Filum Terminale Lipoma with Herniated Intervertebral Disc Treated with Traditional Korean Medicine: A Case Report

Abstract

Filum terminale lipoma is an inherited lumbosacral abnormality that can cause tethered cord syndrome. This report describes an unusual case of lumbago and sciatica, pain suspected to be caused by a filum terminale lipoma where a herniated intervertebral disc had occurred. The patient was hospitalized for 43 days and received integrative Korean medicine treatment, including acupuncture, pharmacopuncture, Chuna therapy, cupping therapy, physiotherapy and herbal medicine. Treatment effectiveness was assessed using the numerical rating scale, Oswestry Disability Index, European Quality of Life 5-Dimensions, and patient symptoms. After inpatient treatment, the pain the patient suffered was significantly reduced, and the evaluation indices scores reflected this. Integrative Korean remedies may be an effective option for lower back pain and lower extremity symptoms which are caused by filum terminale lipoma where a herniated intervertebral disc has occurred. Additional clinical research is required to support this observation.

Effect of Paeoniflorin on neurons autophagy and Notch expression of tether cord spinal in rats

“…The condition is characterized by the spinal cord's abnormal fixation, leading to a variety of symptoms including urinary and defecation dysfunction, sensory disturbances, and pain [2][3][4]. While surgical intervention, such as tethered cord release (TCR), remains the primary treatment approach, there is a growing interest in exploring alternative and complementary therapies, particularly in the realm of traditional medicine [5]. Paeoniflorin (PF), a principal active constituent extracted from the peony r oot, has garnered significant attention due to its diverse pharmacological activities [6].…”