針灸輔助西醫治療左膝疼痛之病例報告

Acupuncture as an Adjuvant Therapy for Left Knee Pain: a Case Report

黃孟淩(Meng-Ling Huang) ； 賴文彬(Wen-Pin Lai)

《中華針灸醫學會雜誌》 22卷1-2期 (2019/06) Pp. 25-36

摘要

案例討論為一位38歲女性患者，5年前曾上班不慎跌倒。近日因連日下雨，左膝關節處更覺痠痛腫脹感厲害，工作久站後，不適感日益增加，故就診於西醫骨科、復健科及職醫科治療，未發現膝關節有明顯異常，診斷為1.左膝慢性滑膜炎、2.髂脛束症候群、3.左膝輕微退化性關節炎，給予止痛藥物、止痛貼片及物理治療為期3個月，未有改善，故至診所尋求針灸治療。經過第一星期的針灸治療後，或者可在家中走路約每日300步左右；在接受針灸治療的第二星期後，膝關節腫脹已逐漸改善，並恢復上班。於兩個月後活動度增加且痠痛感已逐漸減輕。於第四個月後，疼痛感持續減輕，患者病程進展及整體恢復良好。針灸治療可有效降低患者腫脹感、緩解疼痛，在膝關節疼痛治療的臨床應用中，是危險性小、安全性穩定、接受度高及可提升生活品質之輔助療法。

關鍵字

膝疼痛 ； 髂脛束症候群 ； 復健 ； 針灸

並列摘要

A 38-years-old female with a falling down accident during her work 5 years ago, began to experience increasing soreness, pain, and swelling in her left knee joint during consecutive rainy days. The discomfort was exacerbated after standing for a long time at work. She visited the western medicine's departments of orthopedics, rehabilitation, and occupational medicine, but no obvious abnormality was found. She had taken analgesic drugs, patches and physical therapy for 3 months; However, there were no significant improvement so she visit the acupuncture clinic for help. After one week acupuncture treatment, she was able to walk approximately 300 steps per day at home. She returned to work after the swelling of her knee joint gradually alleviated by two weeks. The mobility of her joint increased, and the soreness and pain gradually decreased after two months. After four months treatments, the knee pain eventually decreased, and the progress of symptoms and overall recovery showed good results. Acupuncture could reduce the patient's knee swelling and pain effectively. It was a low-risk, safe, stable, and highly accepted adjuvant treatment in clinical practice for treating patients' knee pain and increasing quality of life.

並列關鍵字

knee pain ； iliotibial band syndrome ； rehabilitation ； acupuncture

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