• Title/Summary/Keyword: 추간판탈출증

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The Effects of Auriculotherapy for Pain Control in HIVLD with Sciatica (좌골신경통을 수반하는 요추부 추간판탈출증 환자에 대한 외이치료의 동통조절 효과)

  • Oh Young-Taek;Kwon Hyuk-Cheol
    • The Journal of Korean Physical Therapy
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    • v.11 no.3
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    • pp.45-55
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    • 1999
  • This study was compared with each 2 groups (Intermittent traction therapy alone group1: Control group and Intermittent traction therapy plus Auriculotherapy group 2: Experimental group) on 20 HIVLD(Hemiated Intervertebral Lumbar Disk) patients with sciatics Each subjects were divided to control and experimental. Each group were applied Intermittent traction therapy (HOld:25, Rest:15) for 15 minute and control group were not received auricular stimulation. However experimental groups were applied auricular stimulation simultaneosly. Auricular acupuncture points(max-17, min=13) were stimulated with low frequency. high intensity Electro-Acupunture stimulator for 20 seconds per each point. Treatment and measurements(R.P and VAS) was administered to each patient during the 10 times therapy per 2 weeks. The results were significant differences between the two groups. Experimental group appeared significantly greater than before in pain, and pain relief, and significant improvement in centralization phenomenon of radiating pain.

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Effects of Auriculotherapy in the pain control of HIVLD (요추부 추간판탈출증 환자에 대한 외이치료의 동통조절 효과)

  • Oh, Young-Taek;Kwon, Hyuk-Cheol
    • Journal of Korean Physical Therapy Science
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    • v.6 no.2
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    • pp.977-988
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    • 1999
  • This study compared the effects of Intermittent traction therapy alone(Group1=Control group) and Intermittent traction therapy plus Auriculotherapy (Group2=Experimental group) to 20 Sciatica patients. Subjects were assigned to two groups with each 10. The two groups received Intermittent traction therapy (Hold:25, Rest:15) for 15 minute and experimental group did received auricular stimulation. Auricular acupuncture points(max=17, min=13) were stimulated with low frequency, high intensity Electro-Acupunture stimulator for 20 seconds per a each point. Treatment and measurements(SLR and VAS) was administered to each patient during the two weeks of 10 times therapy. The results were significant differences between the two groups. Experimental group produced significantly greater pain relief, and significant improvement of limited SLR.

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The Spontaneous Resorption of Herniated Lumbar Disc -A case report- (요추 추간판탈출증의 자연적 흡수 -증례 보고-)

  • Kim, Young Hoon;Moon, Dong Eon;Park, Chong Min;Yoon, Jae Won
    • The Korean Journal of Pain
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    • v.18 no.1
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    • pp.56-59
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    • 2005
  • The most effective treatment methods for a herniated lumbar disc remain questionable. This report follows the patients course, from the onset of pain through the completion of the non-surgical treatment, and shows that a lumbar herniated disc, with radiculopathy, can be successfully treated with a non-surgical approach. This report discusses the possible explanations for disc resorption: retraction into the intervertebral space, dehydration/shrinkage and resorption due to an inflammatory reaction. A non-surgical approach can be an effective treatment option for a herniated lumbar disc.

Clinical Application of Mesenchymal Stem Cells in a Dog with Intervertebral Disc Disease (추간판 탈출증이 발생한 개에서 동종의 지방유래 줄기세포의 임상적 적용)

