
Q Is knife acupuncture safe for the Achilles tendon? I'm scared that it might rupture if something goes wrong.
A Knife acupuncture is safe when performed by a precisely trained Korean medicine doctor. Using ultrasound guidance allows the lesion site to be directly visualized during the procedure, minimizing the risk of damage to normal tendon tissue. The risk of tendon rupture is very low; on the contrary, it is effective in removing adhered scar tissue and inducing tendon tissue regeneration. There may be temporary, mild pain after the procedure, but it usually improves within 1–2 days.
Detailed Answer
Knife acupuncture is an extended form of the needle; a small, blunt-tipped dissecting needle physically separates adherent tissue and scar tissue around the Achilles tendon. Performing the procedure under ultrasound guidance increases accuracy regarding the lesion without the risk of internal tendon rupture. It is contraindicated if the patient is taking anticoagulants, has an acute infection, or if a complete tendon rupture is suspected, so this must be confirmed during the initial consultation. We recommend avoiding strenuous exercise for 24–48 hours after the procedure and ensuring adequate hydration. From a Korean medicine perspective, Dochim is a procedure that directly separates stagnant blood stasis in the muscles and veins to open the pathways for Qi and blood circulation. By resolving Qi and blood blockages in the Achilles tendon area, it helps to enhance the effects of subsequent acupuncture and pharmacopuncture treatments. Dongjedang adheres to the principle of ultrasound-guided Dochim and provides safe and effective treatment by precisely adjusting the depth and frequency of the procedure according to the degree of tendon damage.
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