Q Is the treatment called Dochim dangerous to the wrist nerves? I am worried about side effects.
A Dochim is a thin instrument, approximately 0.5 to 1 mm in thickness, that selectively separates only adhesions of the transverse carpal ligament under ultrasound guidance. The risk of direct median nerve damage is very low, and the procedure can be safely performed by a skilled Korean medicine doctor.
Detailed Answer
Dochim (Small Needle Knife, Dochim Therapy) uses a flat-bladed needle that is slightly thicker than a standard needle to mechanically separate adhered soft tissues. When performing the procedure in the carpal tunnel area, using real-time ultrasound imaging guidance allows for the verification of the median nerve and blood vessels, significantly enhancing safety. Local bruising and a temporary increase in pain may occur after the procedure, but these usually disappear within 2 to 3 days. Contraindicated for patients taking anticoagulants, pregnant women, and infected areas.
Korean Medicine Clinic Perspective
Dochim is an acupuncture technique originating from Korean medicine, and its precision has been significantly enhanced by combining it with modern ultrasound guidance. Directly dissecting adhesions in the passageway running through the inside of the wrist is the act of removing physical barriers that have hardened due to blocked Qi and blood flow. At Dongjedang, we strictly verify the location of the median nerve and blood vessels using ultrasound imaging of the relevant area before the procedure and proceed safely by applying Dochim intensity in stages according to the patient's condition.
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