Ultrasound-guided Caudal Epidural Pharmacopuncture Injection and Comprehensive Korean Medical Treatment for Spinal Stenosis: A Case Report

Abstract

The present case report evaluated the effects of ultrasound-guided caudal epidural pharmacopuncture injection combined with integrative Korean medicine treatment on pain relief and functional recovery in a patient with spinal stenosis. A patient with chronic low back pain and radiating leg pain received pharmacopuncture via the caudal approach under ultrasound guidance. The treatment effects were assessed by the changes in the European Quality of Life 5-Dimension 5-Level scores, numeric rating scale scores, Oswestry Low Back Pain Disability Index, and range of motion (ROM). After treatment, the patient had significant pain reduction and improvements in ROM and functional status. Our data suggest that the combination of caudal epidural pharmacopuncture injection and integrative Korean medicine treatment may be an effective therapeutic approach for managing pain and functional recovery in patients with spinal stenosis.

Keywords

• caudal epidural injections
• epidural injections
• pharmacopuncture
• spinal stenosis
• ultrasound-guidance