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ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025

Ultrasound-guided drug injection combined with mini-needle knife therapy for acute lumbar sprain: a prospective interventional study.

Yi Xiao, Yi Zhang, Shenyi Li, Xiangdang Long, Yingxin Su, Zhiyong Zeng, Jing Yan, Xi Li, Shibo Fu

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Yi XiaoHunan Normal University, Changsha, China.
Yi ZhangThe People's Hospital of Hunan Province, Changsha, China.
Shenyi LiThe People's Hospital of Hunan Province, Changsha, China. mao45196909@163.com.
Xiangdang LongThe People's Hospital of Hunan Province, Changsha, China.
Yingxin SuHunan Normal University, Changsha, China.
Zhiyong ZengThe People's Hospital of Hunan Province, Changsha, China.
Jing YanThe People's Hospital of Hunan Province, Changsha, China.
Xi LiThe People's Hospital of Hunan Province, Changsha, China.
Shibo FuSecond People Hospital of Hunan, Changsha, China.

Funding

Hunan Normal University Key Laboratory of Myofascial Ultrasound Diagnosis and Treatment Integration XJSYS2022
6 · The paper itself

Abstract

purposeTo evaluate the clinical efficacy of ultrasound-guided local anesthetic injection combined with myofascial trigger point mini-needle knife therapy for acute lumbar sprain management.

methodsIn this prospective study, 60 patients (January-July 2024) received ultrasound-guided injections at the third lumbar (L3) transverse process attachment and posterior medial spinal nerve branch, combined with miniscalpel-needle release of MTrPs. Visual analog scale (VAS), modified Oswestry disability index (MODI), and lumbar range of motion (ROM) were assessed pre-treatment and on days 3 and 7 post-treatment.

resultsVAS scores, modified ODI scores, and ROM scores on days 3 and 7 post-treatment were significantly reduced compared to baseline (all P < 0.001). Further pairwise comparisons revealed statistically significant improvements in VAS scores (MD - 1.25; 98.33% CI - 1.50 to - 0.75; P < 0.001) and modified ODI scores (MD - 2.50; 98.33% CI - 3.00 to - 2.00; P < 0.001) from day 3 to day 5. However, no significant change in ROM scores was observed between days 3 and 7, indicating rapid stabilization of mobility metrics.

conclusionsThe integration of ultrasound-guided anesthesia and miniscalpel-needle therapy provides rapid pain relief, functional recovery, and mobility restoration in acute lumbar sprain. This multimodal approach demonstrates clinical efficacy with minimized invasiveness, aligning with evidence supporting ultrasound-guided precision and MTrP-targeted interventions.

Indexed as

Anesthetics, LocalLow Back PainSprains and StrainsUltrasonography, InterventionalAdultCombined Modality TherapyFemaleHumansLumbar VertebraeLumbosacral RegionMaleMiddle AgedNeedlesPain MeasurementProspective StudiesRange of Motion, ArticularAnesthetics, LocalAcute lumbar sprainMini-needle knife therapyMyofascial trigger pointsProspective studyUltrasound-guided injection

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.