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이행성 척추에 동반된 골수부종 환자의 복합한방치료: 증례보고

Combined Korean Medicine Treatment of Lumbosacral Transitional Vertebra with Localized Bone Marrow Edema: A Case Report

  • 채지원 (부천자생한방병원 한방재활의학과) ;
  • 이윤하 (부천자생한방병원 한방재활의학과) ;
  • 최동주 (부천자생한방병원 한방재활의학과) ;
  • 안상준 (부천자생한방병원 한방재활의학과) ;
  • 최현진 (부천자생한방병원 한방재활의학과) ;
  • 황보승윤 (부천자생한방병원 한방재활의학과) ;
  • 백혜경 (부천자생한방병원 침구과)
  • Chai, Jiwon (Department of Korean Medicine Rehabilitation, Bucheon Jaseng Hospital of Korean Medicine) ;
  • Lee, Yunha (Department of Korean Medicine Rehabilitation, Bucheon Jaseng Hospital of Korean Medicine) ;
  • Choi, Dongjoo (Department of Korean Medicine Rehabilitation, Bucheon Jaseng Hospital of Korean Medicine) ;
  • An, Sang-joon (Department of Korean Medicine Rehabilitation, Bucheon Jaseng Hospital of Korean Medicine) ;
  • Choi, Hyunjin (Department of Korean Medicine Rehabilitation, Bucheon Jaseng Hospital of Korean Medicine) ;
  • Hwangbo, Sengyoon (Department of Korean Medicine Rehabilitation, Bucheon Jaseng Hospital of Korean Medicine) ;
  • Baek, Hyekyung (Department of Acupuncture and Moxibustion Medicine, Bucheon Jaseng Hospital of Korean Medicine)
  • 투고 : 2021.10.29
  • 심사 : 2021.11.19
  • 발행 : 2022.01.31

초록

This study was to investigate the effectiveness of combined Korean medicine treatment on a patient who was diagnosed on lumbosacral transitional vertebra (LSTV) with localized bone marrow edema. The patient was treated with acupuncture, pharmacopucture, cupping and herbal medicine. We evaluated patient's progress using range of motion (ROM), EuroQol-5 dimensions (EQ-5D), Oswestry disability index (ODI), numerical rating scale (NRS), patient global impression of change, self-walkable distance. NRS of back pain decreased from 7 to 5, at the same time NRS of lower limb decreased from 4 to 3. EQ-5D score increased from 0.24 to 0.646. ODI score improved 80 to 62. Self-walkable distance and lumbar spine ROM also increased. As a result, clinical improvements were found in a patient. In conclusion, this study shows that Korean medicine treatment can be considered as effective conservative care for LSTV with localized bone marrow edema.

키워드

참고문헌

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