Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
권호 표지

The Comparison between Acupotomy Therapy and Epidural Neuroplasty(Lumbar Vertebra)

침도(도침)침술과 경막외 신경성형술의 비교 연구

  • Song, In (Dept. of Acupuncture and Moxibustion, Daejeon Oriental Hospital, Daejeon University) ;
  • Hong, Kwon-Eui (Dept. of Acupuncture and Moxibustion, Daejeon Oriental Hospital, Daejeon University)
  • 송인 (대전대학교 부속대전한방병원 침구과) ;
  • 홍권의 (대전대학교 부속대전한방병원 침구과)
  • Received : 2010.05.24
  • Accepted : 2010.06.15
  • Published : 2010.08.20
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : This study will broaden understanding of acupotomy therapy through comparison of side effects and complication which can be caused by the mechanism of treatment, surgical methods, and procedure by acupotomy therapy and epidural neuroplasty. Moreover, through an in-depth analysis of headache affected by two procedures, this research is supposed to find prospective cures for headache after acupotomy therapy. Methods : To compare acupotomy therapy with epidural neuroplasty this research was done using a comparative analysis eight theses about acupotomy therapy since 1995, as well as eleven theses about epidural neuroplasty since 2000. Other theses and data were used as references in the process of comparative analysis. Results : Acupotomy therapy and epidural neuroplasty, new treatments of damaged discs in the spine and stenosis made in 1990s, have the mechanism of treatment in common in that adhesion, a node or scar caused by the soft tissue damage is removed by putting catheter or acupuncture into the lesions. Epidural neuroplasty has additional injection into the lesions, which is different from acupotomy therapy in the process of surgical procedure. There are various reports of positive effects about curative effect in these two treatments. The two procedures may cause various complications. Headache may be a complication after surgery. The headache after acupotomy therapy is characterized as being an ache in the body, which is similar to that of post-dural puncture headache in the outbreaks and symptom. Headache after percutaneous epidural neuroplasty appears in general, which is similar to a headache as a result of the increased pressure of the brain spinal cord regardless of posture. Conclusions : Although they are alike in the mechanism of treatment, surgical methods and side effects, and complication after they are carried out as a result of analyzing theses related to acupotomy therapy and percutaneous epidural neuroplasty, there is a difference in aspects and mechanism of headaches experienced after the procedure.

