
Q Is the treatment for chronic Achilles tendinitis different? I have been in pain for over 6 months; are there any options other than surgery?
A The key treatments for chronic Achilles tendinitis are moxibustion, fire acupuncture, and thread embedding, which regenerate degenerated tendon tissue; simple anti-inflammatory treatment alone has limited effectiveness. Since surgery is a last resort considered only when there is no improvement after sufficient attempts at conservative treatment, it is worth trying Korean traditional medicine first. Even with chronic tendinopathy lasting more than 6 months, significant improvement can be expected by combining systematic regenerative therapy with exercise rehabilitation.
Detailed Answer
Chronic Achilles tendinopathy is a condition in which the collagen structure within the tendon is disorderly degenerated, making it difficult to improve with simple anti-inflammatory treatment. At this stage, regenerative stimulation therapy is required to stimulate the tendon tissue and induce new collagen synthesis. Treatment proceeds in stages by combining Hwachim (activation of heat shock proteins through dry heat stimulation), Maeseon (collagen remodeling through continuous stimulation), and Dochim (adhesion release and blood flow restoration). From the perspective of a Korean medicine clinic, chronic tendinopathy is a condition in which blood stasis becomes fixed due to the prolonged imbalance of kidney deficiency and muscle and pulse excess yang. At this stage, hardened blood stasis is released using acupuncture and Dochim, and Yang energy is injected using Hwachim to reignite the natural healing response of the tendon tissue. Maeseon induces collagen rearrangement by providing continuous stimulation as biodegradable threads decompose over several months. At Dongjedang, we adjust the treatment schedule to suit the chronic stage and create an environment for internal regeneration by replenishing kidney and liver vital energy with herbal medicine tailored to the individual's constitution.
Related FAQs
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Q
I am a man in my 40s who enjoys marathons. Will I be able to run again after treatment for Achilles tendonitis?
#Possibility / Realistic Goals
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Q
I was recommended surgery by an orthopedic surgeon; can I avoid surgery through Korean medicine treatment?
#Possibility / Realistic Goals
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Q
I’ve heard that plantar fasciitis often occurs alongside Achilles tendonitis. Is it possible to treat them simultaneously?
#Comorbidities
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Q
Is it okay to stretch while being treated for Achilles tendinitis? I'm afraid it might get worse if I do it wrong.
#Lifestyle Management
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Q
Is ice pack or hot pack better for Achilles tendonitis? How should I manage it at home?
#Lifestyle Management
