[논문]Thread Embedding Acupuncture and Complex Korean Medicine Treatment for Lumbar Spinal Stenosis with Degenerative Scoliosis: A Clinical Case Report

Park, Yu-Kyeong; Lee, Jung Hee; Kim, Jae Soo; Lee, Yun Kyu; Lee, Hyun-Jong

doi:10.13045/jar.2021.00108

Thread Embedding Acupuncture and Complex Korean Medicine Treatment for Lumbar Spinal Stenosis with Degenerative Scoliosis: A Clinical Case Report 원문보기

Journal of acupuncture research, v.38 no.4, 2021년, pp.320 - 324

Park, Yu-Kyeong (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) , Lee, Jung Hee (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) , Kim, Jae Soo (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) , Lee, Yun Kyu (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) , Lee, Hyun-Jong (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University)

Abstract ▼ AI-Helper

Lumbar spinal stenosis (LSS) is a common degenerative spinal condition that can have unpredictable improvement and worsening of symptoms which include low back pain, radiating pain, claudication, and degenerative lumbar scoliosis affecting quality of life. In this study, thread embedding acupuncture (TEA) was used as a conservative treatment for LSS in combination with complex Korean medicine treatments (acupuncture, herbal medicines, and physical therapy). The treatment was evaluated using the numerical rating scale, walking distance and duration, and inclination of radiological lumbar scoliosis according to antalgic posture. TEA was performed 27 times between June 8, 2020, and March 16, 2021. The patient showed improvement in numerical rating scale score from 7 to 2, pain-free walking distance from 10 m to 900 m, and scoliosis inclination following treatment. The findings of this study suggest that TEA may be helpful in the treatment of LSS.

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그림 Fig. 1. Simple radiography image of the time of onset. (A) Sagittal view. (B) Coronal view. In the sagittal view image, the red arrow indicates a bone spur on the L4-5 level of the intervertebral foramen and it is because of degenerative changes, which causes stenosis of the L4-5 level. The red circle shows the endplate change on L3-4. In the coronal view image, the red circle shows a bone spur on the L3-4 vertebra. *The above images were read by a radiologist as lumbar scoliosis, disc space narrowing, L1-2-3-4-5-S1, degenerative spondylosis.
그림 Fig. 2. L spine MRI of the patient at the time of onset. (A) Oblique view. (B) Axial view. In the oblique view image, the red arrows indicate the herniations of the discs and the red dot indicates the stenosis on the L4-5 level. In the axial view image of L4-5 level, the red solid line indicates compressed thecal sac, and the yellow solid lines indicate both ligamentum flavum thickened. TS, thecal sac; LF, ligamentum flavum.
그림 Fig. 3. Thread embedding acupuncture treatment sites. *This figure is a schematic diagram of the muscle, such as intrinsic muscle (spinalis, rotatores), multifidus muscle, lumbar erector spinae, iliolumbar ligament, sacroiliac ligament, gluteus medius, piriformis. It is marked with respect to the direction of thread embedding acupuncture (TEA) insertion. Black arrows represent oblique or transverse insertion, and black dots represent perpendicular insertion.
그림 Fig. 4. The change of scoliosis observed on the radiographs. (A) Before treatment. (B-D) Progression during treatment. Before hospitalized treatment began, the inclination of the scoliosis was most steep. As the treatment progressed, the inclination gradually decreased, and was maintained.
그림 Fig. 5. The change in NRS score and the pain-free walking distance after TEA. NRS, numerical rating scale; TEA, thread embedding acupuncture.

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Thread Embedding Acupuncture and Complex Korean Medicine Treatment for Lumbar Spinal Stenosis with Degenerative Scoliosis: A Clinical Case Report 원문보기

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