Distribution Of Pain Points Around The Knee With Flexion Contracture In KOA And Observation Of Pain Point Acupotomy Relief

Objective: Through visiting KOA with knee flexural contracture,the knee joint of the affected limb was examined,and the pain points around the knee joint were recorded.The distribution of pain points around the knee joint of KOA with knee flexural contracture was obtained.Acupotomology was performed on the pain points around the knee,and the pain relief before and after treatment was observed.To analyze the efficacy of acupotomology in the treatment of KOA combined with flexion contracture,so as to provide reference for the clinical treatment of such diseases.Methods: From January 2019 to January 2020,72 patients diagnosed as KOA combined with flexural contracture met the inclusion criteria at the orthopedic outpatient department of Kunming Hospital of Traditional Chinese Medicine were collected around the knee joint.After using Windows Office Excel 2007 to generate random sequences,the patients were randomly divided into acupotomology releasing group,local closed pain point group and control group,with 24 cases each.All three groups were treated with oral celecoxib,while the control group received no other treatment.The local closure group was given local closure of the pain point,and the acupotomology group was given acupotomology release treatment after local closure of the pain point.VAS score and WOMAC index of pain points were observed in patients of the three groups at the first visit 1,2,3 and 4 weeks after the first treatment.Statistical analysis of all the data was carried out using SPSS23.0 software to objectively evaluate the efficacy.Results:1.General information of patients of the two groups before treatment: gender,age,VAS score and WOMAC score of patients of the three groups were not statistically different and were comparable.2.A total of 283 pain points were recorded in 82 knee joints of 72 patients.The pain points were mainly distributed in the medial collateral ligament,the foot of the duck,the medial patella support band,and the medial quadriceps tendon of the femur.A few pain points were located in the lateral retinaculum,Gerdy nodule and the starting area of the lateral collateral ligament.Very few pain points are located in the patellar tendon.3.VAS and WOMAC scores of the three groups were significantly decreased before and 4 weeks after treatment*?P=0.000,P<0.05,VAS(1.00 ± 1.00)and WOMAC scores(22.25 ± 4.19)of the acupotomy group were lower than those of the control group and the closed group.Conclusion: KOA combined with flexion contracture,the pain points were mainly distributed in the medial collateral ligament,the goose foot,the medial patellar retinaculum,the medial quadriceps tendon and other medial knee extensor regions.A few pain points were located in the lateral retinaculum,Gerdy nodule and the startingarea of the lateral collateral ligament.Very few pain points are located in the patellar tendon.Treatment of KOA combined with flexion contracture by acupotomy and local closure: 1.The curative effect is better than that of simple closure treatment and oral analgesics.2.The long-term efficacy of acupotomology combined with local closure in the treatment of KOA is better than that of simple closure of pain points.3.Acupotomology release treatment KOA has a good effect on pain relief of patients and is easy to operate.It is a Chinese medicine treatment worthy of promotion.