• Title/Summary/Keyword: Conservative treatment

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The Clinical Study on the Effect of Conservative Treatment for Patients with Herniated Intervertebral Disc of Lumbar Spine (요추간판탈출증(腰椎間板脫出症) 환자(患者) 33례의 보존적 치료에 대한 보고)

  • Oh, Seung-Kyu
    • The Journal of Korea CHUNA Manual Medicine
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    • v.6 no.1
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    • pp.41-50
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    • 2005
  • The aim of this study is to estimate clinical outcome of Conservative treatment for patients with Herniated Intervertebral Disc(HIVD) of lumbar spine. We investigated the 33 cases of Inpatients who were diagnosed as the HIVD of L-Spine and were treated Acupuncture therapy, Herb-medicine, Bee-vom treatment in Oriental Medicine Hospital from March 1, 2005 to November 31, 2005. We evaluated the subjective symptoms by Visual Analogue Scale, Hudgin's classification and follow-up of Activity Daily Living status. The improvement index showed that the oriental medical conservative therapy improved the symptom of HIVD effectively.

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Treatment of Flatfoot Deformity (편평족의 치료)

  • Lee, Dong-Oh;Jung, Hong-Geun
    • Journal of Korean Foot and Ankle Society
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    • v.20 no.1
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    • pp.6-11
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    • 2016
  • Flatfoot deformity, defined as loss of medial longitudinal arch, sometimes involves symptoms such as medial arch pain or Achilles tendon tightening, etc. Whether the etiology of deformity is congenital or acquired, i.e., posterior tibial tendon dysfunction, symptoms are largely resolved with conservative treatment including medication, orthoses, and activity modification. Surgery should be considered in cases of failure of conservative treatment and clinicians can select an appropriate technique among many surgical options including calcaneal osteotomy or flexor digitorum longus tendon transfer. Principles of corrective surgery include the recovery of alignment and the preservation of joint motion.

Diagnosis and treatment of calcific tendinitis of the shoulder

  • Kim, Min-Su;Kim, In-Woo;Lee, Sanghyeon;Shin, Sang-Jin
    • Clinics in Shoulder and Elbow
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    • v.23 no.4
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    • pp.203-209
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    • 2020
  • Calcific tendinitis is the leading cause of shoulder pain. Among patients with calcific tendinitis, 2.7%-20% are asymptomatic, and 35%-45% of patients whose calcific deposits are inadvertently discovered develop shoulder pain. If symptoms are present, complications such as decreased range of motion of the shoulder joint should be minimized while managing pain. Patients with acute calcific tendinitis respond well to conservative treatment and rarely require surgery. In contrast, patients with chronic calcific tendinitis often do not respond to conservative treatment and do require surgery. Clinical improvement takes time, even after surgical treatment. This review article summarizes the processes related to the diagnosis and treatment of calcific tendinitis with the aim of helping clinicians choose appropriate treatment options for their patients.

Conservative Management and Postoperative Rehabilitation of Chronic Lateral Ankle Instability (만성 외측 족관절 불안정성의 보존적 치료와 수술적 치료 후의 재활운동)

  • Park, Young Hwan;Kim, Hak Jun
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.1
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    • pp.6-11
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    • 2019
  • As a result of the increased participation in recreational and competitive sports activity, the incidence of chronic lateral instability has risen. Because chronic ankle instability can cause significant comorbidity and increase the social cost, the interest in this issue is growing. Although there are well-documented and effective surgical treatments for managing this condition, conservative treatments are a viable first option in selected patients. Through conservative treatment, surgical treatments can be reduced or delayed without necessarily affecting the overall outcome, but the failure of conservative treatment results in the need for surgical treatment to reduce the long term complications. Appropriate postoperative rehabilitation is essential for adequate functional recovery, even when surgical treatment is required.

