Should I Trust a Clinic for Extracorporeal Treatment of Knee Tendon Stones?

The knee tendon calcification needs to be treated extracorporeally, but the doctor advised me to go to a clinic, and my family has concerns?

This month, I went to the hospital for an examination and found out that I have a tendon stone in my knee.
I need to either have it broken up using an external machine or undergo surgery.
The doctor recommended that I go to a clinic in the city center, but my family feels uneasy about the clinic and wants to know if they can refer me to a hospital that has the necessary equipment.
The doctor mentioned that it would be out-of-pocket without health insurance assistance, so I want to confirm this.
Thank you.

Zhi, 20~29 year old female. Ask Date: 2017/08/07

Dr. Li Yongheng reply Orthopedics

Based on your conversation with the physician, you may be suffering from calcific tendinitis, and the doctor recommends extracorporeal shock wave therapy for soft tissue.
This treatment is not covered by health insurance and will require out-of-pocket payment.
Not all hospitals and clinics offer this service, but you can call a trusted hospital to inquire if they have this equipment available.
Wishing you a speedy recovery.

Reply Date: 2017/08/07

More Info

When considering treatment options for knee tendon stones, particularly through extracorporeal methods, it is essential to weigh the credibility and capabilities of the clinic in question. Extracorporeal treatment, often referred to as extracorporeal shock wave therapy (ESWT), is a non-invasive procedure that uses acoustic waves to break down calcifications in tendons and other soft tissues. This method has gained popularity due to its ability to alleviate pain and promote healing without the need for surgery.

Firstly, it is crucial to ensure that the clinic you are considering has the appropriate equipment and trained personnel. Not all clinics are equipped with the latest technology or have experienced practitioners. You should inquire about the clinic's credentials, the qualifications of the medical staff, and their experience with treating knee tendon stones specifically. A reputable clinic should be transparent about their success rates and provide you with patient testimonials or case studies.

Secondly, while your family may have concerns about the clinic's reliability, it is important to remember that many specialized clinics can offer effective treatments that are on par with larger hospitals. However, if you feel uneasy about the clinic, it is entirely reasonable to seek a second opinion. You can ask your primary physician for a referral to a hospital that has the necessary equipment and expertise to treat your condition. This may involve additional costs, especially if your insurance does not cover the procedure, but it is vital to ensure you are receiving the best care possible.

Regarding the financial aspect, if the procedure is not covered by your health insurance, you may want to discuss payment plans or financing options with the clinic. Many facilities offer flexible payment arrangements to help patients manage the costs of treatment. Additionally, you can check if there are any clinical trials or research studies available that might provide treatment at a reduced cost or even for free.

In terms of the effectiveness of extracorporeal treatment, studies have shown that ESWT can be beneficial for various musculoskeletal conditions, including tendon calcifications. However, results can vary based on individual circumstances, such as the size and location of the calcification, as well as the overall health of the patient. It is essential to have realistic expectations and understand that while many patients experience significant relief, some may require additional treatments or alternative therapies.

Lastly, if you decide to proceed with the clinic's recommendation, ensure that you follow up with your healthcare provider to monitor your progress. Regular check-ups will help assess the effectiveness of the treatment and determine if further interventions are necessary.

In conclusion, while it is essential to trust your doctor's recommendations, it is equally important to feel comfortable and confident in the treatment facility you choose. Do your research, ask questions, and consider seeking a second opinion if you have any doubts. Your health and well-being should always come first, and finding the right treatment option is a crucial step in your recovery journey.

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