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Effects of Integrative Korean Medical Treatment for a Failed Epidural Steroid Injections to L-spine Disk Herniation: A Retrospective Case Series

경막외 스테로이드 주사치료에 실패 후 한방복합치료에 의해 호전된 요추 추간판 탈출증 환자 10례 : 후향적 증례 연구

  • Kim, Ji Su (Dept. of Acupuncture & Moxibustion, Mokhuri Neck&Back Oriental Medicine) ;
  • Kim, Yoo Jong (Dept. of Rehabilitation, Mokhuri Neck&Back Oriental Medicine) ;
  • Hong, Je Rak (Dept. of Rehabilitation, Mokhuri Neck&Back Oriental Medicine) ;
  • Kim, Min Chul (Dept. of Rehabilitation, Mokhuri Neck&Back Oriental Medicine) ;
  • Park, Han Sol (Dept. of Oriental Medicine Philosophy, Graduate School, Kyung Hee University) ;
  • Kim, Seh Young (Dept. of Acupuncture & Moxibustion, Mokhuri Neck&Back Oriental Medicine) ;
  • Seo, Young Woo (Dept. of Acupuncture & Moxibustion, Mokhuri Neck&Back Oriental Medicine) ;
  • Lee, Sang Min (Dept. of Rehabilitation, Mokhuri Neck&Back Oriental Medicine) ;
  • Seo, Young Hoon (Dept. of Rehabilitation, Mokhuri Neck&Back Oriental Medicine) ;
  • Kim, Ki Ok (Dept. of Spine Center, Mokhuri Neck&Back Oriental Medicine) ;
  • Kim, Tae Hun (Korean Medicine Clinical Trial Center, Kyung Hee University Korean Medicine Hosptial)
  • 김지수 (모커리 한방병원 침구과) ;
  • 김유종 (모커리 한방병원 재활의학과) ;
  • 홍제락 (모커리 한방병원 재활의학과) ;
  • 김민철 (모커리 한방병원 재활의학과) ;
  • 박한솔 (경희대학교 일반대학원 한의철학과) ;
  • 김세영 (모커리 한방병원 침구과) ;
  • 서영우 (모커리 한방병원 침구과) ;
  • 이상민 (모커리 한방병원 재활의학과) ;
  • 서영훈 (모커리 한방병원 재활의학과) ;
  • 김기옥 (모커리 한방병원 척추센터) ;
  • 김태훈 (경희대학교 한방병원 한의약임상시험센터)
  • Received : 2015.11.13
  • Accepted : 2015.12.14
  • Published : 2015.12.18

Abstract

Objectives : The purpose of this study was to assess the effectiveness of integrative Korean Medical treatments for patients with L-spine disk herniation that showed no response to Epidural Steroid Injections (ESI). Methods : In this study, we reviewed the medical records of ten patients who showed no improvement or relapsed after ESI. The patients each received more than three weeks of integrative treatments at Mokhuri Neck&Back Hospital. The Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) was measured before and after treatment. A statistical analysis to compare before and after treatments was assessed using paired t-test the SPSS 12.0 Windows program. Results : After three weeks of treatment, patients showed a significant decrease in VAS and ODI scores compared to before receiving treatment. VAS scores decreased from $5.3{\pm}1.25$ to $1.9{\pm}0.99$ (p<0.001), and ODI scores decreased from $59.8{\pm}22.2$ to $32.7{\pm}14.11$ (p<0.001). Conclusions : Complex Korean Medical treatment showed effectiveness in the treatment of L-spine HIVD patients that showed no response to ESI, and more objective research is needed.

Keywords

References

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