中醫治療改善術後坐骨神經痛個案報告

A Case Report of after Surgery Sciatic Symptoms Reappeared, with Traditional Chinese Medicine

10.6516/TJTCM.201403_17(1).0008

謝振坤(Chen-Kun Hsieh)；許恒壹(Heng-Yi Hsu)

坐骨神經 ； 針灸 ； 艾灸 ； Sciatic nerve ； acupuncture ； moxibustion Moxa

中醫藥研究論叢

17卷1期（2014 / 03 / 30）

89 - 97

繁體中文

老年人因下背痛痠痛麻並牽引雙側下肢，導致無法行走或久站、久坐甚至平躺，X光片顯示腰薦椎退化並有骨刺生成，開始接受復健牽引治療一段時間後，因嚴重下背痛併雙側下肢麻無力無法行走數日，至骨科求診，SLRT（straightleg raising test）：（+），併影像檢查發現腰薦椎退化性改變，決定行腰椎融合術（前融合）手術。手術後坐骨神經壓迫的症狀又出現，透過中醫針灸治療搭配中藥調理，達到病患滿意程度，恢復了健康。

Elderly due to back pain and traction bilateral lower extremity pain under anesthesia, resulting unable to walk or stand for a long time, even lying sedentary, x-ray film showed degenerative lumbosacral and a spur generation, began rehabilitation traction after receiving treatment for some time, due to severe low back pain and bilateral lower extremity weakness Ma unable to walk for several days, to orthopedic patients, SLRT (straightleg raising test): (+), and the imaging findings lumbosacral degenerative changes in lumbar fusion surgery decision (before fusion) surgery. After surgery sciatic nerve symptoms reappeared, with traditional Chinese medicine through acupuncture therapy, to achieve the degree of patient satisfaction, restored to health.

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