• Journal of Korean Neurosurgical Society
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• v.43 no.2
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• pp.117-118
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• 2008

Aortic abdominal aneurysm rarely has been reported as causing osteolytic lesions of the spine. It may produce back and radiating pain patterns similar to those of several commonly encountered neurosurgical processes. We report a uncommon complication of huge pulsating aortic aneurysm causing severe vertebral erosion with incapacitating back and radiating pain.

• Journal of Acupuncture Research
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• v.27 no.5
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• pp.79-87
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• 2010

Objectives : This study was designed to evaluate the effects of treatment of HIVD patients with lower back pain, lower limb radiating pain and restricted on SLRT by the Sa-Am acupuncture. Methods : From March 2010 to July 2010, thirty HIVD patients who admitted to Cheonan oriental medical hospital in Daejeon university were divided into two groups. Group I was treated by Sa-Am acupuncture Banggwangjeonggyeok and general acupuncture, Group II by general acupuncture. We evaluated the treatment effect of each group with the Visual Analog Scale(VAS), Oswestry Disability Index(ODI), SLR test, dividing two period(from admission day to third day after admission and from third day to sixth day after admission). Results : 1. Group I is more effective than Group II in early pain and reducing rate of pain. 2. Group I is more effective than Group II in ODI score reducing rate from admission day to third day after admission, but there was no significant difference between the two groups from third day to sixth day after admission. 3. Group I is more effective than Group II in early SLR test improvement rate. Conclusions : Sa-Am acupuncture Banggwangjeonggyeok on HIVD patients with lower back pain, lower limb radiating pain and restricted on SLR test was effective in reducing pain and improving SLR test.

• Journal of Korean Neurosurgical Society
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• v.58 no.1
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• pp.89-92
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• 2015

Rheumatoid arthritis (RA) is a chronic inflammatory disease involving multiple joints. The cervical spine is often affected, and cases involving atlantoaxial joint can lead to instability. Anterior atlantoaxial subluxation in RA patients can lead to posterior neck pain or occipital headache because of compression of the C2 ganglion or nerve. Here, we report the successful treatment of a RA patient with occipital radiating headache using pulsed radiofrequency therapy at the C2 dorsal root ganglion.

• Journal of Acupuncture Research
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• v.21 no.5
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• pp.27-44
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• 2004

Objective : To evaluate the pain improvement of the lumbago patients taken the electro-acupuncture therapy using Visual Analogue Scale. Methods : The 25 patients of 46 lumbago patients visited department of Acupuncture & Moxibustion in National Medical Center from 1st March to 20th August had taken the electro-acupucture therapy more than 5 times. We checked on their age, sex, onset, radiating pain, back pain past history and Straight Leg Raising test. And we evaluated their improvement of back pain using Visual Analog Scale(VAS) at each visit. Then we analyzed the pain improvement by their age, sex, onset, radiating pain, back pain past history, Straight Leg Raising test, visiting frequency and Visual Analog Scale on 1st visit(VAS1) Results : VAS of 24 patients has improved and VAS of one patient has not been changed. There's no patient getting worse. The women and the positive group at SLR Test had better result of pain improvement. Conclusion : The lumbago patients taken electro-acupuncture more than 5 times showed significantly different pattern of pain improvement according to the sex and the SLR test.

• Journal of Korean Neurosurgical Society
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• v.54 no.1
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• pp.68-70
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• 2013

A 39-year old female presented with chronic spinal subdural hematoma manifesting as low back pain and radiating pain from both legs. Magnetic resonance imaging (MRI) showed spinal subdural hematoma (SDH) extending from L4 to S2 leading to severe central spinal canal stenosis. One day after admission, she complained of nausea and severe headache. Computed tomography of the brain revealed chronic SDH associated with midline shift. Intracranial chronic SDH was evacuated through two burr holes. Back pain and radiating leg pain derived from the spinal SDH diminished about 2 weeks after admission and spinal SDH was completely resolved on MRI obtained 3 months after onset. Physicians should be aware of such a condition and check the possibility of concurrent cranial SDH in patients with spinal SDH, especially with non-traumatic origin.

• Journal of Korean Neurosurgical Society
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• v.41 no.6
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• pp.418-420
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• 2007

Discal cyst is a very rare lesion that can result in refractory low back pain and leg radiating pain. Because they are so uncommon, their exact origin and pathophysiology are still unknown. A 31-year-old man visited our institute due to low back pain and severe left leg radiating pain. Magnetic resonance images [MRI] revealed spherically shaped extradural cystic lesion at L2-L3 level. Computed tomography [CT] discography demonstrated obvious communication between the intervertebral disc and the cyst. The patient underwent posterior decompression and excision of cyst. The symptoms were remarkably improved immediately after surgery.

