Tennis Elbow

The Dochim (needle blade) is shaped like a blade with a thicker diameter and a flat tip compared to standard needles. It is a procedure used in chronic tennis elbow to dissect hardened adhesions and stimulate regeneration at the tendon attachment site. Studies have reported the efficacy of Dochim for chronic lateral epicondylitis, and anatomical accuracy is key to safety. Since the outer side of the elbow is where branches of the radial nerve pass, performing the procedure while monitoring the location of tendons, nerves, and blood vessels in real-time using ultrasound allows for precise treatment of the lesion while avoiding hazardous structures. Common post-procedure reactions include stiffness lasting 1 to 3 days, localized bruising, and a temporary increase in pain; these are part of the tissue regeneration response and usually resolve naturally. Please inform us in advance if you are taking anticoagulants, have bleeding disorders, or have an infection at the procedure site. In Korean medicine, the root of chronic pain is long-stagnated blood stasis and hardened knots—specifically, muscle-vein blood stasis. While standard acupuncture regulates the flow of Qi and blood, Do-chim (sticked needles) differs in their role by physically opening adhesions that are already constricted and blocking the flow itself. At Dongjedang, we do not use Do-chim from the outset. We monitor the response with acupuncture and pharmacopuncture, and apply Do-chim in stages only when adhesions and degeneration are confirmed via ultrasound and standard acupuncture has reached its limits. The procedure is strictly performed under ultrasound guidance with minimal insertion. After the procedure, we complete recovery by continuing with internal treatments to dissolve blood stasis and replenish Qi and blood, ensuring the opened flow does not become blocked again. Even if the instrument appears thick, the essence of safety lies in using it only as much as is necessary at the precise location.