• Title/Summary/Keyword: acute pain

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The Clinical Effects of Heating-Conduction Acupuncture Therapy(tentatively called) for Anterior Talofibular Ligament Injury Induced by Acute Ankle Sprain (전열침(가칭)이 급성 족관절 염좌로 인한 전거비 인대 손상에 미치는 임상적 효과)

  • An, Soon-Sun;Jang, Hyo-Kil;Heo, Dong-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.19 no.4
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    • pp.127-134
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    • 2009
  • Objectives : The purpose of this study is to investigate the clinical effects of heating-conduction acupuncture therapy on anterior talofibular ligament injury induced by acute ankle sprain. Methods : From October 31, 2008 to July 21, 2009, the 11 outpatients who had admitted to department of oriental rehabilitation medicine, Dae-Jeon oriental medicine hospital, Dae-Jeon university with acute ankle sprain were performed heating-conduction acupuncture therapy on anterior talofibular ligament injury. To evaluate the efficiency of heating-conduction acupuncture therapy, pain threshold with Pressure algometer and visual analogue scale(VAS) were applied before treatment and after 1st, 2nd treatment. Results : 1. The pain threshold score and the VAS score showed statistical significant improvement after 1st treatment. 2. The pain threshold score and the VAS score showed improvement but had no statistical significance after 2nd treatment. 3. The difference between left and right were not statistical significant in pain threshold score and VAS score. Conclusions : Heating-conduction acupuncture therapy has clinical effects of pain reduction on patient with anterior talofibular ligament injury induced by acute ankle sprain.

A case report of gastrointestinal perforation in patient after biliary stent insertion and the overview of gastrointestinal perforation (담도 스텐트 시술 후 장천공 증례보고 및 장천공에 대한 고찰)

  • Ga-Young Lee;Chan-Ran Park;Jung-hyo Cho;Chang-gue Son;Nam-hun Lee
    • The Journal of Korean Medicine
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    • v.43 no.3
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    • pp.195-203
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    • 2022
  • Objectives: This study aimed to emphasize the importance of accurate and timely diagnosis of acute abdominal pain with simple radiography by reporting a case of gastrointestinal perforation. Methods: We closely observed the diagnosis and progress of acute abdominal pain after biliary stent and reviewed the outline of gastrointestinal perforation. Results: Patient diagnosed with urethral cancer metastasis to lung and peritoneum was treated with complex Korean medicinal treatments to deal with anorexia, abdominal pain, jaundice and oliguria. During hospitalization, the patient's acute abdominal pain after biliary stent was diagnosed with gastrointestinal perforation by using plain chest and abdominal radiography. Conclusion: Using simple radiography to find out the emergency diseases such as perforation in acute abdominal pain is important clinically.

A Rare Cause of Acute Scrotal Pain: Spontaneous Thrombosis of Testicular Vein (급성 음낭 통증의 드문 원인: 고환정맥의 자발적 혈전증)

  • Park, Se Hoon;Cho, Jae Ho
    • Journal of the Korean Society of Radiology
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    • v.79 no.5
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    • pp.282-285
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    • 2018
  • Acute scrotal pain is a common clinical symptom of urinary system and there are various causes. Among them, thrombosis of testicular vein is rare, but one of the causes of acute scrotal pain. Thrombosis is a common disease that can occur anywhere in our body. But thrombosis of testicular vein has not been reported in Korea. We report a case of thrombosis of testicular vein in a 26-years-old man with acute scrotal pain.

A Qualitative Analysis on Paraspinal Muscles in Patients with Acute Low Back Pain and Chronic Low Back Pain (급성 요통환자와 만성 요통환자에서 척추주변근육의 정량적 분석)

  • Jeong, Dae-Keun
    • Journal of Digital Convergence
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    • v.11 no.11
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    • pp.613-620
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    • 2013
  • This study was conducted to measure and analyze the changes in paraspinal muscles of acute and chronic low back pain patients using MRI, and to provide clinical basic data for diagnosis and treatment for low back pain. For this purpose, 20 patients with acute low back pain frome August 2012 to January 2013 which occurred within 12 weeks, and 20 patients with chronic low back pain that progressed over 12 weeks, were chosen as subjects, and their MRI measurements were compared with one another. As a result, in relation to in the fatty degeneration ratio of the left spine and right spine, there were significant differences in erector spinae and multifidus(p<.001), and in relation to the Fat Infiltration ratio between all the groups, there were significant differences in psoas major, erector spinae and multifidus between the acute low back pain patient group and the chronic low back pain patient group(p<.001). In the post-hoc test, multifidus and erector spinae in the acute low back pain group and chronic low back pain group showed the highest Fat Infiltration ratio. The serious Fat Infiltration of multifidus and erector spinae in the chronic low back pain group led to weakened strength of muscles that stabilize the spine. In conclusion, it is considered that this study would present important data and basis in making acute and chronic low back pain patients pay more attention to multifidus and psoas major during rehabilitation exercise, and selecting a rehabilitation exercise program.

