The Effects of Korean Medical Treatment Combined with Acupotomy on Patients with a Herniated Intervertebral Disc of the Lumbar Spine: a Retrospective Study

Article information

Acupunct. 2015;32(1):119-126
1Department of Acupuncture & Moxibustion Medicine, College of Oriental Medicine, Dong-Shin University
2Clinical Trials Center, Gwangju Korean Medicine Hospital of Dong-Shin University
*Corresponding author: Department of Acupuncture & Moxibustion Medicine, Gwangju Korean Medicine Hospital of Dong-Shin University, 141, Wolsan–ro, Nam–gu, Gwangju 503-232, Republic of Korea, Tel: +82-62-350-7209, E-mail: nahonga@hanmail.net
Received 2015 February 09; Revised 2015 March 07; Accepted 2015 March 10.

Abstract

Objectives:

The purpose of this study was to investigate the clinical effects of Korean medical treatments combined with acupotomy on patients diagnosed with a herniated intervertebral disc of the lumbar spine.

Methods:

We reviewed the medical records of twenty in patients diagnosed with a herniated intervertebral disc of the lumbar spine. They had received Korean medical treatment combined with acupotomy on tender points in the gluteus minimus muscle and piriformis muscle at Gwangju Korean Medicine Hospital of Dong-Shin University from April, 2014 to December, 2014. To evaluate the efficacy of the treatments, the twenty in patients were asked to complete the Numerical Rating Scale(NRS) and the Oswestry Disability Index(ODI) before acupotomy, the first day after acupotomy, the third day after acupotomy, and the fifth day after acupotomy.

Results:

1. NRS significantly decreased from 6.15 ± 1.27 to 3.90 ± 1.45. 2. ODI significantly decreased from 23.64 ± 8.76 to 15.95 ± 7.35.

Conclusions:

Korean medical treatment combined with acupotomy on tender points in the gluteus minimus muscle and piriformis muscle might be effective in reducing pain and improving the life quality of patients with a herniated intervertebral disc of the lumbar spine. We hope that further studies will be done to produce more clinical data and ensure effective application of these results.

Fig. 1.

