Articles | Open Access | https://doi.org/10.37547/ijmscr/Volume05Issue05-17

Effectiveness and Perspectives on The Application of Traditional Korean And Western Medicine in The Treatment of Lumbosacral Dorsopathy

Yulduz Isamukhametova , doctoral student of the Department of Rehabilitology, traditional folk medicine and physical education of the Tashkent Medical Academy, Tashkent, Uzbekistan

Abstract

Lumbosacral dorsopathy-related pain syndrome remains a significant global health challenge, requiring continuous advancement in treatment strategies. While Western medicine provides structured and evidence-based approaches, traditional Korean medicine offers complementary techniques that may enhance therapeutic outcomes when used in conjunction. The integration of these two medical systems could lead to more comprehensive and personalized care for patients. Improving treatment effectiveness is critical, as persistent pain from lumbosacral dorsopathy significantly contributes to long-term disability. This review analyzes current diagnostic and therapeutic practices through a systematic examination of scientific literature, highlighting the potential benefits and limitations of combining Western and traditional Korean medical approaches.

Keywords

Non-specific pain, lumbosacral dorsopathy, traditional Korean medicine

References

Kotova OV. Treatment of back pain [Лечение боли в cпине]. RMZh. 2012;20(8):414-6. Russian.

Levin О.S. Spinal sacral radiculopathy: modern approaches to diagnosis and treatment [Вертеброгенная пояснично-крестцовая радикулопатия:современные подходы к диагностике и лечению] // Effective pharmacotherapy. 2015;23:40–49. Russian

Solovieva E., Jutova E. Neurological complexes of group B vitamins as an important component of the complex treatment of radiculopathy. [Нейропные комплексы витаминов группы В как важная составляющая комплексного лечения радикулопатии]. Doctor. 2012; (9):41-5. Russian

Odinak M.M., Zhovolupov S.A. Diseases and injuries of the peripheral nervous system.[ Заболевания и травмы периферической нервной системы.] Saint Petersburg: SpecLit, 2009. 384 p. Russian

Titova N.V. Patient with non-specific lower back pain: algorithm of diagnosis and therapy [Пациент с неспецифической болью в нижней части спины: алгоритм диагностики и терапии] // Russian medical journal. Medical review. 2016;24(12):775–781. Russian

Koes B.W. et al. An updated overview of clinical guidelines for the management of non- specific low back pain in primary care. Eur. Spine J. 19, 2075–2094 (2010).

Downie A. et al. Red flags to screen for malignancy and fracture in patients with low back pain: systematic review. BMJ 347, f7095 (2013).

Nicholas M. et al. The IASP classification of chronic pain for ICD-11: chronic primary pain. Pain 160 28–37 (2019).

Henschke N. et al. Prevalence of and screening for serious spinal pathology in patients presenting to primary care settings with acute low back pain. Arthritis Rheum. 60, 3072–3080 (2009).

Nicholas M.K., Linton S.J., Watson P.J. & Main C.J. Early identification and management of psychological risk factors (“yellow flags”) in patients with low back pain: a reappraisal. Phys. Ther. 91, 737–753 (2011).

Chou, R., Qaseem, A., Owens, D. K. & Shekelle, P. Diagnostic imaging for low back pain: advice for high-value health care from the American College of Physicians. Ann. Intern. Med. 154, 181–189 (2011).

Maher C., Underwood M., Buchbinder R. Non-specific low back pain. Lancet 389, 736–747 (2017).

Linton S., Flink I., Vlaeyen J. Understanding the etiology of chronic pain from a psychological perspective. Phys. Ther. 98, 315–324 (2018).

Hill, J. C. et al. A primary care back pain screening tool: Identifying patient subgroups for initial treatment. Arthritis Rheum. 59, 632–641 (2008).

Gatchel R.J., Peng Y.B., Peters M.L., Fuchs P.N., Turk D.C. The biopsychosocial approach to chronicpain: scientific advances and future directions. Psychol. Bull. 133, 581–624 (2007).

Karran, E.L. et al. Can screening instruments accurately determine poor outcome risk in adults with recent onset low back pain? A systematic review and meta- analysis. BMC Med. 15, 13 (2017)

Nicholas M.K. et al. Predicting return to work in a heterogeneous sample of recently injured workers using the brief OMPSQ- SF. J.Occup. Rehabil, (2018).