Effectiveness of herbal acupuncture of Carthami semen(Honghwa) vs its cotreatment with spiral taping for the treatment of acute low back pain : A randomized controlled trial (급성요통의 치료에 홍화약침과 홍화약침+첩대요법의 비교연구 : 무작위 대조군 임상실험)

  • Jeong, Min-Su
    • Journal of Pharmacopuncture
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    • v.5 no.2
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    • pp.25-38
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    • 2002
  • Spiral taping shows great effectiveness in relieving musculoskeletal pains. The purpose of this research is to compare effectiveness of herbal acupuncture of Carthami semen(Honghwa) vs its cotreatment with spiral taping for the treatment of acute low back pain. The target patients were those who satisfied with all of the following conditions. 1. Those who suffered from acute low back pain but without past history of the pain in the last six weeks. 2. The pain wasn't radiated to the lower limbs and were without any neurotic symptoms. A computerized randomization was used to set the patients in two groups. The control group was consisted of 41 patients and treated with herbal acupuncture. The experimental group was consisted of 49 patients and treated with spiral taping as well as herbal acupuncture. The treatment was given two times a week and the nurses measured the ROM and VAS evaluation before every treatment. The patients wrote ODI by themselves before the first treatment and after the 3rd treatment. After three months, an interview of the patients' condition through a follow up survey was done. In terms of acute low back pain in both the control group and experimental group, significant treatment effects were found by assessing VAS, ROM and ODI. By comparing the control group and the experimental group, there was more significant improvement in the experimental group than the control group of VAS and ROM, but no significant effect was found between the groups of ODI. This study shows that the herbal acupuncture of Carthami Semen plays a significant role in relieving acute low back pain. It also shows that spiral taping of the experimental group was more highly effective. As a result, spiral taping can be used with acupunture of Carthami Semen for a highly effective treatment for acute low back pain.

Analysis of Autonomic Nerve System by Analyzing the Herat Rate Variability(HRV) in Chronic Musculoskeletal Pain (만성통증환자의 심박변이도(Heart Rate Variability) 분석을 통한 자율신경계 특징에 관한 연구)

  • Ha, Seon-Yun;Kim, Dong-Min;Cho, Seong-Yeun;Im, In-Hwan;Kim, Yong-Suk;Nam, Sang-Soo
    • Journal of Acupuncture Research
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    • v.25 no.6
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    • pp.35-46
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    • 2008
  • Objectives : Chronic pain affects and is affected by physical and psychosocial factors. It also has a complicated and indefinite mechanism. This research is for clarifying relations with chronic pain, stress, and autonomic nerve system by comparing HRV and Stress Reaction Index(SRI) of chronic pain patients with those of acute pain patients. Methods : The subjects were 32 patients who visited Kangnam Kyunghee Hospital for nuchal pain or low back pain treatment from March 2008 to September 2008. Among them, 16 patients who suffered over 6 months are classified chronic pain group and 16 patients who suffered under 6 months as acute pain group. All subjects had their HRV(SA-2000E: Medicore Co..Ltd. Korea) and SRI measured at first visit. We studied the difference of HRV between two groups.(Statistics by Student t-test, p<0.05) Results : R-MSSD, TP, VLF, LF, HF and LF/HF ratio of the chronic pain group were significantly lower than those of the acute pain group. Compared with those of the acute pain group, total SRI of the chronic pain group were low but it's not significant except frustration. Conclusion : The results of HRV of the chronic pain group patients show that chronic pain is related to psychosocial factor and autonomic disturbance.

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Effects of Acupuncture on Acute Musculoskeletal Pain Transferred from Emergency Department: Case Report (응급실에서 전원된 급성기 근골격계 환자의 통증에 미치는 침치료의 효과: 증례보고)

  • Noh, Seung Hee;Kim, Yu Ri;Kim, Kun Hyung;Lee, Chang Hyung;Ryu, Ji Ho;Kim, Jae Kyu;Lee, Byung Ryul;Yang, Gi Young
    • Journal of Acupuncture Research
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    • v.30 no.5
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    • pp.235-246
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    • 2013
  • Objectives : The aim of this study was to report the effects of acupuncture on the patients with severe acute musculoskeletal pain transferred from emergency department(ED). Methods : Three patients were transferred from ED of western medicine, and treated with Korean medicine treatments composed of acupuncture mainly and cupping, herbal steaming, and herbal decoction additionally. Results : All patients showed pain-reduction and relaxation both physically and mentally immediately after the first acupuncture treatment. In cases 1 and 2, the pain numerical rating scale(NRS) decreased after the day of admission from 8 to 4 and 10 to 2, respectively. In case 3, pain NRS also gradually decreased from 8 to 4 after three days. Conclusion : Acupuncture was effective for immediate pain reduction in patients with severe acute musculoskeletal pain transferred form ED. Further studies are warranted to confirm the immediate pain-reduction effect of acupuncture on acute musculoskeletal patients visiting or transferred from ED.

