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The Effect of Traditional Korean Medical Treatment on Low Back Pain during Pregnancy: a Report on Three Cases

한방 복합치료를 시행한 임신 중 요통 환자 치험 3례

  • Lee, Su Yeon (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Ryu, Soo Hyeong (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Hong Guk (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Ryoo, Dek Woo (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Sung Jin (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Jeong, Seong Mok (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Goo, Bon Hyuk (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Min Jeong (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Park, Yeon Cheol (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Baek, Yong Hyeon (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Nam, Sang Soo (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Seo, Byung Kwan (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University)
  • 이수연 (경희대학교 한의과대학 침구의학교실) ;
  • 류수형 (경희대학교 한의과대학 침구의학교실) ;
  • 김홍국 (경희대학교 한의과대학 침구의학교실) ;
  • 유덕우 (경희대학교 한의과대학 침구의학교실) ;
  • 김성진 (경희대학교 한의과대학 침구의학교실) ;
  • 정성목 (경희대학교 한의과대학 침구의학교실) ;
  • 구본혁 (경희대학교 한의과대학 침구의학교실) ;
  • 김민정 (경희대학교 한의과대학 침구의학교실) ;
  • 박연철 (경희대학교 한의과대학 침구의학교실) ;
  • 백용현 (경희대학교 한의과대학 침구의학교실) ;
  • 남상수 (경희대학교 한의과대학 침구의학교실) ;
  • 서병관 (경희대학교 한의과대학 침구의학교실)
  • Received : 2016.08.03
  • Accepted : 2016.09.05
  • Published : 2016.09.20

Abstract

Objectives : To report the clinical application and safety of Traditional Korean Medical treatment for patients with low back pain during pregnancy. Methods : Three patients who suffered from low back pain during pregnancy were treated with acupuncture, pharmacopuncture, moxibustion, and herbal medicine for 12 to 21 days. Numeric rating scale (NRS) of low back pain and Oswestry Disability Index (ODI) were checked to measure the outcome. A liver function and renal function test was carried out to identify any drug-induced liver or renal injury, and any adverse events were monitored thoroughly until delivery. Results : Low back pain reduced on NRS in all cases, and no serious adverse effects were found in the patients or infants. Conclusion : This study suggests that Traditional Korean Medical treatment is a candidate therapy for relieving low back pain during pregnancy, and also is safe for both patients and infants.