Lin J.H., Chiang Y.H., Chen C.C. Lumbar radiculopathy and its neurobiological basis // World J Anesthesiol. 2014. Vol. 3. No. 2. P. 162–173.

White A.P., Arnold P.M., Norvell D.C., Ecker E., Fehlings M.G. Pharmacologic management of chronic low back pain: Synthesis of the evidence. Spine 2011; 36:S131-S143

Chou R. Pharmacological management of low back pain. Drugs 2010; 70:387-402

Hoy D., Bain C., Williams G., March L., Brooks P., Blyth F., Woolf A., Vos T., Buchbinder R. A systematic review of the global prevalence of low back pain. Arthritis Rheum 2012; 24:181-191

Rozenberg S., Foltz V., Fautrel B. Treatment strategy for chronic low back pain. Joint Bone Spine 2012; 79:555-559

Bernstein I.A., Malik Q., Carville S.,Ward S. Low back pain and sciatica: summary of NICE guidance. BMJ 356, i6748 (2017).

Vogt M.T., Kwoh C.K., Cope D.K., Osiai T.A., Culyba M., Starz T.W. Analgesic usage for low back pain: Impact on health care costs and service use. Spine 2005; 30:1075-1081.

Licciardone J.C. The epidemiology and medical management of lowback pain during ambulatory medical visits in the United States. Osteopath Med Primary Care 2008; 2:11.

Ivanova M.A., Parfenov V.A., Isaikin A.I. Conservative treatment for patients with discogenic lumbosacral radiculopathy: results of a prospective follow-up. Neurology, Neuropsychiatry, Psychosomatics. 2018;10(3):59–65. (In Russ.).

Kennedy D.J., Zheng P.Z., Smuck M., et al. A minimum of 5-year follow-up after lumbar transformational epidural steroid injections in patients with lumbar radicular pain due to intervertebral disc herniation. Spine J. 2018;18(1):29–35.

Goldberg H., Firtch W., Tyburski M., et al. Oral steroids for acute radiculopathy due to a herniated lumbar disk: a randomized clinical trial. JAMA. 2015;313(19):1915–1923.

Cohen S.P., Hanling S., Bicket M.C., et al. Epidural steroid injections compared with gabapentin for lumbosacral radicular pain: multicenter randomized double blind comparative efficacy study. Br Med J. 2015;350:h1748.

Linton S., Flink I., Vlaeyen J. Understanding the etiology of chronic pain from a psychological perspective. Phys. Ther. 98, 315–324 (2018).

Main C.J., George S. Z. Psychologically informed practice for management of low back pain: future directions in practice and research. Phys. Ther. 91, 820–824 (2011).

Linton S.J., Nicholas M., Shaw W. Why wait to address high- risk cases of acute low back pain? A comparison of stepped, stratified, and matched care. Pain 159, 2437–2441 (2018).

Linton, S. J. New Avenues for the Prevention of Chronic Musculoskeletal Pain Vol. 1 306 (Elsevier Science, Amsterdam, 2002).

Nicholas, M. K. & George, S. Z. Psychologically informed interventions for low back pain: an update for physical therapists. Phys. Ther. 91, 765–776 (2011).

Malmivaara A. et al. The treatment of acute low back pain—bed rest, exercises, or ordinary activity? N. Engl. J. Med. 332, 351–355 (1995).

Waddell G. The Back Pain Revolution 2nd edn (Churchill- Livingstone, 2004).

Waddell G., Aylward M., Sawney P. Back Pain, Incapacitiy for Work and Social Security Benefits: an International Literature Review and Analysis (The Royal Society of Medicine Press, 2002).

Deyo R.A., Mirza S.K., Turner J.A., Martin B.I. Overtreating chronic back pain: time to back off? J. Am. Board Family Med. 22, 62–68 (2009).

Sinclair S.J., Hogg-Johnson S. In New Avenues for the Prevention of Chronic Musculoskeletal Pain and Disability (ed. Linton, S. J.) 259–268 (Elsevier, 2002).

UK BEAM Trial Team. United Kingdom back pain exercise and manipulation (UK BEAM) randomized trial: effectiveness of physical treatments for back pain in primary care. BMJ 329, 1377 (2004).

Jellema P. et al. Should treatment of (sub) acute low back pain be aimed at psychosocial prognostic factors? Cluster randomised clinical trial in general practice. BMJ 331, 84 (2005).

Van der Windt D., Hay E., Jellema P., Main C. Psychosocial interventions for low back pain in primary care: lessons learned from recent trials. Spine 33, 81 (2008).

