
Q I am a woman in my 60s. I would like to know if it is possible to achieve a complete recovery from a gastrocnemius muscle injury solely through Korean medicine treatment without surgery, and when surgery is necessary.
A Grade I and II gastrocnemius muscle injuries can achieve complete recovery in over 90% of cases with conservative treatment alone. Surgery is required only in Grade III cases (complete rupture) or in special situations requiring an immediate return, such as for athletes. For patients over 60, there is a tendency to prioritize conservative treatment due to the risk of postoperative complications, and Korean medicine is effective in shortening this conservative treatment period and improving the quality of recovery.
Detailed Answer
Indications for surgery for gastrocnemius muscle injury: ① Grade III (complete rupture) with severe functional loss and no recovery after 6 weeks of conservative treatment ② Need for an early return for a competitive athlete ③ Accompanied by compartment syndrome requiring hematoma decompression. For Grade I and II injuries, conservative treatment (police, physical therapy, and Korean medicine) is sufficient. For patients aged 60 and older, conservative treatment is recommended over surgery, considering the risk of complications from general anesthesia and surgery, as well as the prolonged recovery period. Korean Medicine Clinic Perspective
In Korean medicine, surgery is viewed as a direct external intervention that, if unnecessary, can actually further disrupt the flow of Qi and blood. At Dongjedang, we clearly confirm the rupture grade using ultrasound and facilitate maximum recovery within the scope of conservative treatment. Even when surgery is unavoidable, we shorten the overall recovery period by combining Korean medical treatments that clear blood clots before surgery and aid in the restoration of Qi and blood afterward.
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