
Q My knee still hurts after meniscectomy. Is Korean traditional medicine effective for post-surgical pain?
A In some cases, increased load on the remaining cartilage after a meniscectomy can lead to the progression of arthritis, or adhesions and scar tissue can cause pain. Korean traditional medicine can help with pain caused by residual inflammation, adhesions, and muscle imbalances after surgery, and contributes to creating an environment that protects the remaining cartilage.
Detailed Answer
There are long-term follow-up studies showing that the incidence of ipsilateral compartment osteoarthritis within 10 to 15 years after a partial meniscectomy is significantly higher compared to meniscectomy. Causes of persistent post-surgical pain include: ① residual meniscus overload, ② intra-articular adhesions, ③ surgical site neuroma, ④ joint instability due to quadriceps atrophy, and ⑤ psychological pain sensitization. Among these, adhesions and muscle imbalances can be addressed through acupuncture, moxibustion, and rehabilitation exercises. From the Perspective of a Korean Medicine Clinic: Surgery is a process that significantly depletes Qi and Blood from a Korean medicine perspective. If blood stasis is not sufficiently resolved after surgery, adhesions and scar formation at the surgical site are accelerated, blocking the flow of Qi and Blood and leading to chronic pain. Furthermore, if the state of Kidney Deficiency deepens, the rate of remaining cartilage degeneration accelerates. At Dongjedang, we design a treatment plan to clear post-operative adhesions using moxibustion, stimulate the regenerative environment with thread embedding and fire acupuncture, and replenish the vital energy depleted by surgery with herbal medicine tailored to the patient's constitution. Following this process between 3 months and 1 year after surgery provides a high degree of protection for the remaining cartilage.
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