DOI QR코드

DOI QR Code

Effects of Korean Medicine Treatment for a Meralgia Paresthetica Patient: A Case Report

대퇴신경지각이상증 환자에 대한 한의학적 치료 효과: 증례보고

  • Ahn, Jaeseo (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Kang, Dohyeon (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Min, Taewoon (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Lee, Hyunjun (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Lee, Hansol (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Kim, Hankyul (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Lee, Seongmin (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Cho, Sohyun (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Ji, Hyungwook (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Ko, Ilhwan (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Kim, Jiwon (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Yun, Jungmin (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Jeong, Hyukjin (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine)
  • 안재서 (자생한방병원 한방재활의학과) ;
  • 강도현 (자생한방병원 한방재활의학과) ;
  • 민태운 (자생한방병원 한방재활의학과) ;
  • 이현준 (자생한방병원 한방재활의학과) ;
  • 이한솔 (자생한방병원 한방재활의학과) ;
  • 김한결 (자생한방병원 한방재활의학과) ;
  • 이성민 (자생한방병원 한방재활의학과) ;
  • 조소현 (자생한방병원 한방재활의학과) ;
  • 지형욱 (자생한방병원 한방재활의학과) ;
  • 고일환 (자생한방병원 한방재활의학과) ;
  • 김지원 (자생한방병원 한방재활의학과) ;
  • 윤정민 (자생한방병원 한방재활의학과) ;
  • 정혁진 (자생한방병원 한방재활의학과)
  • Received : 2022.06.20
  • Accepted : 2022.07.08
  • Published : 2022.07.31

Abstract

Meralgia paresthetica is a rare femoral disease and various symptoms appear such as pain, numbness, and paresthesia in the anterolateral thigh due to entrapment of the lateral femoral cutaneous nerve. We treated the meralgia paresthetica patients with Korean medicine treatment including herbal medicine, acupuncture, Chuna manual therapy and pharmacopuncture during 12 days. Numerical rating scale (NRS), Euroqol five dimension (EQ-5D) index, and the changes of symptoms were measured for assessment. After 12 days inpatient treatment, NRS decreased from 7 to 4, EQ-5D index and the symptoms of the patient also were improved. In conclusion, this case shows Korean medicine treatment might be an effective treatment for Meralgia paresthetica.

Keywords

References

  1. Harney D, Patijn J. Meralgia paresthetica: diagnosis and management strategies. Pain Medicine (Malden, Mass). 2007;8(8):669-77. https://doi.org/10.1111/j.1526-4637.2006.00227.x
  2. Alexander RE. Clinical effectiveness of electroacupuncture in meralgia paraesthetica: a case series. Acupuncture in Medicine: Journal of the British Medical Acupuncture Society. 2013;31(4):435-9. https://doi.org/10.1136/acupmed-2013-010395
  3. Cheatham SW, Kolber MJ, Salamh PA. Meralgia paresthetica: a review of the literature. International Journal of Sports Physical Therapy. 2013;8(6):883-93.
  4. Lee EJ, Kim SA, Kwon MG, Kim ST, Shin HG, Cho HJ, Yang TJ, Kim SW, Jeong JY, Chiang SY. Meralgia paresthetica treated with acupuncture plus myofascial release technique: case report. Korean Journal of Acupuncture. Society for Meridian and Acupoint. 2016;33(2):89-93. https://doi.org/10.14406/acu.2016.009
  5. Grossman MG, Ducey SA, Nadler SS, Levy AS. Meralgia paresthetica: diagnosis and treatment. The Journal of the American Academy of Orthopaedic Surgeons. 2001;9(5):336-44. https://doi.org/10.5435/00124635-200109000-00007
  6. Na GH, Park EJ, Shin JC, Lee DH, Lee SL, Ryu CY, Yoon YC, Cho MR. A case report of meralgia paresthetica. Journal of Korean Acupuncture & Moxibustion Medicine Society. 2005;22(1):109-15.
  7. Lee JH, Lee JS, Chung SH. A clinical report about meralgia paresthtica treated with Sihogayonggolmoryo-tang. J Oriental Rehab Med. 2002;12(3):161-9.
  8. Lu VM, Burks SS, Heath RN, Wolde T, Spinner RJ, Levi AD. Meralgia paresthetica treated by injection, decompression, and neurectomy: a systematic review and meta-analysis of pain and operative outcomes. Journal of Neurosurgery. 2021;62(2):75-9.
  9. Lee C, Cho IH, Heo GY, Kang HK, Kim MH, Han CW, Kim SY, Choi JY, Park SH, Yoon YJ, Hong JW, Kwon JN, Park EY, Lee I. Analysis of the numeric rating scale (NRS) used in clinical studies based on randomized controlled studies. J Int Korean Med. 2021;42(4):510-31. https://doi.org/10.22246/jikm.2021.42.4.510
  10. Thompson AJ, Turner AJ. A comparison of the EQ-5D-3L and EQ-5D-5L. PharmacoEconomics. 2020;38(6):575-91. https://doi.org/10.1007/s40273-020-00893-8
  11. Lee YR, Cha HJ, Choi HK, Kim MJ, Kim BS, Sung KJ, Jeon JH, Kim ES, Kim YI. Statistical analysis of patients visiting department of acupuncture and moxibustion in Korean medicine hospital before and after COVID-19-Focusing on a Korean medicine hospital in Daejeon. The Journal of Korean Medicine. 2021;42(2):31-49. https://doi.org/10.13048/jkm.21013
  12. Lee JH, Park YM. Proper use of topical corticosteroids. JKMA. 2018;61(10):632-6.
  13. de Ruiter GC, Wurzer JA, Kloet A. Decision making in the surgical treatment of meralgia paresthetica: neurolysis versus neurectomy. Acta Neurochirurgica. 2012;154(10):1765-72. https://doi.org/10.1007/s00701-012-1431-0
  14. Houle S. Chiropractic management of chronic idiopathic meralgia paresthetica: a case study. Journal of Chiropractic Medicine. 2012;11(1):36-41. https://doi.org/10.1016/j.jcm.2011.06.008
  15. Aigner N, Aigner G, Fialka C, Fritz A. [Therapy of meralgia paresthetica with acupuncture. Two case reports]. Schmerz (Berlin, Germany). 1997;11(2):113-5. Germany. https://doi.org/10.1007/s004820050072
  16. Chung SH. The literatural study on arthralgia syndrome. The Journal of Korean Oriental Medical Society. 1995;16(1):9-20.
  17. Lee SY, Kwon HK, Lee SM. SHINBARO, a new herbal medicine with multifunctional mechanism for joint disease: first therapeutic application for the treatment of osteoarthritis. Archives of Pharmacal Research. 2011;34(11):1773-7. https://doi.org/10.1007/s12272-011-1121-0
  18. Lee BY, Jang G, Lee GJ, Song YK, Lim HH. A case report on the scoliosis and Bertolotti syndrome treated by flexion-distraction technique. The Journal of Korea CHUNA Manual Medicine for Spine and Nerves. 2007;2(1):1-9.
  19. Goel A. Meralgia paresthetica secondary to limb length discrepancy: case report. Archives of Physical Medicine and Rehabilitation. 1999;80(3):348-9. https://doi.org/10.1016/S0003-9993(99)90151-X
  20. Tian KY. [U. S. acupuncturists qualification tests of clean needle technique (CNT) examination]. Zhongguo zhen jiu = Chinese acupuncture & moxibustion. 2011;31(12):1124-6. Chinese.