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KMID : 0895820200300040195
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Journal of Oriental Rehabilitation Medicine
2020 Volume.30 No. 4 p.195 ~ p.201
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A Case Report of Combined Korean Medicine Treatment of Spinal Stenosis with Lipomatosis
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Kim Mi-Hye
Han Su-Bin
Park Byung-Hak
Son Jae-Min
Lee Nam-Woo
Han Jeong-Hun
Kang Do-Hyeon
Min Tae-Woon
Ahn Jae-Seo
Lee Han-Sol
Lee Hyun-Jun
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Abstract
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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.
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KEYWORD
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Spinal stenosis, Lipomatosis, Lipoma, Korean traditional medicine
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