KTUS-DoCol-4 - 08-Sep-2010
The Effect of Kinesiotaping therapy in Sciatic Patients in
Pregnancy Due To Lumbar Disc Herniation According To
Mckenzies Extension Back Exercise
Koh Doyle Spine Clinic
Koh Doyle M.D.
The effect of Kinesiotaping therapy in sciatic patients in pregnancy due to
lumbar disc herniation according to Mckenzies Extension back exercise.
Material & Method
1. 3 female
2. Pregnancy (Two Month, Three Months, Four Months)
3. Age: 27, 25, 24 years old.
4. Symptom
All: back pain and unilateral leg pain.
5. Diagnosis: 2 cases: lumbar MRI was done
All cases: SLRT was positibe before pregnancy (506060)
6. History
All patients complaint back pain and mild reg pain before pregnancy.
But, severe Sciatica was chief complaint after pregnancy.
7. Mckenzies extension back exercise
A. Prone position
B. Back extension
C. Centralization / peripheralization
D. 5 times / a day
E. 10 minutes
F. They stopped Exercise after 8 month-term pregnancy because they were
difficult due to back extension position compressing large abdomen.
Results
1. Three patients improved in sciatic symptoms after Mckenzies exercise for one
month.
KTUS-DoCol-4 - 08-Sep-2010
2. All patients want Kinesiotaping therapy due to comfortable and supportive
sensation.
Discussion
1. How can we control sciatica of pregnancy?
2. It is important to treat Sciatica in early term pregnancy.
3. Kinesiotaping therapy and Mckenzies extension exercise are good combination
therapy in sciatic pregnancy.
Usefullness of Kinesiotaping therapy after minimal invasive surgery as disc
nucleoplasty in lumbar disc herniation
Lumbar disc protrusion
The perc-D Coblation-Channeling Wands
1. Placement of wand tip at annulus / nucle us junction
2. Completed coblation channel, ready for thermal treatment on withdrawal.
1. Dual Action: Ablation Advancing the Wand creates a small, controlled channel
in the disc
2. Bipolar RF Coagulation Withdrawing the Wand coagulates tissue adjacent to
the channel during decompression of the disc.
A. Mathods & Materials
1. May, 2002 October, 2002 (6 months)
2. 18 to 55 years old, 32 female, 33 male
3. 65 patients with sciatica due to disc herniation had lumber disc nucleoplasty
surgery at Kohdoyle spine clinic.
4. Chief complaints after nuceloplasty
A. Mild numbness and paresthesia on calf area: 17 cases
B. Moderate tingling sensation on calf and buttock area: 2 cases
C. Mild back pain and stiffness: 28 cases
5. Kinesio taping therapy was used
A. 11 patients with postoperative leg pain
KTUS-DoCol-4 - 08-Sep-2010
B. 19 patients with remained or new post operative back pain
B. Results
Postop. Treatment
Postop. Pain Site
No. of Subjects in
Treatment
No. of Subjects in
Kinesiotaping Therapy
Leg Pain (19) 8 11
Back Pain (28) 9 19
(2) 1 Month Follow-Up Result
Not Improved Mild Improved Much Improved
Leg Pain without
Treatment (8)
2
1
5
Leg Pain with Kinesiotaping
Therapy (11)
3
4
4
Back Pain without
Treatment (9)
5
4
0
Back Pain with Kinesiotaping
Therapy (19)
2
4
13
(3) 3 Months Follow-Up Result
Not Improved Mild Improved Much Improved
Leg Pain without
Treatment (8)
1
4
3
Leg Pain with Kinesiotaping
Therapy (11)
1
2
8
Back Pain without
Treatment (9)
3
2
4
Back Pain with Kinesiotaping
Therapy (19)
2
2
15
C. Discussion
1. How do we manage postop. Pain after lumbar surgery.
2. Kinesiotaping therapy has a possibility of primary choice in lumber postop. pain