Browse > Article
http://dx.doi.org/10.22246/jikm.2019.40.2.165

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

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)
Publication Information
The Journal of Internal Korean Medicine / v.40, no.2, 2019 , pp. 165-172 More about this Journal
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
intervertebral disc displacement; spinal stenosis; muscle weakness; Korean traditional medicine; case report;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 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.
2 Park BC. Conservative treatment of spinal stenosis. Journal of Korean Spine Surg. 2000;7(1):114-16.
3 Shim SY, Park HJ, Lee JM, Lee HS. An Overview of Pain Measurements. Korean J Acupunct 2007;24(2):77-97.
4 Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine 2000;25(22):2940-52.   DOI
5 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.
6 Heo J. Dongeuibogam. Seoul: Beobinmoonhwasa; 2011, p. 650.
7 Baber Z, Erdek MA. Failed back surgery syndrome: current perspectives. J Pain Res 2016;9:979-87.   DOI
8 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.
9 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.   DOI
10 Wong DA, Transfeldt E. Macnab's backache. Seoul: Gaboneuihak; 2008. p, 272-307.
11 Lumbar Spinal Stenosis Johns Hopkins Medicine Health Library. https://www.hopkinsmedicine.org/healthlibrary/conditions/nervous_system_disorders/lumbar_spinal_stenosis_134,18