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Objectives The purpose of this study was to observe the efficacy of fire needling on herniated intervertebral disc (HIVD) patient with loss of lumbar lordosis. Methods Patients was treated with bee venom pharmacopuncture on affected lumbar site and fire needling on 陰陵泉 (SP9), 五樞(GB27). Patient's acute lumbar pain was assessed by Short Form McGill Pain Questionnair (SF-MPQ) and Visual Analogue Scale (VAS), restriction of activities of daily living by Oswestry Disability Index (ODI) and knee pain was assessed by measuring pressure pain using algometer and VAS scale. Sagittal imbalance was assessed by imaging findings and value of Pelvic Incidence minus Lumbar Lordosis (PI-LL). The treatment was executed once everyday from June, 27th to July, 2nd. Patient was observed from June, 26th to June, 4th. Results During the 6 sessions of bee vemon pharmacopuncture and fire needling, PI-LL value and pressure pain was improved considerably and VAS, SF-MPQ and ODI score was decreased through treatment period. Conclusions Bee vemon pharmacopuncture and fire needling might be efficient to loss of lumbar lordosis of patient. It can be used for treatment for severe Low back pain caused by HIVD.
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