Effect of Acupotomy Therapy on Lateral Epicondylitis Diagnosed by Ultrasonography

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(1)초음파 진단을 통한 주관절 외상과염의 침도 치료 임상 증례 보고. 53. DOI : 10.3831/KPI.2011.14.2.053. Case Report. 초음파 진단을 통한 주관절 외상과염의 침도 치료 임상 증례 보고. Received : 10. 11. 29 Revised : 11. 05. 25 Accepted : 11. 05. 26 Key Words: Acupotomy, Lateral epicondylitis, Ultrasonography, Elbow. Effect of Acupotomy Therapy on Lateral Epicondylitis Diagnosed by Ultrasonography Lim Nara*, Lim Jinyoung**, Kim Dongwoung*** , Lee Jongdeok.**** , Kim Sungchul* *Dept. of Acupuncture & Moxibustion, Gwang-Ju Oriental Medical, Hospital in WonKwang University **Dept. of Rehabilitation medicine, Oriental Medicine, in WonKwang University ***Dept. of Internal medicine, Oriental Medicine, in WonKwang University ****Dept. of Radiology, Oriental Medicine, in WonKwang University. ABSTRACT Purpose: This observation was to report the clinical effects of acupotomy in treating lateral epicondylitis. Methods: Three patients diagnosed with lateral epicondylitis were treated with acupotomy. Two were male and one was female. The improvement of symptom were evaluated by visual analog scale (VAS) and self-consciousness symptoms of Cozen test. Results: After one treatments, patient's chief complaint and the pain near the lateral epicondyle while cozen test were notably improved. Conclusions : This study demonstrates that oriental medical treatment with acuputomy therapy has significant effect in improving symptoms of lateral epicondylitis. As though we had not wide experienced in this treatment, more research is needed.. I. 서론. Corresponding author : Kim Sungchul, Dept. of Acupuncture & Moxibustion, Gwang-Ju Oriental Medical, Hospital in WonKwang University Tel : 062-670-6442 E-mail : [email protected].

(2) Journal of Pharmacopuncture 제 14권 제 2호( 2011년 6월). 54. 2 49 2 2010.1.16. Rt. elbow lateral pain OPD Cozen. 4.49mm VAS10. 110MHz. 3 58 2010.1.25. Lt. elbow lateral pain OPD Cozen. 4.90mm VAS9. 2. II. 증례 보고 GE ultrasound,system Five,10MHz probe 90 0 5mm. 1. Figure 1. 1 3. 47 2010.1.16. Lt. elbow lateral pain OPD. 1 0.8. 4 1. 1. 1. 1. Cozen 4.05mm VAS10. 90 LI11 2. 0.5 Figure 2.

(3) 초음파 진단을 통한 주관절 외상과염의 침도 치료 임상 증례 보고. 4. 75 1 Figure. 2-. 55. A, B. 1 Cozen test. Figure. 2Figure. 25. 2. Visual Analog Scale 0. 10. 3 3 2 3. 3. Exellent Good. Fair. Poor. 5. STRICTA STRICTA Intervention. Item. Description. ( ). : (. Acupuncture rationale. ,. ,. ). 1 : 1992; 9-42. Needling details. :. (. /. ):. (LI11). 2 :. 6-9. 0.5. .. .. :. ..

(4) Journal of Pharmacopuncture 제 14권 제 2호( 2011년 6월). 56. Intervention. Item. Description. (. , mm. );. 0.5~. cm. ,. . (. Needling details. ):. 2 (. ):. : (. ,. ,. ):. 4 (0.8). 1. :1. Treatment regimen. 3 :. 1. ( , Co-interventions. ,. ,. ,. ):. 4. . . :2. Practitioner background. : 20. 5. :. (. , ,. Control intervention(s). TENS. ):. :. 6 (. 2. ): :. III. 결과 1.. Cozen test Table 1. 2.. VAS Figure 3.. 3. nt. Case 3. Case 1,2 Good. Exelle-. IV. 고찰 6482. 90-100. 67-100. 83-100.

(5) 초음파 진단을 통한 주관절 외상과염의 침도 치료 임상 증례 보고. 57. 3.95 96.6. 79.3. 87.9. V. 참고문헌. 3-8. 1. Labelle H, Gulbert R, Joncas J, Newman N, Fallaha M, Rivard CH. Lack of scientific evidence for the treatment of lateral epicondylitis of the elbow. An attempted meta-analysis. J Bone Joint Surg, 74-B: 646-651, 1992. 2. Jeung HY, Kang SG, Koh HG. Review on The XiaZhenDao Therapy. The journal of korean acupuncture & moxibustion society. 2002; 19(1): 244-61 3. Kijowski R, De Smet AA. Magnetic resonance imaging findings in patients with medial epicondylitis. Skeletal Radiol. 2005;34:196-202. 4. Kim BS, Min GD, Cha JG, Lee JS. Ultrasonographic measurement of thickness of extensor carpai radialis brevis tendons for lateral epicondylitis. J Korean Orthop Assoc. 2009; 44(5) : 542-547. 5. Noteboom T, Cruver R, Keller J, Kellogg B and Nitz AJ: Tennis elbow. a review. J Orthop Sport Phys Ther, 19: 357-366, 1994. 6. Miller TT, Shapiro MA, Schultz E, Kalish PE. Comparison of sonography and MRI for diagnosing epicondylitis. J Clin Ultrasound. 2002;30:193-202. 7. Connell D, Burke F, Coombes P, et al. Sonographic examination of lateral epicondylitis. AJR Am J Roentgenol. 2001;176: 777-82. 8. Coonrad RW, Hooper WR. Tennis elbow: its course, natural history, conservative and surgical management. J Bone Joint Surg 1973;55A:1177-1182..

(6) 58. Journal of Pharmacopuncture 제 14권 제 2호( 2011년 6월). 11. Jang EH, Lim NR, Na WM, Kim SC. Case study of oriental medicine treatment with acupotomy therapy of achilles tendinitis. J Korean Pharmacopuncture Institute. 2008;11(4):87-94. 12. Oh SP, Jang CM. Acupuncture Theraphy of Waist and Abdominal Disease. Beijing: China Medicine Science and Technology Publication. 2008; 156-62.. 9. Lim NR, Kim SC, Jang EH, Na WM, Lim SI, Shin JB, Lee GM. Case study of oriental medicine treatment with acupotomy therapy of carpal tunnel syndrome. J Korean Acupuncture and Moxibustion Society. 2008;25(4):163-70. 10. Lim NR, Jang EH, Park MY, Kim SC. Case study of oriental medicine treatment with acupotomy therapy of tarsal tunnel syndrome. J Korean Pharmacopuncture Institute. 2009;12(1):109-16.. Fig 1. A transverse image of extensor carpi radialis brevis tendon of 58yrs old women with lateral epicondylitis(Lt.) is shown. The tendon of lession is measured 4.90mm.. A. Fig 2-. B. Fig 2- . A, B sterilization. selected acupoints.

(7) 초음파 진단을 통한 주관절 외상과염의 침도 치료 임상 증례 보고. Fig 2-. insertion. Fig 2-. 59. discharging the blood from the wound. before treatment after treatment. Fig 3. The changes of VAS between before treatment and after treatment.. Table 1. The changes of cozen test result Case 1. Case 2. Case 3. before treatment. after treatment. before treatment. after treatment. before treatment. after treatment. +. -. +. -. ++. +. Cozen test.

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