Patient: female, 70 years old.
I went to see a doctor six months ago because of pain in my right leg. Six months ago, the patient had no pain or soreness in his right leg, and there was no obvious improvement after infusion, knee joint injection and acupuncture treatment. At present, oral glucosamine, mecobalamin and Gulong capsules are mostly used for treatment. The effect is not good. At present, the right knee joint is weak and sore, the medial patella is sore, the right popliteal fossa is sore, the lateral calf and the calf are sore, and occasionally the right waist is electrocuted. After the left knee replacement.
Patient's self-report: I feel that my right lower limb is short and my popliteal fossa is tense, as if there is a rubber band correcting it.
CT scan of a 3A hospital in Beijing showed degenerative osteoarthropathy of the lumbar spine, with 3-4 protrusion of the left posterior intervertebral disc, from lumbar vertebra 1-2 to lumbar vertebra 5- sacrum 1 disc herniation. According to the lumbar process treatment for about half a year, there is no improvement.
Because of the results of CT examination, doctors can easily diagnose the complications of lumbar disc herniation, which is why doctors recommend surgery when patients go to other hospitals. But is this really the case? If so, why didn't the previous treatment work?
Examination: the straight leg elevation test was negative, and only the popliteal fossa was involved in pain. Lumbar percussion showed no radiation pain. Palpation of popliteal fossa and lower part of right leg is swollen and tense. In order not to meet the characteristics of lower limb symptoms caused by lumbar disc herniation, and the image protrudes to the left, it also suggests that another leak may be found today! It is possible that the symptoms are not directly related to lumbar problems, but hamstring spasm caused by the increase of right knee load after left knee replacement.
Treatment: Acupuncture at Weiyang point on the lateral side of the transverse striation of popliteal fossa, obliquely inward and downward, and direct needling of deep fascia of popliteal fossa with three talents to make popliteal muscle beat. At the same time, combined with acupuncture at Heyang point (Tianbu), the gastrocnemius muscle pulsates slightly and the pressure on the hamstring muscle is reduced. After leaving the needle 10 minutes, the patient immediately felt that the sense of popliteal involvement disappeared and the gait relaxed.
After half a year's treatment, two stitches can reduce most of it.
Weiyang point is the point of bladder meridian of Foot Taiyang, which is located at the tendon stop point of biceps femoris lateral to popliteal fossa. If we insert the needle obliquely at this depth, it will stick to a very short muscle deep in our calf, which is called hamstring muscle. During my palpation, I found that this muscle was very spasmodic and in a state of high tension.
So we used Academician Cheng Shennong's "three-talent needling method" to stick the needle in the past, not into the muscle, but to gently touch this deep, short and tense muscle surface with the tip of the needle. Touch, dodge, touch, dodge, such a point-like stimulus can excite his muscle aponeurosis, and when that excitement reaches the threshold, this tense muscle will "bang".
And under my stimulation, it will jump more than once, even several times. Why is this muscle tense? It is because his left knee joint has been replaced. Friends who have had this operation will know that the most difficult thing in the recovery period after joint replacement is to restore the elasticity of the ligaments around his knee joint. This man is seventy years old, and the elasticity of this ligament is not enough to support and fix, so he will naturally protect his knee joint and take a protective posture, that is, reduce the stress on his left knee joint, and the force will naturally press on his right knee joint. In order to support the right knee joint, it will go from waist to hip, from hip to hip, from hip to thigh, from the back and outside of thigh to popliteal fossa, and to our calf. At this time, these muscles have become more tense. The popliteal fossa is just a short muscle, which can provide high tension and high support, and will inevitably contract.
After a long time, just like a rope twisted together, the popliteal fossa will naturally spasm and the lower limbs will be short. Then after this state appears, muscle tension will inevitably lead to pseudosciatica and pseudodisc stimulation. In this case, if we only look at the results of one image without clinical palpation, it is often easy to be misdiagnosed. If the symptoms are consistent and the images are there, a diagnosis is made. As a result, after a long period of treatment, you have not found the most critical problem and the effect is not obvious.
For many of our friends, you may be just a person with such a problem or your parents have such a similar situation. In this case, don't forget the formula we just told you, "treat the knee first, then the waist, treat the knee and treat the carbuncle", and don't forget the kind reminder of an acupuncturist.