
Q The MRI showed severe disc displacement; can it improve with Korean traditional medicine treatment? I was also told that surgery is necessary.
A Even with disc displacement, it is often possible to recover daily functions without surgery through conservative treatment for pain and functional limitations. Korean traditional medicine is effective in improving the function of tissues surrounding the joint, and in cases of severe structural damage, the best course of action is determined through collaborative treatment.
Detailed Answer
Temporomandibular joint disc displacement is divided into the clicking type and the locking type. Since pain and limited mouth opening are the main issues in chronic locking displacement, a significant number of patients can recover function through conservative treatment. Cases requiring joint lavage or surgery are limited to when there is no response to conservative treatment or when degenerative changes are severe. It is a reasonable sequence to re-evaluate surgery after sufficiently improving pain and function through Korean medicine treatment.
Korean Medicine Clinic Perspective
Reverting the disc displacement itself to its original position via imaging is not the goal of Korean medicine treatment. However, relieving tension in the muscles surrounding the joint and removing blood stasis and phlegm often restores functional stability of the joint, significantly reducing pain and limited mouth opening. By separating adhesions around the joint capsule with needle acupuncture and creating an anti-inflammatory environment within the joint with pharmacopuncture, it is possible to fully regain daily functions even in a state of supine dislocation. Surgery should be a last resort, and we recommend making a decision only after sufficiently attempting conservative treatment.
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