• 제목/요약/키워드: herniated disc

검색결과 299건 처리시간 0.026초

기침으로 급성 악화된 요추 추간판 파열 환자의 대용량 약침 및 복합 한방치료 호전사례 1례 (A Case Report on a Patient with Acute Herniated Lumbar Disc due to Coughing Treated with Megadose Pharmacopuncture and Combined Korean Medicine)

  • 류광현;문희영;주아라;추원정;최요섭;문영주;채지원;신원빈
    • 대한한방내과학회지
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    • 제40권6호
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    • pp.1248-1258
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    • 2019
  • Objective: The purpose of this study was to report the radiological and symptomatic changes in a patient with acute herniated lumbar disc due to coughing, treated with megadose pharmacopuncture and combined Korean medicine. Methods: MRI examination diagnosed an acute lumbar disc herniation by coughing. We performed a combination treatment of megadose pharmacopuncture and integrated Korean medicine. NRS, ODI, EQ-5D, SLR test, and big toe extension test were checked on admission, after two weeks, on discharge, and after four months to confirm symptom improvements. Results: In the acute stage of lumbar intervertebral disc rupture, megadose pharmacopuncture combined with Korean medicine treatment showed improvement in NRS, ODI, EQ-5D, SLRT, and big toe extension tests. In addition, absorption of the herniated intervertebral discs was observed through an MRI scan on discharge. Conclusions: For patients with herniated lumbar disc acutely deteriorated by coughing, a combination of megadose pharmacopuncture with Korean medicine treatment may be a solution.

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

  • 김형수;김은영;배성수
    • 대한물리의학회지
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    • 제1권1호
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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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Lumbar Spine CT 촬영한 요각통 환자 32례의 치료경과 분석 (The Clinical Analysis on 32 Cases of Herniated Lumbar Disc Patients according to Lumbar CT scan.)

  • 김정호;이정환;김영일
    • 대한약침학회지
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    • 제13권2호
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    • pp.111-120
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    • 2010
  • Objective: This study is to evaluate the effectiveness of the oriental medicine treatment on lumbar disc herniation. Subjects and Methods : The clinical analysis was done on 32 cases of patients with lumbar disc herniation diagnosed by lumbar CT scan. Patients who admitted In Cheongju Oriental Medicine Hospital from April 2007 to April 2008 were analyzed according to the distribution of sex, age, the period of disease, condition on admission, the symptom on admission, Admission day, the treatment efficacy at discharge day. Results : 1. The forties was the most, the acutest phase the most, the day of 8-14 days the most. 2. Multiple bulging disc in 37.5% of CT scan was the most common, followed by a single HNP was 28.1%. 3. Almost 81 % patients showed effective efficacy under VAS 3 at discharge day. 4. Single bulging and herniated disc were more short admission days than multiple bulging and herniated disc.

Spinal Nerve Root Swelling Mimicking Intervertebral Disc Herniation in Magnetic Resonance Imaging -A Case Report-

  • Kim, Yu-Yil;Lee, Jun-Hak;Kwon, Young-Eun;Gim, Tae-Jun
    • The Korean Journal of Pain
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    • 제23권1호
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    • pp.51-54
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    • 2010
  • A herniated intervertebral disc is the most common type of soft tissue mass lesion within the lumbar spinal canal. Magnetic resonance imaging (MRI) is a useful tool for the assessment of patients with lower back pain and radiating pain, especially intervertebral disc herniation. MRI findings of intervertebral disc herniation are typical. However, from time to time, despite an apparently classic history and typical MRI findings suggestive of disc herniation, surgical exploration fails to reveal any lesion of an intervertebral disc. Our patient underwent lumbar disc surgery with the preoperative diagnosis of lumbar disc herniation; however, nothing could be found during the surgical procedure, except a swollen nerve root.

요추 추간판 탈출증 환자의 굴곡신연기법 치료효과에 대한 임상적 고찰 (A Clinical study on the Effect of Chuna to Herniated Lumbar Disc Patients)

  • 이길재;이병이;장건;송윤경;임형호
    • 척추신경추나의학회지
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    • 제2권2호
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    • pp.79-88
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    • 2007
  • Objectives : This research is aimed to confirm the treating patients with herniated lumbar disc using Chuna treatment. Methods : Out of patients who were confirmed to have a herniated lumbar disc by MRI among the patients in oriental medical hospital of Kyungwon University from July 2005 to Dec 2006, we dived 15 people was treated common treatment, 15 people was treated both common treatment and Chuna treatment. We measured Visual Analog Scale(VAS) and symptom grade before and after treatment in each groups. Statistical analysis was performed by using SPSS program. Results : The result of the Visual Analog Scale(VAS) and symptom grade before and after treatment between two group, shows that the improvement of Back pain and Sciatica in common treatment with Chuna treatment group is more effective than that in only common treatment group.

