• Title/Summary/Keyword: Pain: headache

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A Case Report of Prescribing Yanghyeolgeopung-tang(yangxuequfeng-tang) to Two Patients with Cervical Disc Herniation and Headache (양혈거풍탕(養血風湯)을 투여한 두통을 동반한 경추 추간판 탈출증 환자 치험 2례)

  • Cho, Nam-Hoon;Kim, Me-Riong;Jeong, Hoon;Yang, Seung-Hee
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.6 no.2
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    • pp.33-44
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    • 2011
  • Objectives : The purpose of this study is to investigate the clinical application of Yanghyeolgeopung-tang(yangxuequfeng-tang) to two patients with cervical disc herniation and headache. Methods : The patients were hopitalized at the Dept. of Oriental Rehabilitation Medicine, Jaseng Oriental Medicine Hospital, and diagnosed as cervical disc herniation and treated mainly with herbal medicine; Yanghyeolgeopung-tang(yangxuequfeng-tang). Additional acupuncture and pharmaco-puncture was provided. NRS(Numeric Rating Scale) and NDI(Neck Disability Index) scores were used as outcome measures. Results : After taking Yanghyeolgeopung-tang(yangxuequfeng-tang), the patients' pain was controlled and the patients slept well after treatment. NRS and NDI scores both decreased. Conclusions : As seen in these two cases of cervical disc herniation with headache, Yanghyeolgeopung-tang(yangxuequfeng-tang) has a positive effect in controlling neck pain and headahce due to cervical disc herniation.

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Effects of Audio-visual Entertainment and Soft Tissue Mobilization on Pressure Pain Thresholds, Psychophysiological parameters, and Brain waves in University Students with Tension-type Headache (긴장성 두통이 있는 대학생들에게 시청각적 엔터테인먼트와 연부조직 가동술이 압력통각역치, 바이오피드백, 뇌파에 미치는 영향)

  • Jung, Dae-In;Lee, Eun-Sang;Kim, Hyun-Joong
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.7
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    • pp.539-548
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    • 2020
  • TTH(tension-type headache) is the most common primary headache among adults. Long-term headaches cause chronic headaches and have a better impact on daily life. The purpose of this study is to compare the contributions to TTH through AVE(audio-visual entertainment) and STM(soft tissue mobilization) suitable for management of pathogenic and psychogenic factors of TTH. The participants of this study were from 30 people who complained of intermittent or persistent headaches for more than 6 months, and 10 participants each in the AVE group, STM group, and AVE plus STM group. In the assigned group, a total of 12 sessions were performed three times a week for 4 weeks after the baseline, followed by post-test. Outcome measures measured PPTs(pressure pain thresholds), psychophysiological parameters, and EEG(electroencephalogram). The measured results were analyzed for interaction between time and group through a two way rmANOVA(repeated measurement variance analysis). As a result of the PPTs, interaction was found in the results of the right trapezius (p<.05), and the more improvement was observed in the AVE group. Therefore, through AVE based on psychological factors rather than direct access to the muscles of pathogenic factors, a positive impact on the PPTs was shown, but the average value of the psychophysiological parameters and brain waves that were not statistically significant. The amount of change was observed. Through this, it is suggested that audio-visual stimulation could be considered in the management of TTH.

Case Report of Korean Medical Treatment of Chest Pain After Percutaneous Coronary Intervention (경피적관상동맥중재술을 시행한 후 발생한 흉통(胸痛)에 대한 한방치료 1례)

  • Min, Seon-woo;Kim, Hak-kyeom;Moon, Ji-seong;Kim, Ye-seul;Park, Ji-yoon;Jeong, Ji-cheon
    • The Journal of Internal Korean Medicine
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    • v.42 no.2
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    • pp.184-196
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    • 2021
  • Objectives: This case report presents the effects of Korean medical treatment in a patient with chest pain after percutaneous coronary intervention (PCI). Methods: An 80-year-old woman was treated with Korean herbal medicine, acupuncture, and cupping therapy. Chest pain, sore tongue, and headache were assessed daily using a numeric rating scale (NRS). Results: After 15 days of treatment, chest pain disappeared, as reflected by an NRS change from 9 to 0, and headache was relieved (NRS decreased from 9 to 2). On the eighth day of treatment, the sore tongue was also relieved, as reflected by an NRS change from 9 to 0. Conclusion: These results show that chest pain after PCI can be relieved with Korean medical treatment, and it is expected that major adverse cardiac events (MACEs) may be prevented with Korean medical treatment. However, additional well-designed studies are required to confirm these findings.

