A Clinical Case of Oriental Medical Treatment for the Pregnant Woman with HNP at L-spine

임신 중 요추간판 탈출증 환자의 한의학적 치료효과

  • Park, Min-Jung (Dept. of Oriental Rehabilation Medicine, College of Oriental Medicine, Won-Kwang University) ;
  • Yu, Deok-Seon (Dept. of Oriental Rehabilation Medicine, College of Oriental Medicine, Won-Kwang University) ;
  • Jung, Il-Min (Dept. of Oriental Rehabilation Medicine, College of Oriental Medicine, Won-Kwang University) ;
  • Yeom, Seung-Ryong (Dept. of Oriental Rehabilation Medicine, College of Oriental Medicine, Won-Kwang University) ;
  • Kwon, Young-Dal (Dept. of Oriental Rehabilation Medicine, College of Oriental Medicine, Won-Kwang University) ;
  • Kwon, Young-Mi (Dept. of Diagnostic Radiology, College of Oriental Medicine, Won-Kwang University)
  • 박민정 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 유덕선 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 정일민 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 염승룡 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 권영달 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 권영미 (원광대학교 한의과대학 영상의학과교실)
  • Received : 2010.09.13
  • Accepted : 2010.10.02
  • Published : 2010.10.30

Abstract

Objectives : This study was performed to report the effect and safety of oriental medical treatment in the pregnant woman diagnosed to herniation of nuclues pulposus(HNP) at L5-S1 with central protrusion and left S1 nerve root. Methods : A 32-year old pregnant woman diagnosed HNP at L5-S1 at local hospital was admitted with low back pain and left leg rad pain. We treated her by acupuncture, a herbal medicine, cupping treatment and measured visual analogue scale(VAS), Oswestry disability index(ODI) and Roland-Morris disability qustionnaire(RMDQ) from 5th March 2010 to 26th March 2010. Results : After treatment, most symptoms decreased, VAS score changed 10 to 2, ODI changed 388, RMDQ changed 13 to 6. Conclusions : In this study, oriental medical treatment was effective and safe in pregnant woman with HNP at L-spine. But the rigorous studies will be needed to define clearly that oriental medical treatment is effective and safe in pregnant women with HNP at L-spine.

References

  1. Andersson, GBJ. Low back pain in pregnancy in the lumbar spine. Ed. Philadelphia: Weinstein, JN, Wiesel, SW, WB Saunders Co. 1990:840-5.
  2. Fast A, Shapiro D, Ducommun EJ, Friedmann LW, Bouklas T, Floman Y. Low back pain in pregnancy.
  3. Mantle MJ, Greenwood RM, Currey HLF. Backache in pregnancy. Rheumatol. Rehabil. 1977;16:95-101. https://doi.org/10.1093/rheumatology/16.2.95
  4. Stiffert RX. Backache of pregnancy: method of treatment. Obstet Gynecol. 1958;12:670-76.
  5. Berezin D. Pelvic insufficiency during pregnancy and after parturition. Acta Obstet Gynecol Scand(suppl). 1954;33:5-39.
  6. Szlachter BN, Quagliarello J, Jewelewicz R, et al. Relaxin in normal and pathogenic pregnancies. Obster Gynecol. 1982;59:167.
  7. O' Connell JEA. Lumbar disc protrusion in pregnancy. J Neurol Neurosurg Psychiatry. 1960;23:18-141.
  8. LaBan MM, Perrin JCS, Latimer FR. Pregnancy and the herniated lumbar disc. Arch Psys Med Rehabil. 1983;64:319-21.
  9. King AB. Neurologic conditions occurring as complications of pregnancy. Arch Neurol Psychiatry. 1950;63:611-44. https://doi.org/10.1001/archneurpsyc.1950.02310220078008
  10. 한방재활의학과학회. 한방재활의학. 2판. 서울: 군자출판사. 2006:61.
  11. Fast A, Weiss L., Ducommun EJ, Medina E, Bulter JG. Low back pain in pregnancy: abdominal muscles, sit-up performance and back pain. Spine. 1990;15:28-30. https://doi.org/10.1097/00007632-199001000-00008
  12. 오광우, 류익한, 김지양, 김해중, 강정아, 이수정, 최창민. 임신 중 교통사고로 인한 요통 및 골반통으로 입원한 환자 증례 보고. 대한한방부인과학회지. 2009;22(4):195-205.
  13. 박경미, 정진홍, 유동열. 오저를 동반한 임신 요통 환자 1례에 관한 임상보고. 2001;14(3):199-208.
  14. 하인혁, 박원상, 우인, 김하늘, 고동현, 윤유석. 요각통 환자의 통증 평가에 있어서 수직, 수평선 visual analogue scale과 numerical rating scale의 상관관계. 한방재활의학과학회지. 2006;16(4):125-33.
  15. 조규정, 문경호, 김명구, 최동훈, 이상형, 박승림, 이동주. 대한척추외과학회지. 2003;10(2):113-18.
  16. Roland M, Fairbank J. The Roland Morris disability questionnaire and the Oswestry disability questionnaire. Spine. 2000:15;25(24):3115-24. https://doi.org/10.1097/00007632-200012150-00006
  17. 장경전. 침구금기사항에 관한 문헌적 고찰. 부산 동의대학교 한의학연구소. 1997;(1):55.
  18. 윤승현. 요통의 물리치료. 아주대학교 의과대학 재활의학교실. Multidisciplinary management of lumbar spinal pain(II).
  19. 양승환, 이원일, 문승국. 임신 중 요통에 관한 연구. 대한재활의학회지. 1998;22(1):63-7.
  20. Dutro S, Wheeler L. Pregnancy and exercise. Conservative card of low back pain. 1991:78-96.
  21. Rothman, RH, Simeone, FA. Pregnancy and lumbar disc problem in the spine. Ed. Philadelphia:WB. Sanuders Co. 1982;(2):598-99.
  22. Alexander JT, McCormick PC. Pregnancy and discogenic disease of the spine. Neurosurg Clin North Am. 1993;4:153-9.
  23. Bray RS, Lynch R, Grossman RG, Foreman D. Management of neurosurgical problem in pregnancy. Clin Perinatol. 1987;14:243-57.
  24. 한의부인과학 편찬위원회. 한의부인과학. 서울: 도서출판 정담. 2001:(하):263.