• Title, Summary, Keyword: herniated nucleus pulposus

Search Result 41, Processing Time 0.13 seconds

Cervical and Lumbar Herniated Nucleus Pulposus Resorption after Acupotomy with Integrative Korean Medicine Treatment: A Case Series of Two Patients

  • Lee, Ye Ji;Kim, Jae Ik;Kim, Hyo Bin;Jeon, Ju Hyun;Kim, Eunseok;Kim, Young Il
    • Journal of Acupuncture Research
    • /
    • v.36 no.2
    • /
    • pp.107-112
    • /
    • 2019
  • The aim of this study was to report on the resorption of herniated nucleus pulposus following acupotomy treatment. Two patients were treated with acupotomy which included integrative Korean Medicine treatment, for either cervical, or lumbar herniated nucleus pulposus. Magnetic Resonance Imaging was used to produce images before and after (several months) treatment. The Numerical Rating Scale scores and Range of Motion were used to assess the patients at admission and discharge. In both cases, substantial resorption of the respective herniated disc was observed in the magnetic resonance images, with a decrease in the Numerical Rating Scale score. Range of Motion improved in 1 case. This study shows that acupotomy treatment may be a clinically effective treatment for herniated nucleus pulposus resorption and pain relief.

Investigation on Common-Using Technique of Chinese Chuna Manipulations for Herniated Nucleus Pulposus (요추간판탈출증(腰推間板脫出症)에 상용(常用)되는 중국추나(中國推拿) 기법(技法)에 관(關)한 연구(硏究))

  • Han, Moo-Gyu;Heo, Su-Young;Choi, Jin-Man
    • The Journal of Korea CHUNA Manual Medicine
    • /
    • v.1 no.1
    • /
    • pp.103-117
    • /
    • 2000
  • The manipulations are the main therapheutic procedure of Chuna. Manipulation is the essential procedure of Chuna theraphy. On the basis of touch parts and motion changes, each elementary manipulation is divided into Stimulating Manipulations (reflexional manipulations) and Mobilizing Manipulations. Objectives: This study were advanced so as to know Chinese Chuna Manipulations especially on Herniated Nucleus Pulposus. Methods We Investigated Chinese medicine paper about Chinese Chuna Manipulations on Herniated Nucleus Pulposus between 1996 and 1999. Results. Chinese Chuna theraphy, Pressing Manipulations and Thrusting-Wrenching Manipulations are mostly used on Herniated Nucleus Pulposus, and Chinese Chuna theraphy carrys out Traction, Injection. Chinese medicine. Acupuncture side by side. Conclusions: Chinese Chuna theraphy uses not only Mobilizing Manipulations, but also Stimulating Manipulations whereas Korean Chuna theraphy chiefly uses Mobilizing Manipulations.

  • PDF

A Case of Osteoid Osteoma Diagnosed during Treatment of Herniated Nucleus Pulposus (요추 추간판 탈출증의 통증치료시 발견된 유골골종 -증례 보고-)

  • Ro, Man-Seog;Gang, Hoon-Soo;Kim, Jeong-Ho
    • The Korean Journal of Pain
    • /
    • v.10 no.2
    • /
    • pp.262-265
    • /
    • 1997
  • We experienced a case of osteoid osteoma in thoracic vertebra accompanied with herniated nucleus pulposus during the management of back pain. A 32 year old male patient with herniated nucleus pulposus complained of back pain and radiation to right leg. Lumbar epidural block with 1% mepivacaine 5 ml was performed for pain control and it relieved the radiating pain. However patient continued to experience severe exacerated back pain at night which responded to aspirin. Therefore we performed further examination for existence of disease of the spine and diagnosed osteoid osteoma in the right pedicle of T12 vertebra. In conclusion, we recommend physicians when evaluating patients with back pain to be congnizant of possible existence of neoplastic disease of the spine and incorporate it in differential diagnosis.

