
Q It seems like I have lost a lot of muscle on my thumb side. Will treatment be effective in this condition?
A If thenar muscle atrophy has progressed, nerve regeneration takes longer, and in severe cases, rehabilitation after surgery is recommended as a priority. If residual numbness or muscle weakness remains even after surgery, integrated treatment supporting nerve regeneration with acupuncture, pharmacopuncture, and herbal medicine is effective.
Detailed Answer
Thenar muscle atrophy is a sign that motor nerve axons are severely damaged. At this stage, motor latency is significantly prolonged or CMAP amplitude is reduced in nerve conduction studies. Relieving compression through surgery (transcarpal ligamentotomy) creates an opportunity for nerve regeneration, and there is research indicating that combining acupuncture, electroacupuncture, and pharmacopuncture after surgery accelerates the speed of nerve regeneration.
Perspective of Korean Medicine Clinic
In Korean medicine, muscle atrophy is a state in which the function of the organs governing bones and muscles is severely weakened. Even after surgically relieving compression, muscle and nerve recovery is slow if the supply of Qi and blood is insufficient. At Dongjedang, during the post-surgical rehabilitation phase, we stimulate blood flow for nerve regeneration using electroacupuncture and pharmacopuncture, and create an environment for muscle regeneration with herbal medicine that strengthens organ functions to aid in the recovery of muscles and bones. In severe cases, collaborative treatment between Western and Korean medicine determines the prognosis.
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