Herniated lumbar intervertebral disc(H.I.V.D) is the most common reason causing low back pain and leg radiating pain.
Objective : The purpose of this report is to observe the effects of oriental medical conservative treatment in the different herniated type.
Methods : We investigated 30 patients suffering from low back pain with sciatica which were admitted to Taejon Cheonan 0. M. hospital from Nov 1, 2000 to Apr 30, 2001. 30 patients had a diagnosis of herniated lumbar interver tebral disc by Lumbar-C.T and Lumbar-M.R.I. we treated 30 patients by o riental medical conservative treatment (Ex: acupuncture, herb-med, physical theraphy, bed-rest, etc.)
Results : l. The mean hospitalization of patients was 21.1 days. that in the bulging type was l4days, protruded type 2ldays, mixed type 27days, extruded type 30days. that shows the less herniation of lumbar intervertebral disc, the mean hospitalization was more short.
2. In the distribution of the clinical symptoms admitted at that time, low back pain, leg radiating pain were showed in the all types(29patients, 96.6%). an d sensory disorder, muscle powerlessness were showed least in the bulg ing type(0%, 37.5%), but that were showed most in the extruded type(50%,75%).
3. In the result of treatment due to clinical syptoms, bulging type was more execellent than any other other types.
4. The less herniation of lumbar intervertebral disc, angle of straight leg raising test was higher. In the result of treatment due to angle of straight leg raising test, bulging type was more execellent than any other other types.
5. In the distribution of physical. test, positive case in the Peyton sign,Ankle Dorsiflexion were showed least in the bulging type(25%, 12.5%), but that were showed most in the extruded type(100%, 75%).
6. In the result of treatment due to physical.test, bulging type was more exec ellent than any other other types.
7. The efficacy of total treatment was 90%(when we set a standard things more than fair), that in the bulging type was 100%, protruded 92%0, mixed" 80%, extruded type 75%. Bulging type had a more remakable effectsthan any other types.
Conclusions : The less herniation of lumbar intervertebral disc, clinical syptoms were slighter, physical. test were better, and efficacy of oriental medical conservative treatme nt was remakable high.
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