The heart rate variability(HRV) of the headache patients caused by Chiljungsang (칠정상(七情傷)으로 인한 두통 환자의 심박변이도(Heart Rate Variability)에 관한 고찰)

  • Park, Sun-Yong;Choi, Cheol-Hong;Chung, Dae-Kyoo;Ko, Kyung-Mo
    • Journal of Oriental Neuropsychiatry
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    • v.19 no.3
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    • pp.45-54
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    • 2008
  • Objective: To treat psychogenic headache patients, doctors have to amplify on the headache caused by emotional stress to patients, and assist the patients to cope with difficulties. So, we investigated HRV of the headache patients caused by Chiljungsang and would like to apply to the clinical treatment. Method: Our study measured time and frequency domain HRV indicies(5-min resting study) of 123 headache patients caused by emotional stress. Standardized tests of HRV allow a quantitative estimation of autonomic nervous system function. Results & Conclusions: 1. The study classed as aspects of the head pain showed the differences in RMS-SD(square root of mean squared difference of successive NN intervals) band, HF(high frequency) band significantly. 2. The male headache patients showed higher all the indicies except heart rate compared to the female patients, significantly in SDNN(standard deviation of NN interval), TP(total Power), HF band. 3. As the patients grow older, SDNN, RMS-SD band was lower and LF(low frequency) band, LF/HF ratio higher significantly. The beginning age lower, SDNN, RMS-SD band was higher significantly. The duration of the disease longer, LF band, LF/HF ratio was higher significantly.

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A Preliminary Comparison of Efficacy of Needle-Embedding Therapy with Acupuncture for Chronic Tension-type Headache Patients (만성 긴장성 두통환자의 매선요법과 침의 효과에 대한 예비적 비교 연구)

  • Bae, Dal-Bit;Lyu, Yun-Sun;Park, Jong-Min;Kang, Hyoung-Won;Lyu, Yeoung-Su
    • Journal of Oriental Neuropsychiatry
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    • v.24 no.1
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    • pp.45-62
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    • 2013
  • Objectives : The purpose of this study was to compare the efficacy of Needle-Embedding Therapy with Acupuncture for Chronic Tension-type Headache (CTTH) patients. Methods : The study recruited Chronic Tension-type Headache patients. A total of twenty-six patients were divided into 2 groups. 13 subjects were placed into a needle-embedding therapy group and 13 subjects into an acupuncture therapy group by a randomization table. The needle-embedding therapy group was treated with needle-embedding at Fengchi (GB20), while the acupuncture therapy was acupunctured at Fengchi (GB20). Then, a comparative analysis was conducted by comparing the results with those measured by a Blood pressor, Heart rate variability (HRV), Henry Ford Headache Disablity Inventory (HDI) Internet Headache Impact Test (HIT), and Visual Analogue Scale (VAS). Results & Conclusions : As a result of evaluation by using the self-rating headache index (VAS, HDI, HIT), pain score declined in both groups. But they were not difference between the two groups.

The Effects of Rainbow Theraphy on Functional Headache (기능성 두통에 대한 Rainbow Theraphy의 치료효과)

  • Kim, Jin-Hyung;Gug, Yun-Jai;Yang, Hee-Sook;Kwon, Young-Mi;Kim, Tae-Heon;Lyu, Young-Su;Kang, Hyung-Won
    • Journal of Oriental Neuropsychiatry
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    • v.15 no.2
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    • pp.159-172
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    • 2004
  • Objective : There are many treatments for Headache. We suggested the clinical effect and utilization of Rainbow Theraphy on functional headache. Methods : 1. Setting up of Groups : A Group is 29 people being used Herb remedy, acupuncture and Rainbow Theraphy, B Group is 23 people being used only Rainbow Theraphy. 2. Operation of Rainbow Theraphy : By using RP-UM103(Umax Medical, Korea), we regulated ki and stimulated important acupuncture’s spots of headache. 3. We examined improvement of headache by giving marks about symptoms - occipital pain, Pressure, dyspepsia, anxiety, fatigue, attention deficiency - through interviewing before treatment and after 3 weeks' treatments. Results and Conclusions : 1. There was a significantly effect of Rainbow Theraphy on functional headache in both A Group and B Group. 2. In subjective appraisee of groups, A group$(17.28{\pm}2.15)$ is more effective than B group$(14.74{\pm}2.38)$. 3. In doctor's last appraisee of groups, A group$(3.83{\pm}0.71)$ is more significantly improvement than B group$(2.70{\pm}0.47)$.

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A Case Report of Tension Headache Treated with Yanghyeolgeopung-tang (양혈거풍탕(養血祛風湯)을 포함한 한의치료로 호전된 긴장형 두통 환자의 치험 1례)

  • Jin, So-ri;Park, Mu-jin;Oh, Eun-je;Oh, Joo-hee;Kim, Kyoung-hoon;Song, Woo-sub;Ahn, Sang-min;Kim, Eun-song;Jang, Dong-jin
    • The Journal of Internal Korean Medicine
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    • v.43 no.2
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    • pp.303-310
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    • 2022
  • Objectives: This study reports the effects of Korean medical treatment, including the administration of Yanghyeolgeopung-tang, on tension headache. Case presentation: A 48-year-old man with headache and neck pain caused by tension-type headache was managed with Yanghyeolgeopung-tang, acupuncture, and pharmacopuncture for 15 days. To evaluate the improvements, a numeric rating scale (NRS), the Korean Headache Impact Test-6 (KHIT-6), and Neck Disability Index (NDI) were used. After treatment, the symptoms were relieved, and there were no particular side effects. The NRS scores reduced from 6 to 3, KHIT-6 from 64 to 48, and NDI from 46 to 22. Conclusion: These results suggest that Korean medicine may be effective for treating tension-type headache.