The Influences of Chiropractic Therapy on Neck Pain Patients (카이로프랙틱 치료법이 목통증환자에게 미치는 영향)

  • Lee, Jongrok;Oh, Chung-Uk;Lee, Minseon;Suh, Dongwha
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.3
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    • pp.1496-1505
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    • 2014
  • Background: this study examined the Chiropractic therpy's influences on range of motions and pains with patients who have neck pain. Methods: In an experimental study with a two-group(chronic neck pain vs acute neck pain) design, 16 participants were enrolled for 2 weeks, 4 times, from march to april, 2013, with 8 acute neck pain patients and 8 chronic neck pain patients in chiropractic threrapy. Results: after the chiropractic threrapy, range of motions improved and pains were reduced significantly in both acute and chronic neck pain patients(P<.05). Conclusion: the chiropractic threrapy was effective in improving range of motions and reducing pains in persons who have acute and chronic neck pain. Thus, the chiropractic threrapy could be a resource for continuing study and adaptations to enhance the quality of life and well-being of neck pain patients.

The efficacy of selective nerve root block for the long-term outcome of postherpetic neuralgia

  • Doo, A Ram;Choi, Jin-Wook;Lee, Ju-Hyung;Kim, Ye Sull;Ki, Min-Jong;Han, Young Jin;Son, Ji-Seon
    • The Korean Journal of Pain
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    • v.32 no.3
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    • pp.215-222
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    • 2019
  • Background: Several nerve blocks can reduce the incidence of postherpetic neuralgia (PHN) as well as relieve acute zoster-related pain, but the long-term outcome of PHN has not been clearly determined. This study investigated the efficacy of selective nerve root block (SNRB) for herpes zoster (HZ) on the long-term outcome of PHN. Methods: We prospectively conducted an interview of patients who had undergone an SNRB for HZ from January 2006 to December 2016 to evaluate their long-term PHN status. The relationship between the time from HZ onset to the first SNRB and the long-term outcome of PHN was investigated. Results: The data of 67 patients were collected. The patients were allocated to acute ($SNRB{\leq}14days$, n = 16) or subacute (SNRB > 14 days, n = 51) groups. The proportions of cured patients were 62.5% and 25.5% in the acute and subacute groups (P = 0.007), respectively. In logistic regression, an SNRB >14 days was the significant predictor of PHN (adjusted odd ratio, 3.89; 95% confidence interval, 1.02-14.93; P = 0.047). Kaplan-Meier analysis revealed that time from the SNRB to the cure of PHN was significantly shorter in the acute group ($2.4{\pm}0.7yr$) than in the subacute group ($5.0{\pm}0.4yr$; P = 0.003). Conclusions: An early SNRB during the acute stage of HZ (within 14 days) appears to decrease the incidence and shorten the duration of PHN, with a median of 5.0 years of follow-up.

The Effect of Acupotomy on Traumatic Acute Low back pain : Case Report (외상성으로 발생한 급성 요배통 환자에 대한 도침치료 3례 : 증례보고)

  • Choi, Chul woo;Choi, Bong seok;Oh, Min seok
    • Journal of Haehwa Medicine
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    • v.26 no.1
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    • pp.81-87
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    • 2017
  • Objectives:The purpose of this study is to report the effect of acupotomy on pain, lumbar function, and quality of life in acute low back pain patients. Methods:We performed Acupotomy in three patients who have acute low back pain due to a traumatic motive within one week. NRS was used to evaluate patients' pain, ROM and RMDQ were used to evalutate lumbar function, EQ-5D and EQ VAS were used to evaluate quality of life, and a five-point Likert scale was used to evaluate treatment satisfaction. Results: Acupotomy reduced the patient's NRS, increased ROM and reduced RMDQ. EQ-5D increased in cases 1 and 3 but decreased in case 2 and EQ VAS increased in all cases. Conclusions: This study shows acupotomy has useful effect and acupotomy can be a effective treatment on acute low back pain patients.

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