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AB0877 Non Pharmalogical Treatment of Sciatica, A Comparative Study
  1. S. Miladi1,
  2. K. Ben Abdelghani2,
  3. L. Souabni2,
  4. S. Kassab2,
  5. S. Chekili2,
  6. A. Laatar2,
  7. L. Zakraoui1
  1. 1Rheumatology Departement
  2. 2Mongi Slim Hospital, la Marsa, Ariana, Tunisia

Abstract

Background Sciatica is a common disease and can be source of pain and disability. Pharmacological treatment is often prescribed but sometimes adverse effects occur. Acupuncture is an interesting alternative when medical treatment is prohibited.

Objectives Our aim was to assess the relation between the pain threshold and therapeutic effects of acupuncture for sciatica. And then to compare the effect of acupuncture in monotherapy or associated with migratory sucker.

Methods Fourty patients suffering from sciatica were prospectively screened and devised into 2 groups: G1 treated by acupuncture and G2 treated by acupuncture and migratory sucker. All patients were treated 3 times per week for 20 minutes for a total of 10 sessions. The visual analogical scale (VAS), the straight leg raising test (SLR), and Schober index were assessed at baseline, at the third, sixth and last visit.

Results Among patients selected, 38 finished the protocol, 19 both in G1 and G2. The sciatica ran since 42 months [1-168 months] before inclusion. A significant decrease of VAS, SLR was noted for both groups at the end of the study. A significant decrease of distance fingers floor and increase of Schober index was observed only for G2. Comparing the two groups the variation of VAS, SLR, distance fingers floor and Schober index was more important for G2 but it was significant only for distance fingers floor (p<0,05).

Conclusions Acupuncture seems to be efficient to treat sciatica, especially when associated to migratory sucker. Since this therapy avoids drug's side effects it should be more considered.

References

  1. Chen MR. The warming acupuncture for treatment of sciatica in 30 cases. J Tradit Chin Med. 2009.

  2. C. Jiao. Current situation and prospects on the clinical researches of traditional acupuncture and moxibustion for sciatica. European Journal of Integrative Medicine 2010.

Disclosure of Interest None declared

DOI 10.1136/annrheumdis-2014-eular.5216

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