Correlation Among the Cervical Kyphotic Angle, Pain, and Disability Level in Patients With Temporomandibular Disorders (턱관절장애 환자의 목뼈 뒤굽음 각과 통증 및 기능장애 수준 간에 상관성 연구)

  • Lee, In-su;Kim, Suhn-yeop
    • Physical Therapy Korea
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    • v.27 no.2
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    • pp.102-110
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    • 2020
  • Background: There is an opinion that improper postures of the head and cervical spine are associated with temporomandibular joint (TMJ) disorders (TMDs). Objects: The aim of this study was to investigate the proportions among the cervical kyphotic angle, physical symptoms including the pain intensity level of the TMJ, and severity of TMD disability in patients diagnosed with TMD. Methods: Sixty-two subjects participated in the study. The evaluation tools included measurements of the cervical kyphotic angle based on the Ishihara index, pressure pain threshold (PPT) on the TMJ, maximal mouth opening (MMO) without pain, current pain intensity level of the TMJ measured using the Quadruple Visual Analogue Scale (QVAS), Korean TMD (KTMD) disability index, KTMD Symptom Frequency/Intensity Scales (SFS/SIS), and Korean Headache Impact Test-6. Correlation analysis was conducted to investigate the correlations between the cervical kyphotic angle and parameters related to TMJ symptoms. Results: Variables that were significantly correlated with the cervical kyphotic angle were the PPT around the TMJ (r = 0.259, p < 0.05), current pain intensity level of the TMJ based on the QVAS (r = -0.601, p< 0.01), and usual pain intensity level based on the SIS (r = -0.379, p < 0.01). The level of TMD functional disability was significantly correlated with the degree of headache (r = 0.551, p < 0.01), level of PPT of the TMJ (r = -0.383, p < 0.01), pain-free MMO (r = -0.515, p < 0.01), pain intensity level of the TMJ based on the QVAS (r = 0.393, p < 0.01), TMD symptom frequency (r = 0.739, p < 0.01), usual pain intensity of the TMJ (r = 0.624, p < 0.01), and most severe pain intensity of the TMJ (r = 0.757, p < 0.01). Conclusion: There is a positive correlation between the cervical kyphotic angle and PPT and a negative correlation between the current and usual pain intensity levels of the TMJ. The cervical kyphotic angle was a predictor of the pain level, tenderness threshold, and intensity of pain in the TMJ.

Retrogasserian Gangliolysis with Pure Glycerol for the Treatment of Tic Douloureux -A case report- (삼차신경절 액조내 순수글리세롤을 이용한 삼차신경통의 치험 -증례보고-)

  • Chang, Won-Young
    • The Korean Journal of Pain
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    • v.4 no.2
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    • pp.191-195
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    • 1991
  • Trigeminal neuralgia(tic douloureux) is a common clinical syndrome which is characterized by a painful facial condition. The clinician must be able to identify a patient with tic douloureux because this most severe pain syndrome can almost always be controlled. Gangliolysis is the most recent development in the long history of destructive procedures for tic douloureux. H$\ddot{a}$kason pioneered a technique of placing a needle for injecting glycerol into the trigeminal cistern which he found safe and effective for pain control. In August at 1991, I injected pure sterile glycerol three times into the cistern of trigeminal ganglion using the H$\ddot{a}$rtel approach to relieve a patient from pain. The results were as follows; 1) The response of pain relief to a glycerol gangliolysis was excellent. 2) As a complication, there were mild sensory deficit, transient headache and herpes simplex around the mouth angle.

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A study for assessing accuracy rates of pain rating Scales(KPRS & VAS) (국어통증 척도와 시각적 상사 척도의 정확도 연구)

  • 이은옥;정면숙
    • Journal of Korean Academy of Nursing
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    • v.18 no.3
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    • pp.239-244
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    • 1988
  • The purpose of this study was to identify the accuracy rates(hit ratio) which mean the degree of concordance between pain rating scale differences over time & subjective comparisons. Subjective comparisons mean the responses to the question “how does the pain you are now experiencing compare with the one at the time of the assessment yesterday\ulcorner” Answers to this question were translated into ‘greater’, ‘same’, or ‘less’. KPRS(Korean Pain Rating Scale) was developed through 4 consecutive studies to assess pain extensively & accurately by Lee etc. VAS(Visual Analogue Scale) was reported as valid & veliable measure for the intensity of pain by many researchers. Thirty hospitalized patients with complaints of Headache were partispated in this study during the period from May 1 to July 31, 1987. In conclusion, the accuracy rates of KPRS and VAS were 60%, 67%, respectively.

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