• Title/Summary/Keyword: Lumbar Herniated Disc

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Suggestion of Flexion Distraction Technique in Lumbar Herniated Intervertebral Disc(HIVD) (요추추간판탈출증에서의 굴곡신연기법에 대한 제언(提言))

  • Cha, Yun-Yeop
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.14 no.1
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    • pp.93-98
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    • 2019
  • Objectives : This study aimed to introduce a new traction therapy and proposes that a new Chuna manual therapy technique could be implemented. Methods : The patient is placed in the prone position and their ankle is fixed to the fixing table. Next, clinicians contact on the vertebral spinal process above herniated disc region with the tissue pulled head part of scaphoid bone and the lower part of the pelvis is pulled horizontally to the foot. Conclusions : It was recently identified that traction while maintaining lumbar lordosis is more effective for lumbar disc herniation and is associated with fewer side effects. Chuna manual therapy also uses a technique of lumbar flexion-distraction manipulation to treat HIVD. further research is required.

The Trend Review of Acupoints for Lumbar HIVD Treatment and the Literature Review of Anatomical Location of Hwatahyeopcheock (요각통 및 요추간판탈출증 침 치료에 다용되는 혈위 조사 및 협척혈의 해부학적 위치에 대한 문헌적 고찰)

  • Lee, Min-Su;Kang, Kyung-Rae;Woo, Ki-Won;Baek, Sang-Hyun;Ha, In-Hyuk;Shin, Min-Sik;Lee, Jin-Ho
    • Korean Journal of Acupuncture
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    • v.32 no.3
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    • pp.81-89
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    • 2015
  • Objectives : The purpose of this study is to explore the trends of acupoints used for lumbar HIVD(Herniated Intervertebral Disc) and treatment and anatomical location of Hwatahyeopcheock. Methods : We searched the latest clinical studies on acupuncture treatment for lumbar HIVD(Herniated Intervertebral Disc) through domestic studies search. To analyze the data, we categorized them by year and article types of literatures and investigated often-used acupoints and acupuncture types for treatment by reading treatment part of every paper searched. Domestic and Chinese literatures related to Hwatahyeopcheock were also studied for its anatomical location. Results : Total 50 articles are searched and local points are more used than distant points for lumbar HIVD(Herniated Intervertebral Disc) and most of them showed curative effects. Back-su points were used the most and Hwatahyeopcheock use accounted for one-third of the articles. In the articles of Hwatahyeopcheock use, except for one, patients complained of both low back pain and radiating pain, and all of them showed positive results after treatment. Conclusions : Back su point is considered to have its meaning as physical region where patients feel pain including herniated disc level rather than the effect meridian system makes. Through document research and meridian muscle theory, we found that Hwatahyeopcheock means vertebral facet joint, intervertebral foramen and surrounding muscle, nerve, blood vessel and related spinal nerves.

A Case Report on a Patient of Early Developed Avascular Necrosis of Femur Head with lumbar HIVD(Herniated Intervertebral Disc), Treated by Conservative Oriental Medical Treatment Including Hip Joint MST(Motion Style Treatment) (요추 추간판 탈출증을 동반한 대퇴골두 무혈성 괴사 초기 진단 받은 환자를 대상으로 시행한 고관절 MST 및 한방 보존적 치료 치험 1례)

  • Baek, Sang-Hyun;Park, Min-Woo;Eom, Kwan-Joon;Yang, Seung-Hee;Lee, Seung-Yeol
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.8 no.2
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    • pp.141-149
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    • 2013
  • Objectives : The Purpose of this study is to investigate the clinical application of conservative treatment including hip joint MST for lumbar HIVD(Herniated Intervertebral Disc) and early developed avascular necrosis of femur head. Methods : Patient is hospitalized at Dept. of Oriental Internal Medicine, Jaseng Oriental Medicine Hospital, diagnosed as lumbar HIVD(Herniated Intervertebral Disc) and early developed Avascular Necrosis of Femur Head and treated by herbal medicine, acupuncture, moxibustion and hip joint MST. This study was measured by NRS(Numeric Rating Scale), ODI(Oswestry Disability Index) and ROM(range of motion). Results : After conservative treatment, the patient's pain was controlled and NRS score was decreased. ODI and ROM also were improved. Conclusions : As seen in this one case, Oriental conservative treatment including hip joint MST has a positive effect to control pain with lumbar HIVD(Herniated Intervertebral Disc) and early developed avascular necrosis of femur head.

