Q I heard that Dochim treatment involves inserting the needle directly into the knee tendon. Isn't that dangerous? I am worried that the tendon might be further damaged.
A Although Dochim needles are thicker than standard needles, unlike surgical incisions, the procedure is performed without skin incision. It is highly safe when performed by a specialist Korean medicine doctor who confirms the precise location using ultrasound guidance. This treatment directly stimulates the inside of the tendon to release adhesions and promote regeneration; when applied properly, it acts as a stimulus to accelerate recovery rather than causing additional damage.
Detailed Answer
Dochim (刀鍼, needle blade) is a flat, blade-shaped needle with a diameter of 0.5 to 1.0 mm that dissects nodules and adhesions within the tendon. Damage to normal tendon fibers is minimized if the appropriate depth and angle of insertion are maintained. Ultrasound-guided Dochim enhances accuracy and safety by allowing real-time verification of the needle tip position during the procedure. Local reaction pain (bruising and tenderness) within 48 hours after the procedure is a normal tissue response and generally disappears within 2 to 3 days.
Korean Medicine Clinic Perspective
In Korean medicine, Dochim is a treatment that directly disperses structural lesions hardened by the aggregation of Qi, blood, and waste products. Adhering nodules within the patellar tendon can be viewed as masses formed by hardened clotted blood; releasing these with Dochim opens blocked Qi and blood pathways, allowing Qi and blood to flow again. At Dongjedang, we apply ultrasound-guided Dochim to precisely treat the injured area of the patellar tendon, and we proceed only after fully explaining the pre-procedure condition and obtaining consent.
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