The Analysis of Conservative Treatment in Midshaft Fractures of Clavicle (쇄골 간부 골절의 보존적 치료 분석)

  • Cha, Seung-Do;Chung, Soo-Tai;Kim, Yong-Hoon;Park, Sang-Jun
    • Clinics in Shoulder and Elbow
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    • v.13 no.1
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    • pp.27-33
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    • 2010
  • Purpose: Most clavicular fractures can be healed by conservative treatment, although there are many factors that influence healing. The aim of the present study was to analyze factors that influence (i) bone union of midshaft fractures of the clavicle treated conservatively and (ii) bone functioning, after union. The long-term goal was to determine which treatments are adequate. Materials and Methods: We evaluated factors that have an effect on bone union and bone function after union. We evaluated age, fracture site, comminution, displacement, shortening and other factors. Among 523 clavicular midshaft fractures that presented between January 2004 and Jun 2009 at our Department of Orthopaedic Surgery, we identified 270 who had conservative treatment and 173 patients who had surgical treatment. Results: The period required for bone union increased with the degree of displacement. For the group below 12 years of age, and the group without comminution, it took half the time to achieve bone union compared with the other groups. Displacement mostly occurred within 2 weeks after conservative treatment. Conclusion: In patients with a comminuted clavicular midshaft fracture, we might, because of expected delays in bone union, delay the start of rehabilitation until patients are more than 13 years old. Because the degree of displacement may be increased within 2 weeks during conservative treatment, we can think about surgical treatments.

Temporomandibular Joint Disorder and Occlusal Changes: Case Reports

  • Kim, Young-Kyun
    • Journal of Korean Dental Science
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    • v.11 no.1
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    • pp.21-31
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    • 2018
  • Occlusion may change spontaneously but dental treatment or trauma in the patients with temporomandibular disorders (TMDs) may also alter occlusion. This report presents three cases displaying occlusal changes. Review of literature emphasizes the significance of TMD treatment. Conservative treatment modalities such as counseling, medication, physical therapy and splint therapy may be selected as initial treatment options. Irreversible or invasive treatment, such as orthodontic, prosthodontic, and occlusal adjustment should not be attempted early. In case there is no response to conservative treatment, joint injection, muscle injection, arthrocentesis or arthroscopic surgery might be performed.

Diagnosis and treatment of Acute temporomandibular disorders (급성 턱관절 및 저작근 통증의 진단 및 치료)

  • Shim, Young Joo
    • The Journal of the Korean dental association
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    • v.58 no.6
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    • pp.354-363
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    • 2020
  • Patients often seek consultation with dentists for their temporomandibular disorders (TMD), especially for pain. Acute pains refer to pains that are of short duration. Common acute TMD are arthralgia and local myalgia. Diagnosis should be made based on careful history taking and clinical examination. Most acute TMD are well controlled by education, cognitive awareness training, and conservative treatment. The aggressive and irreversible treatments should not be applied. Acute TMD should be controlled in the early phase so as not to be proceed to chronic pain.

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Cervical Radiculopathy due to Cervical Degenerative Diseases : Anatomy, Diagnosis and Treatment

  • Kim, Kyoung-Tae;Kim, Young-Baeg
    • Journal of Korean Neurosurgical Society
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    • v.48 no.6
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    • pp.473-479
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    • 2010
  • A cervical radiculopathy is the most common symptom of cervical degenerative disease and its natural course is generally favorable. With a precise diagnosis using appropriate tools, the majority of patients will respond well to conservative treatment. Cervical radiculopathy with persistent radicular pain after conservative treatment and progressive or profound motor weakness may require surgery. Options for surgical management are extensive. Each technique has strengths and weaknesses, so the choice will depend on the patient's clinical profile and the surgeon's judgment.

Treatment of Esophaocutaneous Fistula -2Cases Report- (식도피부루의 치험;2례 보고)

  • 최승호
    • Journal of Chest Surgery
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    • v.26 no.7
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    • pp.583-585
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    • 1993
  • An esophagocutaneous fistula following anterior cervical fusion is rare.We had experienced two cases of postoperative cervical esophagocutaneous fistula, which one case was treated with nonoperative management and the other with operative management.The operation was tried when the conservative treatment seemed to be unsuccessful.They were eventually recovered with conservative treatment, whitch consisted of wound drainage and intravenous administration of antibiotics and operative management with the transposition of sternocleidomastoid muscle flap respectively.

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