By Dr Win Huang

Mr. Aaron saw me yesterday, he have a knee pain for six months. He did heavy lifting six months ago, he felt sudden pain on left knee, it became better slowly itself, only litter pain after exercise, or longer standing, so he did not do anything, but in this two months it become worse than before, severe pain on the knee when he stand from sitting or semi-squat, specially he fell worse after lifting in gym, swelling on knee and painful.  He had been treated by western medicine and points pressure, but he did feel the effect, So he find me from internet and come to see me, want to try acupuncture.

I did examination for him, finding his left knee is swelling, see the photo below，and pressing pain on top of knee(L). so I think he suffer from the quadriceps tendonitis.

swelling left knee

normal right knee

big different from both right and left knees

patient feels much better,after two weeks acupuncture. see the photo taked in 19/01/2011,we can find the different before and after treatment.

What is the Quadriceps tendonitis? it is the inflammation and irritation of the quadriceps tendon. The quadriceps tendon connects the large quadriceps muscle to the knee. Quadriceps tendonitis is a very common condition amongst athletes and sports people who are involved in activities that place excess strain and the knees and legs. The information on this page will help your recognize the symptoms of quadriceps tendonitis, treat them and prevent them returning.

What reason cause the quadriceps tendonitis? Quadriceps tendonitis usually occurs as a result of overdoing an activity and placing too much stress on the quadriceps tendon before it is strong enough to handle the stress. This is often the case when an athlete is returning to training after a period of rest. This overuse results in ‘micro tears’ in the quadriceps tendon which leads to inflammation and pain. Over time damage to the quadriceps tendon can occur. In extreme cases, the quadriceps tendon may become damaged to the point of complete rupture.

What symptom is the quadriceps tendonitis? Common symptoms of quadriceps tendonitis include:

1) Pain when you move your knee, due to friction as the tendon moves over the knee, could be an indication you have quadriceps tendonitis. The pain is usually slight, but will get worse as the condition develops.

2) Swelling around the area where the quadriceps muscle meets the knee.

3) A feeling or “warmth” or “burning” in the area.

4) Stiffness of the knee. Especially during and after exercise, at night and first thing in the morning.

5) Localized tenderness that increases as you move your knee.

From over information we can know the patient suffer from the tendonitis of quadriceps, so I did first acupuncture for him yesterday, I have confidence, he will get improvement after one term treatment, I will tell you the result of acupuncture.

These causes can lead to what’s called “local qi and blood congestion in the channels” according to Traditional Chinese Medicine or TCM. TCM, as you may know by now, includes acupuncture and Chinese herbs. Acupuncture needles are inserted at or very near to the source of the pain. This addresses the local symptoms by improving the circulation of qi and blood in the affected area.

Chinese herbs can reduce the inflammation in soft tissues and strengthen the tendons. In TCM, one of the functions of the liver is to control and moisten the tendons and ligaments. Therefore, healthy liver function is expressed in ease of movement. Acupuncture and herbs for tendonitis usually involve treating the liver also.

People with severe tendonitis may have to stop work that aggravates the condition, at least for a while. Less severe cases can be treated quite successfully with acupuncture and kept from becoming debilitating. Both acupuncture and Chinese herbs are extremely effective in treating tendonitis. Acupuncture, in particular, is the treatment of choice, giving excellent results in both acute and chronic cases. Acute cases can often be resolved in a few treatments. However, many people with this problem present with very chronic conditions. These cases can be treated with good results too, but the more long-standing the condition, the longer it will take to resolve.

Tendonitis is one of the most common afflictions and can especially affect us as we age, but it need not be inevitable. It is possible to take steps to minimize or prevent it altogether. As is often the case with many conditions, the two most important areas in life to attend to in order to prevent it are exercise and diet. Regular acupuncture “tune-ups” can also aid in preventing the development of tendonitis in the first place, as well as preventing a recurrence of tendonitis once it has been relieved.

If you’re suffering from acute or chronic tendonitis, give us a call and we’d be glad to schedule an appointment for you.

i have done acupuncture for 21 yrs, i got doctoral degree in acupuncture in Chinese university in 1995,and i had acupuncture work experience of big hospital in China,i am a mumber of NZASA( newzealand acupuncture standards authority inc),i am a ACC provider,and i have the chinese medicine clinic in Newmarket Auckland NZ from 2003,so if you would like choose a acupuncturist to fix your problem,please come to my clnic ,you will have a excellent choice.

If you would like to make an appointment please call us on (09) 5296185, or if you require more information you may e-mail us at hwenchuan@sina.com

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i treaded her problem by acupuncture, chinese regulate spine and herbs,she felt very well after 10 session treatment.and no defferet between both leg.see photo in 01/07/10

case2
mr ma 27 years old,low back pain for 3yrs.see the photos of one session before and after treatment
before treatment

after treatment

then had another 10 session treatment ,he can not feel pain on low back.

case 3
ms ana,50yrs left leg pain and left hip pain for 8 yrs.wosed by long sitting or long standying,can not lift left leg because of pain on knee and hip,did CT and MRI,no problem.tried many way to treat the pain ,no result.i found left leg is shorter than right leg.see photo in 31/05/10 .

after 9 session treatment,no pain on knee and hip,no limited movement of leg. see photo 28/06/10

case 4

mr zhou 30 yrs low back pain one yrs.exam left leg shorter than right leg. see photo in 25/06/10

i do acupuncture and herbs for patient now ,i will put photo when i finish the treatment.

second treatment(28/06/10),i can see that no deffrient between both legs.

