Integr Med Res. 2021 Sep;10(3):100679. doi: 10.1016/j.imr.2020.100679. Epub 2020 Oct 14.
Using magnetic resonance imaging to measure the depth of acupotomy points in the lumbar spine: A retrospective study.
Integrative medicine research
Sang-Hoon Yoon, Shin-Ae Kim, Geon-Yeong Lee, Hyunho Kim, Jun-Hwan Lee, Jungtae Leem
Affiliations
Affiliations
- Chung-Yeon Central Institute, Gwangju, Republic of Korea.
- Chung-Yeon Korean Medicine Hospital, Gwangju, Republic of Korea.
- Clinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon, Republic of Korea.
- Research Center of Traditional Korean Medicine, Wonkwang University, Iksan, Republic of Korea.
PMID: 33898243
PMCID: PMC8054160 DOI: 10.1016/j.imr.2020.100679
Abstract
BACKGROUND: The acupotomy is an acupuncture device recently used to stimulate lumbar vertebrae such as transverse processes (TPs) and facet joints (FJs). However, there are many organs, nerves, and blood vessels, which can lead to side effects if the needle misses the treatment target. Therefore, information regarding appropriate insertion depths, which is currently lacking, could facilitate its safe use. We retrospectively investigated the depth from the skin to the TP and FJ of the lumbar vertebrae, using magnetic resonance imaging (MRI).
METHODS: This retrospective chart review was conducted at a single medical centre in Korea. From 55,129 patient records, 158 subjects were selected. Perpendicular depth from the skin to the left and right TPs and FJs was measured using T1-weighted sagittal plane MRI. Depth differences between the left and right sides were evaluated using the paired
RESULTS: The mean age was 43.2 years and mean BMI was 23.6 kg/m
CONCLUSION: The depth of TPs and FJs adjusted for BMI can safely and effectively be used for treatment via various invasive interventions, including acupotomy treatment, in the lumbar region.
© 2021 Korea Institute of Oriental Medicine. Publishing services by Elsevier B.V.
Keywords: Acupotomy; Complementary medicine; Lumbar spine; MRI; Needling depth
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