Sandol Korean Medicine — Acupotomy ClinicAcupotomy · 針刀

At the root of stubborn pain lies adhesion —
release it, and the body moves freely again

Acupotomy (鍼刀) directly releases adhesions to relieve pain, and becomes the key that unlocks the effect of other treatments. We treat with fan-shaped and conical release techniques — reported in the academic literature and listed in the textbook.

Weekdays 9:30–21:30 · Sat/Holidays 9:30–17:00 · 20 inpatient beds

What is acupotomy

Needle (針) and blade (刀) as one —
the most precise minimally invasive microsurgery for adhesion

Acupotomy uses an instrument thicker than an ordinary needle, with a flat, blade-like (刀) tip. It enters the body as gently as a needle, yet releases adhesions and scar directly like a blade. The wound is smaller and recovery faster than open surgery, and the goal is to return stiffened tissue to free movement.

Acupotomy instrument — Sandol Korean Medicine
The acupotomy instrument combines needle (針) and blade (刀) — its flat blade tip releases adhesions directly.

Why adhesion is the problem. When injury, overuse or poor posture repeat, adhesions and scar form around muscle, tendon, fascia and nerve. Adhered tissue can no longer glide properly, and it obstructs the surrounding blood flow and nerve signaling, producing pain and loss of function.

What acupotomy does. Acupotomy releases this adhesion at the precise point, restoring the tissue's original movement and circulation. The recovered tissue moves freely even during activity, so pain eases and function returns.

Standard release techniques

01Longitudinal release

Releasing along the grain of the tissue to restore nerve and vascular flow.

02Transverse release

A technique that releases perpendicular to the tissue.

03Incisional release

Precisely incising hardened scar and contracture to restore tissue tension and mobility.

How acupotomy works

A mechanical solution, not a chemical one —
release the adhesion, and the pain releases too

The role of acupotomy: directly resolving the mechanical stimulus — adhesion, release, recovery
Chemical intervention alone — medication or injection — cannot release adhered tissue. To recover from pain at its root, the mechanical source of the stimulus must be removed.
By removing the adhered tissue, acupotomy immediately lowers the abnormal pressure at the lesion; as the tissue regains its original movement and microcirculation, the pain finally disappears.
The precise treatment point

The key to results is the ‘precise release location’

An acupotomy procedure marking and targeting the adhesion point One point, aimed at the adhesion

What makes the difference in acupotomy is the confirmation of the target point and the manner of the procedure. Finding the exact location of the adhesion through palpation and physical examination is half of the treatment; the way the procedure is performed is the other half.

Sandol Korean Medicine pinpoints the adhesion by combining the cause of onset, the pain pattern, physical examination and imaging such as MRI, X-ray and ultrasound, and then performs acupotomy with release techniques developed in-house. Cases in which pain that had not responded to prior treatment began to improve after acupotomy at the precise point have been reported in an international journal.

Which conditions it helps

Pain entangled with adhesion, approached along three lines

Acupotomy applies to a range of musculoskeletal problems in which adhesion lies behind the pain — from the spine to the limb joints and the peripheral nerves. Below are the representative indications acupotomy medicine addresses, organized along three lines.

Conditions arising from adhesion around the spine

Cervical spondylosis & disc disorder
Lumbar disc herniation
Spinal stenosis
Third lumbar transverse process syndrome
Thoracolumbar fascia & iliolumbar ligament injury
Sacroiliac joint lesion
Chest pain & dyspnea

Adhesion in the clavicle, shoulder, arm, knee and leg

Rotator cuff syndrome
Shoulder impingement syndrome
Subacromial bursitis
Biceps long head tendinitis
De Quervain's tenosynovitis
Knee medial plica syndrome
Post-surgical contracture (adhesion after knee/shoulder surgery)
Chondromalacia patellae, osteoarthritis
Trigger finger
Plantar fasciitis
Avascular necrosis of the femoral head

Relieving nerve compression caused by adhesion

Carpal tunnel syndrome
Cubital tunnel syndrome
Piriformis syndrome
Tarsal tunnel syndrome
Cluneal nerve entrapment syndrome
Other entrapment neuropathies

Indications and treatment methods vary with each individual; an accurate diagnosis and whether the treatment applies are determined through consultation.

