World Arthritis Day is celebrated on 12 October. This morning, the Party Branch of the Department of Tuina of Yueyang Hospital of Integrated Traditional Chinese and Western Medicine affiliated to Shanghai University of Traditional Chinese Medicine held the "Hand Joint Care" 2021 World Arthritis Day Health Free Clinic Activity in the outpatient hall, spreading the knowledge of joint health and letting the public know how to take care of our joints.
The data shows that there are 355 million people with arthritis worldwide. In Asia, one in six people develop arthritis, the world's leading disabling disease, at some point in their lives. As of 2015, there are more than 100 million people with arthritis in Chinese mainland, and the number is still increasing.
Early this morning, citizens rushed from all over Shanghai to Yueyang Hospital to participate in free medical science popularization activities. At the scene of the event, the chief physician team of Gong Li of Tuina Department patiently and meticulously answered the questions raised by citizens and friends about the knee joint, shoulder joint and hip joint, provided health consultation and targeted exercises and other services, and patients praised the "magical tuina".
Many of them are plagued by knee osteoarthritis. Knee osteoarthritis is characterized by pain in the knee joint, stiffness in the morning, poor flexion and extension, abnormal joint noise, and even joint swelling deformities. Chinese medicine believes that it is felt cold and wet evil, meridian blockage, meridian blockage, so it is also called "old cold leg".
What factors are associated with knee osteoarthritis? How did it happen? Gong Li Introduction:
Knee osteoarthritis has a certain relationship with age, sex, weight, and injury. The prevalence of knee osteoarthritis is as high as 29.7% in people over 40 years old, most of whom are women. The high incidence in women with knee osteoarthritis is mainly related to a decrease in estrogen levels in women. Body weight is also an important trigger for the onset of knee osteoarthritis. Studies have found that the incidence of knee osteoarthritis in obese women is 4 times that of women of normal weight, while men are 4.8 times higher, and weight loss can significantly reduce the incidence of knee osteoarthritis by 25-50%. This is mainly due to the fact that obese patients not only increase the load on the knee joint, but also due to the frequent occurrence of knee varus deformity in obese patients, resulting in uneven force, the load is more loaded on the inside of the knee joint, causing the destruction of cartilage and causing the occurrence of osteoarthritis. Therefore, a very important reason for the occurrence of knee osteoarthritis is the uneven force of the joints and the overload. ”
How to diagnose whether it is knee osteoarthritis? Take an x-ray and find bone spurs, can you diagnose knee osteoarthritis?
Gong Li said this was inaccurate. For most older adults, x-rays tend to show bone hyperplasia and degenerative changes in the knee joint. The current study has found that there is no parallel relationship between the severity of knee osteoarthritis and the imaging manifestations, and it is not that the more severe the bone spur, the more serious the disease. Bone spurs are somewhat self-compensatory by the human body in search of a new mechanical balance. Once the compensation is lost, corresponding symptoms will occur, such as pain, joint mobility disorders, etc. Therefore, x-ray is not the only criterion for clinical diagnosis, and the diagnosis of knee osteoarthritis is mainly based on the age of the patient and symptoms such as knee pain, stiffness, and bone swelling combined with relevant tests.
In fact, for patients with knee osteoarthritis, it is more important to have joint function, such as going up and down stairs, walking ability, etc. Most patients with knee osteoarthritis have gait abnormalities at an early stage, and imaging studies only statically observe the damaged knee joint, and cannot objectively assess the function of the knee joint. Gait analysis technology can dynamically, objectively and quantitatively assess the walking function of the human body, and comprehensively reflect the functional state of the affected knee joint. In addition, in patients with knee osteoarthritis, muscle atrophy and muscle weakness are more common in the lower limbs, and the isometric muscle strength test can objectively evaluate the explosiveness, endurance, work and power of the muscles, and the ratio of muscle strength of the flexor muscle group in joint activity, thereby reflecting the function of the muscles around the knee joint.
For the public, the most concerned question is what is a good treatment for knee osteoarthritis?
Gong Li Introduction:
At present, there is no radical cure for knee osteoarthritis, only symptomatic treatment. The treatment is not to remove the bone spurs as everyone thinks, but to reduce pain and improve the flexion and extension function of the joints through various treatments. After more than ten years of efforts, Yueyang Hospital has used tuina techniques to treat patients with early and medium-term knee arthritis, which has a certain curative effect. The in-depth study of the mechanism of action of knee osteoarthritis from clinical treatment methods to experimental mechanisms has been carried out, and gratifying results have been achieved. ”
Through continuous exploration in the clinic, it is found that most patients with knee osteoarthritis take pain, flexion and extension dysfunction, and muscle strength loss as the main symptoms, guided by classic theories such as "meridian tendons" and "equal weight of muscles and bones", and through the stimulation of pain as a tendon, the release of extensor flexor groups is achieved to achieve the purpose of relaxing muscles and smoothing joints. After treatment, the function of the knee joint in patients with knee osteoarthritis has been improved, the ability to walk has been enhanced, and experimental studies have also proved that tuina can promote the recovery of flexor muscle strength.
Doctors also remind that the causes of knee pain are more complex, for the majority of elderly friends with knee pain, we must go to a regular hospital, early diagnosis, early treatment, so as not to delay the condition, miss the best treatment period. Self-massage and exercise therapy may relieve knee pain in some patients, but should be done under the guidance of a doctor if necessary. For friends who do not have knee pain, especially elderly friends, massage and exercise may help you stay away from knee pain and walk healthily. Let's study it together↓↓↓
Self-massage tips: knee pain calf nose begging, A is often to rub. Blood sea yang mausoleum, healthy to walk.
The calf nose is located on the lower edge of the patella, in a depression on the lateral side of the patella ligament. "Lingshu Ben Loses": "Those who have a calf nose, flexion cannot be extended". Lingshu Miscellaneous Diseases No. 26: "Pain in the knee, take the calf nose...". The calf nose has the effect of meridian activation, wind and cold dissipation, qi reduction and pain relief, and knee sharpening. Clinical indications for knee pain, lower limb paralysis, unfavorable flexion and extension, etc. This point can be kneaded for 1-2 minutes.
A is a point, also known as indefinite point, tianying point, tender point. Such acupuncture points are generally determined by the disease, mostly located near the lesion, but also in the distance from the site, there is no fixed location and name. Its acupuncture method is to take pain as a stomach, that is, people often say that "there is pain is a hole". Mostly use the method of pressing and kneading, the time is 1-2 minutes.
The blood caverns are located 2 inches above the medial end of the patella floor, at the bulge of the medial femoral muscle. The blood sea has the effect of rationalizing blood and regulating menstruation, loosening muscles and invigorating blood. Knee pain is mostly cold and wet evil into the network, press this point for 1-2 minutes, cover the meaning of "cure the wind first, blood wind self-extinction", you can do blood to activate blood, blood to dispel wind and cure knee pain.
The Yangling Spring Cave is located in a depression under the anterior and lower head of the small head of the calf fibula. It is the tendon meeting of the eight acupuncture points, which is the key point for the treatment of tendon disease, and has the effect of draining the liver and gallbladder, clearing heat and dampness, and relieving the tendons and communication. "Copper Man Acupuncture Diagram Sutra": "Yangling Spring, the knee can not be bent, the cold paralysis foot is not kind, the partial wind is not successful, the foot is cold and bloodless." "To treat knee pain, you can rub or hold an empty fist and gently tap YanglingQuan for 1-2 minutes.
Source: Thoughtful