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KMID : 1129720210380030175
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Korean Journal of Acupuncture
2021 Volume.38 No. 3 p.175 ~ p.181
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Intractable Pain Management by Combined Korean Medicine Treatment Including Acupotomy in Lumbar Disc Herniation: A Case Report
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Choi Hyeon-Kyu
Lee Young-Rok
Cha Hyun-Ji
Sung Ki-Jung
Kim Beom-Seok
Kim Min-Ju
Lee Ye-Ji
Jeon Ju-Hyun
Kim Young-Il
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Abstract
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A 57-year-old female diagnosed with L5-S1 lumbar intervertebral disc herniation, suffering from severe pain despite taking tapentadol received combined Korean medicine treatment, including acupotomy, acupuncture, pharmacopuncture, and herbal therapies for 53 days. To assess pain, Numeric Rating Scale (NRS) and lumbar range of motion (ROM) were checked daily from the day of admission. Moreover, the Oswestry Disability Index (ODI) and European Quality of Life-5 Dimensions (EQ-5D) were used to evaluate function and quality of life. After combined Korean medicine treatment, reabsorptioin of intervertebral disc was confirmed by radiological examination; pain reduced from NRS 5∼7 to NRS 1∼2; lumbar ROM in extention increased from 20° to 30°; and function and quality of life improved. The results suggest the possibility that a combined Korean medical treatment, including acupotomy, can be used as an alternative to opioids for pain management of lumbar vertebral disc herniation.
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KEYWORD
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opioid, lumbar intervertebral disc herniation, acupotomy, combined Korean medicine treatment
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