Microneedle for shoulder arthritis

  Mr. Li, 45 years old, from Zhao Dong City, has been suffering from shoulder pain for more than 1 year, with pain in the shoulder, restricted movement and difficulty in raising the upper arm, which seriously affects his daily work and life. Mr. Li had suffered from hypertension, coronary heart disease and diabetes in the past. He came to the pain department of the hospital after having no significant effect from local medication, physiotherapy, acupuncture, cupping and topical creams.  The conventional treatment for frozen shoulder is a combination of oral anti-inflammatory and analgesic drugs, physical therapy, local blocking of painful spots, massage and massage, and self-functional exercise. In view of Mr. Li’s disease and personal characteristics, the director analyzed and concluded that: Mr. Li’s conventional treatment methods are ineffective, his activity is mainly limited, and he also has a combination of diabetes and other diseases, so he can choose painful point or nerve block treatment, but the block requires a small amount of hormone injection, which may increase blood sugar. Mr. Li can also choose acupuncture treatment or ultramicrotomy. The principle of acupuncture treatment is to release and reduce adhesions at the periacetabular lesion. The treatment areas are deep and superficial fascia, fascia, superficial muscle attachment points, and dermal nerve compression areas. The effect is immediate, the incision is only 0.4mm, and the depth of the needle is about 25px, which will not damage the nerves and important blood vessels. And no hormones, safe and no side effects, known as the “green therapy”.  The director decided to carry out micro-needle knife treatment on Mr. Li. After local anesthesia, each point was treated with needle knife. At the end of the treatment, Mr. Li was able to lift his upper arm and move around his shoulder freely. The director also reminded Mr. Li that after the needle knife release stripping, it is important to strengthen the self-confrontation exercise while resting the upper limbs. A treatment course of 1-3 times is sufficient.  The shoulder joint is the main activity center of the upper limb and is the main attachment point of the upper limb muscles. Excessive exercise, excessive force, long-term strain, etc. in life can easily lead to soft tissue injury in the shoulder. The operation of acupuncture treatment is to use a needle knife to make incision and peel or longitudinal sparing peel at the rostral process at the attachment point of the rostro-humeral and biceps short head, at the beginning and end of the supraspinatus muscle, at the beginning and end of the subacromial bursa, at the beginning and end of the infraspinatus muscle and the lesser circular muscle, and to make a permeable peel at the subacromial bursa. If there are other obvious pressure points around the shoulder joint, appropriate needle surgery can be performed on that pressure point. When the shoulder pain is significantly reduced but the joint is still stiff, manual release under general anesthesia can also be performed to restore the range of motion of the joint.