Clinical Effect of Acupotomy Combined with Korean Medicine: A Case Series of a Herniated Intervertebral Disc

다국어 초록 (Multilingual Abstract)

The aim of this study is to evaluate the effect of acupotomy for treating patients with a herniated intervertebral disc (HIVD). This case series includes five HIVD patients who were treated at the Department of Acupuncture and Moxibustion, Daejeon University Dunsan Korean Hospital, Daejeon, Korea, from January 2015 to April 2015. Acupotomy was performed three times over a 2-week period, along with Korean medical treatment. The outcomes were evaluated by using a numeric rating scale (NRS), physical examination, the Oswestry Low Back Pain Disability Index (ODI), the Short-Form 36-Item Health Survey (SF-36), and the Surgical Safety Checklist. The NRS and physical examination results, as well as the ODI scores, were improved in all cases. No significant differences were noted on the SF-36. No patients had any adverse effects. This study, with its findings of encouraging responses in reducing low back pain and radiating pain and in recovering the kinetic state of soft tissue, supports the potential use of acupotomy for the treatment of patients suffering from HIVD.

참고문헌 (Reference)

• 1 이건목, "침도침 치료를 이용한 요추추간판탈출증에 대한 연구 및 임상증례" 대한침구의학회 25 (25): 185-192, 2008
• 2 곽병민, "침도침 시술을 통한 요추추간판탈출증 환자 4명의 증례보고" 대한침구의학회 25 (25): 151-158, 2008
• 3 김성철, "침도 침술시 부작용과 예방법에 관한 연구" 대한침구의학회 25 (25): 119-127, 2008
• 4 김소연, "척추질환에 도침치료를 포함한 한방복합치료 치험 5례" 대한침구의학회 31 (31): 183-193, 2014
• 5 장은하, "요추추간판탈출증에 관한 침도 침술의 유효성에 관한 임상증례보고" 대한침구의학회 25 (25): 173-183, 2008
• 6 윤주영, "요추 추간판 탈출증 환자의 침도요법의 효과에 대한 임상적 고찰" 대한침구의학회 27 (27): 85-98, 2010
• 7 임나라, "수근관 증후군에 관한 침도 침술의 유효성에 관한 임상증례보고" 대한침구의학회 25 (25): 165-172, 2008
• 8 육동일, "도침요법의 연구동향 고찰" 대한침구의학회 31 (31): 35-43, 2014
• 9 정재현, "근에너지기법 및 한방치료를 적용한 족하수를 동반한 요추추간판탈출증 환자 치험 7례" 척추신경추나의학회 9 (9): 27-37, 2014
• 10 김양중, "附缸療法의 압력특성에 관한 실험적 연구" 대한침구의학회 25 (25): 121-130, 2008
• 11 Tagil SM, "Wet-cupping removes oxidants and decreases oxidative stress" 22 : 1032-1036, 2014
• 12 Goupille P, "The role of inflammation in disk herniation-associated radiculopathy" 28 : 60-71, 1998
• 13 서정철, "The Effect of CF Herbal Acupuncture by Oswestry Disability Index" 대한약침학회 4 (4): 15-20, 2001
• 14 Song BK, "Study on the conservative treatment of herniated lumbar intervertebral disc" 16 : 62-78, 1995
• 15 Pach D, "Standardized versus individualized acupuncture for chronic low back pain: a randomized controlled trial" 2013 : 125937-, 2013
• 16 MacPherson H, "Revised standards for reporting interventions in clinical trials of acupuncture (STRICTA):extending the CONSORT statement" 3 : 140-155, 2010
• 17 Kim CH, "Reoperation rate after surgery for lumbar herniated intervertebral disc disease: nationwide cohort study" 38 : 581-590, 2013
• 18 Korean Orthopedic Association, "Orthopedics" Choi-Shin Publishing Company 621-630, 2006
• 19 Balague´ F, "Nonspecific low back pain" 379 : 482-491, 2012
• 20 Zhang YC, "Lumbar disc herniation treated with Shu-needle therapy and ozone injection of low concentration" 32 : 829-832, 2012
• 21 Yang H, "Low back pain associated with lumbar disc herniation: role of moderately degenerative disc and annulus fibrous tears" 8 : 1634-1644, 2015
• 22 Kim JI, "Evaluation of wet-cupping therapy for persistent nonspecific low back pain: a randomised, waiting-list controlled, openlabel, parallel-group pilot trial" 12 : 146-, 2011
• 23 Liu MR, "Efficacy observation on osteoarthritis of the knee treated with the ultrastructural acupotomy therapy at the counter-Ashi points" 32 : 621-624, 2012
• 24 Lee GM, "Effects of Wonli acupuncture procedure in patients with LSS: a clinical, retrospective study" 2014 : 212098-, 2014
• 25 Guo C, "Effect of acupotomy on nitric oxide synthase and beta-endorphin in third lumbar vertebrae transverse process syndrome model rats" 34 : 194-198, 2014
• 26 Chou R, "Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society" 147 : 478-491, 2007
• 27 Kim JI, "Cupping for treating pain:a systematic review" 2011 : 467014-, 2011
• 28 Zhi LX, "Controlled randomized trial on therapeutic effects of acupotomy-injection combined with Feng’s spinal manipulation (FSM) for cervical spondylotic radiculopathy" 21 : 421-424, 2008
• 29 Dong-il Yuk, "Clinical Study of Lumbar Spine Stenosis Treated by Using Acupotomy Combined with Oriental Medical Treatments" 대한약침학회 16 (16): 46-51, 2013
• 30 The Institute of Korean Acupotomy Medicine, "Acupotomy" Jeongdam 81-82, 2003
• 31 Zhu HZ, "Acupotomy" Chinese Medicine Publishing Company 1992