Pharmacoacupuncture Treatment of Coccygodynia Caused by Perforating Cutaneous Nerve Entrapment Syndrome: Two Cases Report

Abstract

This study was performed to evaluate the effectiveness of pharmacoacupuncture treatment of coccygodynia caused by perforating cutaneous nerve entrapment syndrome. Two patients were diagnosed as coccygodynia caused by perforating cutaneous nerve entrapment syndrome which pain was within the anatomical field of the nerve, worsened by pressure-inducing posture, no objective sensory loss and in presence of pin-point tenderness. They were treated by pharmacoacupuncture at perforating cutaneous nerve region penertrating the sacrotuberous ligament and local tenderness point of coccyx. The evaluation of clinical outcome was done by pain intensity numerical rating scale (PI-NRS), pressure pain threshold (PPT) and EuroQol five dimensions questionnaire (EQ-5D) index. After treatment, their PI-NRS was decreased, PPT and EQ-5D index were increased. The pharmacoacupuncture therapy at entrapment point of perforating cutaneous nerve could be an effective way to treat coccygodynia caused by perforating cutaneous nerve entrapment syndrome. (J Korean Med Rehabil 2019;29(3):149-156)

Survey on the current usage of ultrasound-guided procedures in Korean Medicine Clinics and Hospitals

“…There have been reports in several studies that pharmacopuncture is effective for treating nerve entrapment syndrome. [22][23][24][25] In the field of medicine, it is also one of the cases where the safety and effectiveness of commonly used injectates have been enhanced through ultrasound-guidance. [26] In the case of shoulder joint disorders, in KM, there have been reports of a significant improvement in pain and range of motion by administering ultrasound-guided soyeom pharmacopuncture at the acromioclavicular joint for 9 patients with anterior shoulder pain.…”

Pharmacopuncture for nerve entrapment syndrome: A protocol for systematic review

“…[13,14] The treatment of nerve entrapment syndrome with pharmacopuncture alone or combined with KM intervention has been reported, and clinical Medicine evidence suggests that pharmacopuncture treatment can reduce pain by relieving the entrapment of the peripheral nerves that dominate the area, thus improving the ischemic state of the nerve stem. [17][18][19][20] However, data on the effectiveness of pharmacopuncture treatment for nerve entrapment syndrome are insufficient. In this study, we will review systematic randomized controlled trials (RCTs) to establish a therapeutic basis and expand clinical applications to evaluate the efficacy and safety of pharmacopuncture based on traditional medicine for nerve entrapment syndrome.…”