Difficulty in knee squatting is a common form of knee disorders in middle-aged and elderly people. Difficulty in knee squatting is essentially a chronic soft tissue disorder due to long-term congestion, edema, exudation, tissue degeneration, necrosis, hyperplasia and hypertrophy, and there are clear areas of soft tissue changes in the tissues surrounding the knee joint, which can be eliminated by acupuncture and chipping to eliminate local soft tissue adhesions, reduce pain and promote knee motion function recovery. Chinese medicine analysis of the causes of squatting difficulties Chinese medicine orthopedic science considers the pathogenesis of squatting difficulties to be due to disorders in the movement of qi and blood. Western medicine considers it to be a chronic soft tissue disease caused by long-term congestion, edema, exudation, tissue degeneration, necrosis, hyperplasia and hypertrophy, with definite soft tissue changes in the tissues surrounding the knee joint. It is a common manifestation of knee disorders in middle-aged and elderly people. What symptoms are easily confused with difficulty squatting? A rigorous orthopedic examination screening is required to rule out organic injuries to the bones and joints, congenital malformations, skeletal dysplasia, acute inflammation, tumors, and other diseases. If you are born with squatting difficulties, then it may be related to your body structure, which is mainly caused by genetics, in addition to the exclusion of physiological diseases. The normal squatting of the human body depends on three joints: ankle, knee and hip, and the joints have a certain range of motion, if one of these three joints has too little range of motion, it will cause squatting difficulties. For example, the ankle joint, some people have a very small range of motion, in the squatting will have to put the heel pad up, otherwise squatting can not. Obesity can affect the balance of the center of gravity when squatting, and some people have difficulty squatting because of an oversized stomach. Clinical manifestations include knee pain and difficulty squatting. Physical examination reveals localized muscle tension around the painful area of the knee joint, with clear pressure points, and in some patients, hard nodes can be palpated.