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This paper presents the clinical outcome of an 82-year-old female who experienced sudden back pain combined with lower limb paresthesia and weakness after epidural steroid injection. The magnetic resonance imaging of the thoracolumbar spine showed a spinal epidural hematoma (SEH) extending from T8 to L4. She was treated non-operatively in the traditional Korean medicine (TKM) hospital. The patient's progress was assessed using the Numerical Rating Scale (NRS), American Spinal Injury Association (ASIS), Spinal Cord Independence Measure version III (SCIM III), and self-reported symptoms. During the 22-day hospitalization period,the NRS score decreased from 7 to 2 points, the motor score on the ASIS scale increased from 65 to 95 points. The subjective sense of lower extremities was felt by 1 increased to 8. The SCIM III score increased from 32 to 69 points. These results suggest that TKM could effectively reduce pain and aid the rehabilitation of patients with SEH.

Background Back pain is a symptom experienced by more than 80% of the total population in terms of socioeconomic aspects. Herniation of Intervertebral disk(HIVD) occupies an important position as the cause of back pain. Methods This study compares the strategy of treating these pharmacopuncture with korean medicine treatment and the strategy of korean medicine treatment(KMT) Through this, the benefit effect or appropriateness of pharmacopuncture in the clinical treatment environment is confirmed. This study is a researcher clinical study. Discussion This study compares pharmacological parallel korean medicine treatment(KMT) group and the general KMT group with HIVD. Through this, a practical clinical research protocol is developed to confirm the benefit effect of pharmacopuncture in a clinical care environment. Although it has the advantage of reflecting the clinical environment well, there is a high possibility of twisting errors. Various possibilities will be fully reviewed in advance to overcome the limitations of practical. This will provide a cornerstone for conducting reliable clinical trials in the future in addition to practical clinical protocol proposals for HIVD initial research design. The goal of this paper is to develop a high-quality clinical protocol. This will provide a cornerstone for conducting reliable clinical trials in the future in addition to practical clinical protocol proposals for HIVD. Trial registration This trial was registered with the Clinical Research Information Service (CRIS-KCT0008542).