• Title/Summary/Keyword: pain treatment

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Effect of East-West pain treatment for Central Poststroke Pain on alleviation of pain and Rehabilitation (뇌졸중 후 중추성 통증 환자에 대한 동서협진이 진통과 재활에 미치는 영향)

  • Lee, Hyun-jong;Kim, Su-young;Lee, Sang-hoon;Seo, Dong-min;Lee, Doo-ik;Kim, Keun-sik;Lee, Jae-dong;Lee, Yun-ho;Yang, Hyung-in;Park, Jae-kyung;Choi, Do-young
    • Journal of Acupuncture Research
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    • v.20 no.2
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    • pp.42-49
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    • 2003
  • Purpose : In order to study the effectiveness of East-West pain treatment on central poststroke pain(CPSP), we evaluated its effect on alleviation of pain and rehabilitation of CPSP patients who were treated with eletroacupuncture and west pain treatment for four weeks. Methods : Twenty four patients diagnosed by their pain characteristics of central pain form stroke were treated with sympathetic nerve block, gabapentin, amitriptyline, and electroacupuncture for four weeks. Pain intensity through the visual analogue scale(VAS), and improvements of mobility and rehabilitation through the modified Barthel index(MBI) and Rankin scale(RS), respectively, before and after pain treatment were also assessed. Results : VAS pain scores were significantly improved from $7.7{\pm}1.7$ to $4.4{\pm}2.0$ with pain treatment(p<0.05). In accordance with improvement of ain scores, RS and MBI scores ere also improved from $2.88{\pm}0.95$ to $2.13{\pm}1.01$ and from $83.0{\pm}16.9$ to $94.7{\pm}9.5$(p<0.05), respectively, with pain treatment(p<0.05). Conclusions : It was suggested that the active pain treatment was contributed to the rehabilitation of CPSP patients, resulting in improvement of quality of life of CPSP patients. Futhermore, East pain treatment in combination with West pain treatment may be useful modality to alleviate CPSP.

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Effect of the Ceragem Master Heat Bed for Posterior Neck Pain and Low Back Pain (항통 및 요배통 환자에서 세라젬 마스터 온열치료기의 효과)

  • Jang Jun-Hyuk;Kim Kyung-Ho;Kim Jang-Hyun
    • The Journal of Pediatrics of Korean Medicine
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    • v.14 no.2
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    • pp.133-140
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    • 2000
  • Purpose : Posterior Neck Pain and Back Pain are common diseases in human daily life. For reducting symptom and treatment of these diseases, many methods have been used and studied until now. The mechanisms of Ceragem Master Heat Bed(R)(Ceragem Co. Seoul, Korea) are infrared-heat therapy from natural nephrite and pressure therapy by up-down movement of natural nephrite ball. Through this study, authors would evaluate the clinical effectiveness of Ceragem Master Heat Bed(CMHB) on relieving posterior neck pain and back pain. Materials and methods : From 12-01-2000 to 01-13-2001, posterior neck pain and back pain patients were selected for experiment group(23patients) and control group(14patients). In both group, Visual Analog Scale(VAS) of pre-treatment stage is above 5 points. Experiment group were cared with acupuncture therapy, buhang therapy and CMHB. Control group were managed with only acupuncture therapy and buhang therapy. They were treated more than three times at least. At pre-treatment and post-treatment stage, we measured VAS for individual patients, and then compared effect of treatment in experiment group and in control group. Statistical analysis was preformed using SAS program. Results : In this study, a mean difference of VAS between pre-treatment and post-treatment stage was large in experiment(CMHB) group more than in control group(p〈0.01). Conclusion : Experiment(CMHB) group was more effective pain relief than control group in the treatment of posterior neck pain and back pain. CMHB was available for stimultaneous application of heat therapy and pressure massage together that gave another effects of mental stability and fatigue recovery. As the results of this study, CMHB could be used as a helpful treatment modality for posterior neck pain and back pain.

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Pulsed Radiofrequency Ablation Under Ultrasound Guidance for Huge Neuroma

  • Kim, Young Ki;Jung, Il;Lee, Chang Hee;Kim, Se Hun;Kim, Jin Sun;Yoo, Byoung Woo
    • The Korean Journal of Pain
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    • v.27 no.3
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    • pp.290-293
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    • 2014
  • Amputation neuroma can cause very serious, intractable pain. Many treatment modalities are suggested for painful neuroma. Pharmacologic treatment shows a limited effect on eliminating the pain, and surgical treatment has a high recurrence rate. We applied pulsed radiofrequency treatment at the neuroma stalk under ultrasonography guidance. The long-term outcome was very successful, prompting us to report this case.

