I. Overview Small needle knife is made of metal material in the shape of needle and knife like a kind of acupuncture tools. It is based on the ancient nine needles, sharp needles, etc., combined with the modern medical surgical scalpel and the development of the product of organic combination with soft tissue release surgery, has a history of more than ten years, in recent years there is a trend of further development, and is valued by the world. Small needle therapy is a kind of closed loosening between surgical and non-surgical methods. It is formed on the basis of the incisional surgical method combined with the acupuncture method. The operation of small needle knife therapy is characterized by stabbing deep into the treatment site to the lesion for easy cutting, peeling and other different opening stimulation to achieve the purpose of pain relief and dispel the disease. Its indications are mainly soft tissue injury lesions and bone and joint lesions. The advantage of small needle knife therapy is that the treatment process is easy to operate and is not restricted by any environment or conditions. The incision is small, without sutures, and the damage to human tissues is also small, and it is not easy to cause infection, no adverse reactions, no obvious pain and fear of the patient, no need to rest after surgery, short treatment time, short course of treatment, and easy for patients to accept. Second, clinical application 1, cervical spondylosis Take points: pain points are the main points. Yangming meridian headache with valley and nei ting points; Shaoyang meridian headache with foot ling sob and Fengchi points; Sun meridian headache with Kunlun and Houxi points Method: use the straight stab method. Gently peel longitudinally 1-2 times, and can be combined with local massage to enhance the therapeutic effect. 2.Extra-articular ankylitis of the humerus (tennis elbow) Points: find the most obvious place of pressure pain. Method: Make the small needle knife knife line and wrist extensor muscle parallel to the direction of stabbing into the humeral epicondyle subcutaneous, first longitudinal sparing peeling method, backward and then use the incision peeling method, feel the sharp edge has been scraped flat, and then use the transverse scraping method, and then sparing the extensor carpi radialis, extensor digitorum profundus, rotator digitorum brevis tendon, out of the needle knife, bandage. Then flex the elbow joint 2-4 times, usually 1 or 2 times can be healed, each interval of 5 days. 3, flexor tendon stenosis tenosynovitis (popping finger) points: local pain points. Method: longitudinal spade stripping method. 4, heel pain (heel spur) point: the tip of the spur (the most obvious pressure pain). Method: The patient lies supine on the treatment bed, place the foot steadily, find the most obvious pressure pain point, after routine disinfection, the needle knife mouth line and vertical axis, the needle body and the heel at an angle of 60 °, the depth directly to the tip of the bone spur, for transverse incision stripping and shovel peeling, 3-4 times can be out of the needle knife, such as 1 time is not healed, after 5-7 days can do a second time. 5, the third lumbar transverse synovial syndrome Take points: pressure pain obvious place. Method: pierce parallel to the longitudinal axis of the body with a small needle knife, when the knife touches the bone surface, use the transverse stripping method, and feel a sense of looseness between the muscle and the bone surface to get out of the needle. Generally 1 time that is healed, not healed after 5 days for a second time. 6, chronic lumbar muscle strain point: lumbar pressure pain point (kidney Yu). Method: Same as before. Can be combined with fire cupping to enhance stimulation. 7, lumbar disc prolapse acupuncture points: intervertebral pressure pain points (intervertebral joints), calf numbness area in the middle point or Chengshan point. Method: lumbar in the center of the pain point into the needle knife, needle knife tip to reach the intervertebral small joint ligament around the tissue for 3-4 times, out of the needle knife; calf parts with a straight stab longitudinal stripping method can be.