• Wenkang Dai, Xiongwei Wang, Rui Xie, Minghui Zhuang, Xiaojuan Chang, Zhefeng Jin, He Yin, Minshan Feng, Xu Wei, Jie Yu, and Liguo Zhu.
• Wangjing Hospital of China Academy of Chinese Medical Sciences.
• Medicine (Baltimore). 2020 Aug 7; 99 (32): e21587.

BackgroundCervical spondylotic radiculopathy (CSR) is a clinical syndrome of radial neck and shoulder pain. Both Massage and Acupotomy have been widely used in the treatment of CSR, in China and achieved satisfied efficacy. Therefore, the aim of this study is to systematically evaluate the clinical efficacy of acupotomy combined with massage in the treatment of CSR.MethodsThe following electronic databases will be searched: PubMed, Web of Science, the Cochrane Central Register of Controlled Trials (CENTRAL), the Cochrane Library, Embase, SinoMed, Clinical Trials. gov, the China National Knowledge Infrastructure (CNKI), Wanfang database, and VIP database. Two review authors independently search databases from their respective inception dates to September 2019 to identify potentially eligible studies. Cochrane Handbook 5.1 risk of bias assessment tool will be used to evaluate the methodological quality of the included studies. The Review Manager 5.3 will be used for all statistical analysis of the final included study.ResultsThe results of this systematic review and meta-analysis will provide a synthesis of existing evidences for the treatment of acupotomy combined with massage on CSR, especially in improving visual analog scale and symptom score.ConclusionThis study will summarize the current evidence of acupotomy combined with massage for the treatment of CSR. This study can further guide the promotion and clinical decisions.Ethics And DisseminationEthical approval and patient consent are not required because this study is a literature-based study. This systematic review and meta-analysis will be published in a peer-reviewed journal.Prospero Registration NumberCRD42020171825.

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