• Journal of Acupuncture Research
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• v.39 no.4
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• pp.317-322
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• 2022

Gold thread therapy (GTT) continuously stimulates acupoints and is used to treat chronic conditions/diseases such as chronic lumbar pain. During the procedure gold thread is embedded into the skin and although gold thread is medically pure, GTT is an irreversible treatment where there is limited evidence on its safety. Here, we report a case of a 79-year-old woman being treated for low back pain who developed side effects following moving cupping therapy at a site of GTT (performed in the 1970s). Adverse reactions causing radiating pain persisted more than at least 9 days following moving cupping therapy. The symptoms of pain were evaluated using the numerical rating scale, and changes in tenderness and the state of bruising was recorded. Low back pain improved but the radiating low leg pain did not improve. This case highlights the need for caution when performing moving cupping therapy where GTT has been previously performed.

• Journal of Physiology & Pathology in Korean Medicine
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• v.30 no.1
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• pp.66-72
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• 2016

This retrospective observational study was aimed to assess that Shinchubogun-tang (Shenzhuibujian-tang ; SBT) improves the symptoms related to lumbar disc herniation. We analyzed the medical records of 36 patients, who were satisfied with inclusion and exclusion criteria. The patients were diagnosed with lumbar disc herniation and prescribed with SBT in addition to Korean medical common treatments at Dunsan Korean Medicine Hospital of Daejeon University from January 1st, 2013 to November 30th, 2015. The effects of SBT was evaluated by comparing before and after taking SBT through 0-10 visual analogue scale(VAS) of the symptoms including lower back pain, radiating pain, and lower extremity numbness. The average period of common Korean medicine treatment before SBT prescription was 9.78 days and then the patients received SBT along with common Korean medicine treatment for 13.17 days on average. SBT plus common korean medicine treatment group significantly decreased VAS score of lower back pain from 5.40±1.62 to 3.28±1.70 (p<0.01), radiating pain from 5.60±1.42 to 2.35±1.79 (p<0.01), lower extremity numbness from 5.77±1.52 to 2.55±1.85(p<0.01). These results demonstrated that SBT might have a potential on improvement of lumbar disc herniation by reducing the symptoms of lower back pain, radiating pain, and lower extremity numbness.

• The Journal of Korean Obstetrics and Gynecology
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• v.21 no.2
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• pp.263-272
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• 2008

Purpose: Separation of symphysis pubis during delivery is a rare condition. The separation might cause pubic pain, radiating pain of both leg, inguinal pain, and gait disturbance. The purpose of this case was to report the clinical effectiveness of Traditional Korean Treatment on decreasing those symptoms. Methods: The patient in this case was 34-year-old female, The chief complains were pubic pain(right side was severe), radiating pain of right inguinal pain, gait disturbance and low back pain. She was treated by Traditional Korean medicine, acupuncture, and Placenta Herbal Acupuncture. The progress of symptoms were evaluated by visual analogue scale. Results: After those Traditional Korean therapy, most symptoms were improved. But width of symphysis pubis remained unchanged. Conclusion: This case shows that Traditional Korean therapy might be effective in decreasing symptoms on separation of symphysis pubis during delivery.

• The Korean Journal of Pain
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• v.8 no.1
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• pp.149-151
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• 1995

Piriformis syndrome is a syndrome of low back and leg radiating pain thought to be due to a chronic contracture of the piriformis muscle that causes irritation of the sciatic nerve. The piriformis muscle is a flat pyramidal muscle, an external rotator and abductor of the hip, originating from the front of the sacrum and inner aspect of the sacroiliac joint, then passes laterally out of the sciatic notch to attach posteriorly to the greater trochanter of the femur, the sciatic nerve passes between the two bellies of the muscle. Mechanical irritation of the sciatic nerve by an inflammatory reaction of the piriformis muscle and its fascia at this pelvic level causes pain to radiate in the dermatomal regions of the nerve roots similar to that disk entrapment. diagnosis of piriformis syndrome is made primary on the basis of history and clinical examination. The incidence is considerably higher in women, with the reported ratio of women to men of 6:1. These patients frequently present with associated symptoms of pelvic pain and/or dyspareunia. Symptoms are usually unilateral but occasionally be bilateral. We had a 42 year-old woman patient with low back and left leg radiating pain and dyspareunia treated by caudal steroid and local anesthetic.