• The Korean Journal of Pain
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• v.29 no.3
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• pp.197-201
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• 2016

Because of its anatomical location and function, the costotransverse (CTRV) joint can be a source of thoracic back pain. In this retrospective observational study, we evaluated the clinical effectiveness of the CTRV joint injection in thoracic back pain patients with suspected CTRV joint problems. We enrolled 20 thoracic back pain patients with localized tenderness that was provoked by the application of pressure on the affected CTRV joints. We injected it with 0.5 ml of a ropivacaine and triamcinolone mixture at each level. The mean pre-injection pain score decreased by 37.9% ($7.2{\pm}1.5$ to $4.5{\pm}1.7$, P < 0.001) two weeks after CTRV joint injection. In addition, 70% of patients reported an excellent or good level of satisfaction. We demonstrated that an ultrasound-guided injection of the CTRV joint reduced patients' pain scores and led to a high level of satisfaction at short-term follow-ups in patients with suspected CTRV joint problems.

• Journal of Korean Neurosurgical Society
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• v.43 no.3
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• pp.139-142
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• 2008

Objective: The purpose of this study was to evaluate the efficacy of spinal implant removal and to determine the possible mechanisms of pain relief. Methods: Fourteen patient~with an average of 42 years (from 22 to 67 years) were retrospectively evaluated. All patients had posterior spinal instrumentation and fusion, who later developed recurrent back pain or persistent back pain despite a solid fusion mass. Patients' clinical charts, operative notes, and preoperative x-rays were evaluated. Relief of pain was evaluated by the Visual Analog Scale (VAS) pain change after implant removal. Clinical outcome using VAS and modified MacNab's criteria was assessed on before implant removal, 1 month after implant removal and at the last clinical follow-up. Radiological analysis of sagittal alignment was also assessed. Results: Average follow-up period was 18 months (from 12 to 25 months). There were 4 patients who had persistent back pain at the surgical site and 10 patients who had recurrent back pain. The median time after the first fusion operation and the recurrence of pain was 6.5 months (from 3 to 13 months). All patients except one had palpation pain at operative site. The mean blood loss was less than 100ml and there were no major complications. The mean pain score before screw removal and at final follow up was 6.4 and 2.9, respectively (p<0.005). Thirteen of the 14 patients were graded as excellent and good according to modified MacNab's criteria. Overall 5.9 degrees of sagittal correction loss was observed at final follow up, but was not statistically significant. Conclusion: For the patients with persistent or recurrent back pain after spinal instrumentation, removal of the spinal implant may be safe and an efficient procedure for carefully selected patients who have palpation pain and are unresponsive to conservative treatment.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.1 no.1
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• pp.1-14
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• 2006

Objectives : The causative pathology of acute muscular pain cannot be defined in many patients. To evaluate the relations between mental state and acute muscular pain patients, the author surveyed symptom check list-90-Revision(SCL-90-R) in patients with acute muscular pain. Materials and Methods : From November 2004 to June 2005, a questionnaire including SCL-90-R was given to patients(52 persons) who visited our department for acute(<7days)muscular pain of neck(22 persons) or low back(30 persons). Fifty two patients(30 male, 22 female) completed SCL-90-R Results : 1. Mean values of T-scores on all 9 basic scales in the patients groups were within normal range. but T-scores SOM in the patients groups were significantly very higher than those in Normal groups(p<0.01). 2. The T-scores of SOM In low back pain patients were significantly higher than those in Normal groups(p<0.05). 3. There was no significant difference in all scales between acute muscular pain and L-spine HIVD patients groups. 4. There was no significant difference in all scales between acute muscular pain and general back pain patients groups. 5. There was no significant difference in all scales between male and female in the patients groups. Conclusion : It is concerned between T-scores on all 9 bas κ scales of SCL-90-R and acute muscular pain. Especially acute muscular pain of back has a relation to somatization of T-scores on all 9 basic scales of SCL-90-R.

• The Korean Journal of Pain
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• v.20 no.2
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• pp.130-137
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• 2007

Background: We evaluated the role and effects of prolotherapy in patients presenting with lower back pain and detected sacral asymlocation, by retrospectively analyzing the results of prolotherapy performed at our institute. Methods: Twenty-three patients with referred pain in the lower back rather than distinct radiculopathy, were detected to have sacral asymlocation by simple X-ray from May 2004 through July 2005. The patients were treated with prolotherapy and manipulation by the Ongley's method around the lumbosacral junction, iliolumbar ligament, and sacroiliac joint. They were treated for approximately one to two week intervals, and during this period were rechecked by X-ray and evaluated using the visual analogue scale (VAS). Results: A total of 23 patients were included in the study (10 male and 13 female), and the average age was 41 years. The average VAS at the time of visit was B.5, the average treatment time was 4,7 days, and the average VAS after treatment was 2.1. Conclusions: Back pain, and associated leg and buttock pain, originate from several causes. In these case analyses, instability around the lumbosacral area and sacral asymlocation might have been important causes of patient back pain and associated buttock and leg pain. We therefore applied prolotherapy as well as manipulation techniques devised by Ongley to these patients, and obtained good results.

