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CASE REPORT article

Front. Med.

Sec. Family Medicine and Primary Care

Volume 12 - 2025 | doi: 10.3389/fmed.2025.1612221

This article is part of the Research TopicThe Increasing Relevance of Traditional Medicine Systems for the Primary Health Care Sector and General Practice: Global Research Perspectives – Volume IIView all 21 articles

Effect of Electroacupuncture on Restoration of Traumatic Vertebral Compression Fracture: Two Case Studies and Literature Review

Provisionally accepted
Ji Sung  YeumJi Sung YeumYe Rim  YunYe Rim YunNo-Hyeon  KimNo-Hyeon KimJong-Ho  ChoiJong-Ho ChoiDo-Young  KimDo-Young Kim*
  • Jaseng Hospital of Korean Medicine, Seoul, Republic of Korea

The final, formatted version of the article will be published soon.

Vertebral compression fractures (VCFs) cause severe pain and functional impairments. Conventional treatments, including medication and vertebral augmentation, have limited efficacy and safety. Electroacupuncture (EA), which combines acupuncture with electrical stimulation, is a promising but under-studied approach for VCF management. This case report with a literature review presents two cases of traumatic VCF that were successfully treated with EA as well as a literature review on this topic. Two female patients with acute VCFs were assessed using the Numerical Rating Scale (NRS), Oswestry Disability Index (ODI), and EuroQol-5 Dimension (EQ-5D) at baseline and at 2 and 4 weeks post-treatment. EA was applied to the deep paraspinal muscles using stainless steel needles (0.30 × 60 mm) inserted up to 50 mm, with 4-Hz, 1-2-mA stimulation for 20 min, twice daily. Adjunctive treatments included analgesics, herbal medicines, and thermotherapy. A literature review was conducted to determine the efficacy of EA in fracture recovery. Both patients experienced marked pain relief and functional improvements. Their NRS scores decreased from 70 to 40 (patient 1) and 30 (patient 2), ODI scores decreased from ~85 to 64.4 and 42.2, respectively, and EQ-5D scores improved to 67.7 (patient 1) and 73.0 (patient 2). Early restoration of standing ability and ambulation was also observed. The findings from the literature review suggest that EA may enhances bone healing via callus formation and immune modulation. EA applied to the deep paraspinal muscles may be an effective, minimally invasive treatment for VCF, promoting pain relief and recovery. Further controlled trials are required to confirm the efficacy and mechanism of action.

Keywords: Vertebral compression fractures, Electroacupuncture, pain relief, Gait disturbance, deep paraspinal muscles

Received: 15 Apr 2025; Accepted: 11 Aug 2025.

Copyright: © 2025 Yeum, Yun, Kim, Choi and Kim. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Do-Young Kim, Jaseng Hospital of Korean Medicine, Seoul, Republic of Korea

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