Long-Term Course of Alternative and Integrative Therapy for Lumbar Disc Herniation and Risk Factors for Surgery: A Prospective Observational 5-Year Follow-Up Study

Spine
Joon-Shik ShinIn-Hyuk Ha

Abstract

Prospective observational 5-year study. To assess pain, functional disability, surgical status, and health care use of patients who actively selected complementary and alternative medicine treatment and risk factors for lumbar surgery. Controversy continues regarding difference in long-term outcomes of conservative and surgical treatment. We recruited 150 consecutive lumbar disc herniation patients with radiating pain (numeric rating scale ≥5) from November, 2006 at a Korean medicine hospital outpatient department, of which 128 patients completed 6 months of complementary and alternative medicine treatment (herbal medicine, acupuncture, bee-venom pharmacopuncture, and Chuna manipulation). Follow-up data was collected every year for 5 years. We assessed surgical status in 105 patients (82%), of which 8 replied that they had received surgery. Ninety-two patients (72%) attended the 5-year follow-up. Visual analog scale of back pain which was 4.19 ± 2.60 at baseline improved after treatment, decreasing to 0.94 ± 1.13 at 6 months, and was maintained at 1.25 ± 1.81 at 5 years. Visual analog scale of leg pain decreased from 7.50 ± 1.32 to 0.94 ± 1.29 and was sustained at 0.98 ± 1.73. Participants reported less disability with Oswestry...Continue Reading

References

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Citations

Oct 6, 2017·Current Reviews in Musculoskeletal Medicine·Raj M AminBrian J Neuman
May 4, 2017·Neurosurgical Focus·Karthik MadhavanMichael Y Wang
Feb 9, 2017·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Forrest CooperDeborah Espesete
Aug 5, 2017·Evidence-based Complementary and Alternative Medicine : ECAM·Jinho LeeIn-Hyuk Ha
Dec 7, 2018·International Orthopaedics·Thami BenzakourAhmed Benzakour

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Clinical Trials Mentioned

NCT01989403

Software Mentioned

SPSS

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