Diagnostic dilemma: Woman’s severe knee pain reveals ‘golden threads’ in her joints

Diagnostic dilemma: Woman’s severe knee pain reveals ‘golden threads’ in her joints

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An X-ray image of a patient's knees reveals acupuncture needles left in the tissue. fetchpriority=”high”>

An X-ray of the front (A) and side (B) of the client’s left knee. The lines are the small golden threads.
(Image credit: The New England Journal of Medicine © 2013.)

The client: A 65-year-old lady in South Korea

The signs: The client had a previous medical diagnosis of osteoarthritis of the knee– a degenerative joint condition that triggers discomfort and tightness. She had actually formerly looked for medical attention, and was treated with pain relievers and nonsteroidal anti-inflammatory drugs for the condition. She had actually likewise formerly gotten steroid injections straight into her knees

, however her discomfort stayed.

She then began to get bad stomach discomfort from the medications, so she had actually stopped them entirely.What occurred next: The female chose to look for alternative treatments to reduce her joint discomfort and started having weekly acupunctureShe increased the frequency to numerous times a week when the discomfort was especially bad.

She later on went to the health center due to the fact that her knees were really aching. X-rays of her left knee exposed that the shinbone in the inner part of the joint had actually thickened and solidified. There were likewise bony developments, called stimulates, on the insides of the shinbone and thigh bone by the knee joint.

The physicians likewise saw numerous flecks on the X-ray around the knee joint, which ended up being small gold threads.

The medical diagnosis: The medical professionals discovered that the threads had actually been placed as part of the lady’s acupuncture treatments. These brief, sterilized golden threads were actively left in the tissue to offer ongoing stimulation.

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The treatment: The medical professionals did not report whether the gold threads were gotten rid of from the client, however in previous cases, the threads have actually been left in location

Leaving the threads in location is not safe, as it has resulted in cysts forming in previous cases.

What makes the case distinct: Gold-thread acupuncture is frequently utilized to deal with both osteoarthritis and rheumatoid arthritis in Asia, the medical professionals composed in a report of her case. There is no proof the practice works, and some cases recommend it can indirectly get worse arthritis by keeping individuals from getting proper, prompt treatment.

In another case, a 58-year-old South Korean lady had actually gotten gold-thread acupuncture in an effort to relieve rheumatoid arthritis discomfort in her wristsThe client’s condition had actually gotten especially serious by the time she looked for medical attention, and the medical professionals because case thought her illness had actually advanced up until now since she had actually not taken anti-rheumatoid medications early enough and had actually rather counted on the natural medicine technique.

The threads can move within the body, and pieces can harm surrounding tissue. Gold threads placed into a 75-year-old South Korean female’s back moved to her lower ideal leg over a 10-year duration, triggering cellulitis– a deep skin infection.

In their report of the knee case, the medical professionals kept in mind that gold threads placed throughout acupuncture can make it challenging to check out X-rays.

Others have actually alerted that these ingrained gold hairs stop individuals from having the ability to have MRIs due to the fact that of the threat of the metal moving and harming an artery.

Medical professionals have actually kept in mind that health care companies need to be conscious of the possible threat elements associated with gold-thread acupuncture. The truth that they are simple to determine on X-rays makes sure that their area can be tracked over time if essential.

This short article is for informative functions just and is not implied to use medical suggestions.

Sophie is a U.K.-based personnel author at Live Science. She covers a wide variety of subjects, having actually formerly reported on research study covering from bonobo interaction to the very first water in deep space. Her work has actually likewise appeared in outlets consisting of New Scientist, The Observer and BBC Wildlife, and she was shortlisted for the Association of British Science Writers’ 2025 “Newcomer of the Year” award for her freelance work at New Scientist. Before ending up being a science reporter, she finished a doctorate in evolutionary sociology from the University of Oxford, where she invested 4 years taking a look at why some chimps are much better at utilizing tools than others.

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