• 제목/요약/키워드: cervical HIVD

검색결과 25건 처리시간 0.024초

경항통 환자에 있어서 방사통과 영상의학검사 소견상의 연관성 분석 (Correlation Analysis between Radiological Result and Radiating Pain in Neck Pain)

  • 한경완;김은석;우재혁;김호준;이명종
    • 한방재활의학과학회지
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    • 제20권4호
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    • pp.139-146
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    • 2010
  • Objectives : To compare the differences between the symptoms and the findings of MRI(magnetic resonance imaging) and x-ray, we studied the patients with neck pain or radiating pain, which has been diagnosed as cervical herniated disc recently. Methods : We randomly selected among the 143 patients with x-ray and cervical spine(C-spine) MRI films who have visited Ja-seng hospital with neck pain and neck and radiating pain from April 1 of 2010 to May 1. We used SPSS 13.0 for windows in analyzing statistical data of study results and the level of significance was below 0.05. Results : 1. There were no significant differences between the presence of radiating pain and the amount of cervical herniation(p>0.05). 2. If the finding of a x-ray showed narrowing, based on MRI findings, the amount of herniation was more severe(p>0.05). 3. There were no significant differences between the presence of radiating pain and the findings of x-ray(p>0.05). 4. Among the 143 cases, which showed findings beside HIVD(herniation of intervertebral disc) were 13 cases. 88 cases of straightening(61.5%). 78 cases of uncovertebral joint arthrosis(54.5%). 25 cases of stenosis(17.5%), 13 cases of retrolisthesis(9.1%), 8 cases of osteophyte(6.6%), 4 cases of spondylolisthesis(2.8%), 2 cases of hemangioma(1.4%), 3 cases of OPLL(ossification of posterior longitudinal ligament)(2.1%), 2 cases of block vertebrae(1.4%), 2 cases of spondylitis(1.4%), 1 case of kyphosis(0.1) and 1 case of ligamentum flavum hypertrophy(0.1%). Conclusions : The findings from this study suggest that there was no relation between radiating pain and radiological result. On the other hand, diagnosis of x-ray and MRI showed significant relevance. The narrower disc space there were, the severer the state of herniation there existed.

경근요법(經筋療法)을 통한 근원성 신경 포착 증후군의 치료 (Investigation on the Meridian-Muscle Therapy for Myogenic Nerve Entrapment Syndrome)

  • 허수영;최진만;서해경
    • 대한추나의학회지
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    • 제2권1호
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    • pp.43-50
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    • 2001
  • Objectives : Scalenus anticus syndrome and Piriformis syndrome is representative of myogenic Nerve entrapment syndrome, and their clinical symptoms are similar to HIVD(herniated Intervertebral disc) of cervical or lumbar spine. But, distinguished by muscle test, these syndrome apply to Meridian-muscle therapy. Methods : Meridian-muscle therapy consists of Ashi(阿是)-point therapy, taping therapy, myofascial release technique, manipulation, their based on the traditional meridian-muscle theory. This theory is similar to myofascial pain syndrome in western medicine. The study population consisted of 9 patients who were already diagnosed as Nerve entrapment syndrome with radiological examination & physical examination and muscle test. The evaluation of clinical outcome was done by Visual Analogue Scale (VAS) and Pain Assesment Questionnaire(PAQ). Results and Conclusions : After treatment, All patient's VAS is decreased as $2.11{\pm}1.59$ and the evaluation of clinical effect was excellent(6 cases) or good(3 cases) according to PAQ. Conclusively, Meridian muscle therapy is efficacious against Nerve entrapment syndrome.

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경항통 치료에 있어 T형 침도침 시술을 활용한 증례보고 (The Clinical Study on the Effect of T-shaped Acupotomy in Neck Pain)

  • 이건목;김도호;김현욱;조은희;임병철;김형수;이재규;이경희;이건휘
    • Journal of Acupuncture Research
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    • 제25권4호
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    • pp.191-196
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    • 2008
  • Objective : The purpose of this study is to report the effect of T-shaped acupotomy for patients with Neck pain. Methods : We treated 16 patients who have Neck pain with T-shaped acupotomy. Results : It was effective to 14 patients among the 16 patients. Conclusions : This study demonstrate that T-shaped acupotomy useful effect on Neck pain. As though we had not wide expience in this treatment, more research is needed.

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후종인대 골화증 3례에 대한 임상적 고찰 (Clinical studies on Ossification of posterior longitudinal ligament(OPLL))

  • 김숙경;서원희;최성권;문익렬;박종태
    • Journal of Acupuncture Research
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    • 제19권6호
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    • pp.264-279
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    • 2002
  • Objective : Ossification of the posterior longitudinal ligament(OPLL) is considered kind of degenerative disease usually found in the cervical vertebrae. Most of cases of OPLL have radiculopathy, myelopathy or both of them such as neck pain, numbness, myatonia. These symptoms seems to be similar with those of HIVD(Herniated intervertebral disc), sprain, spondylosis of C-spine. Lost of patients who have those symptoms are visiting oriental medicine hospital, clinic so we thought that making differential diagnosis, treating and prognosing might be needed with acupuncture, Herb medication. Methods : We examined the 3 patients of OPLL who visited Dong-in-dang Oriental Medicine Hospital from 1st November 1999 to 1st February 2002. We treated patients of OPLL with Oriental Medicine care (Acupuncture, Herb medication, Negative treatment) based on oriental diagnosis of neck pain(項强痛), numbness(痺證), myatonia. Results : clinical grade of 3 cases was all Gr III. After treated with oriental medical care, 2 cases were evaluated poor, I cases were evaluated fair and resulted in Clinical grade II. Conclusions : Treating OPLL with oriental medical carte was very difficult to palliate symptoms, to stop progress of OPLL. We might need to reconsider oriental medical care as conservative treatment for OPLL.

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개에서 탈출된 경추디스크에 대한 디스크내 오존가스 주입 치료 (A Case of Intradiscal Oxygen-ozone Injection Therapy for Cervical Herniated Intervertebral Disc in a Dog)

  • 장하영;이준섭;이보라;김경희;정순욱
    • 한국임상수의학회지
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    • 제26권3호
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    • pp.273-275
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    • 2009
  • 사지마비를 보이는 6년령 시쮸 숫컷이 내원하였다. 신경검사소견 및 영상진단소견에서 경추 4번과 5번 사이, 경추 5번과 6번 사이 및 경추 6번과 7번 사이의 디스크가 탈출되어 척수를 압박하고 있는 것으로 나타났다. 오존가스를 경추 4번과 5번 사이 디스크 및 경추 6번과 7번 사이 디스크에 주입하고 경추 5번과 6번 사이는 복측 감압술로 탈출된 디스크를 제거하였다. 환축은 수술후 목 통증이 사라지고 수술후 3주경 정상보행을 나타냈다. 수술후 2개월째 자기공명영상에서 경추 5번과 6번 사이 디스크와 경추 6번과 7번 사이 디스크의 탈출된 소견이 사라졌고 경추 4번과 5번 사이의 디스크는 탈출된 정도가 현저히 줄어든 소견을 보였다.