Keywords

References

  1. Briggs GG, Freeman RK, Yaffe SJ et al. Drugs in pregnancy and lactation: a reference guide to fetal and neonatal risk. 5th ed. Baltimore: Williams & Wilkins. 1998 : 577-8, 627-8.
  2. U.S. Food and Drug Administration. FDA Drug Safety Communication: FDA has reviewed possible risks of pain medicine use during pregnancy. FDA 2015 Jan[cited 2016 Aug 11]. Available from: URL:http://www.fda.gov/Drugs/DrugSafety/ucm429117.htm
  3. Black RA, Hill DA. Over-the-counter medications in pregnancy. Am Fam Physician. 2003 ; 67(12) : 2517-24.
  4. Kellogg A, Rose CH, Harms RH et al. Current trendsinnarcoticuseinpregnancyandneonatal outcomes. Am J Obstet Gynecol. 2011 ; 204(3) : 259.e1-4. https://doi.org/10.1016/j.ajog.2010.12.050
  5. Broussard CS, Rasmussen SA, Reefhuis J et al. Maternal treatment with opioid analgesics and risk for birth defects. Am J Obstet Gynecol. 2011 ; 204(4) : 314.e1-11. https://doi.org/10.1016/j.ajog.2010.12.039
  6. Brent RL. Saving lives and changing family histories: appropriate counseling of pregnant women and men and women of reproductive age, concerning the risk of diagnostic radiation exposures during and before pregnancy. Am J Obstet Gynecol. 2009 ; 200(1) : 4-24. https://doi.org/10.1016/j.ajog.2008.06.032
  7. Ritenour ER. Health effects of low level radiation: carcinogenesis, teratogenesis, and mutagenesis. Semin Nucl Med. 1986 ; 16(2) : 106-17. https://doi.org/10.1016/S0001-2998(86)80024-1
  8. Brent RL. The effect of embryonic and fetal exposuretox-ray, microwaves, andultrasound: counseling the pregnant and nonpregnant patient about these risks. Semin Oncol. 1989 ; 16(5) : 347-68.
  9. Liddle SD, Pennick V. Interventions for preventing and treating low-back and pelvic pain during pregnancy. Cochrane Database Syst Rev. 2015 ; 9 : CD001139.
  10. Ekdahl L, Petersson K. Acupuncture treatment of pregnant women with low back and pelvic pain-an intervention study. Scand J Caring Sci. 2010 ; 24(1) : 175-82. https://doi.org/10.1111/j.1471-6712.2009.00704.x
  11. Von Korff M, Jensen MP, Karoly P. Assessing global pain severity by self-report in clinical and health services research. Spine (Phila Pa 1976). 2000 ; 25(24) : 3140-51. https://doi.org/10.1097/00007632-200012150-00009
  12. JCT Fairbank, PB Pynsent. The Oswestry Disability Index. Spine (Phila Pa 1976). 2000 ; 25(22) : 2940-53. https://doi.org/10.1097/00007632-200011150-00017
  13. Frenzel C, Teschke R. Herbal Hepatotoxicity: Clinical Characteristics and Listing Compilation. Int J Mol Sci. 2016 ; 17(5) : 588. https://doi.org/10.3390/ijms17050588
  14. Danan G, Teschke R. RUCAM in drug and herb induced liver injury: The update. Int J Mol Sci. 2015 ; 17(1) : 14. https://doi.org/10.3390/ijms17010014
  15. Lee SW, Kwon OJ, Na HY, Ahn YM, Lee BC, Ahn SY. Retrospective Study for Safety of Xiexia Fa by Euphorbia kansui Radix : Analysis of Clinical Features, Liver and Kidney Functions. J. Int. Korean Med. 2014 ; 35(4) : 472-82.
  16. Han CH, Shin MS, Park SH, Choi SM. Research trends on the Saam's Acupuncture Method in Korea. Korean Journal of Oriental Medicine. 2006 ; 12(2) : 15-30.
  17. Committee on Compilation of Textbook in Society for Acupuncture & Moxibustion. Acupuncture Medicine. 1st ed. Seoul: Hanmibook. 2016 : 509-12.
  18. P Kristiansson, K Svardsudd, B von Schoultz. Back pain during pregnancy: a prospective study. Spine. 1996 ; 21(6) : 702-9. https://doi.org/10.1097/00007632-199603150-00008
  19. IM Mogren, AI Pohjanen. Low back pain and pelvic pain during pregnancy: prevalence and risk factors. Spine. 2005 ; 30(8) : 983-91. https://doi.org/10.1097/01.brs.0000158957.42198.8e
  20. Park J, Sohn Y, White AR et al. The safety of acupuncture during pregnancy: a systematic review. Acupunct Med. 2014 ; 32(3) : 257-66. https://doi.org/10.1136/acupmed-2013-010480
  21. Carr DJ. The safety of obstetric acupuncture: forbidden points revisited. Acupunct Med. 2015 ; 33(5) : 413-9. https://doi.org/10.1136/acupmed-2015-010936
  22. Kim YG, Kim DC, Baek SH. A clinical Analysis of 50 fetus that using Herbal Medication during Pregnancy. J Korean Obstet Gynecol. 2003 ; 16(4) : 136-43.
  23. Heo JW, Cho JH, Jang JB, Lee KS. The Clinical Analysis of 146 patients that using Herbal Medication during Pregnancy at Conmaul Oriental Hospital. J Korean Obstet Gynecol. 2002 ; 15(3) : 129-38.
  24. Foster NE, Bishop A, Bartlam B et al. Evaluating Acupuncture and Standard carE for pregnant women with Back pain (EASE Back): a feasibility study and pilot randomised trial. Health Technol Assess. 2016 ; 20(33) : 1-236.
  25. O KW, Ryu IH, Kim JR et al. Case Series of Low Back Pain and Pelvic Pain Caused by Traffic A ccident during Pregnancy. J Korean Obstet Gynecol. 2009 ; 22(4) : 194-204.
  26. Baek SH, Na HS, Park HJ, Jung EA, Choi S. The clinical study on one case of cervical sprain patient due to traffic a ccident in pregnancy. J Korean Obstet Gynecol. 2005 ; 18(1) : 207-17.
  27. Park JJ, Shin J, Choi Y et al. Integrative package for low back pain with leg pain in Korea: a prospective cohort study. Complement Ther Med. 2010 ; 18(2) : 78-86. https://doi.org/10.1016/j.ctim.2010.02.003
  28. Cho SH. Systematic Study of Sa-am acupuncture therapy. Bundang: Seongbosa. 2001 : 21.
  29. Lee H, Hwang WJ. The Clinical Study on the Efficiency of the Sa-Am Acupuncture treatment. The Acupunct. 1999 ; 16(1) : 1-16.
  30. Jeong MJ, Kwon OG, Woo CH, An HD. Dose dependent effects of Jungsongouhyul Pharmacopuncture on Low Back Pain. Journal of Pharmacopuncture. 2011 ; 14(2) : 45-52. https://doi.org/10.3831/KPI.2011.14.2.045
  31. Lee SH, Kang MW, Lee H, Lee SY. Effectiveness of Bee-venom Acpuncture and Ouhyul Herbal Acpuncture in Herniation of Nucleus Pulposuscomparison with Acpuncture Therapy Only. The Acupunct. 2007 ; 24(5) : 197-205.
  32. Lee SH, So WR, Shin KH, Kim JK, Kim JU. A Clinical Study Carried out Blood stasis Herbal Acupuncture Therapy to Low Back Pain. The Journal of The Korean Institute Of Oriental Medical Informatics. 2003 ; 9(2) : 59-73.
  33. Ostelo RW, Deyo RA, Stratford P et al. Interpreting change scores for pain and functional status in low back pain: towards international consensus regarding minimal important change. Spine (Phila Pa 1976). 2008 ; 33(1) : 90-4. https://doi.org/10.1097/BRS.0b013e31815e3a10

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