Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
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A Case Report of Combined Korean Medicine Treatment of Spinal Stenosis with Lipomatosis

지방종을 동반한 척추관협착증 환자의 복합한방치료 치험 1예

  • Kim, Mihye (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Han, Su-Bin (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Park, Byunghak (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Son, Jaemin (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Lee, Nam-Woo (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Han, Jeong-Hun (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Kang, Do-Hyeon (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Min, Tae-Woon (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Ahn, Jae-Seo (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Lee, Hansol (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Lee, Hyun-Jun (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine)
  • 김미혜 (강남자생한방병원 한방재활의학과) ;
  • 한수빈 (강남자생한방병원 한방재활의학과) ;
  • 박병학 (강남자생한방병원 한방재활의학과) ;
  • 손재민 (강남자생한방병원 한방재활의학과) ;
  • 이남우 (강남자생한방병원 한방재활의학과) ;
  • 한정훈 (강남자생한방병원 한방재활의학과) ;
  • 강도현 (강남자생한방병원 한방재활의학과) ;
  • 민태운 (강남자생한방병원 한방재활의학과) ;
  • 안재서 (강남자생한방병원 한방재활의학과) ;
  • 이한솔 (강남자생한방병원 한방재활의학과) ;
  • 이현준 (강남자생한방병원 한방재활의학과)
  • Received : 2020.09.17
  • Accepted : 2020.10.08
  • Published : 2020.10.31
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Abstract

Spinal epidural lipomatosis is a rare disorder characterized by overgrowth of fat in the extradural space, causing spinal stenosis with compression of the neural elements. This study reports on the effectiveness of Korean medicine treatment on a patient who was diagnosed on lumbar stenosis with lipomatosis. The patient was treated with Korean traditional medicine including pharmacopucture, acupuncture, Chuna manual treatment, and Korean herbal medicine, cupping. Numerical rating scale (NRS), Oswestry disability index (ODI), Euroqol five dimension (EQ-5D) index, lumbar range of motion were used as objective tools for evaluating the patient's progress. Back NRS decreased from 6 to 3. In the case of lower limbl radiation NRS, 5 was reduced to 3 upon discharge. EQ-5D index also increased from 0.751 to 0.766. For ODI, the score dropped from 26.67 to 24.44 on hospitalization. As a result, clinical improvements were found in a patient. In conclusion, this study shows that Korean medicine treatment can be considered as effective conservative care for spinal stenosis with lipomatosis.

Keywords

References

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  1. 요추 척추관 협착증의 비수술적 치료에 대한 최근 국내·외 연구 동향 vol.31, pp.3, 2020, https://doi.org/10.18325/jkmr.2021.31.3.1