In the treatment of neck, shoulder, and back pain, there are many diseases that are caused by local osteophytes and tissue adhesions. These diseases are characterized by ineffective treatment with general medications or local injections and are prone to recurrent attacks. Some diseases can be treated by surgery, but most people refuse to undergo surgery due to the high trauma, high cost, easy to leave complications and the patient’s fear of surgery. Small acupuncture is a method of treatment for soft tissue injuries, local tissue adhesions and certain bone and joint diseases based on the biomechanical point of view, combining the advantages of acupuncture and surgery, as well as a combination of closed surgery and acupuncture treatment. It is a combination of closed surgery and acupuncture treatment. It uses a special needle knife to pierce into specific parts of the body, giving stimulation to acupuncture points and peeling off or releasing adhesions in a closed state, often with immediate effect, and without hospitalization, short operation time, little pain for the patient, low cost, and no impact on daily life and work. Since 1987, when it was introduced nationwide, it has achieved remarkable efficacy in the treatment of painful diseases. Treatment principle: Soft tissues are subject to closed or open injuries due to falls, flashes, flashes, squeezes, pressures, punctures, cuts and strains. After self-repair, some long-lasting lesions remain, such as nerve damage or compression, muscle atrophy or contracture, chronic aseptic inflammation or adhesion hyperplasia of soft tissues, etc., which can cause local or related parts of the soreness, numbness, swelling, pain or dysfunction, which Professor Zhu Hanzhang, the founder of small acupuncture, refers to as dynamic and static balance disorders. After soft tissue injury or inflammation, the body will repair itself, and some lesions will be completely restored to normal, but some lesions will also be in the repair process of adhesions, contractures and scar formation, so that adhesions between muscles, tendons, ligaments, nerves, blood vessels and fascia, and compression of nerves or blood vessels, resulting in local lesions and the corresponding innervated areas of ischemia and hypoxia, resulting in pain, numbness or This leads to pain, numbness or dysfunction. The main principle of small needle knife treatment is to peel off the adhesions and release the muscles or fascia, so that the nerve, blood vessel and muscle compression can be released, thus restoring the dynamic and static balance of the body. At present, through a large number of studies and clinical practice found that small acupuncture knife in the pain areas, acupuncture points to give stimulation can also improve the local electronic field, regulate the function of local nerves, regulate the endocrine function of the central nervous system, through feedback to restore the whole body dynamic and static balance and stability, which is similar to the principle of traditional Chinese medicine acupuncture. Scope of application: head and facial diseases: mandibular joint adhesions, muscle tension headache; neck and shoulder diseases: cervical myofascial syndrome, cervical muscle strain, neurogenic cervical spondylosis, frozen shoulder; upper limb diseases: tennis elbow, stenosing tenosynovitis, popping fingers, traumatic elbow joint adhesions; thoracic back diseases: costochondritis, thoracic spine supraspinous ligamentitis, vertical spine muscle, scapular muscle, supraspinous muscle, infraspinous muscle, large and small circular muscle strain; Lumbar diseases: lumbar disc herniation, lumbar supraspinous ligamentitis, lumbar muscle strain, lumbar myofascial syndrome, third lumbar transverse process syndrome, iliopsoas triangle syndrome, pear-shaped muscle syndrome, gluteus medius syndrome, posterior gluteal cutaneous nerve entrapment syndrome, femoral neuralgia; lower extremity diseases: knee joint ligament injury, heel pain, heel spur; systemic diseases: strong spondylitis, post-stroke sequelae, etc. It should be noted that small needle knife treatment must be carried out under the premise of a clear diagnosis, and must be operated by a clinician who is very familiar with anatomy and is experienced. Otherwise, not only will not achieve good results, but also serious complications will occur.