• Title/Summary/Keyword: protruded disc

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The Clinical Study on 193 Cases with Herniated Lumbar Disc (요추 추간판 탈출증 입원환자 193명에 대한 임상적 고찰)

  • Kim, Seok-Joo;Lee, Hyun
    • Journal of Haehwa Medicine
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    • v.19 no.1
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    • pp.119-128
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    • 2010
  • Objective : Lower back pain is the most common pain in our life, and Heniated Intervetebral Disk(HIVD) of L-spine is one of the most common disease that cause lower back pain. This study is designed to invertigate the general distributions for HIVD patients. Subjects and Methods : The 193 patients who had taken diagnosis of HIVD by L-spine CT or L-spine MRI and admitted to Cheonan oriental medical hospital in Daejon university from January 2008 to December 2009 were reviewed. They were analyzed according to sex, age, prevalent duration, and causing factor. They were treated with acupuncture, herbal medicine and physical therapy. And treatment efficacy was evaluated according to each distribution respectively. Result 1. Among 193 patients, males were more than females in the ratio of 1.47:1. 2. According to age, 33.2% patients were thirties. 3. According to causing factor, 39.9% patients with unknown origin were most. 4. According to prevalent duration, 49.7% patients were on acute stage and 20.2% patients were on 6-10days. 5. According to HIVD types, patients with protruded disc type and with lesion of L4-5 were most common respectively 45.1%, 63.3%. 6. When effective rates were analyzed according to each distribution, patients on twenties, acute stage and with extruded disc type were showed good effective rates, respectively 92.7%, 90.6%, 89.3%. Conclusion: Total effect rate was 87.5%. Prevalence of HIVD is the highest in the age of 30 to 40, L4-5 occupy the most. And early treatment was better than late treatment.

Effects of Korean Medical Combination Treatment for 102 Cases of Cervical Disc Herniation : An Observational Study (경추 추간판 탈출증 입원 환자 102례에 관한 한의학적 복합치료 효과의 관찰 연구)

  • Choi, Ji Hoon;Lee, Sun Ho;Kim, Sang Min;Kim, Hyun Joong;Koo, Ja Sung;Lee, Hyun Ho;Jung, Seong Hyun;Youn, Deok Won
    • Journal of Acupuncture Research
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    • v.33 no.2
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    • pp.11-20
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    • 2016
  • Objectives : The purpose of this study is to investigate the clinical effectiveness of Korean medical combination treatment for cervical disc herniation. Methods : This is an observational study. 102 patients diagnosed with cervical disc herniation by MRI (Magnetic Resonance Imaging) were investigated from January, 2015 through to December, 2015 at Daejeon Jaseng Hospital of Korean Medicine. They were sorted according to the distribution of sex, age, causing factor, the period of disease, admission day and pain area. All patients were treated with acupuncture, Chuna treatment, and herbal therapy and physical therapy during the admission period. After treatment, NRS (Numeric Rating Scale), NDI (Neck Disability Index) and EQ-5D were assessed to evaluate the treatment efficacy. Results : There were more females than Males with a ratio of 1 : 1.37, the age of fifty was the most with 35.29 %, reason unknown was the most with 72.55 % and the subacute stage was the most with 38.24 %. According to disc herniation types, patients with protruded disc types were the most with 66.67 % and a lesion of C5/6 was the most with 41.18 %. For patients diagnosed with cervical disc herniation, neck and shoulder pain NRS decreased from $6.43{\pm}1.77$ to $3.96{\pm}1.96$(p<0.001) and radiating pain NRS decreased from $5.64{\pm}1.96$ to $3.57{\pm}1.88$ (p<0.001). NDI decreased from $41.72{\pm}14.04$ to $30.84{\pm}15.34$(p<0.001), and the EQ-5D index increased from $0.68{\pm}0.17$ to $0.79{\pm}0.14$(p<0.001) after treating cervical disc patients. Conclusion : Korean medical combination treatment might be effective in decreasing pain and raising the life quality of patients with cervical disc herniation.

The Clinical Study on 137 Cases of Herniated Lumbar Disc Patients (요추 추간판 탈출증 환자 137례에 대한 한의학적 임상고찰)

  • Lee, Eun-Kyoung;Choi, Eun-Hee;Lee, Ji-Eun;Jeon, Ju-Hyun;Lee, Sung-Hwan;Lee, Jae-Min;Kim, Yeon-Mi;Kwak, Byung-Min;Yang, Gi-Young;Kim, Young-Il
    • Journal of Acupuncture Research
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    • v.25 no.3
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    • pp.127-138
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    • 2008
  • Objectives : This study was designed to evaluate the general distribution and the efficacy of oriental medical treatment for Lumbar Disc Herniation. Subjects and Methods : The 137 patients who had a diagnosis of HIVD by Lumbar-CT of Lumbar-MRI and admitted to Dunsan oriental medical hospital in Daejon university from January 2005 to December 2007 were observed. They were analyzed according to the distribution of sex, age, the period of disease, causing factor, The patient-condition on admission, the symptom on admission, Admission day, Herniation type of the disc and the treatment efficacy was evaluated respectively. Results : 1. Male was more than female in the ratio of 1 : 1.174, and forties 28% the most, the acutest phase 48% the most, reason unknown 30% the most, Grade III 42% the most, Back and Leg radiate pain 65% the most, the day of 6-10 29% the most, protruded disc type 48% the most. 2. In the total treatment result, the good was 48%, the excellent 28%, the fair 15%, the poor 9% in order. 3. the "effective rate"(the percentage of positive effective treatment case) of each distribution, the thirties and fifties 100% the most, subacute phase 100% the most, exercise, traffic accident 100% the most respectively, Grade III 93% the most, only low back pain 97% the most, the day of 16-20 100% the most, Extruded disc 100% the most. Conclusions : Total effective rate was 91%. We have Known the efficacy of oriental medical treatment for HIVD, was good and early treatment was better than late treatment.

