
Q It is said that knee osteoarthritis can occur along with meniscal tears. Can both be treated together?
A Meniscal tears and knee osteoarthritis often occur together, and integrated treatment considering both conditions is possible. Approaches that reduce intra-articular inflammation and strengthen surrounding muscles are effective for both diseases, and Korean traditional medicine treatments work in the same direction. However, for end-stage osteoarthritis (K-L grade 3~4), surgical treatment must also be considered.
Detailed Answer
Association between Meniscal Tears and Osteoarthritis: When the meniscus ruptures, its cushioning function decreases, accelerating cartilage wear. Conversely, cartilage degeneration caused by osteoarthritis also affects the meniscus. Treatment priority when both occur together: ① Control of acute pain and swelling → ② Reduction of intra-articular inflammatory exudate → ③ Muscle strengthening (quadriceps and hip abductors) → ④ Weight loss. Hyaluronic acid injections and PRP are indicated for both conditions. If the K-L grade is 3 or higher, the timing of artificial joint replacement surgery is planned in consultation with the attending physician. Korean Medicine Clinic Perspective
From a Korean medicine perspective, the concomitant occurrence of osteoarthritis and meniscus damage represents a state where Kidney Deficiency and Bone Weakness (Shen Xu Wei) and Blood-Eating Spleen Syndrome (Yue Bi Xing) have progressed together. Internal treatment is required to nourish both the bone (Shen Zhu Gu) and cartilage (Jian Zhu Jin) simultaneously, while external treatment using moxibustion and pharmacopuncture is combined to clear dampness and blood stasis within the joint cavity. At Dongjedang, we do not separate these two conditions but approach them as a single issue of the joint environment. By replenishing Kidney Deficiency with herbal medicine tailored to the constitution and revitalizing Spleen and Stomach functions to facilitate the smooth production of Qi and Blood, we contribute to slowing the rate of cartilage degeneration and extending the period of maintaining daily life without pain.
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