Survey of Integrative Treatment Practices of Korean Medicine Doctors for Cervical Disc Herniation: Preliminary Data for Clinical Practice Guidelines.

摘要: A survey study was conducted in Korean medicine doctors who provide nonsurgical integrative treatment for cervical disc herniation (CDH) at spine-specialty hospitals to assess usual practices, diagnosis and methods, related adverse events CDH. The questionnaire jointly developed by clinical experts methodology administered 197 (response rate: 84.9% (n = 197/232)) practicing analysis of general sociodemographic information, practice patterns CDH including strategies, prognosis, safety. average experience respondents 9.3±6.4 years, 4.0±1.8 weeks were regarded be needed pain decrease 50% 9.1±3.4 80%. Eight-Principle Pattern Meridian System Identification the most commonly used syndrome differentiation often considered a result Qi stagnation Blood coagulation. Spurling test reported important physical examination, magnetic resonance (MR) images mostly various diagnostic tools. Treatment mainly consisted nonsurgical, multimodal approach comprising acupuncture, pharmacopuncture, herbal medicine, Chuna manual therapy. Shinbaro pharmacopuncture Chungpa-jun, which are well-established treatments supported evidence, high importance treatment. With regard safety, acupuncture safest, while bee venom highest concern due potential hypersensitivity. This is first report investigate current data may significance drawing guidelines conducting randomized controlled trials (RCTs) generate high-level evidence on effectiveness