Comparison between the Effect of Transforaminal Steroid Injection and Transforaminal Steroid Injection Combined with Spinal Decompressor on Lumbar Disc Herniation. |
Lee, Jeoung eun , Lee, Ho Jun , Hong, Young Ki , Kang, Seouk , Yoon, Bum chul , Lee, Sang Heon |
1Department of Rehabilitation Medicine, Korea University College of Medicine, Korea. spinelee@gmail.com 2Department of Rehabilitation Medicine, Dongguk University College of Medicine, Korea. 3Graduate School of Medicine, Korea University, Korea. 4Department of Physical Theraphy, Korea University College of Health Science, Korea. |
요추 추간판 탈출증 치료 시 경막외 주사와 척추감압기 병용 시의 효과 비교 |
이정은, 이호준1, 홍영기2, 강석, 윤범철3, 이상헌 |
고려대학교 의과대학 재활의학교실, 1동국대학교 의과대학 재활의학교실, 2고려대학교 대학원 의학과, 3고려대학교 보건과학대학 물리치료학과 |
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Abstract |
Objective To assess the short-term clinical effect of a new spinal decompression device (DRX-3000) combined with transforaminal steroid injection (TFI) in comparison with TFI only in patients with lumbar herniated intervertebral disc (HIVD) Method Fourty-one patients diagnosed as lumbar intervertebral disc herniation were recruited and divided into two therapeutic groups. Eighteen patients were treated with DRX-3000 combined with TFI. Twenty-three patients were treated with only TFI. The visual analogue scale (VAS), straight leg rasing test (SLR), radiating pain, Oswestry Disability Index (ODI), sitting tolerance, standing tolerance and sleeping tolerance were measured before treatment and 4 weeks after treatment. Results VAS, radiating pain, sitting tolerance and ODI were significantly improved after treatment in all patients (p<0.05). SLR and sleeping tolerance were significantly improved in combined treatment group and standing tolerance were significantly improved in TFI group after treatment (p<0.05). After treatment, degree of VAS decrease was larger in combined treatment group than TFI group(p<0.05). Conclusion Spinal decompression with TFI was more effective than only TFI in patients with lumbar HIVD in a short period. (J Korean Acad Rehab Med 2007; 31: 590-595) |
Key Words:
Herniated disc, Decompression, Epidural injection, Low back pain |
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