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Collaborative Study of Oriental-Western Medicine on HIVD (요추추간판탈출증의 동·서의학적 협진연구)

  • Lee, geon-mok;Lee, kang-chang;Hwang, yoo-jin
    • Journal of Acupuncture Research
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    • v.17 no.2
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    • pp.1-10
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    • 2000
  • Herniated lumbar intervertebral disc(HIVD) is the most common reason causing low back pain and leg radiating pain. The purpose of this study is to see the good of Oriental-Western medicine on HIVD. In order to this syudy, HIVD patients divided into two groups: Group with Oriental medicine(GOM) and Group with Oriental-Westem medicine(GOWM). The results of treatments were summarized as follows. 1. If We investigate a state of patients, GrIII type is 17 cases in GOM and is 16 cases in GOWM. In the GOM, Gr II shows better than the others and in the GOWM, GrI, III shows better than the others. 2. The results of treatments in GOM and GOWM is the good in a general way. It shows excellent type at 10 cases in the GOM, and shows excellent type at 14 cases in GOWM. 3. In Acute stage(in one month), subacute stage(one month~six months) and chronic stage(over six months), the therapic point of GOM and GOWM is 2.9~3.5 on the average. 4. If we notice the effect point of HIVD, in GOM, the point of bulging type is 3, protruded type is 3.5 extruded type is 3. But in GOWM, the point of bulging type is 3.7, protruded type is 3.5 extruded type is 2.7.

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A Clinical Study of Carthmi-Flos Herbal Acupuncture Treatment on Cervical Disc Herniation Patients (경추추간판(頸椎椎間板) 탈출증(脫出症) 환자(患者)의 홍화약침치료(紅花藥鍼治療)에 대한 임상적(臨床的) 고찰(考察))

  • Yeom, Seung-Chul;Kim, Do-Ho;Ryu, Sung-Won;Kim, Dae-Joong;Cho, Nam-Geun;Yun, Ju-Young;Lee, Geon-Mok
    • Journal of Acupuncture Research
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    • v.23 no.3
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    • pp.21-35
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    • 2006
  • Objectives : Herniation of Nucleus Pulposus(HNP) of Cervical is the most important reason that causes Cervical pain. The aim of this study is to investigate the effectiveness of Carthmi-Flos Herbal acua-acupuncture therapy for Cervical disc Herniation patients. Methods : To evaluate the effectiveness of Carthmi-Flos Herbal acua-Acupuncture Therapy, 20 patients were treated by Carthmi-Flos Herbal acua-acupuncture therapy. To estimate the efficacy of treatment, we used Quardruple Visual Analog Scale (QVAS). Results & Conclusion : 1. As a objectivity treatment record, they test treatment record good 35%, fair 35%, excellent 30%. 2. After Carthmi-Flos acua-acupuncture therapy, pain rate changed from 8.80 to 5.40 3. By the results which puts out the statistics in sex , a pain rate of male changed from 8.57$({\pm}1.51)$ to 2.71$({\pm}2.63)$, a pain rate of female 8.92$({\pm}0.95)$ to 3.77$({\pm}2.09)$. Intentional difference is none as a therapy. 4. By the results which puts out the statistics in age, after forties changed from 9.07$({\pm}0.88)$ to 3.80$({\pm}2.43)$ and before forties changed from 8.00$({\pm}1.58)$ to 2.20$({\pm}1.30)$. Intentional difference is none as a therapy. 5. By the results which puts out the statistics in Duration, pain rate of the acutest group changed from 8.36$({\pm}1.12)$ to 2.18$({\pm}1.08)$, pain rate of the subacute group changed from 9.80$({\pm}0.45)$, to 5.20$({\pm}2.68)$, pain rate of the chronic group changed from 8.67$({\pm}1.53)$ to 3.33$({\pm}1.53)$. Intentional difference is none as a therapy. 6. By the results which puts out the statistics in the reading of Lumbar MID, pain rate of the Bulging type changed from 9.00$({\pm}1.05)$ to 4.30$({\pm}2.67)$, pain rate of the Protruded type changed from 8.50$({\pm}1.00)$, to 3.50$({\pm}1.29)$, pain rate of the Extruded type changed from 6.00 to 1.00, pain rate of the Mixed type changed from 9.20$({\pm}0.84)$ to 2.00$({\pm}1.23)$, Intentional difference is none as a therapy.

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