  • Kim, Young-Ki;Lee, Seung-Yong;Park, Se-Jin;Lee, Scott-S.;Kim, Jin-Hyun;Lee, Hee-Chun;Chang, Hong-Hee;Lee, Hyo-Jong;Yeon, Seong-Chan
    • Journal of Veterinary Clinics
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    • v.28 no.1
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    • pp.122-127
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    • 2011
  • A 5-year old, intact male, Cocker spaniel dog was referred with paraplegia and loss of deep pain perception. Physical, neurological examinations, radiography, and computed tomography were evaluated. Based on the clinical examinations, the dog was diagnosed with severe disc herniation ($L_2$ to $L_3$ intervertebral disc space). On the next day of presentation (6 days after loss of deep pain perception), hemilaminectomy was performed. After decompression of spinal cord and removal of herniated disc materials, $1{\times}10^6$ canine allogenic adipose tissue-derived mesenchymal stem cells (MSCs) diluted by $50{\mu}l$ saline were directly applied to the injured site of the spinal cord. Ten weeks of follow-up after surgery, full recovery of deep pain perception and motor function were evaluated in both hind limbs. Based on the result, we suggest that the transplantation of allogenic adipose tissue-derived MSCs to dogs with spinal cord injuries could be a considerable method to expect better clinical outcomes in veterinary practice.

Percutaneous Cervical Discectomy using Dekompressor® to the Patient with Posterolateral Extrusion Disc -A case report- (후측면으로 거대 탈출된 경추부 추간판 탈출증 환자에게 Dekompressor®를 이용한 경피적 수핵 감압술 -증례보고-)

  • Jo, Daehyun;Kim, Sangjin;Kim, Myounghee
    • The Korean Journal of Pain
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    • v.19 no.2
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    • pp.253-256
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    • 2006
  • Cervical disc herniation is one of the most common causes of neck, shoulder and arm pain. There are many treatments for a cervical disc herniation, such as rest, physical therapy, medication, epidural steroid injection and surgery. However, conservative treatments sometimes have limited effectiveness, and a surgical discectomy is often associated with numerous complications. Nowadays, a percutaneous discectomy, using a $Dekompressor^{(R)}$, has been used in herniated disc patients, but a posterolateral extruded disc is not an indication. Herein, our experience using a 19 G $Dekompressor^{(R)}$, on a 52 year-old male patient with a left C6-⁣7 posterolateral extruded disc, is reported. Decompression was successfully performed, and the pain and range of motion was immediately improved.

Lumbar Facet Joint Injection in Low Back Pain and Sciatica Caused by Lumbar Facet Joint Arthropathy (후관절 관절증으로 인한 요통 및 좌골신경통에 대한 후관절강내 차단)

  • Ban, Jong-Seok;Go, Jeon-Seock;Min, Byng-Woo
    • The Korean Journal of Pain
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    • v.2 no.2
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    • pp.174-180
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    • 1989
  • An intra-articular lumbar facet joint block with a local anesthetic and asteroid is a reliable method of diagnosis and therapy for low back pain and/or sciatica caused by lumbar facet arthropathy under fluoroscopy. We injected 40 mg of methylperdnisolone acetate and 1 ml of 0.5% bupivacaine into each lumbar facet joint to 14 patients. The results are as follows: 1) Excellent pain relief in 2 patients (14.29%) 2) Good pain relief in 6 patients (42.85%) 3) Fair pain relief in 4 patients (28.57%) 4) Non effective pain relief in 2 patients (14.29%).

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The Complications of the Graf Stabilization for Lumbar Disc Herniation with Posterior Instability (후방불안정성을 동반한 요추 추간판 탈출증에서 Graf 고정술후 발생한 합병증 분석)

  • Park, Joo-Tae;Shin, Young-Shik;Yang, Jeong-Ho;Min, Kang-Woo
    • Journal of Yeungnam Medical Science
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    • v.15 no.1
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    • pp.164-172
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    • 1998
  • The Graf stabilization has been introduced in treating lumbar spinal disorder associated with posterior instability. This study reviewed some problems of the Graf instrumentation as a soft stabilizer. The purpose of this study is to analyse the problems of the soft stabilization in spinal instability. We reviewed 145 cases which were operative treatment using the Graf instrument for lumbar spinal disorder associated with posterior instability at our department from May, 1991 to Dec, 1995. The mean follow up periods was 29 months ranging from 24 months to 6 years 8 months. Of the 145 cases, 22 cases were showed the problem. The diagnostic method were simple x-ray, flexion-extension lateral stress view and CT scan. Results were as follows: Adjacent segmental instability was 10 cases(6.9%), disc space narrowing was 8 cases(5.5%), screw loosening was 3 cases(2.1%) and breakage of the Graf band was 1 case(0.6%). The problems of the soft stabilization were adjacent segmental instability, disc space narrowing, screw loosening, and breakage of the Graf band. But the rate of adjacent segmental instability and disc space narrowing was lower than other lumbar spinal instrumentation.