A CASE REPORT OF TRAUMATIC NEUROPATHIC PAIN PATIENT (외상성 신경병증 환자의 치험례)

  • Choi, Moon-Gi
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.34 no.2
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    • pp.200-206
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    • 2008
  • A variety of mechanisms may generate pain resulting from injury to the peripheral nervous system. None of these mechanisms is disease-specific, and several different pain mechanisms may be present simultaneously in any one patient. Diagnosis of neuropathic pain is often easily made from the information gathered on neurologic examination and from patient history. Evidence of sensory disturbances elicited by examination combined with laboratory tests confirming injury to peripheral nerve establishes the diagnosis of neuropathic pain. Although treatment of neuropathic pain may be difficult, optimum treatment can be achieved if dentist has a complete understanding of the therapeutic options. Pharmacologic therapy has been the mainstay of treatment. Selection of an appropriate pharmacologic agent is by trial and error since individual response to different agents, doses, and serum level are highly variable. An adequate trial for each agent tried is key to pharmacologic treatment of neuripathic pain. If pharmacologic treatment is not effective, nerve block using lidocaine, steroid and alcohol and neurectomy must be considered for treatment option.

Pulsed Radiofrequency Application for the Treatment of Pain Secondary to Sacroiliac Joint Metastases

  • Yi, Yu Ri;Lee, Na Rea;Kwon, Young Suk;Jang, Ji Su;Lim, So Young
    • The Korean Journal of Pain
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    • v.29 no.1
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    • pp.53-56
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    • 2016
  • Sacroiliac (SI) joint pain can result from degeneration, infection, malignancy, and trauma. Patients with metastatic bone pain who do not respond to conventional treatment may need more aggressive neuroinvasive approaches. Recently, pulsed radiofrequency (PRF) neuromodulation has emerged as a promising treatment alternative for refractory cases of SI joint pain. Nevertheless, there is no report on the treatment of pain arising from SI joint metastases with PRF. We are reporting about a 63-year-old woman suffering from buttock pain due to breast cancer metastases in the SI joint. We treated this patient with PRF neuromodulation of the L4-S3 primary dorsal rami and lateral branches using a rotating curved needle technique. The patient tolerated the procedures well, without any complications. She experienced about 70% reduction in pain, and pain relief was sustained for 10 months. This result suggests that PRF neuromodulation is a safe, effective treatment for pain from SI joint metastases.

Current State of Pain Treatment in Oriental Medicine (한방의료의 통증치료 실태)

  • Park, Ji-Eun;Jung, Hee-Jung;Kim, Ae-Ran;Jung, So-Young;Hwang, Hye-Suk;Choi, Sun-Mi
    • The Journal of Korean Medicine
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    • v.32 no.2
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    • pp.23-41
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    • 2011
  • Objective: The number of patients with chronic pain has increased over the past several decades. Seventy-eight percent of people over 60 in Korea suffer from many kinds of pain. This study was aimed to understand the current state of Oriental medicine for pain treatment. Method: We surveyed 415 Oriental medical doctors with items including rate of patients with pain, methods of diagnosis and of treatment. We also reviewed previous studies evaluating the effect of Oriental medicine for pain treatment. Results: About 85% doctors said that more than half of their patients have pain symptoms. The most common pain types were sprain and lower back pain. Diagnosis method depended on the pain type, but in all pain types, acupuncture treatment was the most used. In the result of review of previous studies, acupuncture treatment seemed to be effective for several pain symptoms, such as sprain and knee pain. However, the effect of Oriental medicine was controversial in most pain treatments. Conclusion: Oriental medicine is used a lot for pain treatment. However, many more mechanism studies and clinical trials should be conducted to establish the evidence.

The Effects of the Needle Electrode Electrical Stimulation in the Auricular Therapy on the smokers and non-smokers with Low Back Pain (외이에 적용한 침전극저주파치료가 흡연 및 비흡연 요통 환자에게 미치는 효과)

  • Min, Kyung-Ok;Kim, Soon-Hee;Park, Su-Jin
    • Journal of Korean Physical Therapy Science
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    • v.9 no.1
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    • pp.45-52
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    • 2002
  • This study was intended to observe the relationship of pain alleviation between the group with needle electrode electrical stimulation applied on bach of head, lung, nasalis internae, shen-men, pharynx & larynx, and internal secretion which are the pants to regulate smoking and that, with no treatment of the kind among smokers and con-smokers with chronic low back pain. It also aimed to conduct a research of applying different treatment methods according to smoking, thus ultimately providing basic data needed by clinic therapists and to help achieve appropriate treatment effects considering the characteristics of each patient. The subject criteria were men who were in their 40's or 50's, smoking or non-smoking and came to the physical therapy of the hospital to cure the chronic low back pain which had lasted more than three months. The total 24 subjects were randomly divided into four groups according to smoking; the group of smokers with needle electrode electrical stimulation applied, that of smokers with no application of such treatment, that of non-smokers with the action of such treatment, and that of non-smokers with no application of such treatment Each group was measured in terms of four pain assessment methods of visual analogue scale(VAS), verbal rating scale(VRS), McGil pain questionnaire(MPQ), endorphin. And the results were as follows: 1. In terms of the effects of the needle electrode electrical stimulation in the auricular therapy on pain had by the smokers with low back pain, there was a statistical significance in VAS, VRS, and endorphin 1 between before and after the treatment. 2. In terms of the pain effects had by the smokers with low back pain when no needle electrode electrical stimulation in the auricular therapy was applied, there was a statistical significance in VRS and MPQ between before and after the treatment. 3. In terms of the effects of the needle electrode electrical stimulation in the auricular therapy on pain had by the non-smokers with low back pain, there was a statistical significance in VAS, VRS, and MPQ between before and after the treatment. In terms of the pain effects had by the non-smokers with low back pain when no needle electrode electrical stimulation in the auricular was applied, there was a statistical significance in VAS, VRS, and MPQ between before and after the treatment. 5. The smokers with low back pain were given the needle electrode electrical stimulation in the auricular therapy to see how it affected their pain. There was found pain reduction in number, but no statistical significance. 6. The subject suffering from low back pain were given the needle electrode electrical stimulation to see how it affected their pain according to smoking. There was found pain reduction in number, but no statistical significance. Based upon the results, it can be concluded that smokers with low back pain received the more effects of pain alleviation from the application of the needle electrode electrical stimulation in the auricular therapy compared to the rest of the groups who suffered from low back pain.

