The Effect of Complex Korean Medical Treatment on a Spinal Cord Tumor: Focused on Changes of Pain and Temperature Sensation and Pain Sensation

Article information

Acupunct. 2015;32(3):229-236
Department 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 August 13; Revised 2015 August 27; Accepted 2015 September 01.

Abstract

Objectives:

The purpose of this study is to report the clinical effect of Korean medical treatment on a spinal cord tumor.

Methods:

We treated a patient who was diagnosed with a spinal cord tumor. We used acupuncture, bee venom pharmacopuncture, herbal medicine, moxibustion and physical therapy; the patient was evaluated using the visual analogue scale(VAS) and given an International Standards for Neurological Classification of Spinal Cord Injury(ISNCSCI) score.

Results:

VAS decreased and ISNCSCI score increased meaningfully.

Conclusions:

According to these results, this report possibly suggests that Korean medical treatment could be a helpful choice for treating a spinal cord tumor.

Fig. 1

CT image of spinal tumor, T4~5

Fig. 2

Change of VAS score

Fig. 3

Change of sensory score

Functional and Neurological Examination

Change of Touch Score of Modified ISNCSCI

Change of Pin Score of Modified ISNCSCI

Change of Hot Score of Modified ISNCSCI

Change of Cold Score of Modified ISNCSCI

Appendices

Appendix 1

Appendix 2

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Article information Continued

Fig. 1

CT image of spinal tumor, T4~5

Fig. 2

Change of VAS score

Fig. 3

Change of sensory score

Table 1

Functional and Neurological Examination

1. Functional evaluation

Neck Hoffmann’s sign − / −
Lhermitte’s sign +
Spurling sign − / −
Shoulder abduction test − / −

Motor C5 elbow flexors 5 / 5
C6 wrist extensors 5 / 5
C7 finger flexors 5 / 5
C8 finger abductors 5 / 5
L2 hip flexors 5 / 5
L3 knee extensors 5 / 5
L4 ankle dorsiflexors 5 / 5
L5 long toe extensors 5 / 5
S1 ankle plantar flexors 5 / 5

Sensory Symmetrically intact

2. Neurological examination

DTR Triceps jerk ++ / ++
Biceps jerk ++ / ++
Brachioradialis jerk ++ / ++
Knee jerk ++ / ++
Ankle jerk ++ / ++
Ankle clonus − / −
Babinski sign − / −

3. Others examination

Straight leg raising test − / −
Gait Intact
Tandem gait
Urinary incontinence
Anal tone Intact

Table 2

Change of Touch Score of Modified ISNCSCI

5.10 5.14 5.17 5.21 5.25 5.28
R / L R / L R / L R / L R / L R / L
C2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2
T12 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2
L1 0 / 0 0 / 0 0 / 2 0 / 2 1 / 1 1 / 1
L2 0 / 0 0 / 0 0 / 2 0 / 1 0 / 0 0 / 0
L3 0 / 1 0 / 1 0 / 1 0 / 0 0 / 0 0 / 0
L4 0 / 1 1 / 1 1 / 0 0 / 0 1 / 0 1 / 0
L5 1 / 1 1 / 1 0 / 1 0 / 1 1 / 1 1 / 1
S1 1 / 1 1 / 1 1 / 0 2 / 0 1 / 0 1 / 0
S2 0 / 0 0 / 0 1 / 2 2 / 1 1 / 0 1 / 1
S3 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
S4~5 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Total 43 / 44 43 / 44 43 / 48 44 / 45 44 / 42 44 / 43

Total score 86 87 91 89 86 87

Table 3

Change of Pin Score of Modified ISNCSCI

5.10 5.14 5.17 5.21 5.25 5.28
R / L R / L R / L R / L R / L R / L
C2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2
T12 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2
L1 0 / 0 0 / 0 0 / 1 0 / 0 2 / 0 2 / 0
L2 0 / 0 0 / 0 0 / 1 1 / 0 1 / 0 1 / 0
L3 0 / 0 0 / 0 0 / 0 2 / 2 2 / 2 2 / 2
L4 2 / 0 2 / 0 1 / 1 2 / 1 2 / 1 2 / 1
L5 2 / 0 2 / 0 2 / 1 2 / 0 2 / 0 2 / 0
S1 0 / 1 1 / 1 2 / 2 2 / 2 2 / 2 2 / 2
S2 1 / 1 1 / 1 1 / 2 2 / 1 2 / 2 2 / 2
S3 1 / 1 1 / 1 2 / 1 2 / 1 2 / 1 2 / 1
S4~5 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Total 45 / 42 46 / 42 47 / 48 52 / 46 54 / 47 54 / 47

Total score 87 88 95 98 101 101

Table 4

Change of Hot Score of Modified ISNCSCI

5.10 5.14 5.17 5.21 5.25 5.28
R / L R / L R / L R / L R / L R / L
C2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2
T12 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2
L1 0 / 0 0 / 0 0 / 0 1 / 0 1 / 0 1 / 0
L2 0 / 0 0 / 0 0 / 0 1 / 0 1 / 0 1 / 0
L3 1 / 0 1 / 0 1 / 1 1 / 0 1 / 0 1 / 0
L4 1 / 0 1 / 0 2 / 0 2 / 0 2 / 0 2 / 0
L5 1 / 0 1 / 0 2 / 0 1 / 0 2 / 0 2 / 0
S1 0 / 0 1 / 0 2 / 0 2 / 0 2 / 0 2 / 0
S2 0 / 1 1 / 1 2 / 0 2 / 0 1 / 0 1 / 0
S3 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0
S4~5 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0
Total 41 / 39 43 / 39 47 / 39 46 / 38 46 / 38 46 / 38

Total score 80 82 86 84 84 84

Table 5

Change of Cold Score of Modified ISNCSCI

5.10 5.14 5.17 5.21 5.25 5.28
R / L R / L R / L R / L R / L R / L
C2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2
T12 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2 2 / 2
L1 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0
L2 0 / 0 0 / 0 0 / 0 1 / 0 0 / 0 1 / 0
L3 0 / 0 0 / 0 0 / 0 1 / 0 1 / 0 1 / 0
L4 1 / 0 1 / 0 0 / 0 1 / 0 1 / 0 1 / 0
L5 0 / 0 0 / 0 0 / 0 1 / 0 1 / 0 1 / 0
S1 0 / 0 1 / 0 2 / 0 1 / 0 1 / 0 1 / 0
S2 1 / 0 1 / 0 2 / 0 1 / 0 1 / 0 1 / 0
S3 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
S4~5 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1 1 / 1
Total 42 / 40 43 / 40 44 / 40 46 / 40 45 / 40 46 / 40

Total score 82 83 84 86 85 86