1, tennis elbow.
Tennis elbow, also known as humeral epicondylitis, humeral epicondyle syndrome, lateral elbow pain syndrome, and humeral epicondyle osteochondritis, is a chronic injury myofasciitis at the extensor generalis tendon of the external humeral epicondyle, and is the most common chronic injury elbow disease.
Symptoms: The main manifestation is limited soreness of the lateral elbow joint with varying degrees of pain, which can spread to the radial side of the forearm and the wrist. The pain may spread to the radial side of the forearm and the wrist. A few of them may spread to the upper arm and shoulder, and the pain may gradually worsen. The pain may gradually worsen. The pain may be aggravated by the restricted movement of the affected limb, which is afraid to hold heavy objects, wringing towels, carrying warm bottles and pouring water, etc. The pain may be relieved when resting. On examination, there is obvious pressure pain at the lateral epicondyle of the humerus, as well as at the annular ligament and the humeral radial joint space, and there are also local palpable strips and sclerotomes with obvious tenderness.
Treatment: At the most obvious place of pressure pain, the incision line of the small needle knife is stabbed parallel to the direction of the wrist extensor muscle into the subcutaneous external epicondyle of the humerus, and treated by lifting and inserting, puncture release, longitudinal release and spade release method. The operation takes only 1 minute and can be healed in 1~2 times. If multiple treatments are needed, the interval should be 5~7 days.
2.Radial stenosis tenosynovitis.
It is a chronic aseptic inflammation of the tendon sheath of the radial styloid process caused by mechanical friction. Repeated inflammatory irritation causes the tendon sheath to narrow. Pain occurs due to repeated friction between the tendon sheath and the tendon, and in severe cases, wrist movement and thumb extension are limited to varying degrees. The disease is more common, with significantly more women than men.
Symptoms: The onset of the disease is slow, with gradual aggravation, but there are also sudden onset of symptoms. The main manifestation is limited pain at the radial styloid process, which can be radiated to the thumb or elbow, and the pain increases when moving the wrist and thumb. On examination, there is obvious pressure pain at the radial tuberosity, and a hard node can be palpated under the skin locally.
Treatment: Firstly, the most obvious pressure pain at the radial styloid process was fixed, routinely disinfected, firstly, local closure was done, and then needle knife was used to loosen it. The needle knife line is parallel to the tendon direction, piercing the skin, reaching the tendon sheath and doing longitudinal release, then, the needle knife reaches the bone surface and does oblique spade release. Generally 1~2 times can be healed. Those who need multiple treatments, interval 5~7 days.
3.Flicking finger.
The popping finger, also known as “trigger finger”, “flexor tendon stenosis tenosynovitis”, refers to the flexor tendon and its fibrous sheath tube due to repeated injury resulting in aseptic inflammation, mainly manifested as a popping and pain in the metacarpophalangeal joint, mostly seen in manual workers of the thumb, middle and ring finger.
Symptoms: In the early stage, the pain and discomfort in the metacarpophalangeal joint is felt only in the morning, and the fingers are stiff and inflexible, which can disappear after activity. After work, finger movement is limited, and there may be limited soreness on the palmar side of the metacarpophalangeal joint. As the disease progresses, the local pain increases and sometimes radiates to the wrist. In severe cases, the finger is stuck in extension or flexion position, resulting in “locking” phenomenon, which can only be “unlocked” by passive flexion or extension, and popping sounds occur, which obviously affects the finger activities.
Treatment: In the palmar side of the metacarpophalangeal joint into the needle, first local painful point closed, the doctor can feel the flow of fluid along the tendon sheath to the distal side, tendon sheath expansion. Then, the doctor can feel the flow of medicine along the distal side of the tendon sheath and the expansion of the tendon sheath. Once loosened, the popping phenomenon is immediately relieved. The treatment process can be completed in 3~5 minutes, and usually heals in 1 treatment session.
4, medial collateral ligament injury of the knee joint.
A disease that causes pain due to acute violent injury and sustained static injury, resulting in damage to the medial collateral ligament of the knee.
Symptoms.
(1) Most of the history of obvious trauma, the injury at the time of the knee can appear severe tear-like pain, limited movement. On palpation, the torn ligament can be palpated as a striated bulge or depression with sharp cracking pressure pain. Positive external calf displacement test.