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Magnetic Resonance Imaging Follow-Up Case Study on Changes in a Lumbar Herniated Intervertebral Disc Treated with Korean Conservative Treatment (보존적 한방치료를 진행한 요추 추간판 탈출증 환자의 시간에 따른 영상의학적 추간판 크기 변화 1례)

  • Roh, Ji-ae;Lee, Ji-won;Jang, Jae-won;Jeong, Wu-jin;Noh, Je-heon
    • The Journal of Internal Korean Medicine
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    • v.39 no.5
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    • pp.879-885
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    • 2018
  • Background: A herniated intervertebral disc (HIVD) triggers low back pain (LBP). Korean conservative treatment can decrease the herniated disc size without traditional surgery, but detailed prognosis is unclear. Case summary: One patient presented with LBP and bilateral sciatica. She was diagnosed with lumbar HIVD by magnetic resonance imaging (MRI) and treated by Korean medicine (acupuncture, decoction, and physical therapy). For 6 months, MRI follow-up exams showed the aggravation and migration of L5-S1 followed by distinct improvement of the same lumbar vertebra. Conclusion: The disc size in a patient with lumbar HIVD was reduced by Korean conservative treatment, and periodic radiologic examination showed the previously unrecognized process of absorbing the disc.

The Effects of Distraction Manipulation on the Pain and Intervertebral Disc Angle in Patients With Herniated Intervertebral lumbar Disc (신연교정치료가 요추 추간판 탈출증 환자의 통증 및 추간판 각도에 미치는 효과)

  • Ma, Sang-Yeol;Lee, Hyeon-Hee;Kim, Seong-Hak;Lee, Moon-Hwan
    • The Journal of Korean Physical Therapy
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    • v.19 no.3
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    • pp.31-39
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    • 2007
  • Purpose: This study was conducted to investigate the effect of distraction manipulation on the pain and. intervertebral disc angle in patients with herniated intervertebral lumbar discs. Methods: 30 patients who visited to receive the treatments of the physical therapy in W pain clinic in Daejeon. All subjects had been treated with flexion-distraction manipulation for 30 minutes per day and three times a week during 12 weeks period from June 10 to 19 August 2006. They were randomly divided into two groups: lumbar 4 and lumbar 5 group. Results: Pain of L4 and L5 group was significantly reduced after than before treatment(p<0.05). The intervertebral lumbar disc angle was significantly improved after than before treatment(p<0.05). Conclusion: These results indicated that distraction manipulation has a effectiveness in patients with herniated lumbar disc.

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The Clinical Report on 1 case of Paresthesia and Migration on L-spine MRI Patient Treated by Conservative Oriental Medical Treatment (L-spine MRI 상 Migration을 동반하고 감각저하를 호소하는 추간판탈출증 환자의 보존적 치료 증 1례)

  • Sul, Moo-Chang;Kang, Man-Ho;Park, Young-Eun
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.2 no.2
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    • pp.49-56
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    • 2007
  • Objectives : This study is to investigate the clinical application of conservative treatment to a patient who has the paresthesia and migration on L-spine MRI. Methods : A male patient, 34 years old, who has paresthesia and migration on L-spine MRI was evaluated after conservative oriental medical and chuna treatment by Visual Analog Scale(VAS), Numeric Rating Scale(NRS), Straight Leg Rasing Test(SLRT), Sensation, MRI follow-up. Results : 1. Visual Analog Scale(VAS), Numeric Rating Scale(NRS), Straight Leg Rasing Test(SLRT), Sense was significantly improved after conservative oriental medical and chuna treatment. 2. Also it was observed that herniated disc was decreased by L-spine MRI follow-up. Conclusions : Conservative oriental medical and chuna treatment can be effective for decreasing pain and improving paresthesia, also decreasing the volume of herniated disc.