Outline

Needle-knife therapy is a closed-surgical therapy, commonly used to treat orthopedic surgery to be done to cut the disease.

Methods of operation

Needle-knife therapy in the clinical application of its unique use and methods of operation, sterile procedures must be strictly enforced. A small knife to high pressure or boiling sterilization, the needle part of the usual strict disinfection of the skin, the hole covered with sterile towel.

Four-step procedures to follow the needle, that is fixed, directional, pressure separation, piercing. Disease according to location and modus operandi of the disease in different parts loosen, peel, cut and other surgery.

Indications

Small needle-knife therapy in orthopedic indications in the eleven, and mainly used in areas of chronic soft tissue injury. Include:

(1) due to a variety of soft tissue adhesions, contracture, scarring caused by the trunk limbs around some of the intractable pain

(2) of the spur (or osteoarthritis)

(3) bursitis

(4) trunk limbs due to damage caused by complications

(5), early myositis ossificans (including muscle ligament calcification)

(6) of tenosynovitis

(7) the accumulation of muscle and ligament injury

(8) traumatic muscle spasm and muscle tension (non-brain-derived)

(9) sequelae of surgical injury

(10) pathological sequelae of injury

(11) shaft fracture malunion

Contraindications

(1) fever patients.

(2) with severe exacerbation in patients with visceral disease.

(3) parts of the treatments are skin infections, muscle necrosis.

(4) Shi surgery site swelling, burning, or a deep abscess.

(5) treatments have an important part of nerves and blood vessels, or vital organs and the treatments can not avoid those.

(6) in patients with hemophilia.

(7), extreme physical weakness or should be used with caution in patients with hypertension.

Experience and medical records famous

Needle-knife therapy is a closed surgery, local anesthesia is generally not done. To ensure safety, except by special methods of the needle, the needle is to rely on sense of touch to determine the muscle, blood vessels, or nerves, ligaments or tissue space. If local anesthesia, the needle is no feeling when it can not identified the cutting edge of what is encountered or the organization, the needle and surgery are difficult to guarantee absolute security, nor can it under local anesthesia.

Typical cases: frozen shoulder

Zhang, female, 45 years old. July suffering from frozen shoulder than the right, after multiple treatment ineffective. Serious attack in recent months, the right upper limb abduction adduction are limited on the move, loss of function, limb touched the pain a little unbearable. Scalpel surgery and medicine services scattered plot Council five plus Mustard Seed, fried barley, wind, Notopterygium, dairy did not. Five days a treatment, were treated five times, serving traditional Chinese medicine 15 to pay, recovery.

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