The Effect of Acupotomy on Lumbar Herniated Intervertebral Disc: Report of a Case Series

Article information

Acupunct. 2015;32(3):185-195
Dept. of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Daejeon University
*Corresponding author : Department of Acupuncture & Moxibustion Medicine, Dunsan Oriental Hospital of Daejeon University, 75, Daedeok-daero 176beon-gil, Seo-gu, Daejeon, 35235, Republic of Korea, Tel : +82-42-470-9137, E-mail : omdkim01@dju.kr
Received 2015 June 10; Revised 2015 August 23; Accepted 2015 August 24.

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

Fig. 2

L-spine MRI of case 1

Fig. 3

L-spine MRI of case 2

Fig. 4

L-spine MRI of case 3

Fig. 5

L-spine MRI of case 4

Fig. 6

L-spine MRI of case 5

Fig. 7

L-spine MRI of case 6

Fig. 8

L-spine CT of case 7

Fig. 9

The change of NRS at before and after treatment

NRS : numerical rating scale.

Fig. 10

The change of ODI at before and after treatment

ODI : oswestry low back pain disability index.

Progress in the Treatment of Case 1

Progress in the Treatment of Case 2

Progress in the Treatment of Case 3

Progress in the Treatment of Case 4

Progress in the Treatment of Case 5

Progress in the Treatment of Case 6

Progress in the Treatment of Case 7

References

1. Korean Acupuncture & Moxibustion Medicine Society Textbook Compilation Committe. Acupuncture and moxibustion medicine Gyeonggi: Jipmoondang; 2012. p. 506. p. 523.
2. Lee GM, Lee GC, Hwang YJ. Collaborative study of oriental-western medicine on HIVD. The Acupuncture 2000;17(2):1–10.
3. 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.
4. Shin WS, Park WH, Cha YY. The research trends on the acupuncture treatment of lumbar herniated intervertebral disc using pubmed database. JORM 2014;24(4):49–60.
5. 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.
6. Zhu HZ. Acupotomy Beijing: Chinese Medicine Publishing Company; 1992. p. 9–42.
7. The Institute of Korean Acupotomy Medicine. Acupotomy Seoul: Jeongdam; 2003. p. 81–2. p. 87. p. 111. p. 113. p. 127.
8. 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.
9. Kwak BM, Hong KE. Four cases of HIVD-lumbar spine patient treated with acupotomy. The Acupuncture 2008;25(4):149–56.
10. Kim JH, Jang YJ, Park JH, You YN. The Effects of Korean medical treatment combined with acupotomy on patients with a herniated intervertebral disc of the lumbar spine. The Acupuncture 2015;32(1):119–26.
11. 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.
12. 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.
13. Park BM. Causes and management of low back pain. Journal of the Korean Orthopaedic Association 1977;12(1):1–8.
14. Fairback JC, Couper J, Davies JB, O'brien JP. The Oswestry low back pain disability questionnaire. Physiotherapy 1980;66(8):271–3.
15. Choi CH, Kim SJ, Shin JC, et al. Clinical study of Dokhwalkigisaengtanggagambang and Gamisayuktanggagambang for improving lumbago and knee joint pain. Kor J Herbology 2013;28(2):75–82.
16. Kim DH, Lee JY. Suwen of Huang Di Nei Jing Seoul: Euiseongdang; 2001. former version. p. 233–55. p. 693–713. p. 777–91. p. 851–66. p. 921–44. p. 945–59. latter version. p. 49–54.
17. Lee C. Uihakipmun VI Seoul: Namsandang; 1996. p. 333–40.
18. Korean Orthopaedic Association. Orthopedics 5th edth ed. Seoul: Choushineuihaksa; 2001. p. 449–50.
19. Macnab I. Low back pain : the hyperextension syndrome. CMAJ 1955;73(6):448–54.
20. Song I, Hong KE. The comparison between acu-potomy therapy epidural neuroplasty. The Acupuncture 2010;27(4):9–18.

Article information Continued

Fig. 1

Application of acupotomy on lumbar HIVD

Fig. 2

L-spine MRI of case 1

Fig. 3

L-spine MRI of case 2

Fig. 4

L-spine MRI of case 3

Fig. 5

L-spine MRI of case 4

Fig. 6

L-spine MRI of case 5

Fig. 7

L-spine MRI of case 6

Fig. 8

L-spine CT of case 7

Fig. 9

The change of NRS at before and after treatment

NRS : numerical rating scale.

Fig. 10

The change of ODI at before and after treatment

ODI : oswestry low back pain disability index.

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).