The acceptance of acupotomy (Knife needle / Dao needle / Dao needle therapy / 針刀 / 小針刀), like any medical procedure or technique, can vary within the medical community. There are a few reasons why some healthcare professionals may not fully accept or recognize acupotomy as a mainstream practice:

1. Lack of Scientific Evidence: Acupotomy, being a relatively new technique, may not have accumulated a significant body of scientific evidence to support its efficacy and safety. The medical community generally relies on rigorous scientific research, including clinical trials, to establish the effectiveness and safety of new treatments. Without substantial evidence, some healthcare professionals may be hesitant to adopt acupotomy as a standard practice.
2. Limited Standardization: Acupotomy is a specialized technique that requires specific training and expertise. However, there may be variations in the application and interpretation of acupotomy among practitioners. The lack of standardized protocols and guidelines can create concerns about consistency and reproducibility of results, which can contribute to skepticism within the medical community.
3. Integration of Traditional and Modern Medicine: Acupotomy blends elements of traditional Chinese medicine (TCM) with modern surgical techniques. Integrating traditional practices with Western medicine can sometimes face challenges due to differences in theoretical frameworks, terminology, and cultural contexts. This divide may make it more difficult for acupotomy to gain widespread acceptance, particularly in regions where Western medicine predominates.
4. Safety Concerns: Any medical procedure involving the manipulation of tissues carries inherent risks. While proponents of acupotomy argue that it is a minimally invasive procedure, concerns about potential complications or adverse events may contribute to the skepticism surrounding its acceptance. Without robust evidence demonstrating its safety profile, some healthcare professionals may remain cautious.

It’s worth noting that the acceptance of medical techniques can evolve over time as new research emerges and clinical experience accumulates. As more evidence becomes available and standardization efforts progress, the perception and acceptance of acupotomy within the medical community may change.