Med Res 2017; 4:1163-1168
• 25.   Atul Dwivedi, SS Dwivedi, MR Tariq, t al. Conservative Treatment of Traumatic Lower Back Pain: Case Report and Literature Review. Journal of Clinical & Experimental Orthopaedics. 2019;(5)2:68
• 26.   Dwivedi A, Dwivedi SS,Tariq MR, et al. A General Idea About the Reach of Stem Cell Regenerative Medicine: Evidence-Based Review. JRMDS, 2020:8(4);57-64
• 27.   Dwivedi A, Dwivedi S, Issue of Heterotopic ossification in Artificial Cervical Disc Replacement. Int J of Emerging Technologies and Innovative Research 2024:11:2;476-489
• 28.   Atul Dwivedi, Dibash Baral, Shweta Dwivedi et al. Application of Nanotechnology and stem cell therapy in musculoskeletal disorders: short commentary. Jr.ortho.Edu.2024;10(2):63-66DOI: http://dx.doi.org/10.21088/joe.2454.7956.10224.4
• 29.   Dwivedi A, WX Jian, Dwivedi SS, et al. Pilon fracture: An unsolved riddle An updated review. Int J Contemporary Med Res 2017; 4:718-725
• 30.   Wiltse LL, Newman PH, Macnab I: Classification of spondylosis and spondylolisthesis.Clin Orthop Relat Res. 1976,117:23-29
• 31.   Saraste H: Long-term clinical and radiological follow-up of spondylolysis and spondylolisthesis.J Pediatr Orthop. 1987,7;631-638
• 32.   Kalichman L, Hunter DJ: Diagnosis and conservative management of degenerative lumbar spondylolisthesis.Eur Spine J. 2008,17:327-335.
• 33.   Vibert BT, Sliva CD, Herkowitz HN: Treatment of instability and spondylolisthesis: surgical versus non-surgical treatment. Clin Orthop Relat Res. 2006, 443:222-227.
• 34.   Merchetti PG, Bartolozzi P: Classification of spondylolisthesis as a guideline for treatment. Textbook of Spinal Surgery. Edited by: Bridewell KH, Dewald RL, Hammerberg KW,1997,Philadelphia: Lippincott- Raven,1211-1254.2
• 35.   MeyerdingH: Spondylolisthesis.Surg Gynecol Obstet.1932,54:371-379.
• 36.   Timon SJ, Gardner MJ, Wanich T, pointing A, Pigeon R, Widmann RF etal. Not all Spondylolisthesis grading instruments are reliable. Clin Orthop Relat Res. 2005, 434: 157-162
• 37.   Metz LN, Deviren V: Low - grade spondylolisthesis. Neurosurg Clin N Am. 2007,18:237-248
• 38.   Matsunaga S, Ijiri K, Hayashi K: Non surgically managed patients with degenerative spondylolisthesis: a 10 to 18 year follow - up study. J Neurosurg Spine. 2000,93:194-198.
• 39.   Lee M, Scott - Young M: Highly selective epidural steroid injection for the treatment of radicular pain arising from spondylolisthesis.J Bone Joint Surg Br. 2004, 86:456-
• 40.   Oka H, Matsudaira K, Takano Y, etal. A comparative study of three conservative treatments in patients with lumbar spinal stenosis: lumbar spinal stenosis with acupuncture and physical therapy study ( Lap study ) BMC Complement Altern Med 18;19: (2018).
• 41.   American Geriatrics Society Panel on pharmacological Management of persistent pain in older persons. Pharmacological management of persistent pain in older persons. J Am Geriatr Soc. 2009;57:1331-46
• 42.   Koppert W, Wehrfritz A, Körber N, etal. The cyclooxygenase isozyme inhibitors parecoxib and paracetamol reduce central hyperalgesia in humans. Pain. 2004; 108:148-53
• 43.   DeWell C, Macdonald G, Webster GD, etal.Journal of Orthopedic Education 98 Volume 10 Number 3, September-December 2024 Acetaminophen reduces social pain: behavioural and neural evidence. Psychol Sci. 2010;21:931-7
• 44.   Randles D, Heine SJ, Santos N. The common pain of surrealism and death: acetaminophen reduces compensatory affirmations following meaning threats. Psychol Sci. 2013;24:966-73.
• 45.   Konno S. Epidemiological study on lumbar spinal canal stenosis.J New Rem & Clin. 2010;59:55-68. 46. Ogawa S. The concept of pain. The Bone. 2013; 27:21-5.
• 47.   Kim KH, Kim TH, Lee BR. et al., Acupuncture for lumbar spinal stenosis: A systematic review and meta-analysis. Complement Ther Med. 2013; 21:535-56.
• 48.   Kim TH, Ku B, Bae JH,etal. Haemodynamic changes caused by acupuncture in healthy volunteers: a prospective, single- arm exploratory clinical study. BMC Complement Altern Med. 2017; 17:274.
• 49.   Edzard Ernst. Acupuncture- a treatment to die for? J R Soc Med 2010; 103(10):384-385.
• 50.   Ernst E. Deaths after acupuncture: a Systematic review. Int J Risk & Safety 2010;22:1-6.
• 51.   Melchart D, Weidenhammer W, Streng A, etal. Prospective investigation of adverse effects of acupuncture in 97,733 patients. Arch Intern Med 2004; 164:104-5
• 52.   White A. The safety of acupuncture- evidence from the UK. Acupunc Med 2006; 24:S53-S57.
• 53.   Chung A, Bui L, Mills E. Adverse effects of acupuncture.Can Fam Physician 2003; 49:985-9
• 54.   Bellomo R Warrillow SJ, Reade MC. Why we should be wary of single - centre trials. Crit Care Med 2009:37(12):3114-9
• 55.   Robinson N, Lorenc A, Ding W. etal Exploring practice characteristics and research priorities of practitioners of traditional acupuncture in China and the EU - A survey. J Ethnopharmacol 2012; 140(3):604-13
• 56.   Kung CC. Defining a standard of care in the practice of acupuncture. Am J Law Med 2005:31(1):117-30
• 57.   Huang W, Pach D, Napadow V, etal. Characterizing acupuncture stimuli using brain imaging with fMRI - a systematic review and meta-analysis of the literature.PLOS One.
• 58.   Asghar AU, Green G, Lythgoe MF etal.Acupuncture needling sensation: the neural correlate of deqi using fMRI. Brain Res. 2010; 1315-111-8.
• 59.   National Cancer Institute. Questions and answers about acupuncture. http://www.cancer.gov/cancer topics/bbq/cam/acupuncture/patient/page2 AccessedJune10,2014