Korean Journal of Acupuncture

Society for Meridian and Acupoint (경락경혈학회)
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Intractable Pain Management by Combined Korean Medicine Treatment Including Acupotomy in Lumbar Disc Herniation: A Case Report

한방복합치료로 난치성 통증을 동반한 요추 추간판탈출증이 호전된 증례보고

  • Choi, Hyeon Kyu (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Lee, Young Rok (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Cha, Hyun Ji (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Sung, Ki Jung (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, Beom Seok (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, Min Ju (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Lee, Ye Ji (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Jeon, Ju Hyun (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, Young Il (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
  • 최현규 (대전대학교 한의과대학 침구의학과) ;
  • 이영록 (대전대학교 한의과대학 침구의학과) ;
  • 차현지 (대전대학교 한의과대학 침구의학과) ;
  • 성기정 (대전대학교 한의과대학 침구의학과) ;
  • 김범석 (대전대학교 한의과대학 침구의학과) ;
  • 김민주 (대전대학교 한의과대학 침구의학과) ;
  • 이예지 (대전대학교 한의과대학 침구의학과) ;
  • 전주현 (대전대학교 한의과대학 침구의학과) ;
  • 김영일 (대전대학교 한의과대학 침구의학과)
  • Received : 2021.07.28
  • Accepted : 2021.08.22
  • Published : 2021.09.27
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Abstract

A 57-year-old female diagnosed with L5-S1 lumbar intervertebral disc herniation, suffering from severe pain despite taking tapentadol received combined Korean medicine treatment, including acupotomy, acupuncture, pharmacopuncture, and herbal therapies for 53 days. To assess pain, Numeric Rating Scale (NRS) and lumbar range of motion (ROM) were checked daily from the day of admission. Moreover, the Oswestry Disability Index (ODI) and European Quality of Life-5 Dimensions (EQ-5D) were used to evaluate function and quality of life. After combined Korean medicine treatment, reabsorptioin of intervertebral disc was confirmed by radiological examination; pain reduced from NRS 5~7 to NRS 1~2; lumbar ROM in extention increased from 20° to 30°; and function and quality of life improved. The results suggest the possibility that a combined Korean medical treatment, including acupotomy, can be used as an alternative to opioids for pain management of lumbar vertebral disc herniation.

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References

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