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Magnetic Resonance Imaging Follow-Up Case Study on Changes in a Lumbar Herniated Intervertebral Disc Treated with Korean Conservative Treatment

보존적 한방치료를 진행한 요추 추간판 탈출증 환자의 시간에 따른 영상의학적 추간판 크기 변화 1례

  • Roh, Ji-ae (Dept. of Korean Internal Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Lee, Ji-won (Dept. of Korean Internal Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Jang, Jae-won (Dept. of Korean Internal Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Jeong, Wu-jin (Dept. of Acupuncture & Moxibustion Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Noh, Je-heon (Dept. of Acupuncture & Moxibustion Medicine, Daejeon Jaseng Hospital of Korean Medicine)
  • 노지애 (대전자생한방병원 내과) ;
  • 이지원 (대전자생한방병원 내과) ;
  • 장재원 (대전자생한방병원 내과) ;
  • 정우진 (대전자생한방병원 침구과) ;
  • 노제헌 (대전자생한방병원 침구과)
  • Received : 2018.07.16
  • Accepted : 2018.10.24
  • Published : 2018.10.30

Abstract

Background: A herniated intervertebral disc (HIVD) triggers low back pain (LBP). Korean conservative treatment can decrease the herniated disc size without traditional surgery, but detailed prognosis is unclear. Case summary: One patient presented with LBP and bilateral sciatica. She was diagnosed with lumbar HIVD by magnetic resonance imaging (MRI) and treated by Korean medicine (acupuncture, decoction, and physical therapy). For 6 months, MRI follow-up exams showed the aggravation and migration of L5-S1 followed by distinct improvement of the same lumbar vertebra. Conclusion: The disc size in a patient with lumbar HIVD was reduced by Korean conservative treatment, and periodic radiologic examination showed the previously unrecognized process of absorbing the disc.

Keywords

References

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