• 한방재활의학과학회지
• /
• 제23권2호
• /
• pp.175-184
• /
• 2013

This study is to observe the effect of Korean medicine treatment combined with electro-acupuncture and chuna manual treatment on tarsal tunnel syndrome inpatient. The patient, diagnosed as tarsal tunnel syndrome, was treated by Korean medicine treatment in combination with electro-acupuncture and chuna manual treatment. We measured visual analogue scale(VAS). Neuropathic pain scale(NPS) was adopted as a method of measuring the treatment results of pain & hypoesthesia. Rt. sole numbness & pain decreased from VAS 10 to VAS 4. Rt. foot paresthesia decreased from VAS 10 to VAS 4 and Rt. ankle pain was disappeared. NPS score decreased from 80 to 62. Korean medicine treatment in combination with electro-acupuncture and chuna manual treatment is proved to be helpful to improve the symptoms of the tarsal tunnel syndrome patient.

• 대한물리의학회지
• /
• 제1권1호
• /
• pp.93-108
• /
• 2006

Purpose : To evaluate effects of McKenzie exercise on the functional recovery and forward head posture of chronic neck pain patients. Methods : The subjects were consisted of fifteen patients who had abnormal neck posture, mild neck pain (28 males, 17 females; mean aged 21.9) from 19 to 33 years of age(mean age 21.9). All subjects were received McKenzie exercise for 35 minutes with clinical massage per day three times a week during 4 weeks period. Neck disability index was used to measure functional disability level. Visual analogue scale(VAS) was used to measure subjective pain level. craniovetebral angle(CVA), cranial rotation angle(CRA) was used to measure forward head posture with digital camera. All measurements of each patients were measured at pre-treatment and after 2 week, after 4 week, post-treatment on 2 week. Result : The VAS of McKenzie exercise was significantly reduced between pre-treatment and post-treatment (p<.05) and effects of pain reduce was continued follow 2 weeks. The Neck Disability Index of McKenzie exercise was significantly reduced between pre-treatment and post-treatment (p<.05) and effects of pain reduce was continued follow 2 weeks. The CVA of McKenzie exercise was significantly reduced between pre-treatment and post-treatment (p<.05) and effects of pain reduce was continued follow 2 weeks. The CRA of McKenzie exercise was not significantly reduced between pre-treatment and post-treatment (p<.05). Conclusion : McKenzie exercise improved pain and function of Chronic neck pain patients.

• The Korean Journal of Pain
• /
• 제26권4호
• /
• pp.368-373
• /
• 2013

Background: Bertolotti's syndrome (BS), a form of lumbago in lumbosacral transitional vertebrae, is an important cause of low back pain in young patients. The purpose of this study was to assess the etiology of low back pain and the efficacy of treatment offered to patients with BS. Methods: All patients of BS Castellvi type1a during a period of 6 months were enrolled in the study. The patients underwent interventional pain procedures for diagnosis and pain relief. Response to the therapy was assessed based on VAS and ODI scores. A 50% decrease in VAS score or a VAS score less than 3 would be considered adequate pain relief. Results: All 20 patients diagnosed with BS during the 6-month observation period had scoliosis. Common causes of back pain were the ipsilateral L5-S1 facet joint, neoarticulation, the SI joint, and disc degeneration. Responses to various interventions for pain relief were different and inconsistent from patient to patient. In particular, responses to interventions for neoarticular pain were generally poor. Conclusions: Pain in patients with BS does not usually respond to interventional pain treatment. A very dynamic treatment approach must be pursued while managing BS patients, and the treatment plan must be individualized at various stages in order to obtain satisfactory pain relief.

• Journal of Korean Neurosurgical Society
• /
• 제50권2호
• /
• pp.151-153
• /
• 2011

We describe a rare case of pulsed radiofrequency treatment for pain relief associated with meralgia paresthetica. A 58-year-old female presented with pain in the left anterior lateral thigh. An imaging study revealed no acute lesions compared with a previous imaging study, and diagnosis of meralgia paresthetica was made. She received temporary pain relief with lateral femoral cutaneous nerve blocks twice. We performed pulsed radiofrequency treatment, and the pain declined to 25% of the maximal pain intensity. At 4 months after the procedure, the pain intensity did not aggravate without medication. Pulsed radiofrequency neuromodulation treatment on the lateral femoral cutaneous nerve may offer an effective, low risk treatment in patients with meralgia paresthetica who are refractory to conservative medical treatment.

• 한국한의학연구원논문집
• /
• 제3권1호
• /
• pp.321-333
• /
• 1997

Clinical studies were performed on 119 cases who had HIVD and chronic back pain cured by chuna treatment from August 1984 to June 1997. The results were as follows 1. In 119 cases of HIVD and chronic back pain, 39 cases(32.8%) were male and 80 cases (67.2%) were female. 2. In 119 cases of HIVD and chronic back pain, 19 cases were under the age of 30 and 30 cases were under the age of 40 and 42 cases were under the age of 50 and 28 cases were older than 60 years old. 3. On Duration of Treatment in a Step, 29 cases were taken I -step treatment and 53 cases were taken II -step treatment and 31 cases were taken III -step treatment. 4. In 119 cases of HIVD and chronic back pain, recurrent rate was 12.6%.

