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A Case of Combination of Korean Medicine Treatments in Neurogenic Claudication and Lower Extremity Weakness due to Spinal Stenosis

척추관 협착으로 인한 신경원성 파행 및 하지 근력 저하에 대한 한방복합치료 치험 1례

  • Choi, Ki-hoon (Dept. of Korean Internal Medicine, Haeundae Ja-Seng Hospital of Korean Medicine) ;
  • Kim, Tae-ju (Dept. of Korean Internal Medicine, Haeundae Ja-Seng Hospital of Korean Medicine) ;
  • Choi, Ki-won (Dept. of Korean Internal Medicine, Haeundae Ja-Seng Hospital of Korean Medicine) ;
  • Heo, Seung-jin (Dept. of Korean Internal Medicine, Haeundae Ja-Seng Hospital of Korean Medicine) ;
  • Kwon, Oh-hoon (Dept. of Acupuncture & Moxibustion, Haeundae Ja-Seng Hospital of Korean Medicine) ;
  • Kim, Kwang-hwi (Dept. of Oriental Rehabilitation Medicine, Haeundae Ja-Seng Hospital of Korean Medicine) ;
  • Kim, Tae-yeon (Dept. of Oriental Rehabilitation Medicine, Haeundae Ja-Seng Hospital of Korean Medicine) ;
  • Lee, Tae-geol (Dept. of Oriental Rehabilitation Medicine, Haeundae Ja-Seng Hospital of Korean Medicine) ;
  • Choi, Kang-eah (Dept. of Oriental Neuro Psychiatry Medicine, Haeundae Ja-Seng Hospital of Korean Medicine)
  • 최기훈 (해운대자생한방병원 한방내과) ;
  • 김태주 (해운대자생한방병원 한방내과) ;
  • 최기원 (해운대자생한방병원 한방내과) ;
  • 허승진 (해운대자생한방병원 한방내과) ;
  • 권오훈 (해운대자생한방병원 침구의학과) ;
  • 김광휘 (해운대자생한방병원 한방재활의학과) ;
  • 김태연 (해운대자생한방병원 한방재활의학과) ;
  • 이태걸 (해운대자생한방병원 한방재활의학과) ;
  • 최강의 (해운대자생한방병원 한방신경정신과)
  • Received : 2019.03.13
  • Accepted : 2019.05.20
  • Published : 2019.05.30

Abstract

Background: To suggest potential of Korean medicine treatments as a conservative management for neurogenic claudication and lower extremity weakness due to spinal stenosis. Case Summary: The patient suffered weakness, pain and numbness of the right leg and difficulty walking with diagnosis of spinal stenosis due to herniated lumbar intervertebral disc. Korean medicine treatments, including herbal medicine, acupuncture, pharmacopuncture and Chuna manual therapy were applied. The Numeric Rating Scale (NRS) of pain and numbness in the right leg decreased from 7 to 4, with an increase in strength of the right leg from 60% to 95% compared to the strength of left leg. Walking duration also increased from less than one minute to more than five minutes. Conclusion: Korean medicine treatment may be considered as an effective conservative management for symptoms of spinal stenosis.

Keywords

References

  1. Wong DA, Transfeldt E. Macnab's backache. Seoul: Gaboneuihak; 2008. p, 272-307.
  2. Lumbar Spinal Stenosis Johns Hopkins Medicine Health Library. https://www.hopkinsmedicine.org/healthlibrary/conditions/nervous_system_disorders/lumbar_spinal_stenosis_134,18
  3. Cha JD, Jung SM, Kim KO, Kim KS, Kim NO. The comparision of effectiveness between acupuncture and its cotreatment with bee venom acua-acupuncture therapy on the treatment of herniation of nuclues pulpous. Korean J Acupunct 2004;21(1):149-58.
  4. Park BC. Conservative treatment of spinal stenosis. Journal of Korean Spine Surg. 2000;7(1):114-16.
  5. Shim SY, Park HJ, Lee JM, Lee HS. An Overview of Pain Measurements. Korean J Acupunct 2007;24(2):77-97.
  6. Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine 2000;25(22):2940-52. https://doi.org/10.1097/00007632-200011150-00017
  7. You HS, Son WT, Oh MS, Song TW. The clinical study on 1 case of patient with herniation of nucleus pulposus, L5-Sl, combined with foot drop. Hyehwaeuihak 2000;9(2):115-22.
  8. Heo J. Dongeuibogam. Seoul: Beobinmoonhwasa; 2011, p. 650.
  9. Baber Z, Erdek MA. Failed back surgery syndrome: current perspectives. J Pain Res 2016;9:979-87. https://doi.org/10.2147/JPR.S92776
  10. Ciesla N, Dinglas V, Fan E, Kho M, Kuramoto J, Needham D. Manual muscle testing: a method of measuring extremity muscle strength applied to critically ill patients. J Vis Exp 2011;50:2632.
  11. Jung K, Kim YC, Kang D, Kim J. Study of the relation between work-related musculoskeletal disorders.psychiatric disorders and job stress in train drivers. Journal of the Ergonomics Society of Korea2008;27(1):1-7. https://doi.org/10.5143/JESK.2008.27.1.001

Cited by

  1. 요추 척추관 협착증의 비수술적 치료에 대한 최근 국내·외 연구 동향 vol.31, pp.3, 2019, https://doi.org/10.18325/jkmr.2021.31.3.1