Fu's Subcutaneous Needling for Knee Osteoarthritis Pain

Abstract

Fu's subcutaneous needling (FSN) is a new acupuncture and dry needling technique based on traditional Chinese medicine. It rapidly produces long-lasting effects in soft tissue injuries, particularly in painful musculoskeletal conditions, by providing stimulation primarily in the subcutaneous area. Osteoarthritis (OA) is the most common joint disease in adults worldwide and is often accompanied by a painful syndrome of structural changes in the peripheral joints of the knee. However, the etiology of OA pain is not fully understood, though myofascial trigger points (MTrPs) are commonly found in the lower limb muscles (so-called "tightened muscles") of patients with knee OA.FSN has been used in many fields for the treatment of acute pain problems and can relieve muscle contraction from MTrPs, thereby improving the local circulation. This study recruited patients with pain from knee OA into an FSN group or a transcutaneous electrical nerve stimulation (TENS) group with three treatment sessions and a followup over the course of 2 weeks. The results showed that FSN was effective in treating soft tissue pain around the knee with OA. This study aimed to establish and visualize three key technical indicators during FSN therapy, including the FSN needle insertion point and layer; the frequency and duration of the swaying movement; and the manipulation of the reperfusion approach. These findings have great potential for future applications in myofascial pain treatment, especially for pain management.

Clinical observation of Long's bone setting technique combined with Fu's subcutaneous needling for cervical spondylotic radiculopathy

“…This technique is highly targeted and can correct misaligned cervical vertebral joints and hooked vertebral joints, which is beneficial for tissue edema and inflammation around nerve roots to subside, thereby quickly alleviating clinical symptoms. Fu's Subcutaneous Needling is an application form of suitable techniques in traditional Chinese medicine, and it is a new type of acupuncture therapy evolved from traditional acupuncture and moxibustion therapy combined with modern diagnosis and treatment technology [14] [15][16] . Fu's Subcutaneous Needling often use the scanning and dispersing technique, which is based on the special structure of skin connective tissue, that is, the mechanism of sensitivity to piezoelectric effect by utilizing the spatial arrangement of matrix spiral molecules in connective tissue.…”

Fu’s subcutaneous needling as an adjunctive therapy for diaphragmatic dysfunction in a critically ill patient with severe neurologic disability: A case report

“…The patient in the present case study was subjected to FSN therapy, a method that combines traditional Chinese acupuncture and dry needling. Studies have reported that FSN is efficacious against various soft tissue injuries and medical issues, [ 7 – 9 , 11 , 12 ] recent studies [ 13 , 14 ] reveal that stretching subcutaneously can influence adjacent VA and FSN may enhance gastrointestinal motility and decrease gastric drainage volume. Unlike traditional Chinese acupuncture methods that may involve deep needle insertion, FSN entails the shallow insertion of a disposable needle into the subcutaneous area near the affected muscle, referred to as the “tightened muscle” with one or more MTrPs.…”

“…To improve the patient condition and facilitate early weaning from the ventilator, we employed FSN therapy. [ 8 , 11 ] Results from touch-based physical examination revealed the presence of myofascial trigger points (MTrPs) around his neck, chest, and abdomen (Fig. 1 A and B).…”

Biomechanically Based Fu’s Subcutaneous Needling Treatment for Senile Knee Osteoarthritis: Protocol For a Randomized Controlled Trial

“…Operation of the FSN follows the KOA's Fu's Subcutaneous Needling Treatment Code of Practice 24 . Participants rst assume the supine position.…”