This study was performed to evaluate the effectiveness of pharmacoacupuncture treatment of coccygodynia caused by perforating cutaneous nerve entrapment syndrome. Two patients were diagnosed as coccygodynia caused by perforating cutaneous nerve entrapment syndrome which pain was within the anatomical field of the nerve, worsened by pressure-inducing posture, no objective sensory loss and in presence of pin-point tenderness. They were treated by pharmacoacupuncture at perforating cutaneous nerve region penertrating the sacrotuberous ligament and local tenderness point of coccyx. The evaluation of clinical outcome was done by pain intensity numerical rating scale (PI-NRS), pressure pain threshold (PPT) and EuroQol five dimensions questionnaire (EQ-5D) index. After treatment, their PI-NRS was decreased, PPT and EQ-5D index were increased. The pharmacoacupuncture therapy at entrapment point of perforating cutaneous nerve could be an effective way to treat coccygodynia caused by perforating cutaneous nerve entrapment syndrome. (J Korean Med Rehabil 2019;29(3):149-156)

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어지럼증은 현훈(vertigo) 또는 현기(dizziness)로 진 단할 수 있는데 현훈은 회전성 어지럼증을 의미하고,랑바레 증후군, 회전성 추골동맥 증후군 그리고 편두통 과의 연관성 등이 있다 5) .

The purpose of this study is to report the effects of electroacupuncture and bee venom (BV) acupuncture for a patient suffering with idiopathic peripheral neuropathy. There was a one patient who was diagnosed as idiopathic peroneal neuropathy and tibial neuropathy received electroacupuncture and BV acupuncture at acupoints on peroneal and tibial nerve pathway. The evaluation of clinical outcome was done by range of motion (ROM), manual muscle test (MMT), perimeter of lower leg, neuropathy pain scale (NPS). After treatment, the patient showed improvement in ROM and MMT. The patient's perimeter of lower leg was increased, NPS was decreased. This study suggests that the treatment of acupoints on the damaged nerve pathways could be an effective treatment for peripheral neuropathy, although further studies will be needed.

쉬모를 결절(Schmorl's node)은 추간판 수핵(nucleus pulposus)이 인접한 척추체의 연골 종판(cartilaginous bony end plate)으로 탈출한 질환이다 1) . 쉬모를 결절의 병리를 고 려할 때 만성기(chronic stage)에서는 비증후성(asymptomatic)이며 2) 요추부 퇴행성 질환과 연관되어 쉬모를 결 절 자체의 임상적 중요성이 주목받지 못하고 있다 3) . 그러 나 급성기(acute stage)인 증후성 쉬모를 결절(symptomatic Schmorl's nodes)은 visual analog scale (VAS) score 10 에 인접한 극심한 통증을 유발하며 삶의 질을 크게 떨 어뜨릴 수 있다 4) . 증후성 쉬모를 결절은 자기공명영상 검사(magnetic resonance imaging, MRI