What is small needle knife therapy?

small needle knife therapy

1. [Overview ]

Small needle knife is an acupuncture appliance made of metal material, which resembles a needle and a knife in shape. It is developed on the basis of the needle and front needle in the ancient nine needles, combined with the scalpel used in modern medical surgery, and is the product of organic combination with soft tissue release surgery. It has a history of more than ten years, has a trend of further development in recent years, and is valued by the world.

Small needle knife therapy is a kind of closed release between surgical method and non-surgical method. It is formed on the basis of open surgery combined with acupuncture. The operation of small needle knife therapy is characterized by easy cutting, peeling and other different start-up stimuli in the deep part of the treatment site to achieve the purpose of relieving pain and getting rid of diseases. The indications are mainly soft tissue injury and osteoarthrosis.

the advantage of small needle knife therapy is that the treatment process is simple and not limited by any environment and conditions. During the treatment, the incision is small, no suture is needed, the damage to human tissues is small, infection is not easy to cause, there is no adverse reaction, the patient has no obvious pain and fear, there is no need to rest after the operation, the treatment time is short, the course of treatment is short, and the patient is easy to accept.

2. [Basic Contents ]

1. Needle tools

Small needle knives are mostly made by themselves, and their shapes and lengths are slightly different, generally about 1-15 cm, with diameters ranging from .4 to 1.2 mm. It is divided into three parts: handle, needle body and needle knife. The width of needle knife is generally equal to the diameter of needle body, and the cutting edge is sharp. Some are modified with surgical small blades, and some are modified with dental probes.

Small needle knives must be sterilized by high pressure or soaked in alcohol before application.

2. Operation method

(1) The choice of posture is based on the principle that the doctor is convenient to operate and the patient feels comfortable when being treated. If the neck is treated, sitting position is often used; The head can be raised or lowered according to the position of the disease;

(2) After choosing a good posture and a good treatment point, perform local aseptic disinfection, that is, disinfect with alcohol first, then disinfect with iodine, and deiodify with alcohol.

The doctor wears sterile gloves, and finally confirms the injection site and marks it. Sterile hole towels can be applied to large joints of the body or parts with complicated operation to prevent pollution during operation.

In order to relieve the pain caused by local operation, local anesthesia can be used to block nerve pain conduction. Commonly used drugs for injection are:

a, 1% novocaine, 2-5ml/each injection point.

b, 2% lidocaine about 5ml/each injection point.

c, 5 ml of 2% lidocaine and 1 ml of triamcinolone acetonide were injected into 2-3 treatment points respectively after mixing.

(3), the commonly used stripping methods are:

a, shovel stripping along the distribution direction of muscle fibers or tendons-that is, the tip of the needle knife clings to the tissue to be stripped and advances (instead of lifting and inserting it up and down), so that the laterally adhered tissue fibers are broken and loosened.

b, swing the tip of the horizontal or fan-shaped needle knife to break and loosen the vertically adhered tissue fibers.

c, do the oblique or non-directional needle knife tip swinging action, so as to break and release the fibers of irregular adhesion tissue.

The peeling action should be adopted depending on whether there is adhesion or not. Pay attention to all kinds of peeling actions, which must not be too large to avoid scratching important tissues such as blood vessels and nerves.

(4) The needle can be taken out after cutting and peeling each point for 2-5 times each time, and it can be cured after 1-5 times of general treatment, and the interval between the two times can vary from 5-7 days depending on the situation.

(5) Indications for the application of small needle knife:

A. The patient consciously has pain symptoms somewhere.

b, doctors can touch sensitive tenderness at the lesion site.

c, palpation can touch the cord-like or flaky or spherical hard objects and nodules under the skin.

d, there is a noise when poking the lesion with your finger.

3. [Clinical application ]

1. Acupoint selection for cervical spondylosis

The pain point is the main point. Yangming meridian headache combined with valley and Neiting points; Shaoyang meridian headache with foot near weeping and Fengchi points; Taiyang meridian headache with Kunlun and Houxi points.

method: use the straight needling method. Gently peel it vertically for 1-2 times, which can be combined with local massage to enhance the curative effect.