• The Journal of Korean Physical Therapy
• /
• 제23권5호
• /
• pp.29-34
• /
• 2011

Purpose: The purpose of this study is to evaluate the short term effects of the traction and decompression device, which is a newly developed domestic medical device, on pain and functional activity in patients with chronic low back pain with or without radicular pain. Methods: Forty patients with chronic low back pain were included and allocated to decompression (n=20) and traction groups (n=20). They received decompression or traction therapy for 20 minutes a day, 3 days per week for two weeks. For evaluating pain and functional activity, a visual analogue scale (VAS) for low back pain and the Oswestry back pain disability index (ODI) were obtained on pre-treatment, and at 6, 12 and 15 days after treatment. Patients'satisfaction levels were measured 15 days after treatment. Results: VAS was significantly decreased at 12 days and 15 days post-treatment compared to pre-treatment in both groups (p<0.05). ODI was significantly decreased at 12 days and 15 days post-treatment compared to pre-treatment in the decompression group (p<0.05). However, there was no significant difference between the two groups in the VAS and ODI scales (p>0.05). Patients' satisfaction levels were significantly higher in the decompression group than in the traction group (p<0.05). Conclusion: These findings suggest that decompression therapy might be effective for increasing functional activity in patients with low back pain and could provide patients with higher satisfaction than traction therapy. This study provided validity data for the therapeutic effects of the decompression device in patients with low back pain and it will be useful for medical cost development and patient education of this device.

• 척추신경추나의학회지
• /
• 제1권2호
• /
• pp.1-9
• /
• 2006

The purpose of this report is to investigate the clinical application of conservative treatment to a patient who has the low back pain and radiational pain. In this case, a female patient, 67 years old, who had low back pain and radiational pain on the right leg. We treated the patient with conservative treatment (acupuncture, herbal medicine, moxibustion) and chuna traction. In result, the in-patient's pain has decreased and walking distance has increased from 10m to 300m for 27 days. In conclusion, conservative treatment and chuna traction could be effective methods to treat the patient who has low back pain and radiational pain.

• 한국전문물리치료학회지
• /
• 제9권2호
• /
• pp.51-59
• /
• 2002

The purpose of this study was to determine the effect of intramuscular stimulation (IMS) therapy in older persons with musculoskeletal pain. The subjects were 181 older persons (54 males, 127 females) with musculoskeletal pain. Intramuscular stimulation unit with needles (size $.3{\times}30$ mm) was applied for the treatment. The analgesic effects were measured by visual analog scale (VAS). Results showed that the post-treatment VAS score was significantly decreased after IMS therapy for fifteen minutes compared to pre-treatment score. In addition, the post-treatment VAS score was significantly decreased in patients with chronic pain (pain duration of one year after onset) compared to the post-treatment VAS score in patients with subacute pain (pain duration less than three months after onset). There was no significant difference in analgesic effects according to gender and age groups. It is determined from this study that IMS therapy can be beneficial for patients with chronic musculoskeletal pain in clinical setting. Further study is needed to identify whether the IMS therapy can change the pain threshold in patients with neurologic pain.

• Journal of Oral Medicine and Pain
• /
• 제9권1호
• /
• pp.5-10
• /
• 1984

Author could get the result as below after ultrasound treatment, one of the pain relieving method, to 40 patients in whom author could confirm the objective improvement of symptoms among the patients who visited SNUH between April first, and October 31st. 1984, because of TMJ pain. 1. The average number of treatment were 6.5 times/pt, and treatment duration was 15minutes. 2. The severities of pain before the treatment were distressing (50.0%), discomfort (25.0%) mild (15.0%) and horrible (10.0%), but the percentages of them became changed to discomfort (45.0%), mild (30.0%), distressing (20.0%), and none (5.0%) after treatment. 3. The activities of mouth opening before treatment were severely restricted (50.0%) moderately restricted (37.5%) and slightly ristricted (12.5%), but the percentages of them became changed to slightly restricted (50.0%), moderately estricted (25.0%) severely restrictely(12.5%) and normal (12.5%) after treatment. 4. The effect of the pain upon one's personality before treatment were severely upset (55.0%), moderately upset(37.5%) and slightly upset(7.5%), but the percentages of them became changed to slightly upset(50.0%), normal(25.5%), moderately upset(12.5%) and severely upset (12.5%) after treatment.

• Journal of Oral Medicine and Pain
• /
• 제9권1호
• /
• pp.23-28
• /
• 1984

Author could get the result as below after EGS(an electrical nerve stimulator) treatment, one of the pain-reliaving methods, to 30 patients in whom author could confirm the objective improvement of symptoms among the patients who visited SNUH between July the first and December the 31th. 1984. because of TMJ pain. 1. The average number of treatment were 5.5 times/pt., and mean treatment duration was 20 minutes. 2. The severities of pain before the treatment were distressing (46.7%), discomforting (26.7%), mild (20.0%) and horrible (6.7%), but the percentages of them became changed to mild (50%), discomforting (33.3%), none (10%) and distressing (6.7%) after treatment. 3. The activities of mouth opening before the treatment were moderately restricted (53.3 %), serverely restricted (33.3%) and slightly restricted (13.3%), but the percentages of them became changed to slightly restricted (66.7%), normal (16.7%), modorately restricted (13.3%) and severely restricted (3.3%) after treatment. 4. The effects of the pain upon one's personality before treatment were severely upset (43.3%), moderately upset (36.7%), slightly upset(16.7%) and normal (3.3%), but the percentages of them became changed to slightly upset (50%), normal (33.3%), morderately upset (10%) and severely upset (6.7%) after treatment.