Clinical Experience of Combining Qihuang Acupuncture with Extracorporeal Shock Wave Therapy for the Treatment of Knee Osteoarthritis
Keywords:
Knee osteoarthritis, Qihuang acupuncture therapy, Pain management, Extracorporeal shock wave therapy, Comprehensive treatmentAbstract
Knee osteoarthritis (KOA) is a chronic degenerative disease characterized by articular cartilage degeneration and bone hyperplasia, which severely affects patients’ quality of life. Qihuang acupuncture therapy can regulate meridian Qi and blood circulation, improve local microcirculation, and has the effects of relieving pain and eliminating inflammation. As a noninvasive physical therapy technique, extracorporeal shock wave therapy (ESWT) promotes tissue repair and delays cartilage degeneration through mechanical stimulation. Combining clinical research and literature reports, this article summarizes the clinical experience of Qihuang acupuncture combined with extracorporeal shock wave therapy in the treatment of knee osteoarthritis. Studies have shown that the combined application of the two can significantly improve patients’ pain symptoms, enhance joint function, delay disease progression, and have good safety with no significant adverse reactions. This comprehensive treatment plan has important clinical value in the non-surgical treatment of knee osteoarthritis and deserves further promotion and in-depth research.
References
Felson DT, Lawrence RC, Dieppe PA, et al., 2000, Osteoarthritis: New Insights. Part 1: The Disease and Its Risk Factors. Annals of Internal Medicine, 133(8): 635–646.
Jiang Y, 2022, Osteoarthritis Year in Review 2021: Biology. Osteoarthritis and Cartilage, 30(2): 207–215.
GBD 2016 Disease and Injury Incidence and Prevalence Collaborators, 2017, Global, Regional, and National Incidence, Prevalence, and Years Lived with Disability for 328 Diseases and Injuries for 195 Countries, 1990–2016: A Systematic Analysis for the Global Burden of Disease Study 2016. The Lancet, 390(10100): 1211–1259.
Hochberg MC, Altman RD, April KT, et al., 2012, American College of Rheumatology 2012 Recommendations for the Use of Nonpharmacologic and Pharmacologic Therapies in Osteoarthritis of the Hand, Hip, and Knee. Arthritis Care & Research (Hoboken), 64(4): 465–474.
Wang CJ, Weng LH, Ko JY, et al., 2011, Extracorporeal Shockwave Shows Regression of Osteoarthritis of the Knee in Rats. Journal of Surgical Research, 171(2): 601–608.
Chen J, 2021, Randomized Controlled Trial of Qihuang Acupuncture Therapy for the Treatment of Knee Osteoarthritis, thesis, Guangzhou University of Chinese Medicine.
Wang Z, Zhang N, Xu H, et al., 2024, Professor Wang Peimin’s Experience in Treating Knee Osteoarthritis from the Perspective of the Spleen. Chinese Journal of Orthopedics and Traumatology of Traditional Chinese Medicine, 32(5): 88–91 + 96.
Wei Y, Jansen N, 2024, Progression of Metabolic Syndrome and Knee Osteoarthritis. Chinese Journal of Rehabilitation, 39(6): 365.
Huang P, Wang Y, Chen B, et al., 2020, Three-Dimensional Movement Analysis of Patients with Knee Osteoarthritis. Chinese General Practice, 23(17): 2169–2176.
Wang Z, Li M, 2020, Pathogenesis and Treatment Progress of Knee Osteoarthritis. Chinese Orthopaedic Journal, 12(5): 450–455.
Liu X, Zhang W, 2019, Study on the Role of Biomechanical Factors in Knee Osteoarthritis. Chinese Journal of Rheumatology, 23(3): 210–215.
Tao P, Liu F, Li Z, 2024, Research Progress of Traditional Chinese Medicine for Knee Osteoarthritis Based on Inflammatory Factors. Hebei Journal of Traditional Chinese Medicine, 46(8): 1403–1408.
Wang X, Li J, Wang M, et al., 2023, Therapeutic Effect of Huoxue Dingtong Paste Combined with Erxian Decoction on Yang Deficiency and Blood Stasis Type Knee Osteoarthritis and Its Influence on TNF-α, IL-1β, and IL-6. Clinical Research of Traditional Chinese Medicine, 15(14): 103–108.
Zhang R, Zhang X, Zhao M, 2019, Pathogenesis and Treatment Progress of Knee Osteoarthritis. Rheumatism and Arthritis, 8(5): 68–72.
Yu Q, Zhou J, Ma W, 2024, Research Progress on the Role of Long Non-Coding RNA Plasmacytoma Variant Translocation Gene 1 in Osteoarthritis. Modern Medicine Journal of China, 26(1): 97–100.
Zhang Y, Jordan JM, 2010, Epidemiology of Osteoarthritis. Clinical Geriatric Medicine, 26(3): 355–369.
Loeser RF, Collins JA, Diekman BO, 2016, Ageing and the Pathogenesis of Osteoarthritis. Nature Reviews Rheumatology, 12(7): 412–420.
Chen J, Zhong M, Fu S, et al., 2021, Experience in the Treatment of Knee Osteoarthritis with Qihuang Acupuncture Therapy. Journal of Clinical Acupuncture and Moxibustion, 37(8): 89–92.
Chen C, 2009, Theories and Research on Tendons in ‘Huangdi Neijing,’ thesis, China Academy of Chinese Medical Sciences.
Li J, Liu H, 2002, Clinical Observation of Nodular Tendon Lesion Points in Hyperplastic Knee Osteoarthritis. Chinese Acupuncture and Moxibustion, 22(8): 533–534.
Han F, Li Z, Zhang W, 2017, Observation on the Efficacy of Extracorporeal Shock Wave Therapy Combined with Sodium Hyaluronate Injection in the Treatment of Knee Osteoarthritis. Massage and Rehabilitation Medicine, 8(5): 52–53.
Yao D, Zhuo J, Ma S, et al., 2015, Clinical Observation of Extracorporeal Shock Wave Therapy Combined with Ozone Intra-Articular Injection in the Treatment of Knee Osteoarthritis. Chinese Journal of Pain Medicine, 21(8): 638 + 640.
