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Two Case Reports of Patients Diagnosed with Avascular Necrosis of the Femoral Head Treated with Korean Medicine Treatment Including Chuna Manual Therapy, Pharmacopuncture and Acupuncture

추나 요법 및 약침, 침치료를 비롯한 한방치료로 증상이 호전된 대퇴골두 무혈성 괴사 환자 2예 보고

  • Kim, Da-hye (Department of Rehabilitation Medicine of Korean Medicine, Gwangju Jaseng Korean Medicine Hospital) ;
  • Kim, Eun-jung (Department of Internal Medicine of Korean Medicine, Gwangju Jaseng Korean Medicine Hospital) ;
  • Jo, Myeong-jae (Department of Rehabilitation Medicine of Korean Medicine, Gwangju Jaseng Korean Medicine Hospital)
  • 김다혜 (광주자생한방병원 한방재활의학과) ;
  • 김은정 (광주자생한방병원 한방내과) ;
  • 조명재 (광주자생한방병원 한방재활의학과)
  • Received : 2020.11.12
  • Accepted : 2020.12.02
  • Published : 2021.01.31

Abstract

Objectives The purpose of this study is to report the effects of Korean medicine treatments including Chuna manual therapy, pharmacopuncture and acupuncture for two patients who have pain in hip joint diagnosed with avascular necrosis of the femoral head. Methods The treatment effect was evaluated with a numeric rating scale (NRS), range of motion (ROM), physical examination (Patrick test), and score of Harris hip score (HHS). Results After treatment, symptoms of the two patients such as hip joint pain and gait dysfunction were improved. The NRS decreased from 8 (right [Rt.]), 7 (left [Lt.]) to 4 (Rt.), 3 (Lt.) in case 1 and from 9 to 2 in case 2. Also the patients showed improvement in ROM and score of HHS increased from 55.5 to 88.5 in case 1 and from 63.5 to 85.5 in case 2. In addition, positive Patrick test improved to negative. Conclusions Korean medicine treatments including Chuna manual therapy, pharmacopuncture and acupuncture can be effective in relieving pain and recovering the fucnction of hip joint associated with avascular necrosis of the femoral head, even when surgery is recommended. Although further study such as controlled studies is needed.

Keywords

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