Effects of Integrative Korean Medical Treatment for a Failed Epidural Steroid Injections to L-spine Disk Herniation: A Retrospective Case Series

Article information

Acupunct. 2015;32(4):2287-7797

doi : https://doi.org/10.13045/acupunct.2015075

Ji Su Kim ¹, Yoo Jong Kim ², Je Rak Hong ², Min Chul Kim ², Han Sol Park ³, Seh Young Kim ¹, Young Woo Seo ¹, Sang Min Lee ², Young Hoon Seo ², Ki Ok Kim ⁴, Tae Hun Kim ⁵^,

¹Dept. of Acupuncture & Moxibustion, Mokhuri Neck&Back Oriental Medicine

²Dept. of Rehabilitation, Mokhuri Neck&Back Oriental Medicine

³Dept. of Oriental Medicine Philosophy, Graduate School, Kyung Hee University

⁴Dept. of Spine Center, Mokhuri Neck&Back Oriental Medicine

⁵Korean Medicine Clinical Trial Center, Kyung Hee University Korean Medicine Hosptial

^*Corresponding author: Korean Medicine Clinical Trial Center, Kyung Hee University Korean Medicine Hosptial, 23, Kyungheedae-ro, Dongdaemun-gu, Seoul, Republic of Korea, Tel: +82-2-958-9194, E-mail: rockandmineral@gmail.com

Received 2015 November 13; Revised 2015 December 11; Accepted 2015 December 14.

Abstract

Objectives:

The purpose of this study was to assess the effectiveness of integrative Korean Medical treatments for patients with L-spine disk herniation that showed no response to Epidural Steroid Injections (ESI)

Methods:

In this study, we reviewed the medical records of ten patients who showed no improvement or relapsed after ESI. The patients each received more than three weeks of integrative treatments at Mokhuri Neck&Back Hospital. The Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) was measured before and after treatment A statistical analysis to compare before and after treatments was assessed using paired t-test the SPSS 12.0 Windows program

Results:

After three weeks of treatment, patients showed a significant decrease in VAS and ODI scores compared to before receiving treatment. VAS scores decreased from 5.3±1.25 to 1.9±0.99 (p<0.001) and ODI scores decreased from 59.8±22.2 to 32.7±14.11 (p<0 001).

Conclusions:

Complex Korean Medical treatment showed effectiveness in the treatment of L-spine HIVD patients that showed no response to ESI, and more objective research is needed.

Keywords: Epidural Steroid Injection; Complex Korean Medical treatment; L-spine HIVD

Fig. 1

Changes of VAS (Visual Analog Scale)

*: There is significant stastically significance between average VAS score of PAD 1 and PAD 22. (P<0.001)

Fig. 2

Changes of ODI (Oswestry Disability Index)

*: There is significant stastically significance between average ODI score of PAD 1 and PAD 22. (P<0.001)

Table 1

Composition of Gangchuctang Used in This Study

Table 2

Characteristics of Subjects

Table 3

Changes of VAS and ODI average score before and after Korean Medical Conbination Treatments

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