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KMID : 0895820220320010125
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Journal of Oriental Rehabilitation Medicine
2022 Volume.32 No. 1 p.125 ~ p.131
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Combined Korean Medicine Treatment of Lumbosacral Transitional Vertebra with Localized Bone Marrow Edema: A Case Report
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Chai Ji-Won
Lee Yun-Ha
Choi Dong-Joo
An Sang-Joon
Choi Hyun-Jin
Hwangbo Seung-Yoon
Baek Hye-Kkyung
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Abstract
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This study was to investigate the effectiveness of combined Korean medicine treatment on a patient who was diagnosed on lumbosacral transitional vertebra (LSTV) with localized bone marrow edema. The patient was treated with acupuncture, pharmacopucture, cupping and herbal medicine. We evaluated patient's progress using range of motion (ROM), EuroQol-5 dimensions (EQ-5D), Oswestry disability index (ODI), numerical rating scale (NRS), patient global impression of change, self-walkable distance. NRS of back pain decreased from 7 to 5, at the same time NRS of lower limb decreased from 4 to 3. EQ-5D score increased from 0.24 to 0.646. ODI score improved 80 to 62. Self-walkable distance and lumbar spine ROM also increased. 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 LSTV with localized bone marrow edema.
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KEYWORD
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Lumbosacral transitional vertebrae, Bone marrow edema, Korean traditional medicine, Case reports
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