Traeger A.C. et al. Effect of Primary Care- Based Education on Reassurance in Patients With Acute Low Back Pain: Systematic Review and Meta-analysis. JAMA. Intern. Med. 175, 733–743 (2015).

Linton S.J. in Psychological Approaches to Pain Management: a Practitioner’s Handbook (eds Turk D.C., Gatchel R.J.) (Guildord Press, 2018).

Nicholas M. Preventing disabling chronic pain by engaging psychologists in the acute phase. APS https://www.psychology.org.au/inpsych/2016/august/ nicholas/ (2016).

Foster N.E. et al. Effect of stratified care for low back pain in family practice (IMPaCT Back): a prospective population- based sequential comparison. Ann. Fam. Med. 12, 102–111 (2014).

Schmidt P.A., Naidoo V. Cross-cultural adaptation and validation of the STarT back screening tool in isiZulu. S Afr J Physiother. 2020 Jun 1;76(1):1402.

O’Sullivan P. B. et al. Cognitive functional therapy: an integrated behavioral approach for the targeted management of disabling low back pain. Phys. Ther. 98, 408–423 (2018).

Williams C.M. et al. Efficacy of paracetamol for acute low-back pain: a double- blind, randomized controlled trial. Lancet 384, 1586–1596 (2014).

Steffens, D. et al. Prevention of low back pain: a systematic review and meta- analysis. JAMA Intern. Med. 176, 199–208 (2016).

Hoffmann T.C. et al. Prescribing exercise interventions for patients with chronic conditions. CMAJ 188, 510–518 (2016).

Ahlfeldt DA, Vixner L, Stålnacke BM, Boersma K, Löfgren M, Fischer MR, Enthoven P. Healthcare Professionals' Perceptions of and Attitudes towards a Standardized Content Description of Interdisciplinary Rehabilitation Programs for Patients with Chronic Pain-A Qualitative Study. Int J Environ Res Public Health. 2023 Apr 27;20(9):5661.

Reneman MF, Ansuategui Echeita J, van Kammen K, Schiphorst Preuper HR, Dekker R, Lamoth CJC. Do rehabilitation patients with chronic low back pain meet World Health Organisation's recommended physical activity levels? Musculoskelet Sci Pract. 2022 Dec;62:102618.

Puerto Valencia L, Arampatzis D, Beck H, Dreinhöfer K, Drießlein D, Mau W, Zimmer JM, Schäfer M, Steinfeldt F, Wippert PM. RENaBack: low back pain patients in rehabilitation-study protocol for a multicenter, randomized controlled trial. Trials. 2021 Dec 18;22(1):932.

Kamper SJ, Apeldoorn AT, Chiarotto A, Smeets RJ, Ostelo RW, Guzman J, van Tulder MW. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis. BMJ. 2015 Feb 18;350:h444.

Hentschke C, Hofmann J, Pfeifer K. A bio-psycho-social exercise program (RÜCKGEWINN) for chronic low back pain in rehabilitation aftercare--study protocol for a randomised controlled trial. BMC Musculoskelet Disord. 2010 Nov 17;11:266.

van Erp RM, Huijnen IP, Verbunt JA, Smeets RJ. A biopsychosocial primary care intervention (Back on Track) versus primary care as usual in a subgroup of people with chronic low back pain: protocol for a randomised, controlled trial. J Physiother. 2015 Jul;61(3):155.

Hurley DA, Murphy LC, Hayes D, Hall AM, Toomey E, McDonough SM, Lonsdale C, Walsh NE, Guerin S, Matthews J. Using intervention mapping to develop a theory-driven, group-based complex intervention to support self-management of osteoarthritis and low back pain (SOLAS). Implement Sci. 2016 Apr 26;11:56.

Holzapfel S, Riecke J, Rief W, Schneider J, Glombiewski JA. Development and Validation of the Behavioral Avoidance Test-Back Pain (BAT-Back) for Patients With Chronic Low Back Pain. Clin J Pain. 2016 Nov;32(11):940-947.

Belache FTC, Souza CP, Fernandez J, Castro J, Ferreira PDS, Rosa ERS, Araújo NCG, Reis FJJ, Almeida RS, Nogueira LAC, Correia LCL, Meziat-Filho N. Trial Protocol: Cognitive functional therapy compared with combined manual therapy and motor control exercise for people with non-specific chronic low back pain: protocol for a randomised, controlled trial. J Physiother. 2018 Jul;64(3):192.