  • PDF

A Comparison of Lumbar Lordotic Curves between Herniated Nucleus Pulposus Patients and Normal Subject Using a Flexible Curve Ruler

  • Jung, Yong-Mi;Choi, Jong-Duk
    • The Journal of Korean Physical Therapy
    • /
    • v.24 no.3
    • /
    • pp.208-215
    • /
    • 2012
  • Purpose: We attempt to assess the differences in the degree of lumbar lordosis in patients with lower back pain caused by the herniation of the nucleus pulposus and in normal people (divided into male and female groups). Methods: This study was conducted with 14 patients (7 males, 7 females) diagnosed with, and being treated for, lumbar herniated nucleus pulposus and 14 normal people (7 males, 7 females). In order to examine the degree of lumbar lordosis in these subjects, hip flexor lengthening tests were conducted and the lumbar curves were measured in three postures (supine, sitting, and prone) and the results were compared. Results: The measured values of the curves for the standing and prone postures showed statistically significant differences between the normal group and the patient group, between the normal male group and the male patient group, and between the normal female group and the female patient group (p<0.05). Conclusion: The measurement method that uses flexible curve rulers in the standing or prone postures can be usefully utilized in assessing the lumbar lordosis of patients with lumbar herniation of the nucleus pulposus.

Low Level Laser Therapy for Two Patients with Herniated Nucleus Pulposus (척추 추간판 탈출증의 저출력 레이저에 의한 치험 2예)

  • Kim, Young-Choo;Kim, Hae-Gyu;Baik, Seong-Wan;Kim, Inn-Se;Jung, Kyoo-Sub
    • The Korean Journal of Pain
    • /
    • v.4 no.1
    • /
    • pp.51-55
    • /
    • 1991
  • There is a variety of therapeutic modality for herniated nucleus pulposus. Recently the low level laser has come into use for treatment for it. We treated two patients suffered from herniated nucleus pulposus of the central type of $L_{3,4}$ level, with He-Ne, $CO_2$ and Ga Al As laser simultaneously daily under hospitalization. In order to determine the efficacy of treatment, we used the "visual analogue scale" and its improvement rate. The results were as follows; Case I complained of gait disturbance, and hypoesthesia on the lateral side of the left lower leg, as and as low back pain. At the 15th day after treatment, VAS improvement rate was 40%, and the gait disturbance and hypoesthesia were markedly improved. 35th days after tratement, VAS improvement rate was 80%. Case II complained only of low back pain. At the 15th day after treatment, the VAS improvement rate was 68%, and at 20 days after treatment it was 84%. We sugsest that, using the low level laser for treatment of herniated nucleus pulposus increased the cartilage entrophism, and inhibitory effects of the inflammatory materials such as acid glycosaminoglycan by its anti-inflammatory and analgesic effects.

  • PDF

Effectiveness of ShinBaro Pharmacopuncture on Lumbar Spinal Herniated Intervertebral Disc : A Randomized Controlled Trial (요추추간판탈출증에 대한 신바로약침의 효과 : 무작위 대조군 시험)

  • Jun, Byung-Chul;Kim, Eun-Soo;Kim, Dong-Sub;Kim, Tae-Hun;Kim, Jee-Yong
    • The Journal of Korea CHUNA Manual Medicine for Spine and Nerves
    • /
    • v.6 no.2
    • /
    • pp.109-119
    • /
    • 2011
  • Objective : The aim of this study is to investigate the effectiveness of ShinBaro Pharmacopuncture in the treatment of patients with Lumbar spine Herniated Nucleus Pulposus. Methods : We investigated 20 cases of patients with lumbar disc herniation and devided into two groups. Experimental group were treated with ShinBaro Pharmacopuncture with integrated package treatment and control group were treated the same therapies without ShinBaro Pharmacopuncture. To evaluate the treatment effects of two groups, we used numeric rating scale(NRS), oswestry disability index(ODI). Results : In NRS of lumbar and sciatica pain and ODI, that of experimental group was much more improved than control group, and decrement of NRS of lumbar pain showed statistical significance along with the duration of treatment. Conclusions : ShinBaro Pharmacopuncture was thought to be effective for relieving symptoms of lumbar spine herniated nucleus pulposus, although further study is needed.