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The Effects of Spiral Taping Treatment on Low Back Pain (요통에 대한 첩대(스파이랄 테이핑)요법의 효과)

  • Hwang, Jae-Ok;Seo, Jung-Chul
    • Journal of Pharmacopuncture
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    • v.9 no.1
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    • pp.103-107
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    • 2006
  • Objective : The purpose of this study is to estimate the effects of spiral taping treatment on low back pain. Methods : 420 low back pain patients were treated with spiral taping or spiral taping plus herbal medicine, and no other treatments such as acupuncture, herbal acupuncture, and chiropractic therapy were added. We evaluated the improvement by physical examination and pain. Results : 364 patients felt no pain or inconvenience of daily life and 43 patients showed improvement of pain or symptom after 1 month of treatment. 13 patients showed same pain with before treatment. Conclusion : These results suggest spiral taping treatments contribute to the improvement of low back pain. Further study is needed for the confirmation of this effect of spiral taping treatments on low back pain.

Comparison of three different exercise trainings in patients with chronic neck pain: a randomized controlled study

  • Besta Hazal Gumuscu;Eylul Pinar Kisa;Begum Kara Kaya;Rasmi Muammer
    • The Korean Journal of Pain
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    • v.36 no.2
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    • pp.242-252
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    • 2023
  • Background: Neck pain is a common problem in the general population and second only to low back pain in musculoskeletal problems. The aim of this study is to compare three different types of exercise training in patients with chronic neck pain. Methods: This study was conducted on 45 patients with neck pain. Patients were divided into 3 groups: Group 1 (conventional treatment), Group 2 (conventional treatment plus deep cervical flexor training), and Group 3 (conventional treatment plus stabilization of the neck and core region). The exercise programs were applied for four weeks, three days a week. The demographic data, pain intensity (verbal numeric pain scale), posture (Reedco's posture scale), cervical range of motion ([ROM] goniometer), and disability (Neck Disability Index [NDI]) were evaluated. Results: In all groups, a significant improvement was found in terms of pain, posture, ROM, and NDI values in all groups (P < 0.001). Between the groups, analyses showed that the pain and posture improved more in Group 3, while the ROM and NDI improved more in Group 2. Conclusions: In addition to conventional treatment, applying core stabilization exercises or deep cervical flexor muscle training to patients with neck pain may be more effective in reducing pain and disability and increasing ROM than conventional treatment alone.

Effect of Balance Control Therapy on Low Back Pain patient's pain and flexibility (균형조절치료가 요통 환자들의 통증과 유연성에 미치는 효과)

  • Oh, Young-Taek;Han, Dong-Wook
    • Journal of Korean Physical Therapy Science
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    • v.13 no.2
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    • pp.17-26
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    • 2006
  • The purpose of this study was to evaluate effect of balance control therapy on low back pain patient's pain and flexibility. The subjects were consisted of 45 patients (15 males, 30 females) who had limited flexion range of motion of full spine with low back pain. All patients were one time treated the balance control therapy. Visual Analogue Scale(VAS) and Finger-to-Floor test(F-T-FT) were measured at pre-treatment, post-treatment and next day. VAS was used to measure subjective pain level. F-T-FT was used to measure forward flexion range of motion of full spine of low back pain patients. The results of this study were summarized as follow: 1. The VAS was significantly reduced between pre-treatment, post-treatment and next day (p<0.001). 2. The F-T-FT was significantly reduced between pre-treatment, post-treatment and next day (p<0.001). 3. The changes of pain decrease were related with pain duration(p<0.05), satisfaction for previous treatment(p<0.001). 4. The changes of flexibility increase were related with satisfaction for previous treatment(p<0.05).

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