The condition of anterior cruciate ligament tear is relatively serious. When it occurs, the patient will feel very obvious pain symptoms, and the degree of redness and swelling will also be very obvious. Therefore, most patients can only adopt surgical treatment. After the operation, they need to cooperate with a series of traditional Chinese medicine treatments to eliminate the symptoms of the disease from the root. Acupuncture knife treatment The patient lies prone, the interspinous lesions are identified, and marked with gentian violet. Routinely disinfect the skin, use a No. 4 needle knife, and follow the four-step needle insertion method. The incision line is inserted parallel to the longitudinal axis of the spine, with a depth of 3cm to 4cm. A longitudinal incision is made and peeled off. Then the needle body is tilted upward and downward to make 1 to 2 longitudinal incisions and peels off along the sagittal plane of the spinous process at the lower edge of the superior spinous process and the upper edge of the inferior spinous process. Remove the needle knife and add cupping, the bleeding will be 2ml to 20ml, and apply a Band-Aid after removing the cup. For those with slight displacement of the lumbar vertebrae, the lumbar oblique lever technique can be used to correct the position. Treat once every 5 to 6 days, up to 2 times. Acupuncture The main acupoint is Ashi point (tender point between spinous processes), combined with Yaoshu point. The patient lies prone and a 2.0-inch filiform needle is used to first insert a needle straight between the diseased spinous processes, then insert a needle obliquely in the midline direction 1 inch away from both sides, about 1.5 inches deep, and then insert a needle horizontally 1 to 1.5 inches upward at the Yaoshu point. After lifting, inserting and twisting to obtain qi, connect to the G6805 therapeutic device, which uses alternating high-frequency continuous waves and sparse and dense waves. Acupuncture treatment was started on the second day after the acupuncture knife treatment, once a day, 5 times as a course of treatment, and the second course of treatment was carried out after a 2-day rest. Treatment Outcomes 114 cases were cured (pain disappeared, waist movement was normal, and no recurrence was observed during the one-year follow-up); 22 cases were markedly effective (symptoms basically disappeared, but there was discomfort after fatigue or cold, or recurrence occurred within one year after being cured); 6 cases were effective (symptoms were alleviated, but recurred after fatigue and were alleviated after further treatment); and there was no effect (symptoms did not alleviate after one course of treatment). The minimum number of treatments is 1 and the maximum is 2 courses. The main clinical manifestations of interspinous ligament injury include obvious history of trauma, low back pain immediately after the trauma, pain and tenderness located in the middle between the two spinous processes, and the pain is aggravated by heavy pressure. The pain may worsen after exertion or when bending over, and may be temporarily relieved after rest. After novocaine blocks the local pain point, the pain is temporarily relieved, and the tenderness remains the same after the drug effect disappears. The lumbar flexion function is limited. After the pain point is blocked, a lateral radiograph in the lumbar spine in flexion may show widening of the interspinous space, and lumbar interspinous ligament angiography may reveal partial rupture, complete rupture, relaxation or perforation. Although lumbar interspinous ligament angiography has a certain reference value, the incidence of normal angiography is as high as 70%. |
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