Sandol's two techniques

Beyond the straight line, into three dimensions —
the two release techniques Sandol devised

While conventional acupotomy releases mainly along a straight line, Sandol Korean Medicine devised two release techniques to address broad, three-dimensional adhesions and applies them in clinical practice. Each technique has been published in the academic literature and listed in the 2026 revised Acupuncture & Moxibustion Medicine (鍼灸醫學) textbook.

Fan-shaped release (扇形)

Fan-shaped release

It fans out to release a broad surface. From a single entry point, the direction is shifted like a fan to release a widely spread adhesion plane from multiple angles.

In a case of dyspnea and chest tightness originating in the thoracic spine, 20–30 fan-shaped releases per site combined with breathing correction were reported to markedly improve the symptom measures.

View the published paper (2025)

Korean Journal of Acupuncture, 2025 · Listed in the 2026 revised textbook

Conical release (錐形)

Conical release

It builds depth like a cone to release in three dimensions. Using a single entry point as the apex, the angle and depth are varied in a conical form to release thick, deep adhesions three-dimensionally.

In a case of buttock and leg pain originating in the sacroiliac joint and deep gluteal muscles, the pain was reported to disappear after a conical release through a single entry point.

View the published paper (2024)

Korean Journal of Acupuncture, 2024 · Listed in the 2026 revised textbook

Techniques formalized through the literature Listed in the 2026 revised textbook
Three roles of acupotomy

Release · Restore · Integrate

ROLE 01

As a standalone treatment

By releasing adhesion and scar at the precise point, it reduces pain in itself and restores movement to tissue that had stiffened.

ROLE 02

Restoring the path of force transmission

It reconnects the tension chain of the fascia that adhesion had severed, so the body once again transmits force in full.

ROLE 03

The key to integrative care

As a result, it helps TMJ balance medicine, Chuna and thread embedding — previously unresponsive — reach the goals they were aiming for.

Why — the fascia as a net of tension

The fascia is a tension network that links the whole body as one. When adhesion forms at one point, the distortion spreads far along the chain — like a single knot snagging a taut net.

At that point, however precisely one tries to correct the structure (Chuna) or restore the balance (TMJ balance medicine), the tangled knot holds the force, and the intended structural change does not occur. Acupotomy cuts that knot precisely and reopens the severed path of force. It is like a congested road flowing smoothly once again. Only then do the treatment effects the other therapies were aiming for finally begin to take full effect.

A clinical case where acupotomy became the turning point

A case of acute cervical radiculopathy with severe radiating arm pain — change in pain score (NRS)

10 5 0 NRS Acupotomy · turning point Cervical adhesion release No change after TMJ + Chuna 9 9 5 2 0 BeforeBaseline pain TMJ + ChunaFirst attempt After acupotomyImprovement begins TMJ againNow effective Chuna againNow effective
Phase where adhesion blocked force transmission, so therapy had no effect Phase where pain falls after acupotomy releases the adhesion

Even the same therapy yields different results when the order and conditions differ. In this case, only after acupotomy first released the adhesion did the other therapies — previously unresponsive — begin to take effect. Treatment outcomes may vary from person to person.

Integrating therapies that each play a different role

TMJ Balance Medicine
The topmost regulator of the spine. It restores the structure and function of the neuraxis–myodural bridge complex and the cranio-cervico-mandibular complex.
Chuna
It realigns the spine. It restores the structure and function of the spine.
Thread embedding
Pain and aesthetics. It strengthens muscle, breaks down fat, and harnesses collagen synthesis for use in the pain and aesthetic fields.
Acupotomy
It opens the path. By releasing adhesion and restoring the body's path of force transmission, it enables the three therapies above to take their full effect.
Evidence & research

From clinic to paper, from paper to textbook

Sandol's acupotomy practice has been published in domestic and international journals, and two of its techniques are listed in the 2026 revised Acupuncture & Moxibustion Medicine textbook. Representative papers are shown below.

