Osteoarthritis of the knee with good results of acupuncture treatment

  Osteoarthritis, also known as osteoarthrosis, senile arthritis, osteoarthritis, hypertrophic arthritis, degenerative arthritis, proliferative osteoarthritis, etc., is a joint disease characterized by loss of cartilage in synovial joints and periarticular osteophytes, with clinical manifestations of joint pain, pressure pain, joint stiffness, restricted movement, walking limp, joint popping, sometimes accompanied by joint effusion, and in severe cases In some cases, joint deformity may occur, but there are no clear systemic symptoms.  Osteoarthritis can be seen in many joints throughout the body, and the knee joint is the main site of the disease. Osteoarthritis of the knee is one of the most common causes of knee pain, and is particularly common in middle-aged and older women. Currently, there are various options for clinical treatment of this disease, such as medication (including Chinese medicine), physical therapy, surgery (unicondylar replacement or total joint replacement), acupuncture, and acupuncture.  Acupuncture is a new medical system with independent intellectual property rights created by the dedicated research and painstaking exploration of our medical experts represented by the inventor, Professor Zhu Hanzhang. After more than 30 years of development, acupuncture has become a mature and effective unique method, and its theoretical system is becoming more and more mature. At present, several TCM universities have opened acupuncture medicine programs, forming a complete talent training system from undergraduate to master’s and doctoral degrees. Recently, the State Administration of Traditional Chinese Medicine has set up the TCM Medical Technology Collaborative Group in order to organize, standardize, promote and develop TCM treatment techniques, strengthen the construction of talent teams, and widely publicize and promote the use of TCM treatment techniques to the society, in which acupuncture is listed as an important TCM treatment technique, indicating that acupuncture is fully recognized and valued at the national level.  After the birth of acupuncture, many previous medical problems have been solved, and many diseases that were previously difficult to treat with traditional Chinese medicine and Western medicine treatment methods have been treated with acupuncture. To knee osteoarthritis, for example, in the past, patients with this pain is usually to the orthopedic consultation, and in fact, orthopedic surgeons are basically helpless in this case, that the disease is a degenerative disease, is an inevitable disease with age, and will focus on the focus on the joint bone hyperplasia and cartilage degeneration, the general condition is less severe to give anti-inflammatory analgesics and other oral, short-term although there is Although there is a certain effect, but the long-term effect is poor, the patient will still have more serious pain, affecting work life, while drug treatment are certain gastrointestinal side effects, so that some patients are discouraged; the more serious condition is recommended for surgery or even artificial joint replacement. Needle knife therapy is a unique way to shift the focus of attention from bony changes to the soft tissues surrounding the knee joint, thus opening a pathway for the treatment of this disease, significantly reducing the patient’s pain and improving the patient’s quality of life. Acupuncture is particularly effective in the clinical treatment of early osteoarthritis of the knee. This clinical effect is reflected in the rapid relief of symptoms such as pain and cold in the knee joint, as well as in the improvement of knee mobility and reduction of joint effusion. In principle, acupuncture is not indicated for advanced cases of knee osteoarthritis (especially when joint deformity has developed), but it has been reported that acupuncture can result in partial restoration of narrow (or absent) joint spaces in patients with advanced osteoarthritis, which is also relevant for the treatment of patients with advanced osteoarthritis.  So, why does acupuncture technically achieve good results for the treatment of knee osteoarthritis?  Acupuncture medicine believes that the imbalance of joint forces following soft tissue lesions around the knee joint is an important cause of osteoarthritis. Moreover, it is noted in the acupuncture clinic that the presence or absence of local osteophytes in the knee joint and the severity of their degree are not proportional to the clinical symptoms of the patient, indicating that osteophytes are not the direct cause of clinical symptoms. Instead, osteophytes are mainly caused by stress changes in the power unit outside the knee joint (e.g., sports injury to the soft tissue-bone junction resulting in scar formation, soft tissue contracture, and weight gain resulting in uneven force on the weight-bearing part of the knee joint and changes in the line of force), which leads to continuous overstretching of the soft tissue on the bone tissue: first, soft tissue injury around the knee joint causes adhesions and strains, disrupting the the force balance of the knee joint, creating a high stress point within the joint; second, due to some disease, such as rheumatoid arthritis, which destroys the soft tissues around the joint, thus causing an imbalance in the force balance within the joint. In addition to stimulating osteophytes at the junction of bone and tendons, ligaments, and other tissues, stress alterations also lead to increased intra-articular pressure, which is detrimental to the physiological metabolism of articular cartilage and may be an important cause of articular cartilage degeneration. Therefore, chronic soft tissue injury and degeneration of articular cartilage are the two main pathological changes that coexist in knee osteoarthritis, with the former being the cause and the latter being the effect. Most of the soft tissues around the knee joint are superficially located, and acupuncture treatment can act directly on the lesion, so that the scar, contracture and other lesions can be loosened, and the direct clinical effect is the relief or disappearance of knee pain, and the indirect effect is to restore the balance of the knee joint power unit, restore the force line structure, which is conducive to the correction of internal and external rotation and flexion deformity and the relief of osteoarthritis lesions. Moreover, acupuncture medicine attaches special importance to the precise diagnosis and precise treatment of diseases, subdividing soft tissue injuries around the knee joint into medial collateral ligament and medial patellar support band injuries, lateral collateral ligament and lateral patellar support band injuries, infrapatellar fat pad injuries, goose foot bursitis, patellar ligament injuries, infrapatellar bursitis, iliotibial bundle friction syndrome, etc., and then taking targeted acupuncture release treatment according to these precise diagnoses, thus This has laid the foundation for clinical healing of the disease.  In a rigorous multicenter randomized controlled clinical study conducted between 2006 and 2008 with three research centers, including Wangjing Hospital of the Chinese Academy of Traditional Chinese Medicine, Beijing Boai Hospital of the China Rehabilitation Research Center, and the Second Hospital of the Beijing Armed Police Force, we showed that acupuncture treatment had a significant improvement on walking pain and stair pain on the JOA knee score scale in patients with knee osteoarthritis at both follow-up and follow-up. significant improvement, and significantly reduced local pressure pain, improved local soft tissue tone in the knee joint, and had a modifying effect on altered plantar mechanics due to the knee lesion.