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A Case Report of Combined Korean Medicine Treatment of Spinal Stenosis with Lipomatosis

  • Journal of Korean Medicine Rehabilitation
  • Abbr : JKMR
  • 2020, 30(4), pp.195-201
  • DOI : 10.18325/jkmr.2020.30.4.195
  • Publisher : The Korean Academy Of Oriental Rehabilitation Medicine
  • Research Area : Medicine and Pharmacy > Korean Medicine
  • Received : September 17, 2020
  • Accepted : October 8, 2020
  • Published : October 31, 2020

Mihye Kim 1 Su-Bin Han 1 Byunghak Park 1 Jaemin Son 1 Nam-Woo Lee 1 Jeong-Hun Han 1 Do-Hyeon Kang 1 Tae-Woon Min 1 Jae-Seo Ahn 1 Hansol Lee 1 Hyun-Jun Lee 1

1강남자생한방병원 한방재활의학과

Accredited

ABSTRACT

Spinal epidural lipomatosis is a rare disorder characterized by overgrowth of fat in the extradural space, causing spinal stenosis with compression of the neural elements. This study reports on the effectiveness of Korean medicine treatment on a patient who was diagnosed on lumbar stenosis with lipomatosis. The patient was treated with Korean traditional medicine including pharmacopucture, acupuncture, Chuna manual treatment, and Korean herbal medicine, cupping. Numerical rating scale (NRS), Oswestry disability index (ODI), Euroqol five dimension (EQ-5D) index, lumbar range of motion were used as objective tools for evaluating the patient’s progress. Back NRS decreased from 6 to 3. In the case of lower limbl radiation NRS, 5 was reduced to 3 upon discharge. EQ-5D index also increased from 0.751 to 0.766. For ODI, the score dropped from 26.67 to 24.44 on hospitalization. As a result, clinical improvements were found in a patient. In conclusion, this study shows that Korean medicine treatment can be considered as effective conservative care for spinal stenosis with lipomatosis. (J Korean Med Rehabil 2020;30(4):195-201)

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