• Journal of Korean Physical Therapy Science
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• v.28 no.3
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• pp.66-75
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• 2021

Background: The purpose of this study is to investigate the effect of muscle energy technique and stretching on pain and pressure pain fear-avoidance beliefs questionnaire in patients with chronic back pain aged 30~40 years. Design: Pretest-Posttest design: single blind. Methods: The subjects of this study were 30, 22 males and 8 females between the ages of 30 and 40 with chronic back pain. Each group consists of three groups of 10 people. Changes in back pain were observed using Korean version of Oswestry Disability Index (K-ODI), visual analogue scale (VAS), and fear-avoidance beliefs questionnaire (FABQ). And the change in tenderness was observed using digital pressure statistics. Changes between groups after 3 weeks were compared with those before the experiment using one way ANOVA to determine the changes after 3 weeks. And the change within the group was investigated using the paired t-test. Results: As a result of the experiment, there were significant differences in the group changes in K-ODI, VAS, FABQ, and pressure pain (p<0.05). And there was a significant difference in all items after 3 weeks compared to before the experiment (p<0.05). Conclusion: In patients with chronic back pain, the muscle energy technique and stretching gave a significant difference in pain and pressure pain, fear-avoidance beliefs questionnaire changes. And this result suggests the possibility of providing basic data for future research and clinical physiotherapy intervention.

• The Journal of Korean Obstetrics and Gynecology
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• v.22 no.4
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• pp.194-204
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• 2009

Purpose: When pregnant women get symptom like pain, because of fear of using analgesic drugs and X-ray test during pregnancy, pain is nevertheless often left. This study was to report the clinical application and safety of oriental treatment to low back pain and pelvic pain caused by traffic accident during pregnancy. Methods: We experienced seven patients who suffered from low back pain and pelvic pain caused by traffic accident during pregnancy. During their admission, we treated with acupuncture, cupping therapy and herbal medicine. We checked the symptoms during admission at progress note, and follow up by phone call. Results: The degree of low back pain and pelvic pain were decreased or resolved. After treatment, no serious adverse effects were found on the patients, and there were no adverse effects at all on the infants. Conclusion: The results indicate that oriental treatment can be effective for the management of low back pain and pelvic pain caused by traffic accident during pregnancy. And these treatments are safe to both patients and infants.

• Journal of East-West Nursing Research
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• v.19 no.2
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• pp.63-70
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• 2013

Purpose: The purpose of this study was to determine the effects of the hand acupressure and lumbar strengthening exercise on young adult women with back pain. Methods: The study used a nonequivalent control group pretest-posttest design. The subjects consisted of 37 female young adults (19 persons in the experimental group and 18 persons in the control group). The hand acupressure and strengthening exercise for lower back were developed by the investigator and a hand acupressure expert. The experimental group was exposed to this program 5 days a week for 4 weeks. The visual analog scale, back muscle strength, flexibility, and quality of life were used as measurement instruments. The data were analyzed with frequency, t-test, and repeated measures ANOVA using SPSS 18.0. Results: In this study, the hand acupressure and strengthening exercise showed siginificant effects on the back muscle strength, flexibility, and quality of life in the experimental group compared to the control group. However, back pain score was not significantly decreased after the program. Conclusion: The study suggests that this program can be applied for the women with low back pain in order to enhance the back muscle strength, flexibility, and quality of life.

• The Korean Journal of Pain
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• v.11 no.2
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• pp.210-213
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• 1998

Background: Epidural steroid therapy has been well-established for the treatment of sciatica and low back pain. Disappointing results following surgical decompression or discectomy have led to wide trials of corticosteroids injected either systemically or into the intraspinally. Although epidural steroid is known to be very effective in the treatment of the patients with low back pain, few data showed the therapeutic duration of epidural steroid. Methods: We studied 120 patients who were treated with epidural steroid for the treatment of low back pain or sciatica or both. We retrospectively analysed the duration of analgesia, number of injections per each session, and complications. Results: The duration of analgesia ranged from 17 days to 300 days, and the mean duration was $73.7{\pm}70.5$ (SD) days. The mean number of injections per each session was $1.8{\pm}1.3$ (range: 1 to 12). There were no significant complications with epidural steroid injections. Conclusions: One to three epidural steroid injections at one week interval leads more than two months of pain relief without significant complications.

• Journal of Korean Physical Therapy Science
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• v.25 no.2
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• pp.15-23
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• 2018

Purpose: The purpose of this study was to investigate the effects of Interferential current stimulation therapy(ICT) on pain, balance, and walking ability of elderly patients with chronic low back pain. Methods: Twenty participants were randomly assigned to ICT group (2 males and 8 females) and placebo ICT group (3 males and 7 females). Participants were ICT and placebo ICT for 20 minutes, and the pre- and post-VAS, TUG and postural balance were measured. Results: The ICT group showed significantly decreased pain scores in the elderly patients with chronic low back pain (p<.05) than the placebo ICT group. The postural fluctuation with eyes opened and closed was significantly lower than the placebo ICT group(p<.05), and the ICT group showed remarkable improvement (p<.05). Conclusion: ICT was expected to improve decrease pain, improve postureal sway and walking ability remarkably. Therefore, It was expected that the application or ICT would be an effective method for elderly patients with Chronic Low Back Pain.

• PNF and Movement
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• v.10 no.2
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• pp.47-54
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• 2012

Purpose : The purpose of this study was investigated to find the approach in the various method for patients with chronic low back pain. Methods : For research purposes that meet the search was focused papers. Treatments include PNF, chiropractic, joint mobilization, microcurrent, electroacupuncture, stabilizing exercise, resistance exercise, aquatic rehabilitation exercise, lumbar flexion and extension exercise were included as Gymball exercise. Results : Treatment with the three major manual therapy, electrical therapy and therapeutic exercise were divided. The result of applying manual therapy increased balance, increased strength, stability increased and decreased pain. The result of applying the electrical therapy increased flexibility, and decreased pain. The result of applying therapeutic exercise increases muscle strength, reduced pain, and decreased body fat. Conclusion : Previous studies by examining the effects of chronic low back pain treatment was intended to help in the selection and application Aquatic therapy, manual therapy, electrical therapy for patients with chronic low back pain with pain reduction was found to be effective.