DOI QR코드

DOI QR Code

Effect of Integrative Korean Medicine Treatment for Tear of Supraspinatus Tendon: A Case Report

극상근건 파열에 대한 복합 한방치료의 효과 : 증례보고

  • Hae-Won, Hong (Department of Acupuncture & Moxibustion Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Ji-Won, Park (Department of Acupuncture & Moxibustion Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Myung-In, Jeong (Department of Acupuncture & Moxibustion Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Ka-Hyun, Kim (Department of Rehabilitation Medicine of Korean Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Joo-Young, Yoon (Department of Rehabilitation Medicine of Korean Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Si-Won, Lee (Department of Korean Medicine Obstetrics and Gynecology, Daejeon Jaseng Hospital of Korean Medicine)
  • 홍혜원 (대전자생한방병원 침구의학과) ;
  • 박지원 (대전자생한방병원 침구의학과) ;
  • 정명인 (대전자생한방병원 침구의학과) ;
  • 김가현 (대전자생한방병원 한방재활의학과) ;
  • 윤주영 (대전자생한방병원 한방재활의학과) ;
  • 이시원 (대전자생한방병원 한방부인과)
  • Received : 2023.01.17
  • Accepted : 2023.02.09
  • Published : 2023.03.27

Abstract

A 53-year-old woman with right shoulder pain after falling down presented at our outpatient department after conventional treatment that had little effect. She was treated with integrative Korean Medicine treatment as an outpatient from February 2, 2022 to July 4, 2022. Based on Magnetic Resonance Imaging (MRI) findings, the patient was diagnosed with a right rotator cuff tear. With 39 treatment sessions, Numeric Rating Scale (NRS) score decreased and showed improvement in assessment. On May 6, MRI was retaken to show restoration of the supraspinatus tendon tear. The patient felt almost no pain on July 4, declaring the end of treatment. This successful case suggests that integrative Korean Medicine treatment might be an attractive alternative for severe rotator cuff tears.

Keywords

References

  1. Dang A, Davies M. Rotator cuff disease: treatment options and considerations. Sports Med Arthrosc Rev. 2018 ; 26(3) : 129-33. https://doi.org/10.1097/JSA.0000000000000207
  2. Mahon HS, Christensen JE, Brockmeier SF. Shoulder rotator cuff pathology: common problems and solutions. Clin Sports Med. 2018 ; 37(2) : 179-96. https://doi.org/10.1016/j.csm.2017.12.013
  3. The Korean Orthopaedic Association. Orthopedics. 7th ed. Seoul : ChoiSin Medical Publishing Co. 2013 : 629-34.
  4. Tashjian RZ. Epidemiology, natural history, and indications for treatment of rotator cuff tears. Clin Sports Med. 2012 ; 31(4) : 589-604. https://doi.org/10.1016/j.csm.2012.07.001
  5. Murray J, Gross L. Optimizing the management of full-thickness rotator cuff tears. J Am Acad Orthop Surg. 2013 ; 21(12) : 767-71. https://doi.org/10.5435/JAAOS-21-12-767
  6. Lee GE, Kim YI, Jo KS, Han SH, Kim MK, Min BK, et al. Forty-one cases of rotator cuff injuries treated by complex Korean medicine treatment: a retrospective review. JKMR. 2018 ; 28(4) : 81-7. https://doi.org/10.18325/jkmr.2018.28.4.81
  7. Lim SJ, Jun JY, Lee CW, Kim HS, Kim HS, Bae YH, et al. Clinical characteristics and treatment effects of shoulder pain patients admitted to a Korean medicine hospital based on MRI findings. J Acupunct Res. 2014 ; 31(4) : 109-19. https://doi.org/10.13045/acupunct.2014058
  8. Dietrich TJ, Moor BK, Puskas GJ, Pfirrmann CW, Hodler J, Peterson CK. Is the lateral extension of the acromion related to the outcome of shoulder injections? Eur Radiol. 2015 ; 25(1) : 267-73. https://doi.org/10.1007/s00330-014-3403-7
  9. Bakhsh W, Nicandri G. Anatomy and physical examination of the shoulder. Sports Med Arthrosc Rev. 2018 ; 26(3) : e10-e22. https://doi.org/10.1097/JSA.0000000000000202
  10. Rabin R, de Charro F. EQ-5D: a measure of health status from the EuroQol Group. Ann Med. 2001 ; 33(5) : 337-43. https://doi.org/10.3109/07853890109002087
  11. Breckenridge JD, McAuley JH. Shoulder Pain and Disability Index (SPADI). J Physiother. 2011 ; 57(3) : 197. https://doi.org/10.1016/S1836-9553(11)70045-5
  12. Terabayashi N, Watanabe T, Matsumoto K, Takigami I, Ito Y, Fukuta M, et al. Increased blood flow in the anterior humeral circumflex artery correlates with night pain in patients with rotator cuff tear. J Orthop Sci. 2014 ; 19(5) : 744-9. https://doi.org/10.1007/s00776-014-0604-5
  13. Lee JH, Ko MK, Yoon KS, Lee CW, Kim YI, Kim JH. Case report of acute traumatic rotator cuff tear treatment in traditional Korean medicine. J Pharmacopuncture. 2011 ; 14(4) : 53-8. https://doi.org/10.3831/KPI.2011.14.4.053
  14. Lo IK, Denkers MR, More KD, Nelson AA, Thornton GM, Boorman RS. Partial-thickness rotator cuff tears: clinical and imaging outcomes and prognostic factors of successful nonoperative treatment. Open Access J Sports Med. 2018 ; 9 : 191-7. https://doi.org/10.2147/OAJSM.S153236
  15. Lim JY, Choi JE, Kim MJ, Kim SH, Kim YJ, Do HK, et al. Comparative effectiveness research of conservative treatment and rotator cuff repair for the patient with rotator cuff tears. 1st ed. Seoul : NECA. 2015 : 1-135.
  16. Filshie J, White A, Cummings M. Medical acupuncture-a western scientific approach. 2nd ed. Seoul : Hanmi Medical Publishing. 2019 : 19-54, 93-118, 575-86.
  17. Longo UG, Berton A, Khan WS, Maffulli N, Denaro V. Histopathology of rotator cuff tears. Sports Med Arthrosc Rev. 2011 ; 19(3) : 227-36. https://doi.org/10.1097/JSA.0b013e318213bccb
  18. Gxaba N, Manganyi MC. The fight against infection and pain: Devil's claw (harpagophytum procumbens) a rich source of anti--inflammatory activity: 2011-2022. Molecules. 2022 ; 27(11) : 3637. https://doi.org/10.3390/molecules27113637
  19. Zhang RX, Li MX, Jia ZP. Rehmannia glutinosa: review of botany, chemistry and pharmacology. J Ethnopharmacol. 2008 ; 117(2) : 199-214. https://doi.org/10.1016/j.jep.2008.02.018
  20. Rios JL. Chemical constituents and pharmacological properties of Poria cocos. Planta Med. 2011 ; 77(7) : 681-91. https://doi.org/10.1055/s-0030-1270823