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The Journal of Internal Korean Medicine > Volume 40(1); 2019 > Article
The Journal of Internal Korean Medicine 2019;40(1): 126-135.
doi: https://doi.org/10.22246/jikm.2019.40.1.126
보존적 한방치료를 시행한 척추 수술 실패 증후군 환자 증례보고 : 출산 후 악화를 포함한 장기 경과 관찰
노지애1,3, 이지원1, 변다영2, 홍정수1, 김동진1
1대전자생한방병원 내과
2대전자생한방병원 재활의학과
3경희대학교대학원 임상한의학과 폐계내과학교실
A Case Report of Lumbar Spine Failed Back Surgery Syndrome (FBSS) Patient Treated with Korean Medicine: Long-Term Progress Including Postpartum Aggravation
Ji-ae Roh1,3, Ji-won Lee1, Da-young Byun2, Jung-soo Hong1, Dong-jin Kim1
1Dept. of Korean Internal Medicine, Daejeon Jaseng Hospital of Korean Medicine
2Dept. of Korean Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine
3Division of Allergy, Immune & Respiratory System, Dept. of Internal Medicine, Graduate School, Kyung Hee University
Correspondence  Ji-ae Roh ,Tel: 1577-0007, Fax: 042-610-0415, Email: lli8@naver.com
Received: February 14, 2019,   Accepted: April 1, 2019,   Published online: March 30, 2019.
ABSTRACT
Background: Because of fear of reoperation and low efficiency, some patients with failed back surgery syndrome (FBSS) opt for Korean medicine treatment. Gold standard treatment is not present for FBSS, therefore both surgical and non-surgical treatment are possible. Studies of Korean conservative medicine for FBSS had a short duration of treatment and mainly pre- and post-treatment comparisons. And case of female patients who have worsened after childbirth is rare. The purpose of this study was to report long-term follow-up and rare cases of FBSS. Case summary: A 33-year-old female patient diagnosed with lumbar disc herniation complained with low back pain and radicular pain in the left leg after surgery in 2011. Acupuncture and decoction (Cheongpa-jeon, GCSB-5) were administered to her twice a day for about 6 years and 6 months. The patient’s complaints improved with each hospitalization, and Magnetic Resonance Imaging (MRI) showed a slight decrease in the size of the recurrent disc (L4/5) and a newly developed disc (L5/S1) that had deteriorated after delivery.

Conclusion:
Korean medicine could be used to manage the pain of lumbar spine FBSS patients for 6-7 years and to alleviate lumbago after delivery.
Key words: failed back surgery syndrome, lumbar herniated interverteral disc, Korean medicine, Cheongpa-jeon, case report
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