With the rising fever of Chinese medicine in recent years, the gradual increase in people’s awareness of health, and the increasing number of patients who recognize and love Chinese medicine for treating diseases in particular, the term small acupuncture is appearing more and more frequently in the general patient population. I often hear patients asking questions about small acupuncture: What is small acupuncture? How does it treat disease? Is it an open surgery? Does it hurt? The following is a simple popularization of some knowledge about small acupuncture. I. What is a small needle knife? Small needle knife is similar to the shape of acupuncture needles, but slightly thicker than acupuncture needles (generally in the diameter of 0.8 mm or so), the needle body like a needle front flat mouth with an edge like a knife, a medical device for the treatment of diseases in traditional Chinese medicine, is the product of the combination of acupuncture needles of Chinese medicine and modern medicine scalpel. Therefore, its function is both acupuncture acupuncture needles to unblock the meridians, to achieve the pass is not painful acupuncture effect, but also scalpel cutting hyperplasia, hypertrophy, adhesions of the diseased tissue surgical effect. Small acupuncture is a closed woundless minimally invasive treatment, and its biggest characteristic is less pain, faster recovery, and unique effect on the treatment of certain diseases. Therefore, small needle knife therapy is being used more and more in the clinic, and is also recognized and accepted by more and more patients. Second, what is the principle of small needle knife treatment? 1, after human soft tissue injury, early local congestion, exudation, swelling, to the late local tissue mechanization, hyperplasia, hypertrophy, contracture, adhesion, increased pressure, poor blood circulation, inflammation is not easy to subside. In addition, these pathological changes jam the local nerves, blood vessels, tendons (tendinitis) and other tissues, which in turn lead to pain and functional limitation of activities. Small needle knife can give full play to the role of its knife, which is to loosen adhesions, reduce tissue pressure, release the compression of nerves, blood vessels, tendons, etc., improve the blood circulation of local tissues, and promote the regression of inflammation, so as to achieve the purpose of treatment. 2, small needle knife can also play the role of acupuncture, through the stimulation of acupuncture points, dredge the meridians, to achieve the purpose of pass is not pain. Modern research found that acupuncture can also make the body produce endogenous opioid peptide substances, and then play a pain-relieving effect. Third, what diseases can be treated by small needle knife? 1, all kinds of soft tissue inflammation, adhesions, etc. caused by the neck, shoulder, back, waist and leg parts of some stubborn pain points. Such as cervical spondylosis, frozen shoulder, lumbar disc herniation, lumbar spinal stenosis, osteoarthritis of knee joint, etc. 2.Some bone spurs and osteophytes, such as heel bone spurs, knee joint bone spurs, cervical and lumbar spurs, etc. 3.Bursitis, fasciitis. 4.Stenosing tenosynovitis. 5, muscle and ligament accumulation injury, such as tennis elbow, frozen shoulder, etc. Fourth, in what cases is not suitable for small needle knife treatment? 1.All patients with fever symptoms. 2.All patients with episodes of serious visceral diseases. 3, the application site has skin redness, burning, infection, dermatitis, etc. 4.The operation site has important neurovascular or important organs which cannot be avoided during the operation. 5.Persons with hemophilia or coagulation dysfunction. 6.For those who are extremely weak or in women’s menstrual period. 7.Severe hypertension, heart disease and diabetes, etc. V. What should be noted after small needle knife treatment? 1, small needle knife is a closed minimally invasive treatment method, after the anesthesia drug effect disappears, there will be some local pain, is a normal reaction, do not worry. If the pain is obvious, you can take oral painkillers for temporary pain relief to reduce the pain, and consult your doctor or outpatient review if necessary. 2, the general small needle knife treatment within 3 days after the eye of the needle do not bath or water, in order to avoid infection. 3, after small needle knife treatment, should pay attention to appropriate rest, avoid strain or excessive activity. 4, small needle knife treatment, generally do once a week, 3 times for a course of treatment. If the pain disappears and the disease is cured after one or two treatments, the treatment can be continued according to the course of treatment. Sixth, is there any harm or risk in small needle treatment? Any kind of treatment method may cause certain harm to the human body, or there are certain risks, and small needle knife is no exception. However, small needle knife treatment is a closed minimally invasive treatment method, which is generally not harmful to the human body, or the risk is small. There are three main types of hazards or risks that may occur: 1. Local pain increases after treatment. This is a normal postoperative reaction, the same as the wound pain after open surgery, and will generally gradually reduce and disappear after 3 days. The pain is also not serious, and most patients can accept it, and generally do not need to take pain medication. 2.Vascular, nerve and organ damage. The occurrence of this situation mainly depends on the technical level of the doctor, as long as the doctor is familiar with the local anatomical structure, clear diagnosis, standardized operation, accurate mastering of indications, generally will not occur. 3.Local infection. Small needle knife treatment is the same as sticking needles, small trauma, no incision, as long as the operation in accordance with the principle of asepsis, generally will not occur. Seven, does small needle knife hurt? In clinical work, when it comes to small needle knife treatment, many patients are afraid to do it because they think it is painful. In fact, the small needle treatment is the same as the injection, not very painful. First of all, there is local anesthesia, and after the anesthetic is administered, you will not feel any pain when you do the small needle treatment. The process is also very short, usually just a few minutes. Therefore, the patient will not feel very painful. Some patients who have undergone the treatment often say that the treatment is not as scary as they think, and that it is acceptable and does not hurt.