International journal · SCIE

Acupotomy combined with Korean medicine for sacroiliac pain unresponsive to conventional therapy: a case report

Choe G, Hwang JH. Acupotomy combined with Korean medicine treatment in a patient with acute sacroiliac pain unresponsive to conventional therapy: A case report. EXPLORE (NY). 2024;20(4):102999. doi.org/10.1016/j.explore.2024.04.003

Conical release (錐形)

Conical release for buttock and leg pain originating in the sacroiliac joint and deep gluteal muscles: a case report

Lee CH, Lim JT, Choe G, Jin H. Korean Journal of Acupuncture, 2024;41(4):163-170. doi.org/10.14406/acu.2024.024 · Technique listed in the 2026 revised textbook

Fan-shaped release (扇形)

Fan-shaped release for thoracic-origin dyspnea and chest tightness: a case report

Park JW, Lim JT, Choe G, Jin H. Korean Journal of Acupuncture, 2025;42(1):32-38. doi.org/10.14406/acu.2024.025a · Technique listed in the 2026 revised textbook

Acute pain

Acupotomy-centered Korean medicine for acute cervical radiculopathy: a case report

Kim TH, Park DS, Lim JT, Choe G. Korean Journal of Acupuncture, 2024;41(2):51-57. doi.org/10.14406/acu.2024.005

※ The papers above are observational reports of individual cases and do not guarantee the same outcome for every patient.

Our doctors

The people who create the techniques — and teach them

Clinicians who teach · acupotomy training in the field

The acupotomy release techniques Sandol devised do not stop at papers and textbooks; they are taught to a wide range of medical professionals at associations, universities, academic societies and hospitals.

Demonstrating acupotomy techniques to many Korean medicine doctors
Demonstrating acupotomy, thread-embedding, acupuncture and Chuna techniques to many Korean medicine doctors
Lecture on spinal alignment (SVA) and force transmission
Lectures on theory — spinal alignment (SVA) and the principles of force transmission
A nationwide pain-specialist course in session
A nationwide pain-specialist course in session
FAQ

Frequently asked questions

Q. How is acupotomy different from ordinary acupuncture?
Where ordinary acupuncture focuses on stimulating acupoints, acupotomy differs in that its flat blade tip directly releases adhesions and scar tissue. It combines the accessibility of a needle with the advantage of a minimal incision, aiming to return stiffened tissue to movement.
Q. By what principle does acupotomy reduce pain?
Adhesions around muscle, tendon, fascia and nerve obstruct tissue movement and local circulation, producing pain. Acupotomy releases these adhesions at the precise point and restores the tissue's original movement and circulation; in this process, pain is reduced and function is meant to recover.
Q. I've been to several places but no one found the cause. Can acupotomy help?
If pain recurs when tests show no clear abnormality, adhesion may be the background. This does not replace a diagnosis, however; the location of the adhesion and whether acupotomy applies must be confirmed through consultation and physical and imaging examinations.
Q. Does acupotomy hurt a lot?
Acupotomy is thicker than an ordinary needle, but it is applied locally and briefly, with the site and depth precisely controlled. The degree of discomfort varies by site and individual, and we proceed after a full explanation.
Q. Can I receive it together with other treatments?
Acupotomy often raises the effect of TMJ balance medicine, Chuna and thread embedding when applied together. The makeup of the integrative treatment is designed to fit your diagnosis and condition.
Q. What examinations are done before the procedure?
We take a history of the cause and pain pattern and, together with a physical examination and — where needed — MRI, X-ray or ultrasound imaging, pinpoint the location of the adhesion. This determines the target and method of the procedure. If you have already had MRI, CT or X-ray imaging, please bring it with you.
Q. How many sessions are needed?
It depends on the extent and chronicity of the adhesion. Cases with a clear change after a single procedure have been reported, but several sessions may be needed depending on the condition, and the exact plan is decided after consultation.
Q. Is there anything to be careful about after the procedure?
Temporary soreness or bruising may appear at the site and usually settles within a few days. It is best to avoid intense exercise or alcohol on the day of the procedure, and individual precautions are explained afterward.
Q. When can I expect to feel the effect?
Some cases show a change right after the procedure, but the timing of the response varies with the state of the adhesion and the individual. We adjust whether to combine other treatments according to the course.
Information

Release stubborn pain with acupotomy adhesion release

Clinic information

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※ The clinical content on this page includes observational reports of individual cases and does not guarantee the same outcome for every patient. Treatment effects and responses may vary with each person's condition, and an accurate diagnosis and treatment plan are determined through consultation.

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