Osteoarthritis of the knee, also known as proliferative arthritis, hypertrophic arthritis, degenerative arthritis, osteoarthrosis, in short, it is a chronic, multi-level, aseptic inflammatory disease with degenerative changes in the articular cartilage as the core, involving the bone and including the bursa, joint capsule and other structures of the joint in various degrees. Non-surgical treatment for this disease includes rest, functional exercise, physical therapy, bracing, massage, acupuncture, western medicine, Chinese medicine, plastering, fumigation, injection, acupuncture, etc. There are many methods, but how to combine organically, complementary advantages, and achieve lasting results is the key. The following is our experience in treating this disease, which we call “triple therapy”, not a new high-tech method, but really effective, especially the long-term effect is very good!
I. Joint cavity irrigation, sodium vitreous acid injection.
Group A: 2% lidocaine 3ml
Demi 5ml
Gentamicin 80,000u
Physiological saline 10ml
Group B: sodium vitrate 2ml
Select the medial patellar puncture site, routinely disinfect the towel, after successful puncture with fluid, retain the needle, inject Group A fluid, then withdraw all, and so on five times, retain the needle, inject Group B. After the procedure is completed, the knee joint is passively flexed and extended several times.
Intra-articular irrigation can effectively eliminate intracavitary sterile inflammation, remove histamine, 5-hydroxytryptamine, prostaglandin and other pain-reducing factors produced by joint degeneration, and regulate intra-articular osmotic pressure; sodium glutamate can change the rheological state of intra-articular joint fluid, increase the lubrication of joints, protect articular cartilage, blunt the sensitivity of receptors to stimulation, reduce pain, and induce endogenous Sodium hyaluronate can change the rheological state of joint fluid in the joint cavity, increase lubrication, protect joint cartilage, blunt the sensitivity of receptors to irritation, reduce pain, induce endogenous sodium hyaluronate production, and inhibit further development of the disease.
Second, the joint peripheral pressure pain points nutritional analgesic solution injection, edge needle relaxation.
2％ lidocaine 3ml
Methylene chloride 0.5mg
Triamcinolone acetonide 2ml
Vitamin b12, 500ug
Vitamin b1, 100mg
Physiological saline 10ml
Find sensitive pressure pain points around the joint, generally concentrated in the patella, medial and lateral collateral ligaments, lower quadriceps, infrapatellar fat pad and other locations, make a good mark, routine disinfection, inject about 5ml of the above mentioned solution into each point, use the original needle eye to enter the needle, straight to the muscle layer or bone surface, the direction of the needle blade parallel to the muscle fiber longitudinal cutting several times, longitudinal oscillation, lateral oscillation several times, when there is a sense of looseness under the needle, the needle out, paste the band-aid.
The injection of nutritional analgesic solution at the pressure point can eliminate the local soft tissue aseptic inflammation caused by joint degeneration, and the blade needle therapy is the continuation of the needle knife, which can effectively release the diseased ligaments, fascia and other soft tissue adhesions, decompress and release the spasm.
C. Liu’s Lingxian Ointment
Group A: Wei Ling Xian 60g, Whole Worm 30g, Di Long 50g, Earth Worm 50g, Centipede 30g, Raw Ma Qian Zi 60g, Raw Chuan Wu 45g, Raw Cao Wu 45g, Jiang Huang 50g, Qiang Wu 45g, Dou Wu 45g, White Flower Snake 50g, Tao Ren 30g, White Pepper 30g.
Group B: 30g of blood: 30g, 45g of raw frankincense, 45g of raw myrrh, 30g of Gansui, 50g of raw rhubarb, 30g of safflower, 50g of calamus, 20g of mugwort, 15g of ice chips, 15g of camphor.
Take 3 times the total amount of herbs soaked in fragrant oil A group for 3 days, deep-fried extraction (soft and hard herbs are fried) until the outer black and brown, withered inside, remove the dregs, simmer oil for 3.5 hours, until the oil temperature 320 ~ 330 degrees, dripping water into pearls, remove the fire under the Dan (oil Dan ratio of 1:0.55 in summer 1:0.47 in winter), into a paste, immersed in cool water for 3 days to remove the fire poison, three days later fished out back to the pot to treat the water, add B group of powder. Make 50 grams of ointment per paste.
This ointment has a significant effect of activating the meridians, activating blood circulation, removing dampness, eliminating wind and relieving swelling and pain. It is particularly effective in the treatment of knee joint diseases, cervical and lumbar spondylosis, bruises and injuries.
The above three methods, ten days treatment once, three times a course of treatment. Most patients can have a course of treatment, long course of disease two courses of treatment. The immediate effect, the long-term effect is good.
Massage: massage the quadriceps muscle to promote blood circulation, each time to do five to ten times. Friction knee, each time to do two to three minutes. Use your thumb to point at the top of the patella, and place your index and middle fingers on the inner and outer knee eyes to massage for one to two minutes.
Exercise on your own: sit with your feet on the ground, fifty strokes per foot per day is appropriate. Lying on the bed, empty pedal bicycle, each time fifty strokes. Sit on the edge of the bed, feet hanging in the air, constantly shaking the legs, fifty strokes per foot.