Flowchart of study selection process

Distribution of Sex and Age, Period of Illness, Grade and Position of Herniation

Changing Pattern of ODI

Changing Pattern of NRS

Changes on ODI

changes on NRS

Notes

This research was supported by the Dongshin University research grants

References

1. Korean Acupuncture and Moxibustion Medicine Society Textbook Compilation Committee. The Acupuncture 1st editionth ed. Paju: Jipmoondang; 2012. p. 250–1.
2. Korean Orthopaedic Association. Orthopaedics 6th editionth ed. Seoul: Newest Medicine Company; 2006. p. 623–5.
3. Lee GM, Lee GC, Hwang YJ. Collaborative study of oriental-western medicine on HIVD. The Acupuncture 2000;17(2):1–10.
4. Shvartzman L, Weingarten E, Sherry H, Levin C, Persaud A. Cost effectiveness analysis of extended conservative therapy versus surgical intervention in the management of herniated lumbar intervertebral disc. Spine 1992;17(2):176–82.
5. Shin WS, Park WH, Cha YY. The research trends on the acupuncture treatment of lumbar herniated intervertebral disc using pubmed database. Journal of Korean Medicine Rehabilitation 2014;24(4):49–60.
6. Cho HJ, Sul JS, Shin MS. Research trends on the treatment of lumbar herniated intervertebral disc in Korean medicine. The Acupuncture 2012;29(4):501–18.
7. Zhu HZ. Acupotomy Beijing: Chinese Medicine Publishing Company; 1992. p. 9–42.
8. Huang LX. Acupuncture treatment categorized collection of literature on Chinese acupuncture and moxibustion technique Qingdao: Qingdao Publishing Company; 1996. p. 281–91.
9. Jang EH, Kim SC, Lim NR, et al. Case study of oriental medicine treatment with acupotomy therapy of the herniated lumbar intervertebral disc patient. The Acupuncture 2008;25(4):171–81.
10. Kwak BM, Hong KE. Four case of HIVD-lumbar spine patient treated with acupotomy. The Acupuncture 2008;25(4):149–56.
11. Lee GM, Kim DH, Kim HW, et al. The study on the effect of acupotomy in lumbar HIVD. The Acupuncture 2008;25(4):183–90.
12. Park SW, Kim SS, Kim JY, Kim SH, Lee GM. The comparative study of effects between acupotomy and its cotreatment with spine decompression therapy on HIVD patients. The Acupuncture 2012;29(3):29–39.
13. Sung IS, Yuk DI, Song DH, Kim MJ, Hong KE. Case study of with Dochim & Gwanchim therapy combined with Korean medicine treatment of herniated lumbar intervertebral disc patients. The Acupuncture 2013;30(4):169–73.
14. Kim SY, Kim HJ, Ji YS, Lee SM, Kim YI. The effects of acupotomy on lumbar and cervical spine combined with oriental medical treatment: report of five cases. The Acupuncture 2014;31(2):183–93.
15. Choi YH, Yoon IJ. A clinical case study on pirifomis syndrome with oriental medical treatment and muscle energy techniques. Journal of Korean Medicine Rehabilitation 2010;20(2):209–17.
16. Park WH, Lee SW, Cha YY, We JS. Clinical research on 1 case of piriformis syndrome treated by acupuncture and ischemic compression on piriformis muscle. Journal of Korean Medicine Rehabilitation 2004;14(1):169–76.
17. Kim SY, Park HS, Kim MC, et al. Effects of Korean medical combination treatment for herniated intervertebral lumbar disc patients: An observational study. The Acupuncture 2014;31(4):21–8.
18. Kim GM, Park SY, Lee CH. A rasch analysis of the Korean version of oswestry disability questionnaire according to general characteristics of patients with low back pain. Phys Ther Korea 2011;18(2):35–42.
19. The National Health Insurance Service. Benefits by frequency of disease(2011-O. H&C) 2012.
20. Yuk DI, Kim KM, Jeon JH, Kim YI, Kim JH. A review of trends for acupotomy. The Acupuncture 2014;31(3):35–43.
21. The Institute of Korean Acupotomy Medicine. Acupotomy Seoul: Jeongdam; 2003. p. 81–2. p. 87. p. 113.
22. Kim SC. Clinical characteristics of poor responders to acupotomy and safety pretreatment management. The Acupuncture 2008;25(4):117–25.
23. Ko MK, Kim JH, Hong KE. The study on post acupotomy headache. The Acupuncture 2010;27(2):89–95.
24. Travell JG, Simons DG. Myofacial pain and dysfunction 2nd edth ed. Baltimore. Williams and Willkins: 1987p. 186–214.
25. Park OJ, Kim SG, Lee JJ, Lee SM, Kim SJ, Cho NG. The effect of Shinbaro and Bee Venom pharmacopuncture in treating lumbar disc herniations. The Acupuncture 2013;30(5):41–50.

Article information Continued

Fig. 1.

Flowchart of study selection process

Table 1.

Distribution of Sex and Age, Period of Illness, Grade and Position of Herniation

N %
Sex Male 6 30
Female 14 70

Age 20~29 1 5
30~39 2 10
40~49 5 25
50~59 12 60

Period of illness 1~<7 days 3 15
7 days~<1 month 7 35
1 month~<6 months 10 50

Grade Bulging 4 20
Protrusion 11 55
Extrusion 5 25

Position L4~5 14 70
L5~S1 6 30

Table 2.

Changing Pattern of ODI

Mean SD F p-value
Base line 23.65 8.76 16.740 .000
1 day follow up 20.25 9.16
3 day follow up 17.50 6.79
5 day follow up 15.95 7.35

p-value was calculated by repeated measures ANOVA.

Table 3.

Changing Pattern of NRS

Mean SD F p-value
Base line 6.15 1.27 25.755 .000
1 day follow up 5.40 1.73
3 day follow up 4.50 1.50
5 day follow up 3.90 1.45

p-value was calculated by repeated measures ANOVA.

Table 4.

Changes on ODI

Base line 1 day follow up 3 day follow up 5 day follow up
Base line
1 day
follow up
−3.40(3.10)**
3 day
follow up
−6.15(4.03)*** −2.75(3.97)**
5 day
follow up
−7.70(4.76)*** −4.30(4.40)*** −1.55(1.64)***

Average ODI values are means ± standard deviation. p-values were calculated by repeated measures ANOVA.

*

p <0.05.

**

p<0.01.

***

p<0.001.

Table 5.

changes on NRS

Base line 1 day follow up 3 day follow up 5 day follow up
Base line
1 day follow up −.75(.79)***
3 day follow up −1.65(1.09)*** −.90(1.17)**
5 day follow up −2.25(1.12)*** −1.50(1.19)*** −.60(.68)**

Average ODI values are means ± standard deviation. p-values were calculated by repeated measures ANOVA.

*

p<0.05.

**

p<0.01.

***

p<0.001.