Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
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Clinical Effect of Ultrasound-Guided Pharmacopuncture at the SP12 for Hip Pain after Total Hip Arthroplasty for Avascular Necrosis of the Femoral Head: A Case Report Compliant with CARE Guidelines

대퇴골두 무혈성 괴사로 인한 고관절 전치환술 이후 발생한 고관절 통증 환자에 대한 초음파 유도하 충문혈(衝門穴, SP12) 심부 약침술 치료 효과: CARE 가이드라인에 의한 증례보고

  • Jung-Hyun Kim (Department of Korean Medicine Rehabilitation, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Eun-Yul Han (Department of Korean Medicine Rehabilitation, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Seung Jeon (Department of Korean Medicine Rehabilitation, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Hyun-Il Jo (Department of Korean Acupuncture & Moxibustion Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Gi-Tae Park (Department of Korean Acupuncture & Moxibustion Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Ja-Hyun Min (Department of Korean Internal Medicine, Daejeon Jaseng Hospital of Korean Medicine)
  • 김정현 (대전자생한방병원 한방재활의학과) ;
  • 한은율 (대전자생한방병원 한방재활의학과) ;
  • 전승 (대전자생한방병원 한방재활의학과) ;
  • 조현일 (대전자생한방병원 침구의학과) ;
  • 박기태 (대전자생한방병원 침구의학과) ;
  • 민자현 (대전자생한방병원 한방내과)
  • Received : 2025.09.16
  • Accepted : 2025.09.29
  • Published : 2025.10.31
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Abstract

This study aimed to explore the effectiveness of ultrasound-guided pharmacopuncture at the SP12 in a patient with hip pain after total hip arthroplasty for avascular necrosis of the femoral head. A 67-year-old man with total hip arthroplasty was treated with ultrasound-guided pharmacopuncture at the SP12 and herbal medicine during a 16-day hospitalization. Patient assessments included numerical rating scale (NRS), physical examination, EuroQoL-5 dimension (EQ-5D), hip Western Ontario and McMaster Universities osteoarthritis index (hip WOMAC) and blood labs. After treatment, NRS decreased from 8 to 2 and hip WOMAC decreased from 66 to 12. EQ-5D increased from 0.406 to 0.730. On physical examination, active hip range of motion increased, edema was reduced and walking state improved. Analgesics were tapered. On follow-up blood labs, inflammatory markers decreased. Symptomatic improvement was sustained over the treatment period, and no serious adverse events were observed.

Keywords

References

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