Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
권호 표지

Radiological Findings and Treatment Period of Acute Low Back Pain Patients Diagnosed as Having Lumbar Sprain and Strain - with Focus on X-ray and CT Findings -

요천추부 염좌로 진단된 급성 요통 환자의 방사선학적 소견과 치료기간에 대한 임상적 고찰 - X-ray와 CT 소견 분석 -

  • Koh, Pil-Seong (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Yi, Won-Il (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Joh, Byung-Jin (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Kwon, Sin-Ae (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Lee, Jung-Woo (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Kim, Min-Jung (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Seo, Byung-Kwan (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Woo, Hyun-Soo (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Baek, Yong-Hyun (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Kim, Jae-Kyu (Dept. of Acupuncture & Moxibustion, Hospital of Pusan National University) ;
  • Park, Dong-Suk (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University)
  • 고필성 (경희대학교 한의과대학 침구학교실) ;
  • 이원일 (경희대학교 한의과대학 침구학교실) ;
  • 조병진 (경희대학교 한의과대학 침구학교실) ;
  • 권신애 (경희대학교 한의과대학 침구학교실) ;
  • 이정우 (경희대학교 한의과대학 침구학교실) ;
  • 김민정 (경희대학교 한의과대학 침구학교실) ;
  • 서병관 (경희대학교 한의과대학 침구학교실) ;
  • 우현수 (경희대학교 한의과대학 침구학교실) ;
  • 백용현 (경희대학교 한의과대학 침구학교실) ;
  • 김재규 (부산대학교 한방병원 침구과) ;
  • 박동석 (경희대학교 한의과대학 침구학교실)
  • Received : 2010.05.31
  • Accepted : 2010.07.17
  • Published : 2010.08.20
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Abstract

Objectives : To demonstrate the need for differential diagnosis between discogenic pain and lumbar sprain and strain in acute low-back pain patients. Methods : Outpatients who made their first visits during May 1, 2009 to Oct. 30, 2009(n=53) were examined by history taking, physical examination, X-rays, and CT imaging. Disorders found on lumbosacral spine X-ray cuts and those on lumbosacral spine CT images were separately recorded. The relationship between treatment period, disc space narrowing and disc degeneration on X-rays, and HIVD on CT images was examined. Results : 1. Correlation between disc space narrowing on X-rays and HIVD found on CT images was analyzed. 21(72.41%) out of 29 patients having disc space narrowing on X-rays and HIVD on CT at the same level required treatment for over 8 weeks. 2. 2(50%) out of 4 Lawrence classification grade I patients, 8(66.67%) out of 12 grade II patients, and 14(70%) out of 20 grade III patients needed treatment for over 8 weeks. Conclusions : Disc space narrowing on X-ray and HIVD on CT at the same level, or disc space narrowing and disc degeneration on X-ray image alone indicate a tendency for treatment periods over 8 weeks, which is longer than the conventional treatment period for lumbar strain and sprain.

Keywords

References

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