Integrative Medicine Focusing on Ultrasound-Guided High-Dose Shinbaro 2 Pharmacopuncture for Acute Herniated Intervertebral Discs: A Case Report
Abstract
:1. Introduction
2. Case Presentation
2.1. Clinical Feature
2.2. Physical Examination
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- Range of motion: flexion, 20; extension, 20; lateral bending, 30/30; rotation, 20/20.
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- Special test (R/L): straight leg raise test, 60/40; Patrick’s test, −/−; femoral nerve stretch test, −/−.
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- Deep tendon reflex: patellar, ++/++; Achilles, ++/++.
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- Manual muscle testing: dorsiflexion, (G5, 100%)/(G5, 100%); big toe extension, (G5, 100%)/(G5, 100%); plantar flexion, (G5, 100%)/(G5, 100%).
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- Sensory: hypoesthesia (numbness) on the posterolateral side of the left thigh and on the anterolateral side of the left calf (L5 and S1 dermatomes).
2.3. Radiological Examination
2.4. Diagnosis
2.5. Treatment
2.5.1. Treatment Period
2.5.2. Ultrasound-Guided Pharmacopuncture
2.5.3. General Pharmacopuncture
2.5.4. Acupuncture
2.5.5. Chuna Manual Therapy
2.5.6. Herbal Medicine
2.5.7. Physical Therapy
2.5.8. Pharmacological Treatment (Western Medicine)
2.6. Clinical Outcomes
2.6.1. Numeric Rating Scale (NRS)
2.6.2. Oswestry Disability Index (ODI), EuroQol Five Dimension Index (EQ5D), and Patient Global Impression of Change (PGIC)
3. Discussion
4. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Outpatient | Inpatient | Outpatient | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Date | 16/02 | 17/02 | 18/02 | 19/02 | 20/02 | 21/02 | 22/02 | 23/02 | 24/02 | 25/02 | 26/02 | 27/02 | 28/02 | 07/06 |
Ultrasound-guided PA-Tx | - | O | - | - | O | - | O | - | O | - | - | O | O | - |
PA-Tx | O | O | O | O | O | O | O | O | O | O | O | O | O | O |
A-Tx | O | O | O | O | O | O | O | O | O | O | O | O | O | O |
EA | O | O | O | O | O | O | O | O | O | O | O | O | O | O |
Cupping | O | O | O | O | O | O | O | O | O | O | O | O | O | O |
Chuna | - | O | O | O | O | O | O | O | O | - | - | O | O | O |
H-med | O | O | O | O | O | O | O | O | O | O | O | O | O | O |
P-Tx | - | O | O | - | O | O | O | - | - | O | - | O | O | - |
W-med | O | - | - | - | - | - | - | - | - | - | - | - | - | - |
Ultrasound-Guided | Non-Ultrasound-Guided | |
---|---|---|
Pharmacopuncture procedure name | Shinbaro 2 | |
Ingredients | Rhizomes of Cibotium barometz (0.0013 g/mL), roots of Saposhnikovia divaricata (0.0013), stem barks of Eucommia ulmoides (0.0013), stems and roots of Acanthopanax sessiliflorus (0.0013), rhizomes and roots of Ostericum koreanum (0.0013), roots of Angelica pubescens (0.0013), roots of Achyranthes japonica (0.0013), Scolopendra subspinipes (0.0013), roots of Paeonia albiflora (0.0027) | |
Volume | 6 mL per point | 1 mL per point |
Needle size | 26 gauge × 90 mm | 29 gauge × 13 mm |
Location of needle insertion | Kambin’s triangle | Quadratus lumborum and erector spinae muscles (Ashi points) |
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Lee, N.-W.; Lee, J.; Yun, J.-M.; Kim, S.; Chung, W.-S. Integrative Medicine Focusing on Ultrasound-Guided High-Dose Shinbaro 2 Pharmacopuncture for Acute Herniated Intervertebral Discs: A Case Report. Healthcare 2024, 12, 1620. https://doi.org/10.3390/healthcare12161620
Lee N-W, Lee J, Yun J-M, Kim S, Chung W-S. Integrative Medicine Focusing on Ultrasound-Guided High-Dose Shinbaro 2 Pharmacopuncture for Acute Herniated Intervertebral Discs: A Case Report. Healthcare. 2024; 12(16):1620. https://doi.org/10.3390/healthcare12161620
Chicago/Turabian StyleLee, Nam-Woo, Jinho Lee, Jung-Min Yun, Siwon Kim, and Won-Seok Chung. 2024. "Integrative Medicine Focusing on Ultrasound-Guided High-Dose Shinbaro 2 Pharmacopuncture for Acute Herniated Intervertebral Discs: A Case Report" Healthcare 12, no. 16: 1620. https://doi.org/10.3390/healthcare12161620