Evidence map›Paper›PMID 40527792›Full record

SynthesisMedicine2025

Effectiveness of acupotomy combined with nerve block therapy for cervical radiculopathy: A systematic review and meta-analysis.

Hyeon-Kyu Choi, Sang-Hyun Lee, Jin-Hyun Lee, Sooil Choi, Sukhee Park, Young Su Lim, Hye-Jung Kim, Young Il Kim, Tae-Yong Park

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hyeon-Kyu ChoiDepartment of Acupuncture and Moxibustion Medicine, Daejeon University Daejeon Korean Medicine Hospital, Daejeon, Republic of Korea.
Sang-Hyun LeeSeonwoon Korean Medicine Hospital, Jinju, Gyeongnam, Republic of Korea.
Jin-Hyun LeeInstitute for Integrative Medicine, Catholic Kwandong University, International St. Mary's Hospital, Incheon, Republic of Korea.
Sooil ChoiDepartment of Anesthesiology and Pain Medicine, Catholic Kwandong University, International St. Mary's Hospital, Incheon, Republic of Korea.
Sukhee ParkDepartment of Anesthesiology and Pain Medicine, Catholic Kwandong University, International St. Mary's Hospital, Incheon, Republic of Korea.
Young Su LimDepartment of Anesthesiology and Pain Medicine, Catholic Kwandong University, International St. Mary's Hospital, Incheon, Republic of Korea.
Hye-Jung KimDepartment of Family Medicine, Catholic Kwandong University, International St. Mary's Hospital, Incheon, Republic of Korea.
Young Il KimDepartment of Acupuncture and Moxibustion Medicine, Daejeon University Daejeon Korean Medicine Hospital, Daejeon, Republic of Korea.
Tae-Yong ParkInstitute for Integrative Medicine, Catholic Kwandong University, International St. Mary's Hospital, Incheon, Republic of Korea.ORCID 0000-0002-6803-5483

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis systematic review and meta-analysis aimed to evaluate the effectiveness and safety of combining acupotomy with nerve block therapy (NBT) for cervical radiculopathy (CR) compared to NBT alone.

methodsA comprehensive search was conducted across multiple databases to identify randomized controlled trials (RCTs) investigating the combined use of acupotomy and NBT for CR. Studies were assessed for risk of bias using the Cochrane Risk of Bias 2 tool. Data were synthesized through meta-analysis where applicable.

resultsFour RCTs with a total of 540 patients were included. Meta-analysis showed that the combination of acupotomy and NBT significantly improved the total effective rate compared to NBT alone (risk ratio 1.16, 95% confidence interval 1.08-1.24, P < .0001). However, no significant pain reduction was observed based on the pain visual analog scale (SMD - 2.55, 95% confidence interval -5.32 to 0.22, P = .07), and there was substantial heterogeneity among the included studies (I² = 99%). The overall risk of bias was high, and safety data were limited, with only one study reporting adverse events.

conclusionThe findings suggest that acupotomy combined with NBT may enhance treatment effectiveness for CR, particularly in terms of overall therapeutic response. However, due to the high risk of bias, study heterogeneity, and insufficient safety reporting, further well-designed, large-scale RCTs with long-term follow-ups are needed to establish robust clinical evidence.

Indexed as

Acupuncture TherapyNerve BlockRadiculopathyCombined Modality TherapyHumansPain MeasurementRandomized Controlled Trials as TopicTreatment Outcomeacupotomycervical radiculopathymeta-analysisnerve blocksystematic review

Identifiers

PMID40527792
PMCPMC12173307

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

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 Socratic graph.