2. lateral humeral epicondylitis (tennis elbow)

acupoint selection: find out the most obvious tenderness.

method: make the knife edge line of the small needle knife and the extensor carpi muscle strike parallel into the subcutaneous area of the lateral epicondyle of humerus, first use the longitudinal dredging and peeling method, then use the backward incision and peeling method to feel that the sharp edge has been scraped flat, then use the transverse scraping and peeling method, and then dredge the extensor carpi carpi, extensor carpi communis, supinator muscle tendon, and take out the needle knife for dressing. Flexion of elbow joint for 2-4 times, usually 1 or 2 times can be cured, with an interval of 5 days each time.

3. Stenosing tenosynovitis of flexor tendon (snapping fingers)

Point selection: local pain point.

method: longitudinal shovel stripping method was used.

4. Heel pain (heel spur)

Acupoint selection: the tip of spur (the most obvious tenderness).

method: the patient lies on his back on the treatment bed, puts his foot firmly, and finds out the most obvious tenderness point. After routine disinfection, the needle knife edge line is perpendicular to the longitudinal axis, and the needle body and heel form a 6-degree angle, and the depth reaches the tip of the spur, and then the needle knife can be removed after 3-4 times. If the needle knife is not healed once, the second time can be done after 5-7 days.

5. The third lumbar transverse process syndrome

Acupoint selection: where tenderness is obvious.

method: the knife edge line of the small needle knife is parallel to the longitudinal axis of the human body, and when the knife edge touches the bone surface, the needle can be taken out by horizontal stripping method, and when the muscle and the bone surface feel loose movement. Generally, it will heal once, and those who don't heal will do it again after 5 days.

6. Chronic lumbar muscle strain

Acupoint selection: waist tenderness point (Shenshu).

method: same as before. Can be combined with cupping to enhance stimulation.

7. Lumbar disc herniation

Acupoints: the tender point of intervertebral space (at the intervertebral joint), the midpoint of the numbness area of the lower leg or Chengshan point.

method: the needle knife was inserted into the waist at the center of the pain point, and when the needle tip reached the tissue around the intervertebral facet ligament, it was dredged and peeled for 3-4 times, and then the needle knife was removed. The calf part can be stripped vertically by straight needling.

4. [Precautions ]

1. Because the small needle-knife therapy is operated under non-direct vision, if you are unfamiliar with human anatomy, especially local anatomy, it is easy to cause injury, so doctors must be familiar with the anatomical knowledge of the deep acupoints to be stimulated, so as to improve the accuracy of operation and improve the curative effect.

2. Acupoint selection must be accurate, that is, when Ashi point is selected as the treatment point, the needle must be inserted in the center of the pain point and kept vertical (the needle insertion method can be flexibly selected for non-pain point selection). If the needle is deviated, it will easily dislocate the diseased part in the deep part and damage the non-diseased tissue.

3. Pay attention to aseptic operation, especially for deep treatment, especially when cutting deep joints of important joints such as knees, hips, elbows and necks. If necessary, it can be covered with sterile hole towel locally or carried out in sterile operating room. For other parts of the body, just pay attention to aseptic operation.

4. Needle insertion with a small needle knife should be quick and agile, which can reduce the pain caused by needle insertion. When stripping in the deep, such as shovel stripping, horizontal stripping and vertical stripping, the technique should be light, otherwise it will aggravate the pain and even damage the surrounding tissues. When cutting the joints longitudinally, be careful not to damage or cut off ligaments, tendons, etc.

5. After operation, local massage can be given to some treatment points with less trauma to promote blood circulation and prevent postoperative bleeding and adhesion.

6. For some cases, the short-term curative effect is very good. After 1-2 months or longer, the pain recurs and the original disease state is restored, especially in the parts with heavy load such as knee joint, shoulder elbow joint and waist. Attention should be paid to the following factors: the patient's habitual life, walking posture, working posture and so on lead to recurrence; The local adhesion was relieved by operation, but the wound surface was adhered due to lack of local movement after operation. It is caused by the attack of wind, cold and dampness again. Therefore, special attention should be paid to daily life.

Reference: China Traditional Culture Network.