Lee HY, Cho MK, Kim N, Lee SY, Gong NG, Hyun EH. Comparative Effectiveness of Collaborative Treatment with Korean and Western Medicine for Low Back Pain: A Prospective Cohort Study. Evid Based Complement Alternat Med. 2021 Jul 28;2021:5535857.

Shin BC, Kim MR, Cho JH, Jung JY, Kim KW, Lee JH, Nam K, Lee MH, Hwang EH, Heo KH, Kim N, Ha IH. Comparative effectiveness and cost-effectiveness of Chuna manual therapy versus conventional usual care for nonacute low back pain: study protocol for a pilot multicenter, pragmatic randomized controlled trial (pCRN study). Trials. 2017 Jan 17;18(1):26.

Lim KT, Hwang EH, Cho JH, Jung JY, Kim KW, Ha IH, Kim MR, Nam K, Lee A MH, Lee JH, Kim N, Shin BC. Comparative effectiveness of Chuna manual therapy versus conventional usual care for non-acute low back pain: a pilot randomized controlled trial. Trials. 2019 Apr 15;20(1):216.

Mu J, Furlan AD, Lam WY, Hsu MY, Ning Z, Lao L. Acupuncture for chronic nonspecific low back pain. Cochrane Database Syst Rev. 2020 Dec 11;12(12):CD013814.

Lu F, Ren P, Zhang Q, Shao X. Research Trends of Acupuncture Therapy on Myofascial Pain Syndrome from 2000 to 2022: A Bibliometric Analysis. J Pain Res. 2023 Mar 21;16:1025-1038.

Huang L, Xu G, He J, Tian H, Zhou Z, Huang F, Liu Y, Sun M, Liang F. Bibliometric Analysis of Functional Magnetic Resonance Imaging Studies on Acupuncture Analgesia Over the Past 20 Years. J Pain Res. 2021 Dec 10;14:3773-3789.

Huang L, Xu G, Sun M, Yang C, Luo Q, Tian H, Zhou Z, Liu Y, Huang F, Liang F, Wang Z. Recent trends in acupuncture for chronic pain: A bibliometric analysis and review of the literature. Complement Ther Med. 2023 Mar;72:102915.

Kim G, Kim D, Moon H, Yoon DE, Lee S, Ko SJ, Kim B, Chae Y, Lee IS. Acupuncture and Acupoints for Low Back Pain: Systematic Review and Meta-Analysis. Am J Chin Med. 2023;51(2):223-247.

Shafiee S, Hasanzadeh Kiabi F, Shafizad M, Emami Zeydi A. Repetitive transcranial magnetic stimulation: a potential therapeutic modality for chronic low back pain. Korean J Pain. 2017 Jan;30(1):71-72.

Ambriz-Tututi M, Alvarado-Reynoso B, Drucker-Colín R. Analgesic effect of repetitive transcranial magnetic stimulation (rTMS) in patients with chronic low back pain. Bioelectromagnetics 2016; 37: 527-35.

Park EJ, Lee SJ, Koh DY, Han YM. Repetitive transcranial magnetic stimulation to treat depression and insomnia with chronic low back pain. Korean J Pain 2014; 27: 285-9.

O’Reardon JP, Solvason HB, Janicak PG, Sampson S, Isenberg KE, Nahas Z, McDonald WM, Avery D, Fitzgerald PB, Loo C, Demitrack MA,George MS, Sackeim HA. Efficacy and safety of transcranial magnetic stimulation in the acute treatment of major depression: a multisite randomized controlled trial. Biol Psychiatry. 2007;1:62(11):1208-1216.

Parker RS, Lewis GN, Rice DA, McNair PJ. Is motor cortical excitability altered in people with chronic pain? A systematic review and meta-analysis. Brain Stimul 2016; 9: 488-500.

Pelletier R, Higgins J, Bourbonnais D. Is neuroplasticity in the central nervous system the missing link to our understanding of chronic musculoskeletal disorders? BMC Musculoskelet Disord 2015; 16: 25.

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Yulduz Isamukhametova. (2025). Effectiveness and Perspectives on The Application of Traditional Korean And Western Medicine in The Treatment of Lumbosacral Dorsopathy. International Journal of Medical Sciences And Clinical Research, 5(05), 79–87. https://doi.org/10.37547/ijmscr/Volume05Issue05-17