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J Acupunct Res > Volume 32(3); 2015 > Article
Kim, Kim, Kim, Kim, and Kim: The Effect of Acupotomy on Lumbar Herniated Intervertebral Disc: Report of a Case Series

Abstract

Objectives:

This is a case series reporting of the improvement in patients with a lumbar herniated intervertebral disc by means of acupotomy combined with oriental medicine.

Methods:

We treated seven patients with a lumbar herniated intervertebral disc with acupotomy combined with oriental medical treatment. We checked the numeric rating scale(NRS), oswestry low back pain disability index(ODI) and range of motion(ROM).

Results:

NRS and ODI decreased, and ROM improved in all cases.

Conclusions:

This study shows acupotomy has a meaningful effect when applied on a lumbar herniated intervertebral disc.

Fig. 1
Application of acupotomy on lumbar HIVD
acupunct-32-3-185f1.tif
Fig. 2
L-spine MRI of case 1
acupunct-32-3-185f2.tif
Fig. 3
L-spine MRI of case 2
acupunct-32-3-185f3.tif
Fig. 4
L-spine MRI of case 3
acupunct-32-3-185f4.tif
Fig. 5
L-spine MRI of case 4
acupunct-32-3-185f5.tif
Fig. 6
L-spine MRI of case 5
acupunct-32-3-185f6.tif
Fig. 7
L-spine MRI of case 6
acupunct-32-3-185f7.tif
Fig. 8
L-spine CT of case 7
acupunct-32-3-185f8.tif
Fig. 9
The change of NRS at before and after treatment
NRS : numerical rating scale.
acupunct-32-3-185f9.tif
Fig. 10
The change of ODI at before and after treatment
ODI : oswestry low back pain disability index.
acupunct-32-3-185f10.tif
Table 1
Progress in the Treatment of Case 1
Before treatment After
NRS 6 1
ODI 35 9
Flexion(") 45(+) 80
Extension(") 30(+) 30

NRS : numerical rating scale. ODI : oswestry low back pain disability index.

Before : 2014. 1. 14(before treatment). After : 2014. 10. 31 (after treatment).

Table 2
Progress in the Treatment of Case 2
Before After
NRS 6 2
ODI 25 10
Flexion(") 80 80
Extension(") 30 30

NRS : numerical rating scale. ODI : oswestry low back pain disability index.

Before : 2014. 10. 17(before treatment). After : 2014. 10. 31(after treatment).

Table 3
Progress in the Treatment of Case 3
Before After
NRS 3 3
ODI 26 23
Flexion(") 80 80
Extension(") 30(+) 30(+)

NRS : numerical rating scale. ODI : oswestry low back pain disability index.

Before : 2014. 3. 3(before treatment). After : 2014. 3. 25(after treatment).

Table 4
Progress in the Treatment of Case 4
Before After
NRS 9 3
ODI 43 30
Flexion(") 80(+) 80(+)
Extension(") 0(+) 20(+)

NRS : numerical rating scale. ODI : oswestry low back pain disability index.

Before : 2014. 4. 7(before treatment). After : 2014. 4. 9(after treatment).

Table 5
Progress in the Treatment of Case 5
Before After
NRS 10 1
ODI 44 13
Flexion(") 80(+) 80
Extension(") 0(+) 30

NRS : numerical rating scale. ODI : oswestry low back pain disability index.

Before : 2014. 4. 18(before treatment). After : 2014. 5. 10(after treatment).

Table 6
Progress in the Treatment of Case 6
Before After
NRS 6 6
ODI 11 9
Flexion(") 80 80
Extension(") 30 30

NRS : numerical rating scale. ODI : oswestry low back pain disability index.

Before : 2014. 11. 3(before treatment). After : 2014. 5. 7(after treatment).

Table 7
Progress in the Treatment of Case 7
Before After
NRS 5 1
ODI 18 5
Flexion(") 45(+) 80(+)
Extension(") 30 30

NRS : numerical rating scale. ODI : oswestry low back pain disability index.

Before : 2014. 4. 18(before treatment). After : 2014. 5. 10(after treatment).

V.
V.

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