
Q Is treatment at a Korean medicine clinic sufficient without injections (extracorporeal shockwave therapy, steroids) for shoulder calcification?
A For mild to moderate calcific tendinitis, sufficient improvement is possible with Korean medicine treatments alone (acupuncture, moxibustion, fire acupuncture, and pharmacopuncture). However, if the calcification is very large or does not respond to conservative treatment, extracorporeal shockwave therapy or other procedures may be necessary; therefore, a treatment plan is established after evaluating the condition with ultrasound during the initial visit. Korean medicine treatment and shockwave therapy can be combined in a complementary manner.
Detailed Answer
Extracorporeal shockwave therapy (ESWT) is effective for breaking down calcifications and promoting blood flow, while steroid injections rapidly relieve pain during the acute inflammatory phase. However, repeated steroid injections carry a risk of weakening the tendon structure, and temporary pain exacerbation may occur after the ESWT procedure. If the calcification is less than 1 cm and the pain is manageable, there are many cases where recovery is achieved through Korean medicine treatment alone, which induces natural absorption. It is reasonable to check the condition of the calcification using ultrasound and decide whether to proceed with concurrent treatment based on the response. Korean Medicine Clinic Perspective
Korean medicine treatment approaches the fundamental cause of the calcification—"why did the calcification form?"—rather than the calcification itself. If the constitutional vulnerability—where weakened kidney energy and insufficient blood supply to the liver prevent the tendons from receiving nourishment—is not corrected, the calcification may recur even after it is absorbed. Dongjedang employs a strategy of dissolving phlegm and blood stasis around the calcification using moxibustion and fire acupuncture, while restoring liver and kidney functions with herbal medicine tailored to the patient's constitution, thereby creating an environment where the tendons can regenerate on their own.
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