case 5
mrs zu 30 yrs low back pain for 7 yrs,wored by heavy lifting or long sitting,relieied by good rest.aggrevated by heavy lifting this week,so come my clinic to have a acupuncture.first time acupuncture in 01/06/10, see photo.

aftre one month acupuncture,no pain on low back and right leg ,and no drffrient between both legs.see photo in 02/07/10.

case 6

mr xie had low back and left leg pain for yrs.see photo 30/06/10 ,big deffrient between both legs

he feels very well,after acupuncture ,no pain and numbness on left leg, only little pain on left low back after lone standing,keeping treatment,see the photo 10/07/10

case7

mr lai 56yrs low back pain(right)for 1 yrs.wosed by heavy lifting.wose for one week.see photo about both feet in first acupuncture,found the big deffrient between two feet in 22/06/10

feeling very well,after 6 session treatment,no pain on low back,and no deffrient between two legs.see the photo about the feet in 01/07/10.

case 7

mrs lin 58 yrs old ,left hip pain for three months,spcially after long sitting and standing.see the photo 06/07/10 before treatment.

feeling very well after one session treatment,see the photo after one session treatment,no deffreient between two feet.06/07/10

case 8

stephen 56 yrs old,right leg and low back pain and numbness for three months,feeling better after phsciotherapy,but still feeling pain on low back and low leg,so trying acupuncture.see the photo 09/07/10

feeling very well,no pain and numbness on right leg,only little pain on right low back after one session acupuncture,and no deffrient between two feet.see photo 12/07/10

keeping treatment to no pain on low back,in final,i will let you know it.
patient no pain on low back and leg,finish treatment in 24/08/10

Case 9

Mr Sela,20yrs international student,studying in Auckland university,left lowback pain for two months,friend recomend me to him.

give him examination of low back,i saw that his two legs is not same long,left leg is shorter than right side.see the photo in 04/08/10

but two legs long is same after one session acupuncture ,see the photo after one session treatment.

no pain on left low back after four session treatments.

Case 10

MR Lee,30yrs old,right low back pain 3 days,can straight the back because of the pain of low back,cime to see me ,want to acupuncture,i give examination,and find his two legs have a big different in long,right one is shorter than left one,see the photo in 13/08/10.

two legs are some in long after two sessions acupuncture,see the photo in 14/08/10.and no pain on low back.

i have done acupuncture for 21 yrs, i got doctoral degree in acupuncture in Chinese university in 1995,and i had acupuncture work experience of big hospital in China,and i have the chinese medicine clinic in Newmarket Auckland NZ from 2003,so if you would like choose a acupuncturist to fix your problem,please come to my clnic ,you will have a excellent choice.

If you would like to make an appointment please call us on (09) 5296185, or if you require more information you may e-mail us at hwenchuan@sina.com

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Knee pain usually results from overuse, poor form during physical activity, not warming up or cooling down, or inadequate stretching. Simple causes of knee pain often clear up on their own with self care. Being overweight can put you at greater risk for knee problems.

Knee pain can be caused by:

* Anterior knee pain
* Arthritis — including rheumatoid arthritis, osteoarthritis, and gout
* Baker’s cyst — a fluid-filled swelling behind the knee that may accompany inflammation from other causes, like arthritis
* Bursitis — inflammation from repeated pressure on the knee, such as kneeling for long periods of time, overuse, or injury
* Connective tissue disorders such as lupus
* Dislocation of the kneecap
* Iliotibial band syndrome — a hip disorder related to injury of the thick band that runs from your hip to the outside of your knee
* Infection in the joint
* Knee injuries — an anterior cruciate ligament injury or medial collateral ligament injury may cause bleeding into your knee, which makes the pain worse
* Tendinitis — a pain in the front of your knee that gets worse when going up and down stairs or inclines
* Torn cartilage (a meniscus tear) — pain felt on the inside or outside of the knee joint
* Torn ligament (ACL tear) — leads to pain and instability of the knee
* Strain or sprain — minor injuries to the ligaments caused by sudden or unnatural twisting

Less common conditions that can lead to knee pain include the following:

* Bone tumors
* Osgood-Schlatter disease

Home Care

Many causes of knee pain, especially those related to overuse or physical activity, respond well to self-care:

* Rest and avoid activities that aggravate the pain, especially weight bearing activities.
* Apply ice. First, apply it every hour for up to 15 minutes. After the first day, apply it at least 4 times per day.
* Keep your knee elevated as much as possible to bring any swelling down.
* Gently compress the knee by wearing an ace bandage or elastic sleeve. Either can be purchased at most pharmacies. This may reduce swelling and provide support.
* Take acetaminophen for pain or ibuprofen for pain and swelling.
* Sleep with a pillow underneath or between your knees.

Tips for Finding an Acupuncturist

When seeking out a professional acupuncturist, it is important to ensure that the acupuncturist is licensed and certified. Sterilising procedures should be used and more often than not, your acupuncturist will likely use disposable needles. If you are uncomfortable with the idea of needles, an acupuncturist may provide alternatives such as herbal methods, magnetic needles and ear cups. These are thought to provide similar results although are not considered as effective as acupuncture that utilises needles.
Whatever path you take to treating your knee pain, you can be relieved to know that you have many options, particularly alternative ones such as acupuncture. Hopefully, you will find a qualified acupuncturist who can listen to your concerns about knee pain and begin a treatment plan that provides effective relief.

If you would like to make an appointment please call us on (09) 5296185, or if you require more information you may e-mail us at hwenchuan@sina.com

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