Q What are the treatment stages for calcific tendinitis? In what order is treatment performed upon the first visit?
A Upon the first visit, the location and size of the calcification are confirmed via ultrasound, and acupuncture and pharmacopuncture treatment are initiated to alleviate acute pain. Subsequently, the process progresses to stages where adhesions around the calcification are released using fine needles, and tendon regeneration is promoted using fire needles and thread embedding. During the recovery phase, the frequency of treatment is reduced to once a week, and management is provided to prevent recurrence.
Detailed Answer
During the initial consultation, the location, size, and shape of the calcification (from hard type A to fluffy type C) are identified through medical history, physical examination, and shoulder ultrasound, and a treatment plan is established. Stage 1 (Acute phase, 1–2 weeks): Acupuncture and pharmacopuncture rapidly relieve severe pain by promoting meridian circulation and providing anti-inflammatory effects. Stage 2 (Subacute–Chronic phase, 2–6 weeks): Fibrotic tissue around the calcification is dissected using fine needles, and blood vessel regeneration is stimulated using fire needles. Stage 3 (Recovery Phase, 6 weeks onwards): Tendons are strengthened using thread embedding and bee venom acupuncture, and the constitution is improved to prevent recurrence through the intake of herbal medicine tailored to the individual's constitution.
Korean Medicine Clinic Perspective
The treatment stages correspond to the three-stage differential diagnosis of Korean medicine — ① the stage of rapidly eliminating acute inflammation and blood stasis → ② the stage of reinforcing vital energy and clearing remaining blood stasis → ③ the stage of restoring liver and kidney function to prevent recurrence. Each stage is transitioned while confirming calcification changes via ultrasound, and detailed treatment is adjusted according to the patient's vital energy status and response.
Related FAQs
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I was recommended surgery by an orthopedic surgeon; can I receive treatment at a Korean medicine clinic without surgery?
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Will calcium deposits reappear even after treatment? I am curious about the possibility of recurrence.
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I have calcific tendinitis in my shoulder, and it feels like my shoulder is stiffening. Does frozen shoulder occur at the same time?
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Is a cold compress better for calcific tendinitis of the shoulder, or a hot compress?
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