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The Ligamentotactic Effect on a Herniated Disc at the Level Adjacent to the Anterior Lumbar Interbody Fusion : Report of Two Cases

  • Min, Jun-Hong;Jang, Jee-Soo;Kim, Seok-Kang;Maeng, Dae-Hyeon;Lee, Sang-Ho
    • Journal of Korean Neurosurgical Society
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    • v.46 no.1
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    • pp.65-67
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    • 2009
  • The authors report two cases of spontaneous regression of disc herniation at the level adjacent to the anterior lumbar interbody fusion (ALIF) level. This phenomenon may be due to the increased tension on the posterior longitudinal ligament (PLL) by appropriate restoration of the disc height and lumbar lordosis, which is a mechanism similar to ligamentotaxis applied to the thoracolumbar burst fracture.

A Clinical Study for Patients with Lumbar Disc Herniation: Association Between Clinical Outcomes of Conservative Treatment and Cigarette Smoking (요추 추간판 탈출증 환자의 보존적 치료결과와 흡연의 상관성에 대한 임상적 고찰)

  • Bahn, Hyo-Jung;Kim, Seok;Yoon, Hyun-Seok;Kim, Han-Kyum;Kim, Sun-Min;Kim, Jee-Yang;Kim, Tae-Hun;Park, Byoung-Yoon
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.5 no.2
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    • pp.17-32
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    • 2010
  • Objectives : To investigate the association between cigarette smoking and clinical outcomes of conservative treatment for lumbar herniated disc. Methods : We reviewed 74 male patients with lumbar herniated disc who were hospitalized at the Jaseng Oriental Medicine Hospital. 74 patients were divided into 2 groups(smokers, non-smokers) and we measured age, ODI score, SF-36 score, VAS. Results : Between smokers and non-smokers, statically significant differences were found in clinical symptoms on the time of 6 months later, effective scores of treatments, value of ODI and value of VAS on the time of 6 months later. And in these values of measurements, non-smokers were higher than those of smokers. Conclusion : These results suggest that possibility of the association between cigarette smoking and clinical outcomes of conservative treatment for lumbar herniated disc.

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Spontaneous Regression of a Large Lumbar Disc Extrusion

  • Ryu, Sung-Joo;Kim, In-Soo
    • Journal of Korean Neurosurgical Society
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    • v.48 no.3
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    • pp.285-287
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    • 2010
  • Although the spontaneous disappearance or decrease in size of a herniated disc is well known, that of a large extruded disc has rarely been reported. This paper reports a case of a spontaneous regression of a large lumbar disc extrusion. The disc regressed spontaneously with clinical improvement and was documented on a follow up MRI study 6 months later. The literature is reviewed and the possible mechanisms of spontaneous disc regression are discussed.

A Case Report of Bee Venom Pharmacopuncture Therapy at Facet Joint for the Two Patients with Herniated Intervertebral Disc of Lumbar Spine (신경뿌리병증을 동반한 요추 추간판탈출증 환자의 봉약침 후관절 심부시술 효과에 대한 증례 보고)

  • Ok, Soyoon;Sohn, Soo-ah;Lee, Yujin;Shin, Minseop
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.4
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    • pp.155-161
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    • 2017
  • The purpose of this study is to research and report the effect of Bee Venom pharmacopuncture therapy at facet joint for the two patients who was diagnosed as herniated intervertebral disc (HIVD) of lumbar spine. Two patients were hospitalized and treated with Complex Korean Medical treatment such as acupuncture, herbal medicine and Essential bee venom (EBV) pharmacopuncture in Dongsuwon hospital of oriental medicine. We measured their pain and function of daily life by numerical rating scale (NRS), straight leg rasing test (SLRT), Roland-morris disability questionnaire (RMDQ). As the result, we found the improvement of gait disturbance, functional disorder, and pain. This study suggested that Bee Venom pharmacopuncture therapy at facet joint is considered to conservative treatment for HIVD of lumbar spine. But further clinical studies are needed to clarify the effect of Bee Venom pharmacopuncture therapy at facet joint for the two patients with HIVD of lumbar spine.

