Q You mentioned end-stage osteoarthritis. Is there anything I can do at a Korean medicine clinic other than surgery?
A Even in the end stage, pain relief and the maintenance of function are possible. Acupuncture, moxibustion, and pharmacopuncture treatments are effective before deciding on surgery or during the rehabilitation phase after surgery. However, if the joint space is almost completely lost, fundamental structural restoration is difficult, and realistic goals are pain control, maintenance of walking function, and delaying the timing of surgery. In some cases, surgery can be postponed if symptoms improve through conservative treatment before surgery.
Detailed Answer
In the end stage (grade 3~4), joint space stenosis is severe, and osteophytes and subchondral bone cysts form. Although there are limitations to conservative treatment, Korean medicine is utilized for pain management during the waiting period for surgery, strengthening overall physical condition before surgery, and promoting recovery after surgery. There are reported cases where surgery was delayed by several years through intensified conservative treatment in some patients.
Perspective of a Korean Medicine Clinic
From a Korean medicine perspective, the end stage is a state where kidney deficiency and liver blood deficiency have intensified, causing significant damage to the vital energy itself. At this stage, the intensity of treatment is adjusted to gently circulate Qi and blood and replenish vital energy, rather than applying excessive stimulation. By stimulating regenerative signals in tissues surrounding the joints using fire acupuncture and thread embedding, and utilizing herbal medicine tailored to the individual's constitution to aid in overall detoxification and the restoration of vital energy, the focus is on improving quality of life to enable pain-free daily living.
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