
Q It has been two months since I sprained my ankle, but the pain still persists. What kind of treatment is received at this stage? (Male in his 40s)
A In the subacute to chronic phase, the treatment goal is to resolve ligament adhesions and restore joint function. A complex treatment is applied that involves separating adhered tissues with a fine needle, promoting collagen regeneration with thread embedding, and controlling residual inflammation with pharmacopuncture and bee venom acupuncture. At this stage, combining proprioceptive training with strength training is crucial for preventing recurrence.
Detailed Answer
Treatment Strategy for Ankle Sprain Subacute to Chronic Phase (After 4 Weeks): ① Fine Needle Acupuncture Treatment (Separation of anterior talofibular ligament and calcaneofibular ligament adhesions, 1-2 times per week). ② Thread Embedding (Stimulation of new collagen production in the damaged ligament area, every 2-4 weeks). ③ Ultrasound-Guided Pharmacopuncture (Precise anti-inflammatory treatment for the injured area). ④ Bee Venom Acupuncture (Control of chronic low-grade inflammation). ⑤ Proprioceptive Retraining (Balance board and short-leg balance). A temporary increase in pain within 48 to 72 hours after needle acupuncture is a normal response, followed by noticeable functional improvement. Korean Medicine Clinic Perspective
The core of Korean medicine in the chronic stage is to resolve hardened blood stasis and sticky, stagnant waste products (phlegm). Needle acupuncture physically loosens hardened muscles and ligaments, while fire acupuncture applies warm heat stimulation to cold areas to boost kidney yang energy and soften muscles and ligaments. Thread embedding maintains an environment for tissue regeneration through continuous stimulation. Herbal medicine tailored to the individual's constitution reinforces liver and kidney functions during this process, providing internal nutrient supply necessary for ligament and cartilage regeneration. It systematically completes the stages of blood stasis resolution → tissue regeneration → functional recovery.
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