
Q I was recommended surgery by an orthopedic surgeon; can I avoid surgery through Korean medicine treatment?
A In the stages of partial tendon degeneration and calcification, sufficient recovery is often possible through conservative treatment before surgery, and regenerative therapies such as moxibustion, fire acupuncture, and thread embedding can serve as realistic alternatives to surgery. Unless there is a complete rupture or mechanical impingement caused by bone spurs, it is generally recommended to attempt non-surgical treatment for 3 to 6 months first. The goal is to avoid unnecessary surgery by recovering as much as possible through Korean medicine treatment rather than completely ruling out surgery.
Detailed Answer
Achilles tendon surgery primarily involves the removal of calcium deposits within the tendon, excision of degenerated tissue, and suturing of the rupture. If partial degeneration or calcification is in its early stages, it is reasonable to apply moxibustion, extracorporeal shockwave therapy, and regenerative stimulation therapy first, rather than invasive surgery. Since rehabilitation requires several months even after surgery and there is a possibility of recurrence, attempting conservative treatment for six months prior to surgery is the basic recommendation of international guidelines. Even if surgery has been recommended, if the tendon still retains function, there is a possibility of avoiding or delaying surgery through Korean regenerative treatment. At Dongjedang, we directly evaluate the condition of the tendon using ultrasound to provide honest guidance on the suitability of non-surgical treatment. For the differentiation of Kidney Deficiency, Muscle Pulse Excess, and Yang, we clear blood stasis and degenerated tissue within the tendon and induce regeneration through moxibustion, fire acupuncture, thread embedding, and herbal medicine tailored to the patient's constitution. After 6 to 8 weeks of treatment, we confirm objective changes through a follow-up ultrasound examination to determine whether to continue treatment or connect it with other therapies.
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