| Chronic spinal musculoskeletal pain (CSP) constitutes a significant subtype of musculoskeletal pain, severely impacting patients’ spinal function, quality of life, and emotional responses. In recent years, ultrasound-guided acupotomy (UGA) has increasingly been applied to treat CSP with favorable outcomes. Integrating ultrasound technology with acupotomy techniques, it represents a shift from “blind procedures” to “visualised treatment”, yet relevant reviews remain scarce. Consequently, this review examines the advantages and clinical value of UGA for CSP treatment, alongside current challenges and future directions, based on the existing research landscape. It aims to provide guidance for clinical practice selection and subsequent research. |