A Review of Lumbar Herniated Intervertebral Disc (요추 추간판 탈출증에 대한 고찰)

  • Kim, Hyoung-Su;Kim, Eun-Young;Bae, Sung-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.1 no.1
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    • pp.125-137
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    • 2006
  • Purpose : The purpose of the study was to examine lumbar pain through literature reviews about herniated intervertebral disc (HIVD). Methods : Diagnosis was made by patient's history, physical examination, simple radiography, myelography, spinal computerized tomography, electromyography, somatosensory evoked potential, etc. Results : There are two treatment modalities, one is conservative and the other is operative. About 90% of patients with HIVD have been recovered only by conservative treatment and therapeutic exercise was the most effective one among these conservative treatments. Conclusion : We consider HIVD can be treated with therapeutic exercise which can correct muscular imbalance and facet joint problems and make the degenerative process of intervertebral disc slower.

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Effects of Korean Medical Combination Treatment for Herniated Intervertebral Lumbar Disc Patients: An Observational Study (요추 추간판 탈출증 환자에 대한 한의학적 복합치료 효과의 관찰 연구)

  • Kim, Seh Young;Park, Han Sol;Kim, Min Chul;Seo, Young Woo;Seo, Young Hoon;Lee, Sang Min;Kim, Ki Ok;Kim, Tae Hun
    • Journal of Acupuncture Research
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    • v.31 no.4
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    • pp.21-28
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    • 2014
  • Objectives : Lumbar disc herniations are common conditions which induce severe pain and disability. We assessed the clinical effectiveness of Korean medical combination treatment. Methods : This is an observational study. We reviewed the medical records of 46 patients with lumbar disc herniations, who attended intensive Korean medical combination treatments at Mokhuri Neck and Back Hospital, Korea during March, 2012 to October, 2012. All the patients took combination treatments of acupuncture, Chuna and herbal medicines during the hospitalization treatments. Zero to ten pain numerating rating scale(NRS) of pain and SF-36 were assessed before and after treatments. Results : During the period, 46 patients with lumbar disc herniation participated in the treatments, respectively. Average admission duration were 20.32 days(SD 9.67) in lumbar disc patients. For lumbar patients, low back pain NRS decreased from $5.84{\pm}2.58$ to $2.12{\pm}1.74$(p<0.001) and radiating pain from $6.25{\pm}2.30$ to $2.59{\pm}1.97$(p<0.001). Total SF-36 score increased significantly after treatment in lumbar disc patients(p<0.001). Conclusions : Korean medical combination treatment might be effective in reducing pain and improving life quality of patients with lumbar disc herniation.

A Case Report of Patient with Muscles Weakness Caused by Chronic Lumbar Disc Herniation (하지 근력 저하를 동반한 만성기 요추 추간판 탈출증 환자 치험 1례)

  • Kim, Jee-Yong;Kim, Sun-Min;Kim, Tae-Hun;Park, Byong-Yoon;Jun, Byung-Chul;Choi, Woo-Sung
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.5 no.2
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    • pp.159-168
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    • 2010
  • Objectives : The object of this study is to report a clinical effect of oriental medical treatments lot chronic muscle weakness caused by herniated intervertbral lumbar disc. Methods : The patient was diagnosed as lumbar disc herniation, and was treated by conservative treatments including acupunture, herbal mixture, pharmacopuncture. And we measured Visual Analog Score(VAS), Walking time and Manual Muscle testing(MMT). Results : After treatments, Visual Analog Score, Walking time and Manual Muscle testing(MMT) were improved in case. Conclusions : Chronic Muscle weakness caused by lumbar disc herniation can be improved by conservative maneuver as to oriental medical method.

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