The article’s opinion is subject to verification, but in the end I think as long as there is efficacy ~~~~~~ October 15, 2013 a medical bombshell news. The American Academy of Orthopaedic Clinicians released a new edition of the Evidence-Based Medical Guidelines for Osteoarthritis of the Knee on May 18, 2013. The guidelines clearly oppose sodium hyaluronate injections or arthroscopic lavage and cleaning for osteoarthritis of the knee (with the highest recommendation rating of “strong”), and Dr. Cai, an authority in the Department of Osteoarthritis at the 301 Hospital, clearly expressed his support for this viewpoint that day, citing his 10 years of statistics! The conclusion announced by the American medical community means that the treatment of knee pain in the middle-aged and elderly with injectable lubricant sodium vitrate, which is widely promoted clinically in China, has been overturned and taken off the pedestal! We ordinary patients and people are not aware of this latest conclusion, and many patients in China are still actively injecting sodium vitrate, and many doctors are not informing their patients of this new view, and there are also many doctors who are not even aware of this new view. If you have elderly people with knee pain in your family, please pass it on to them in time. In fact, most middle-aged and elderly people have knee pain, not all of which is caused by osteoarthritis. Painful soft tissue injuries at the periphery of the knee bones and joints are important factors, including inflammation of tendons muscles ligaments bursae and other tissues, which can be effectively alleviated and quality of life improved through aggressive external treatment. However, these soft tissue injuries are often overlooked and the vast majority are diagnosed as osteoarthritis and an intra-articular approach is taken to treat the joint cavity, which is an important reason for the misuse of intra-articular injections of sodium vitrate. How to diagnose soft tissue injury outside the joint cavity, there is no instrument to accurately diagnose, mainly by the responsible doctor to touch the local exclusion, this is called “palpation examination method”. If the doctor does not touch the area, it is easy to miss the diagnosis and rely only on X-rays and other images to diagnose osteoarthritis of the knee, leading to a bias in the direction of treatment. Therefore, when an elderly person goes to an orthopedic surgeon with knee pain, please ask the doctor to carefully feel the knee pain area with his or her hands to make a clear diagnosis before treatment. The most important thing in the prevention of knee pain is weight loss and weight control and good muscle strength exercises for the lower limbs, otherwise it will develop gradually to the stage of severe osteoarthritis, and only artificial joint replacement surgery can be done! It is an eternal truth that prevention is the key to disease.