Keywords

References

  1. 대한정형외과학회.정형외과학. 1989 : 265-6.
  2. 심대무. 요통의 원인과 진단. 제23차 대한류마티스학회 추계학술심포지엄. 27-34.
  3. 장은하, 김성철, 임나라, 나원민, 임승일, 신진봉, 이건목. 요추추간판탈출증에 관한 침도 침술의 유효성에 관한 임상증례보고. 대한침구학회지. 2008 ;25(4) : 171-81.
  4. 곽병민, 홍권의. 침도침 시술을 통한 요추추간판탈출증 환자 4명의 증례보고. 대한침구학회지. 2008 ;25(4) : 149-56.
  5. Gabor B Racz, James E Heavner, P Prithvi Raj. Percutaneous Epidural Neuroplasty : Prospective One-Year Follow-Up. Pain Digest. 1999 ; 9 : 97-102.
  6. 오완수, 이승준, 홍기혁. 경막외강 내시경술 후 발생한 전격성 두통. 대한통증학회지 ; 13(1) : 130-3.
  7. Laxmaiah Manchikanti, Vidyasagar Pampati, Bert Fellow, Rivera J, Beyer CD, Damron KS. Role of One Day Epidural Adhesiolysis in Management of Chronic Low Back Pain: A Randomized Clinical Trial. Pain Physician. 2001 ; 4(2) : 153-66.
  8. Serdar Erdine, Gul K Talu. Precautions During Epidural Neuroplasty. Pain Practice. 2002 ; 2(4) : 308-14. https://doi.org/10.1046/j.1533-2500.2002.02038.x
  9. Berger E, Davis JMB. Chronic pain following lumbar spinal surgery in 1000 patients. Proceedings of 9th World Congress on Pain. 1999 ; 8 : 181-2.
  10. Richard S Epter, Standiford Helm II Salim M Hayek, Benyamin RM, Smith HS, Abdi S. Systematic Review of Percutaneous Adhesiolysis and Management of Chronic Low Back Pain in Post Lumbar Surgery Syndrome. Pain Physician. 2009 ; 12 : 361-78.
  11. Ross JS, Robertson JT, Frederickson RC, Petrie JL, Obuchowski N, Modic MT, deTribolet N. Association between peridural scar and recurrent radicular pain after lumbar discectomy : Magnetic resonance evaluation. Neurosurgery. 1996 ; 38 : 855-63. https://doi.org/10.1227/00006123-199604000-00053
  12. Benner B, Ehni G. Spinal arachnoiditis. The postoperative variety in particular. Spine. 1978 ; 3 : 40-4. https://doi.org/10.1097/00007632-197803000-00009
  13. Merrild U, Sogaard I. Sciatica caused by perifibrosis of the sciatic nerve. J Bone Joint Surg Br. 1986 ; 68 : 706.
  14. McCarron RF, Wimpee MW, Hudkins PG, Laros GS. The inflammatory effect of nucleus pulposus. A possible element in the pathogenesis of lowback pain. Spine. 1987 ; 12 : 760-4. https://doi.org/10.1097/00007632-198710000-00009
  15. Parke WW, Watanabe R. The intrinsic vasculature of the lumbosacral spinal nerve roots. Spine. 1985 ; 10 : 508-15. https://doi.org/10.1097/00007632-198507000-00004
  16. Kok-Yuen Ho, Preeti Manghnani. Acute Monoplegia After Lysis of Epidural Adhesions : A Case Report. Pain Practice. 2008 ; 8(5) : 404-7. https://doi.org/10.1111/j.1533-2500.2008.00229.x
  17. 朱漢章. 小鍼刀療法. 北京: 中國中醫藥出版社. 1992 :9-42.
  18. 송선옥, 임형준. 척추수술 후 통증증후군 환자에서 경막외 유착용해술의 임상 경험. 대한마취과학회지. 2004 ; 47(4) : 547-52.
  19. Racz GB, Heavner JE, Diede JH. Lysis of epidural adhesions utilizing the epidural approach. Interventional pain management. 1996 ; 339-51.
  20. Racz GB, Heavner J. In response to article by Drs. Devulder et al. Clin J Pain 1995 ; 11 : 151-3. https://doi.org/10.1097/00002508-199506000-00012
  21. Lee SC, Oh WS, Kim JK, Roh CJ, Son JC. Epidural adhesiolysis in low back pain. The Korean Pain Society. 1997 ; 10 : 214-19.
  22. Racz GB, Holubec JT. Lysis of adhesions in the epidural space. Techniques of neurolysis. 1989 : 57-72.
  23. Devulder J, Bogaert L, Castille F, Moerman A, Rolly G. Relevance of epidurography and epidural adhesiolysis in chronic failed back surgery patients. Clin J Pain. 1995 ; 11 : 147-50. https://doi.org/10.1097/00002508-199506000-00011
  24. Lee SI, Kim KT, Hwang JK. Endoscopic and non-endoscopic epidural adhesiolysis in FBSS patient. Korean J Anestheisol. 2004 ; 46 : 329-35.