(2) Those with static injuries have a history of persistent static strain and mainly present with intractable pain in the medial knee, in the medial femoral epicondyle or medial tibial condyle, and sometimes small subcutaneous nodules can be palpated.
Treatment.
(1) Patients with acute injuries should be braked first, and local cold compresses can be applied to reduce internal bleeding. For complete rupture of the ligament, early surgical treatment should be performed.
(2) chronic stage or static injury patients, in the medial collateral ligament starting point or injury to find the pressure point, local skin disinfection after local anesthesia, small needle knife blade and ligament direction parallel stabbing, with lifting and inserting, puncture loosening method of treatment. If the lesion is at the starting and ending point of the ligament, longitudinal release method and spade release method will be used for treatment. Treatment once a week, generally 2~3 times can be cured.
5, patellar ligament injury.
It refers to the injury of the patellar ligament stop due to improper knee joint activities. After an acute injury, there is a partial fiber avulsion or tear at the attachment of the tibial tuberosity, and over time, chronic aseptic inflammation is formed, causing persistent chronic pain.
Symptoms: pain at the attachment point of the patellar ligament and the tibial ramus, difficulty in straightening the knee joint, limp when walking, and increased pain when going down steps.
Treatment: Find the pressure point at the attachment point of patellar ligament and tibial ridge, disinfect routinely, after local anesthesia, stab the small needle knife blade vertically parallel to the patellar ligament direction, and use lifting and inserting, puncturing and loosening method, longitudinal stripping method and transverse spade stripping method. Treatment once a week, generally 1~2 times can be healed.
6, infrapatellar fat pad injury.
Infrapatellar fat pad injury is also known as infrapatellar fat pad inflammation and infrapatellar fat pad hypertrophy. The onset is slow, with anterior patellar pain and functional limitation of the knee joint as the main manifestation.
Symptoms: slow onset, initial knee discomfort, soreness, pain, weakness, chills, and more obvious pain going up and down stairs. The pain gradually worsens and becomes heavier, eventually leading to persistent anterior infrapatellar pain. The knee was limited in hyperextension and hyperflexion, with pressure pain at the inferior border of the patella (+) and deep pressure pain at the midpoint of the patellar ligament (+).
Treatment: search for pressure pain points, routine disinfection, local closure first, then small needle knife therapy operation.
(1) For obvious pain at the lower edge of the patella, the patient takes a supine position with knees extended, and the doctor uses the thumb and index finger of the left hand to separate and push the upper edge of the patella distally, so that the lower edge is upturned. The right hand holds a small needle knife with the blade running parallel to the patellar ligament and pierces the inferior patellar edge and its posterior edge, performing longitudinal release, fan release and spade stripping.
(2) With obvious pressure pain at the midpoint of the patellar ligament, the patient was made to lie supine and bend the knee at 90°, the blade was parallel to the patellar ligament, and the needle was inserted vertically at the pressure pain point. The junction of the patellar ligament and fat pad was reached, and different angles of longitudinal release and fan release were performed.
7, heel pain (heel spur, heel subacromial bursitis, heel subfat pad inflammation).
Mostly due to heel spurs (metatarsal bursitis), subheel fat pad strain and other reasons, resulting in related aseptic inflammation and heel pain. It is mainly caused by long-distance walking, or prolonged standing, or improper shoe wear.
Symptoms: pain under the front of the heel or under the heel, aggravated by walking. In mild cases, there may be only discomfort, but in severe cases, there is a sharp pain like tearing, and even the heel cannot land when walking. Examination may reveal pressure pain under or in front of the heel.
Treatment: Local anesthesia is first applied to the most painful area, and then the needle is inserted vertically and treated by lifting and inserting, puncturing and loosening, longitudinal loosening and spade loosening. Generally, it can be cured in 1~2 times, and for those who need multiple treatments, the treatment interval is 5~7 days.
8, the third lumbar transverse synovial syndrome.
Method: In the obvious place of pressure pain, stabbing with a small needle knife longitudinally, first loosening with lifting and inserting, puncturing and loosening method, when the incision touches the bone surface, switch to transverse spade stripping method, and feel the loosening sensation between the muscle and the bone surface when the needle can be released. Generally 1~2 times can be healed, treatment interval 5~7 days.
9.Lumbar muscle strain.
Method: Due to the large range of pain, it is appropriate to find the parts with more obvious pressure pain for treatment. Operation can be treated by lifting and inserting, puncturing and loosening method, longitudinal loosening method.