What happened to the old man's knee pain? First, the causes of knee pain in the elderly:
1, generally osteoarthrosis. Osteoarthrop
What happened to the old man's knee pain? First, the causes of knee pain in the elderly:
1, generally osteoarthrosis. Osteoarthropathy, also known as osteoarthritis, proliferative arthritis, senile arthritis, degenerative arthritis and hypertrophic arthritis, is a chronic joint disease, and its main changes are articular cartilage degeneration and secondary hyperosteogeny.
2, joint swelling and pain, Chinese medicine believes that due to trauma, strain or exogenous pathogenic wind, cold and dampness, the disease enters the collaterals, the joints block qi and blood, and wind, pathogenic water and dampness invade the meridians, making the meridians impassable. It hurts if it is blocked, it hurts if it hurts for a long time, it swells for a long time, and it heats up for a long time. This is the mechanism of yin-yang imbalance, and the viscera can't support each other, resulting in swelling and pain. The root cause is poor capillaries and microcirculation where muscles and blood do not flow.
Second, the principle of treatment
1. There is no special treatment at present. The purpose of treatment is to relieve pain, improve joint mobility and increase joint stability, and slow down the development of the disease.
2. For those who are light, take proper rest, strengthen labor protection, reduce joint load, take appropriate physical exercise, strengthen muscle strength exercises such as quadriceps function exercise of knee joint, strengthen abduction and extensor strength of hip joint, prevent joint contracture and strengthen joint stability. Physical therapy can relieve symptoms and delay the development of diseases.
3. For patients with severe pain, common analgesics, anti-rheumatic drugs, local blocking, intra-articular drug injection (such as prednisone acetate 25mg, 1 time, weekly 1 time, limited to 3-5 times, but suddenly abused) and irrigation therapy have obvious short-term effects.
4. Surgical treatment is suitable for patients with severe pain, and other methods are ineffective or deformed. The surgical method depends on the patient's age, occupation, lesion site and degree of injury. There are loose bodies in the joint, and the osteophyte at the edge of the joint affects the activity, so it is feasible to clean the joint. It can be considered that osteotomy has obviously changed the bearing line of joint deformity. It is feasible to treat severe articular surface injury by artificial joint replacement or joint fusion.
Third, the principle of medication
1. Osteoarthrosis can be treated with 1-2 kinds of non-steroidal drugs or anti-rheumatic drugs, plus Chinese medicine for promoting blood circulation and removing blood stasis, which has good analgesic effect.
2. When the joint is swollen and painful, local sealing or intra-articular injection of prednisone acetate can be considered, but care should be taken not to abuse it to avoid hormonal osteoarthropathy.
The clinical manifestation of knee pain in the elderly is 1. The main symptoms are joint pain, which appears during exercise and disappears or gets better after rest. The pain is aggravated during acute attack, and at the same time, joint swelling, joint stiffness and intra-joint friction sound may occur.
2. Some patients will feel joint pain when their joints are in a certain position for too long, or when they get up and go to the ground in the morning. This kind of pain is called resting pain. After this kind of patients gradually move their joints for a certain period of time, the pain disappears and the joints can feel loose and fast.
3. Hypertrophic osteophyte stimulates or oppresses adjacent nerves, causing radiation pain, such as upper limb pain caused by cervical hyperplasia, lower limb pain caused by lumbar hyperplasia, and anterior medial thigh pain caused by hip hyperplasia. Severe hyperplasia of the spine can compress the spinal cord and nerve roots, causing sensation, movement, defecation, nerve stimulation and even paraplegia.
4. There is no abnormality in the shape and activity of early joints. In the late stage, joints with less surrounding soft tissues such as knee joint and fingers may have bone thickening, joint swelling, muscle atrophy and joint deformation, joint tenderness, limited movement and a sense of friction during exercise.
Massage 1 point to treat knee pain, and massage Xue Hai point to treat knee pain.
Location: Xue Hai point is on the inner side of the knee. You can aim the palm of the opposite side at the center of the knee, with the thumb and forefinger at 45? The position of the tip of the thumb is the blood sea point.
Efficacy: When pressing, put your thumb on Xue Hai point and press hard for 5 seconds to feel pain. Repeat 5 times. You can also use the tapping method: sit in a chair, put your right leg on your left leg, tap the Xue Hai point of your right leg several times with your palm, and then tap it 10~ 15 times in turn.
2, knee pain according to Weizhong point.
Location: Weizhong point is located at the midpoint of popliteal transverse stripes, between biceps femoris tendon and semitendinosus tendon.
Efficacy: Stimulating this point can increase blood supply and secretion of joint lubricant, and prevent pain caused by friction.
3, knee pain according to the inside and outside of the knee eye points.
Location: There are two depressions under the knee, the outer one is called the outer knee eye point, and the inner one is called the inner knee eye point.
Efficacy: You can use a hair dryer to blow until you feel warm around the two acupoints. Be careful not to get too close to the hair dryer to avoid burns.
4, knee pain according to the joint point.
Location: above the knee, above the knee and above the midpoint of the patella base.
Efficacy: Knee pain, leg pain, knee pain, weakness of legs and feet, weakness of lower limbs and paralysis.
5, knee pain according to Yinlingquan point.
On the inner side of the calf, under the head of the horizontal line near the inner side of the knee bend, and in the depression of the lower segment of the tibia, it is used to treat the pain of the inner knee. The attribute of this point is water, which is related to kidney water and can treat swelling caused by hydronephrosis. Pain on the inside of the knee can also be pushed towards the knee by pressing Sanyinjiao point. After pressing the acupoint, move the knee joint.
6. Press Sanyinjiao and Zusanli points for knee pain.
Massage position: Sanyinjiao point is located at the four fingers above the high point of the medial malleolus. Zusanli point is located at the four fingers below the outer knee.
Massage method: Massage Sanyinjiao point and Zusanli point 1 min, especially for soreness.
Efficacy: Stimulating these two acupoints can enhance the strength of lower limbs and relieve knee pain. Has the effects of nourishing liver, spleen and kidney, strengthening steps and strengthening body.
Knee maintenance method 1, don't always run on hard ground, it is true that there are many cement floors around us, but we should pay attention to the alternation of soft and hard, and choose soft floors as often as possible. It should be nothing else, just because of the fragility of the knee joint.
2. Pay attention to cushioning when landing, and learn to use quadriceps to avoid the strong impact of knees.
Be careful when going downhill. At this time, your knee is the most vulnerable to impact.
4. Strengthen the strength training of quadriceps femoris and inner and outer thigh muscles, and pay attention to stretching leg muscles. The stability of the knee can not be separated from the protection of muscles.
5, the preparation activities should be sufficient, do not come up with high intensity, the knee needs an adaptation period.