척추관 협착으로 인한 신경원성 파행 및 하지 근력 저하에 대한 한방복합치료 치험 1례
A Case of Combination of Korean Medicine Treatments in Neurogenic Claudication and Lower Extremity Weakness due to Spinal Stenosis
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Background: To suggest potential of Korean medicine treatments as a conservative management for neurogenic claudication and lower extremity weakness due to spinal stenosis. Case Summary: The patient suffered weakness, pain and numbness of the right leg and difficulty walking with diagnosis of spinal stenosis due to herniated lumbar intervertebral disc. Korean medicine treatments, including herbal medicine, acupuncture, pharmacopuncture and Chuna manual therapy were applied. The Numeric Rating Scale (NRS) of pain and numbness in the right leg decreased from 7 to 4, with an increase in strength of the right leg from 60% to 95% compared to the strength of left leg. Walking duration also increased from less than one minute to more than five minutes. Conclusion: Korean medicine treatment may be considered as an effective conservative management for symptoms of spinal stenosis.
Abstract
Background: To suggest potential of Korean medicine treatments as a conservative management for neurogenic claudication and lower extremity weakness due to spinal stenosis. Case Summary: The patient suffered weakness, pain and numbness of the right leg and difficulty walking with diagnosis of spinal stenosis due to herniated lumbar intervertebral disc. Korean medicine treatments, including herbal medicine, acupuncture, pharmacopuncture and Chuna manual therapy were applied. The Numeric Rating Scale (NRS) of pain and numbness in the right leg decreased from 7 to 4, with an increase in strength of the right leg from 60% to 95% compared to the strength of left leg. Walking duration also increased from less than one minute to more than five minutes. Conclusion: Korean medicine treatment may be considered as an effective conservative management for symptoms of spinal stenosis.
참고문헌 (11)
- Wong DA, "Macnab's backache", pp.272~307 (2008), Gaboneuihak
- "Lumbar Spinal Stenosis Johns Hopkins Medicine Health Library"[URL]
- 강경화, "形象醫學的 觀点에서 본 經絡理論의 臨床活用", Korean Journal of Acupuncture, 21(1), pp.149~174 (2004), 경락경혈학회
- Park BC, "Conservative treatment of spinal stenosis", Journal of Korean Spine Surg, 7(1), pp.114~116 (2000)
- 심성윤, "통증평가도구에 관한 고찰", Korean Journal of Acupuncture, 24(2), pp.77~97 (2007), 경락경혈학회
- Fairbank JC, "The Oswestry Disability Index", Spine, 25(22), pp.2940~2952 (2000)
- You HS, "The clinical study on 1 case of patient with herniation of nucleus pulposus, L5-Sl, combined with foot drop", Hyehwaeuihak, 9(2), pp.115~122 (2000)
- Heo J, "Dongeuibogam", pp.650~ (2011), Beobinmoonhwasa
- Baber Z, "Failed back surgery syndrome : current perspectives", J Pain Res, 9, pp.979~987 (2016)
- Ciesla N, "Manual muscle testing : a method of measuring extremity muscle strength applied to critically ill patients", J Vis Exp, 50, pp.2632~ (2011)
- 정경희, "직무스트레스와 근골격계질환 · 정신증상과의 관계에 대한 연구", 대한인간공학회지, 27(1), pp.1~7 (2008), 대한인간공학회