The Journal of Korean Obstetrics and Gynecology (대한한방부인과학회지)

The Society of Korean Medicine Obstetrics and Gynecology (대한한방부인과학회)
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A Case Report inculding Pharmacopuncture Therapy at Lumbar Facet joints for a Patient with Lumbar Disc Herniation with Lower Back Pain and Leg Radiating Pain that Worsen during Pregnancy

요추 후관절 약침 치료를 병행한 임신 중 요통 및 하지방사통이 악화된 요추 추간판 탈출증 환자 증례 보고

  • Kim, Su-Jin (Dept. of Korean Obstetrics & Gynecology, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Kim, Sun-A (Dept. of Korean Obstetrics & Gynecology, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Kim, Min-Kyung (Dept. of Korean Obstetrics & Gynecology, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Lee, Si-Won (Dept. of Korean Obstetrics & Gynecology, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Kyung, Da-Hyun (Dept. of Korean Medicine Ophthalmology & Otolaryngology, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Bae, Ji-Eun (Dept. of Internal Medicine of Korean Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Kwon, Yong-Su (Dept. of Korean Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Huh, Hyo-Seung (Dept. of Acupuncture & Moxibustion, Daejeon Jaseng Hospital of Korean Medicine)
  • 김수진 (대전자생한방병원 한방부인과) ;
  • 김순아 (대전자생한방병원 한방부인과) ;
  • 김민경 (대전자생한방병원 한방부인과) ;
  • 이시원 (대전자생한방병원 한방부인과) ;
  • 경다현 (대전자생한방병원 안이비인후피부과) ;
  • 배지은 (대전자생한방병원 한방내과) ;
  • 권용수 (대전자생한방병원 한방재활의학과) ;
  • 허효승 (대전자생한방병원 침구의학과)
  • Received : 2021.01.13
  • Accepted : 2021.02.26
  • Published : 2021.02.26
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Abstract

Objectives: The purpose of this study was to report a case of a pregnant woman diagnosed with lumbar disc herniation that improved in lumbar pain and radiating leg pain through combined korean medical treatment including pharmacopuncture at lumbar facet joints in situations surgical and pharmacological treatment is limited due to pregnancy. Methods: A combination of treatment including pharmacopuncture at lumbar facet joints, acupuncture, cupping, and herbal medicine was provided for 1 month to a woman at 21 weeks pregnant who was diagnosed with lumbar disc herniation. Her progress was assessed with Numeric Rating Scale (NRS), Oswestry Disability Index (ODI), EuroQol-5Dimension (EQ-5D) before and after treatment. Results: After the treatment, the pain decreased and the quality of life was enhanced. No adverse events were observed. Conclusions: The findings indicate that combined korean medical treatment including pharmacopuncture at lumbar facet joints can be safe and effective alternative to treat lumbar disc herniation during pregnancy.

Keywords

References

  1. Cunningham FG, et al. Williams Obstetrics. 20th ed. Stanford:Appleton & Lange. 1997:209-40.
  2. Fast A, et al. Low back pain in pregnancy. Spine. 1987;12(4):868-71.
  3. Park J, et al. The safety of acupuncture during pregnancy : a systematic review. Acupunct Med. 2014;32(3):257-66. https://doi.org/10.1136/acupmed-2013-010480
  4. Lee SY, et al. The Effect of Traditional Korean Medical Treatment on Low Back Pain during Pregnancy: a Report on Three Cases. J Acupunct Res. 2016; 33(3):197-205. https://doi.org/10.13045/acupunct.2016047
  5. Kim SK, et al. A Clinical Case Report on Traditional Korean Medical Treatment Including Hwangryunhaedok-tang Pharmacopuncture for Low Back Pain with Sciatica during Pregnancy. J Korean Obstet Gynecol. 2019;32(2):138-47. https://doi.org/10.15204/JKOBGY.2019.32.2.138
  6. Ju YG, et al. A Clinical Case Report Treated by Megadose Pharmacoacupuncture and Korean Medical treatments for the three Patients with HIVD of L-Spine and one Patient with HIVD of C-Spine. J Korea Chuna Manual Med Spine Nerves. 2015;10(2):61-71.
  7. Shim SY, et al. An overview of pain measurements. Korean J Acupunct. 2007;24(2):77-97.
  8. Fairbank j, et al. The Owenstry disability index. Spine. 2000;25(22):940-52.
  9. Sung SS, et al. Health-Related Quality of Life using EQ-5D in Koreans. J Rheum Dis. 2004;11(3):254-62.
  10. Zhang ZJ. Synopsis of Prescriptions of the Golden Chamber. Seoul:Awoolos Publishing Company. 1994:573.
  11. The Society of Korean Medicine Rehabilitation. Oriental Rehabiliation Medicine. 2nd ed. Seoul:Koonja. 2005:59-61.
  12. Park, YG, et al. The Effects of Epidural Steroid Injection in the Management of Low Back Pain. J Korean Acad Rehabil Med. 1998; 22(3):3-14.
  13. Yoon, MH. Clinical Use of Steroid. Korean J Pain. 2004;17(Suppl.):45-53.
  14. Yoo SB, et al. Fourty One Cases on MRI (Magnetic Resonance Imaging) Change of HIVD of L-Spine Patient Who Have Been Improvement on Megadose Pharmacoacupuncture and Korean Medical Treatments. J Oriental Rehab Med. 2016;26(4):117-26.
  15. Kim TH, et al. Protective effect of GCSB-5, an herbal preparation, against peripheral nerve injury in rats. J Ethnopharmacol. 2011;136(2):297-304. https://doi.org/10.1016/j.jep.2011.04.037
  16. Jun BC, et al. Effectiveness of ShinBaro Pharmacopuncture on Lumbar Spinal Herniated Intervertebral Disc : A Randomized Controlled Trial. J Korea Chuna Manual Med Spine Nerves. 2011;6(2):109-19.
  17. Korean Academy of Orthopedic Manual Therapy. Musculoskeletal examination. 2nd ed. Seoul:Panmun book. 2004:131-2.
  18. Brent RL, Et al. The effect of embryonic and fetal exposure to x-ray, microwaves, and ultrasound: counseling the pregnant and nonpregnant patient about these risks. Semin Oncol. 1989;16(5):347-68.
  19. Modic MT, et al. MRI of the spine. Radiolo Clin North Am. 1986;24A: 229-45.
  20. Moon YS, et al. Effect of Kumgwedanggwi-san Decoction on Female Genital System of white Rats. J Korean Obstet Gynecol. 1995;8(1):141-59.