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KMID : 0617919840020010107
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Wonkwang Oriental Medicine
1984 Volume.2 No. 1 p.107 ~ p.118
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A Clinical study on Low back pain with sciatica in Herniated Lumbar Disc
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Abstract
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Fifty four cases of Herniated Lumbar Disc who were admitted at the Oriental Medical Hospital attached to Won Kwang University were treated and observed clinically from Feb. lst, 1983 to sep.
1. The distribution of sex in the Herniated Lumbar Disc group was male 55.5%, female 44.5% and the male to female ratio was 1.25 :1. The distribution of age was the thirties most predominant as 31.4%, followed by the twenties and the fourties.
2. The duration of illness was divided into Chronic group (symptoms longer than 6 months), Subacute group (symptoms 1-6 months) and Acute group (symptoms less than 1 month). Chronic group was mist predominant as 55.6%, Subacute group was present in 29.6%, and Acute group was present in 14.8%, but the majority of the Chronic group had not taken any appropriate treatments until the disease became chronic.
3. Low Back Pain and Sciatia were chief symptoms of Herniated Lumbar Disc, both of the two were most predominant as 67%, And all patients were suffered fron Low Back Pain in acute stage, but sciatica increased and Low Back Pain decreased as chronic stage advanced.
4. On physical examination, straight leg raising test was positive (below 60˚) in 68%, sensory changes in 22%, and deep tendon reflex changes in 26%.
5. Most frequent level of herniation was L_4-L_5 intervertebral space 42.5%, followed by L_5-S_1 intervertebral space 35.1%.
6. The duration of treatment of 2-3 weeks most predominant as 46.2%, followe by 1-2 weeks.
7. The improvement of therapy on the Herniated Lumbar Disc showed following results ; Exeellent 20.7%, good 60%, Not improve 17%, poor 3.3%, and so the rate of improvement was 80.7%.
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