  25. Yabuki S, Kikuchi S. Nerve root infiltration and sympathetic block. An experimental study of intraradicular blood flow. Spine. 1995 ; 20 : 901-6. https://doi.org/10.1097/00007632-199504150-00004
  26. Winnie AP, hartman JT, Meyers HL Jr, Ramamurthy S, Barangan V. Pain clinic. II. Intradural and extradural corticosteroids for sciatica. Anesth Analg. 1972 ; 51 : 990-1003.
  27. 김성철. 침도침술시 부작용과 예방법에 관한 연구. 대한침구학회지. 2008 ; 25(4) : 117-25.
  28. Igarashi T, hirabayashi Y, Seo N, Saitoh K, Fukuda H, Suzuki H. Lysis of adhesion and epidural injection of steroid/local anesthetic during dpiduroscopy potentially alleviate low back and leg pain in elderly patients with lumbar spinal stenosis. Br J Anaesth. 2004 ; 93 : 181-7. https://doi.org/10.1093/bja/aeh201
  29. 이건목, 김도호, 김현욱, 염승철, 김형수, 김동은, 윤미진, 송동섭, 이경희. 침도침 치료를 이용한 요추추간판탈출증에 대한 연구 및 임상증례. 대한침구학회지. 2008 ; 25(4) : 183-90.
  30. 김연미, 홍권의. 침도침 시술이 견관절 질환에 미치는 영향에 관한 임상적 고찰. 대한침구학회지. 2008 ; 25(4) : 141-8.
  31. 임나라, 김성철, 장은하, 나원민, 임승일, 신진봉, 이건목. 수근관 증후군에 관한 침도 침술의 유효성에 관한 임상증례보고. 대한침구학회지. 2008 ;25(4) : 163-70.
  32. 김언국, 김현욱, 이건휘, 이건목. 경추 추간판 탈출증 환자의 침도료법 치료 효과에 대한 임상적 연구. 대한침구학회지. 2009 ; 26(1) : 67-79.
  33. 고민경, 홍권의. 침도 침술 후 나타나는 두통에 대한 임상적 고찰. 대한침구학회지. 2010 ; 27(2) :89-95.
  34. 김덕규, 손지선, 김동찬. 경막천자 후 두통으로 오인된 자발성 두개내 저압. 대한마취과학회지. 2007 ;52(2) : 245-8.
  35. Dripps RD, Vandam LD. Long-term follow-up of patients who received 10098 spinal anesthetics. JAMA. 1956 ; 161 : 586-91. https://doi.org/10.1001/jama.1956.02970070018005
  36. 권재철, 최낙천, 박기종. 요추천자 후 두통; 침상안정이 요추천자 후 두통을 예방하는가? 대한신경과학회지. 1997 ; 15(5) : 1117-24.
  37. Kunkle EC, Ray BS, Wolff HG. Experimental studies on headache: analysis of the headache associated with changes in intracranial pressure. Archives of Neurology and Psychiatry. 1943 ; 49 : 323-58. https://doi.org/10.1001/archneurpsyc.1943.02290150011001
  38. Dalessio D. Wolff's Headache and Other Head Pain. 3rd ed. Chapter 2. New York : Oxford University Press. 1972.
  39. Grant R, Condon B, Hart I, Teasdale GM. Changees in intracranial CSF volume after lumbar puncture and their relationship to post- LP headache. J Neurol Neurosurg Psychiatry. 1991 ; 54 : 440-2. https://doi.org/10.1136/jnnp.54.5.440
  40. Rice GG, Dabbs CH. The use of peridural and subarachnoid injection of saline solution in the treatment of severe postspinal headache. Anethesiology. 1950 ; 11 : 17. https://doi.org/10.1097/00000542-195001000-00003
  41. Di Giovanni AJ, Dunbar BS. Epidural injections of autologous blood for postlumbar-puncture headache. Anesth Anal. 1970 ; 49 : 268.
  42. 전재규, 이석강, 주영은. 경막외강에 주입한 생리식염수가 뇌척수액압에 미치는 영향. 대한생리학학회지. 1977 ; 11 : 21.
  43. Lehne RA. Central nervous system stimulants and attentiondeficit/hyperactivity disorder. In Pharmacology for nursing care. St. Louis. : Saunders. 2007 ; 6 : 384-404.
  44. Artru A. CSF dynamics, cerebral edema, and intracranial pressure. Text book of neuroanesthesia. Edited by Albin MS. New York : Mc- Graw Hill Companies. 1997 : 61-115.
  45. 최경돈, 전재규. 경막외강압과 뇌척수액압의 상관관계에 관한 연구. 대한마취과학회지. 1990 ; 23(2) :261-8.
  46. Serpell MG, Coombs DW, Colburn RW. Intrathecal pressure recordings due to saline instillation in the epidural space. in Abstracts of the 7th World Congress on Pain. Abstract. 1535, August 1993.
  47. Cyriax J. The illustrated Manual of Orthopedic Medicine. London : Butterworths. 1983 : 210.
  48. 허준. 동의보감. 경남 하동 : 동의보감출판사. 2005 :705.
  49. 박정율. 척주관협착증 치료의 최신 지견. 통증. 2006 ; 16(1) : 10-15.
  50. Janssens E, Aerssens P, Alliet P, Gillis P, Raes M. Postdural puncture headaches in children : A literature review. European Journal of Pediatrics. 2003 ; 162 : 117-21.