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Effectiveness of Korean Medicine Treatment including Ultrasound-Guided Epidural Pharmacopuncture for Acute Lumbar Disc Herniation: Three Case Reports

급성 요추 추간판 탈출증 환자에 대한 초음파 유도하 경막외강 약침 시술을 포함한 한의 치료 효과: 증례보고 3례

  • 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) ;
  • Ja-Hyun Min (Department of Korean Internal Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Gi-Tae Park (Department of Korean Acupuncture & Moxibustion Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Hyun-Il Jo (Department of Korean Acupuncture & Moxibustion Medicine, Daejeon Jaseng Hospital of Korean Medicine)
  • 김정현 (대전자생한방병원 한방재활의학과) ;
  • 한은율 (대전자생한방병원 한방재활의학과) ;
  • 전승 (대전자생한방병원 한방재활의학과) ;
  • 민자현 (대전자생한방병원 한방내과) ;
  • 박기태 (대전자생한방병원 침구의학과) ;
  • 조현일 (대전자생한방병원 침구의학과)
  • Received : 2025.09.16
  • Accepted : 2025.09.28
  • Published : 2025.10.31

Abstract

This study aimed to explore the effectiveness of Korean medicine treatment including ultrasound-guided epidural pharmacopuncture for acute lumbar disc herniation (LDH). Three patients with magnetic resonance imaging (MRI)-confirmed LDH were treated with Korean medicine treatment including ultrasound-guided interlaminar epidural pharmacopuncture. Patient assessments included herniated disc extent, herniated disc anterior-posterior diameter, EuroQoL-5 dimension (EQ-5D), numeric rating scale (NRS), Oswestry disability index (ODI). All cases showed decreases in NRS and ODI and an increase in EQ-5D. On follow-up MRI, cases 1 and 3 showed marked improvements in nerve root compression. Notably, the changes observed during hospitalization were significant. This study suggests that Korean medicine treatment including ultrasound-guided epidural pharmacopuncture may effectively reduce low back pain and radiculopathy; however, further research is needed to confirm these results.

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