  • PDF

Case Analysis of the Effects of Nucleoplasty and Chemonucleolysis on the Intervertebral Disc (척추의 추간판에 대한 수핵성형술과 화학적수핵융해술의 영향 증례분석)

  • Hong, Youngki
    • Archives of Orthopedic and Sports Physical Therapy
    • /
    • v.14 no.2
    • /
    • pp.73-80
    • /
    • 2018
  • Purpose: This study was evaluated the effects of nucleoplasty and chemonucleolysis, as interventional treatments for herniated intervertebral disc disease, on spinal tissues. Methods: Nucleoplasty using plasma beam and chemonucleolysis with collagenase were conducted on the spinal motion segments that were dissected from of human cadaver spine under fluoroscopic guidance. After the procedure, the intervertebral discs were transected, and the changes in gross findings were examined. Subsequently, the influence of the procedure on the nucleus pulposus, annuls fibrosus, and endplate was analyzed through a pathologic examination. Results: Nucleoplasty was confirmed to eliminate the local range of tissues in nucleus pulposus according to the procedure tract and to not affect other tissues. In chemonucleolysis, we found that collagenase diffused from the surgical site within the nucleus pulposus and was not present in the annulus fibrosus and endplate. Conclusions: The clinically-used interventional treatments that were investigated here were not found to do not cause additional damage to areas other than those targeted.

Unilateral Traction Effects for a Herniated Nucleus Pulposus in the Lumbar Disk (요추추간판 수핵탈출증에 대한 편측견인의 치료효과)

  • Park, Ji-Whan;Kwon, Hyeok-Su
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
    • /
    • v.1 no.1
    • /
    • pp.99-104
    • /
    • 1995
  • Markolf and Morris suggests that the deranged disk and torn annulus have an exellent recovery ability from the position of spine extension, where the posterior annulus is not under stress and the gel can move anterioly. McKenzie explains side gliding as a combination of rotation and side bending, his clinical studies indicate that side-gliding can gel laterally. In conclusion, the prone unilateral traction on the opposite side from the patient's pain along with the other treatment appered to have helped reduce those patient's pain. The method of treatment described in this report is suggested for Korean physical therapists who treat patients suspected of posterolateral herniated nucleus pulposus.

  • PDF

Unilateral Traction Effects for a Herniated Nucleus Pulposus in the Lumbar Disk (요추 추간판 수핵 탈출증에 대한 편측 견인의 치료효과)

  • Park, Ji-Whan;Kwon, Hyeok-Su
    • Journal of Korean Physical Therapy Science
    • /
    • v.2 no.2
    • /
    • pp.481-486
    • /
    • 1995
  • Markolf and Morris suggests that the deranged disk and torn annulus have an exellent recovery ability from the position of spine extension, where the posterior annulus is not under stress and the gel can move anterioly. McKenzie explains side gliding as a combination of rotation and side bending, his clinical studies indicate that side-gliding can gel laterally. In conclusion, the prone unilateral traction on the opposite side from the patient's pain along with the other treatment appered to have helped reduce those patient's pain. The method of treatment described in this report is suggested for Korean physical therapists who treat patients suspected of posterolateral herniated nucleus pulposus.

  • PDF

Clinical Study on a Case of Herniation(Herniated) of Nucleus Pulposus with Sacro-Occipital Technique (Sacro-Occipital Technique를 통한 추간판 탈출증 환자 치험 1례에 대한 임상적 고찰)

  • Park, Min-Jie;Sung, Su-Min;Hwang, Min-Seop;Yun, Chong-Hwa;Park, Min-Jung;Kim, Jung-Uk
    • The Journal of Korea CHUNA Manual Medicine
    • /
    • v.6 no.1
    • /
    • pp.189-196
    • /
    • 2005
  • Objectives : This report intended to estimate effect taken by using Sacro-Occipital Technique on the patient with Herniation of Nucleus Pulposus(Central type). Method : From 11 May, 2005 to 30 June, 2005. The patient recived Sacro-Occipital Technique and Acupuncture therapy. Result : After being hospitalized for 50 days. the patient's Motor Grade, ODI, VAS, ROM were improved each from IV to IV+. from 26 to 20, from 10 to 2, and ROM with flexion/entension, rotation were improved each from 70'/0' to 90'/12', from 30'/40' to 45'/55'. Conclusion : We considered Sacro-Occipital Technique has an useful effect on Herniation of Nucleus Pulposus

  • PDF