【文章內(nèi)容簡介】 concave toward pain(S1) Functional Orthopedic Stimulation Therapy Korean Integrative Medicine Institute Backache ? Small posterior shift of disc material? ??? ??? ?? ????? ??? ? ?? ? ??? ??? ,??? ,?? ?? ?? ??? ?? ??? ??? ? ?? (??? ???? ????? ???? ) ? ??? ??? ???? annular type?? ??? ???? nuclear type?? ? ??? ?? ??? ??? ??? ???? (?? ?? ? , ?? ??? ??? ? , ????? ??? ? ) ? Dural Sx? ?? ?? ?? ?? ?? ?? ? Dural sign? ?? ???? ??? Functional Orthopedic Stimulation Therapy Korean Integrative Medicine Institute Backache ? Articular signpartial articular pattern? ??? ??? ?? ??? ??? ??? painful arc? ??? ?? ?? ???? ??? ??? ?? ? Treatment Manipulation: annular type, painful arc? ??? ???? ????? ?? ?? ?? ? ?? ? ,???? ????? ????? Traction: nuclear type??? ????? ?? ??? ?? Epidural injection: ??? ?? ???? , ????? ??? , Bruised dura?? Prolotherapy: ?? ??? , selfreducing nuclear protrusion, ???? ?? ?? Functional Orthopedic Stimulation Therapy Korean Integrative Medicine Institute Lumbago ? Annular Type ??? ? ??? material? ???? ?? ??? ??? ??? ???? ? ?? ???? ???? ??? ????? ??? ???? ??? ?? ??? ??? dural sign and symptom? ??? (??? ??? ????? ??? ) gross partial articular pattern? ??? (??? ?? ??? ???? ?? ??? ?? ) root sign ? ???? ??? (S4 root pression? ?? ) ?? ??? ??? ??? ?? ???? ?? ???? ??? ???? ??? . Functional Orthopedic Stimulation Therapy Korean Integrative Medicine Institute Lumbago ? Nuclear Type ??? ??? ?? ? ? ??? /???? (?? ?? ??? ??? ?? ) ?? ??? ??? ?? ? ? Mixed Type ??? ??? ???? ?? ???? ?? Functional Orthopedic Stimulation Therapy Korean Integrative Medicine Institute Lumbago ? ??? ?? ??? ??? 26 ? ?? ??? ???? .??? ?? ???? ? ??? ??? ???? sciatica? ????? ?? ? Treatment hyperacute??? epidural injection? bed rest 23? ? ?? ambulation??? annular type: manipulation Nuclear type: manual stretching or Mckenzie mobilization(No traction!!!) Functional Orthopedic Stimulation Therapy Korean Integrative Medicine Institute Sciatica ? Dural sleeve pression? symptom: segmental pain sign: paiful limitation of SLR ? Nerve root fiber pression? symptom: paresthesia(Pamp。N) sign: sensory/motor/reflex change Functional Orthopedic Stimulation Therapy Korean Integrative Medicine Institute Sciatica ? Secondary PLP backpainunilateral leg painparesthesia sensory and motor deficit 2050? ? Primary PLP ??? (1835? ) ???? ?? ?? leg pain ? ??? nuclear protrusion?? ?? L5S1? ?? Functional Orthopedic Stimulation Therapy Korean Integrative Medicine Institute Sciatica ? Antalgic posture lateral type: antalgic away painful side axillary type: antalgic toward painful side ? Spontaneous recovery is the rule(612months) due to disc shrinkage and root atrophy Functional Orthopedic Stimulation Therapy Korean Integrative Medicine Institute Sciatica ? Treatment Repositioning by manipulation amp。 traction Desensitization by epidural injection/nerve root block Awaiting spontaneous recovery Surgery Functional Orthopedic Stimulation Therapy Korean Integrative Medicine Institute Sciatica ? Repositioning(30%?? ?? ?? ) manipulation? 6???