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경추 신연요법을 적용한 연성 경추 추간판 탈출증 환자 치험 1례 (A Case Report on Herniated Intervertebral Cervical Disc Using Chuna Manual Theraphy)

  • 이아라;정원석;이준환;송미연
    • 척추신경추나의학회지
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    • 제2권2호
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    • pp.123-130
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    • 2007
  • Objectives: The object of this study is to report a clinical effect of chuna manual theraphy for the soft herniated intervertebral cervical disc. Methods: The patient was treated by cervical traction technique which is one of the chuna manual theraphy with other conservative treatments including acupuncture, herbal mixture, bee-venom theraphy and TENS(Transcutaneous Electrical Nerve Stimulation). Visual analogue scale(VAS) have been used for result report. Results: After the cervical traction technique, the VAS was significantly improved. Conclusions: It is thought that the chuna manual theraphy might be effective to the patient with soft herniated intervertebral cervical disc.

추간판탈출증환자의 침구치료에서의 아시혈 병행에 대한 임상적 고찰 (The Clinical Study on the Efficiency of the A-Shi Point)

  • 윤기붕;조마리나;정홍
    • Journal of Acupuncture Research
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    • 제18권1호
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    • pp.226-236
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    • 2001
  • Objects : To evaluate clinical efficiency of The A-Shi point for the herniated lumbar intervertebral disc. Methods : The patients who had a diagnosis of herniated lumbar intervertebral disc by lumber CT and MRI, and were observed from the twentieth March 2000 to the tenth Novemsber 2000, were divided into two classes ; the "A" group was 15 cases practiced with Acupuncture treatment used of A-Shi point and the twelve-Meridian, the "B"group 15cases only Acupuncture treatment used of twelve-Meridian, Results : the most type of low back pain was, the Gall bladder channel of Foot-souyang 15 cases (50%) and the Gall-Bladder Meridian Muscle was 45 cases the most in the existence part of A-Shi point On the result of treatment due to clinical symptoms, the "A" group was 57.9% as excellent and "B" group 19.8%. On the measurement of Lumber flexion, the "A" group proceed more excellent result than the "B group at the whole grade. Conclusion : These results suggest that The A-shi point was effective treatment of herniated intervertebral disc.

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요추(腰椎) 추간판(椎間板) 탈출증(脫出症)으로 인하여 발생한 소음인(少陰人) 요각통(腰脚痛) 치험 1례 (A Clinical Case Study of Low Back Pain Caused by the Herniated Lumbar Disc in Soeumin patient)

  • 김현호;김은이;김경선;임은철;정경숙;윤형선
    • 사상체질의학회지
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    • 제16권3호
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    • pp.108-113
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    • 2004
  • 1. Objectives The purpose of this study is to give an account of the effects of Korean herbal medicine therapy which is based on the Sasang Constitutional Medicine for the patient who has suffered from low back pain caused by the Herniated Lumbar Disc. 2. Methods Consulting her sungjeong(性情), Chehyungkisang(體形氣像) and QSCCII, we have diagnosed her as Soeumin(少陰人), and have prescribed Hyangbujapalmul-tang(香附子八物湯). 3. Results After the treatment, she felt her symptoms, low back pain, headache, and general condition, improved. 4. Conclusions This paper describes the process of management and changes of symptoms. We hope this paper useful to rehabilitatable treatment for low back pain caused by the Herniated Lumbar Disc through Sasang Constitutional Medicine.

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경항통 환자에 있어서 경추의 전만 감소와 영상의학검사 소견상의 연관성 분석 (Correlation Analysis between Cervical Hypolordosis and Radiological Result in Neck Pain)

  • 이준석;이슬지;김은석;한경완;우재혁;김상주;이한;김창연
    • 척추신경추나의학회지
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    • 제5권2호
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    • pp.1-8
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    • 2010
  • Objectives : The propose of this study was to observe the correlation between Cervical hypolordosis and radiological result. Methods : We randomly selected among the 110 patients with X-ray and C-spine MRI films who have visited Jaseng Hospital of Oriental Medicine with neck pain. Radiographic measures of cervical lordosis and herniated disc were collected, and statistically analyzed. Results : In this study, if the finding of a X-ray showed straightening of cervical lordotic curve, based on MRI finging, the amount of herniation was more severe. Conclusions : There was a significant correlation between Cervical hypolordosis and herniated disc. Hypolordosis group complained a severe herniated disc.

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요추추간판탈출증에 관한 침도 침술의 유효성에 관한 임상증례보고 (Case Study of Oriental Medicine Treatment with Acupotomy Therapy of the Herniated Lumbar Intervertebral Disc Patient)

  • 장은하;김성철;임나라;나원민;임승일;신진봉;이건목
    • Journal of Acupuncture Research
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    • 제25권4호
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    • pp.171-181
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    • 2008
  • Purpose : In order to estimate clinical effects of Oriental Medicine Treatment with acupotomy therapy of herniated lumbar intervertebral Disc patient needed operation. Methods : From 17th April, 2008 to 17th April, 2008, 1 female patient diagnosed as herniated lumbar intervertebral Disc at L4/5(right postero-lateral extrusion type)was treated with general oriental medicine therapy(acupuncture, moxibustion, cupping, physical therapy, herbal medication) and acupotomy. Results : The patient's chief complaints - Low back pain, both buttock pain, Right. leg paresthesia were remarkably improved. Conclusions : This study demonstrates that oriental medical treatment with acuputomy therapy has notable effect in improving functional disability and symptoms of lumbar radiculopathy. as though we had not wide experience in this treatment, more research is needed.

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