The Journal of Churna Manual Medicine for Spine and Nerves (척추신경추나의학회지)

Korean Society of Chuna manual Medicine for Spine and Nerves (척추신경추나의학회)
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A Clinical Case of Oriental Medical Treatment on Failed Back Surgery Syndrome

요추 추간판 탈출증으로 3차례 수술적 처치를 시행한 수술 실패 증후군 환자에 대한 보존적 치료 치험 1례

  • Lim, Gwang-Mook (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Woo-Suk university) ;
  • Moon, Su-Jeong (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Won-Kwang university) ;
  • Jun, Kyu-Sang (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Won-Kwang university) ;
  • Shin, Hong-Kyun (Dept. of Oriental Rehabilitation Medicine, Joong-hwa Oriental Medicine Hospital) ;
  • Ko, Youn-Seok (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Woo-Suk university)
  • 임광묵 (우석대학교 한의과대학 한방재활의학과) ;
  • 문수정 (원광대학교 한의과대학 한방재활의학과) ;
  • 전규상 (원광대학교 한의과대학 한방재활의학과) ;
  • 신홍균 (중화한방병원 한방재활의학과) ;
  • 고연석 (우석대학교 한의과대학 한방재활의학과)
  • Received : 2011.10.31
  • Accepted : 2011.12.05
  • Published : 2011.12.30
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Abstract

Objectives : This study was performed to report the effect of oriental medical treatment for the failed back surgery syndrome(FBSS) patient after three times surgical operation treatment on herniated nuclues pulposus(HNP) L5-S1. Methods : A 70-year old patient after three times surgical operation treatment was admitted with low back pain and left leg radiation pain. We treated her by oriental medical treatment and measured McGill Pain Questionnaire-Short Form(SF-MPQ), visual analogue scale(VAS) and Oswestry disability index(ODI). Results : After treatment, most symptoms decreased, SF-MPQ changed 36 to 17, VAS score changed 9 to 4, ODI changed 39 to 27. Conclusions : In this study, oriental medical treatment was effective in failed back surgery syndrome patient. But the rigorous studies will be needed to define clearly that oriental medical treatment is effective in failed back surgery syndrome.

본 논문은 3차례의 양방적 수술 치료를 받은 후에도 지속적으로 요통과 함께 하지 방사통을 호소하며 일상생활 수행에 장애가 따르던 70세 여환에 대한 증례로 침구치료, 약물치료, 추나치료, 봉약침치료 등의 한의학적 보존적 치료방법으로 통증의 감소와 함께 일상생활 능력 개선에 유의한 효과를 보였다. 향후 요추 추간판 탈출증 환자의 한방적 보존적 치료에 대한 보다 다양한 연구와 임상적 고찰이 이루어져야 한다고 사료된다.

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