Knee pain

A similar distribution of points to that for lumbar-sciatic pain may be observed in 20 patients with knee pain: but it is interesting to note that the large cluster of tender points on the upper part of the anthelix tends to split into two minor clusters which seem to hold different meanings (on the right of Fig. 7.4). The clusters on sectors 19-21, which are significantly larger with PPT than ESRT (P<0.05), correspond presumably to the hip and the knee, being at mid distance between Nogier's and the Chinese representations. This cluster is composed almost entirely of tender points on the lateral surface whereas the significantly larger cluster of tender points on sectors 16-18 is almost exclusively located on the medial side and is presumably related to muscles of the thoraco-lumbar tract of the spine. It can be questioned, of course, whether this tenderness is a consequence of postural changes in a patient with chronic knee pain or represents a co-morbidity. Also the sensitization

Fig. 7.4 Cluster of points with low ESR in 20 patients with knee pain on the left; cluster of tender points with PPT of the same patients on the right. The colored sectors correspond to a significantly higher concentration of points, respectively, for ESRT vs. PPT on the left side or for PPT vs. ESRT on the right side of the figure. Colored areas = lateral surface; blank areas = medial surface.

Fig. 7.4 Cluster of points with low ESR in 20 patients with knee pain on the left; cluster of tender points with PPT of the same patients on the right. The colored sectors correspond to a significantly higher concentration of points, respectively, for ESRT vs. PPT on the left side or for PPT vs. ESRT on the right side of the figure. Colored areas = lateral surface; blank areas = medial surface.

of the occiput-TMJ area, even if not reaching a significant difference compared to ESRT, may be considered concomitant or a consequence of postural changes in patients with lumbar-sciatic and knee pain. The particular concentration of points on the lung area moreover could be related to metabolic disorders accompanying osteoarthritis of the knee.

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Acupuncture For Cynics

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