DOI QR코드

DOI QR Code

한의원에서 도침치료로 영상의학적 소견을 호전시킨 요추 추간판 탈출증 증례 1례

Case Report: Changes in Magnetic Resonance Imaging in Lumbar Disc Herniation Treated with Korean Medicine

  • 박상규 (대전대학교 한의과대학 심계내과학교실) ;
  • 김윤식 (대전대학교 한의과대학 심계내과학교실) ;
  • 조현경 (대전대학교 한의과대학 심계내과학교실) ;
  • 유호룡 (대전대학교 한의과대학 심계내과학교실) ;
  • 설인찬 (대전대학교 한의과대학 심계내과학교실)
  • Park, Sang-kyu (Dept. of Circulatory Internal Medicine, college of Korean Medicine, Dae-Jeon University) ;
  • Kim, Yoon-sik (Dept. of Circulatory Internal Medicine, college of Korean Medicine, Dae-Jeon University) ;
  • Jo, Hyun-kyung (Dept. of Circulatory Internal Medicine, college of Korean Medicine, Dae-Jeon University) ;
  • Yoo, Ho-ryong (Dept. of Circulatory Internal Medicine, college of Korean Medicine, Dae-Jeon University) ;
  • Seol, In-chan (Dept. of Circulatory Internal Medicine, college of Korean Medicine, Dae-Jeon University)
  • 투고 : 2018.07.26
  • 심사 : 2018.10.24
  • 발행 : 2018.10.30

초록

Objectives: The purpose of this case study was to report the effectiveness of Korean medicine treatment on severe lumbar disc herniation patient diagnosed by magnetic resonance imaging (MRI). Methods: The patient was treated with complex Korean medicine treatment, including acupuncture, pharmacopuncture, acupotomy, and Chu-na treatment. The treatment effect was evaluated by a Numerical Rating Scale (NRS), and MRI. Results: After the treatment, the NRS score of pain intensity was reduced from severe to mild degree. The volume of extruded disc in MRI images was clearly reduced. Conclusion: Korean medicine treatment might be effective in patients with lumbar disc herniation.

키워드

참고문헌

  1. Korean Acupuncture & Moxibustion Medicine Society Textbook Compilation Committe. Acupuncture and moxibustion medicine. Gyeonggi: Jipmoondang: 2012. p. 406-7. p. 474-82. p. 512.
  2. Shin WS, Park WH, Cha YY. The research trends on the acupuncture treatment of lumbar herniated intervertebral disc using pubmed database. JORM 2014:24(4):49-60.
  3. Zhu HZ. Acupotomy. Beijing: Chinese Medicine Publishing Company: 1992. p. 9-42.
  4. Wang WY. Balance method acupuncture. Seoul: Euiseongdang: 2012. p. 178, 444, 542.
  5. Chen G, Yang S. Practical diagnostics and therapeutics of integrated traditional Chinese and western medicine. Seoul: Iljoongsa: 1992, p. 1602.
  6. Shin WS, Park WH, Cha YY. The research trends on the acupuncture treatment of lumbar herniated intervertebral disc using pubmed database. Journal of Korean Medicine Rehabilitation 2014:24(4):49-60.
  7. Cho HJ, Sul JS, Shin MS. Research trends on the treatment of lumbar herniated intervertebral disc in Korean medicine. The Acupuncture 2012:29(4):501-18.
  8. Shvartzman L, Weingarten E, Sherry H, Levin C, Persaud A. Cost-effectiveness analysis of extended conservative therapy versus surgical intervention in the management of herniated lumbar intervertebral disc. Spine 1992:17(2):176-82. https://doi.org/10.1097/00007632-199202000-00010
  9. Spengler DM, Freeman CW. Patient selection for lumbar discectomy. An objective approach. Spine 1979:4(2):129-34. https://doi.org/10.1097/00007632-197903000-00006
  10. Rothman RH, Bernini PM. Algorithm for salvage surgery of the lumbar spine. Clin Orthop 1981:154:14-7.
  11. Lim CS, Cho TH, Park JY, Chung HS, Suh JK, Lee HK. Clinical Analysis of Repeated Lumbar Disc Surgery. Journal of Korean neurosurgical society 1996:25(8):1620-5.
  12. Ombregt L. A System of Orthopaedic Medicine. 3rd edition. Seoul: Elsevier, Hanmi medical publishing Co: 2013. p. 614.
  13. Komori H, Shinomiya K, Nakai O, Yamaura I, Takeda S, Furuya K. The natural history of herniated nucleus pulposus with radiculopathy. Spine 1996:21(2):225-9. https://doi.org/10.1097/00007632-199601150-00013
  14. Kim SC. Clinical Characteristics of Poor Responders to Acupotomy and Safety Pretreatment Management. The Acupuncture 2008:25(4):117-25.
  15. Park SW, Kim SS, Kim JY, Kim SH, Lee GM. The Comparative Study of Effects between Acupotomy and its Cotreatment with Spine Decompression Therapy on HIVD Patients. The Acupuncture 2012:29(3):29-39.
  16. Sung IS, Yuk DI, Song DH, Kim MJ, Hong KE. Case Study of with Dochim(刀鍼) & Gwanchim (管鍼) Therapy Combined with Korean Medicine Treatment of Herniated Lumbar Intervertebral Disc Patients. The Acupuncture 2013:30(4):169-73.
  17. Kim HS, Kim SY, Kim HJ, Kim ES, Kim YI. The Effect of Acupotomy on Lumbar Herniated Intervertebral Disc: Report of a Case Series. The Acupuncture 2015:32(3):185-95. https://doi.org/10.13045/acupunct.2015050

피인용 문헌

  1. Quality Assessment and Implications for Further Study of Acupotomy: Case Reports Using the Case Report Guidelines and the Joanna Briggs Institute Critical Appraisal Checklist vol.38, pp.2, 2018, https://doi.org/10.13045/jar.2021.00024