Combination of Yaobitong capsules and lumbar oblique pull manipulation for moderate pain in lumbar disc herniation with radiculopathy: a multicenter, randomized, three-arm, parallel-group controlled trial - Report - MDSpire
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Combination of Yaobitong capsules and lumbar oblique pull manipulation for moderate pain in lumbar disc herniation with radiculopathy: a multicenter, randomized, three-arm, parallel-group controlled trial
Efficacy of Yaobitong Capsules Combined with Lumbar Oblique Pull Manipulation
Overview
This multicenter, randomized trial evaluated the efficacy of Yaobitong (YBT) capsules combined with lumbar oblique pull manipulation (LOPM) for treating moderate lumbar disc herniation with radiculopathy.
Background
Lumbar disc herniation with radiculopathy is a significant cause of disability, affecting a substantial number of individuals worldwide. Traditional Chinese Medicine approaches, including YBT and LOPM, are commonly utilized in clinical practice.
Data Highlights
Group
Mean Reduction in ODI (95% CI)
YBT
−19.4 (−21.4 to −17.5)
LOPM
−19.4 (−21.4 to −17.5)
Combination
−21.1 (−23.0 to −19.1)
Key Findings
No statistically significant differences in ODI reduction between YBT, LOPM, and combination groups at any follow-up time point (all p > 0.05).
Mean reduction in ODI at 2 weeks was similar across all treatment groups.
No significant differences in secondary outcomes, including leg pain VAS scores and SF-12, were observed.
No safety concerns were reported in any treatment group during the 2-week intervention period.
The study involved 426 patients with moderate pain, ensuring a focused evaluation of the treatment effects.
Clinical Implications
The findings suggest that combining YBT capsules with LOPM does not provide additional benefits over monotherapy for patients with moderate lumbar disc herniation pain. Clinicians may consider this when recommending treatment options for similar patients.
Conclusion
The study evaluated the combination of YBT and LOPM in managing functional disability and pain in patients with moderate lumbar disc herniation.
