日期及節目:2017/09/07 香港電台 Radio 3 “1 2 3 Show”
主持人: Noreen Mir
Q: What is the common cause of knee pain?
A: The causes are depend on the age of patients. Teenage, middle age and elderly suffer knee pain with different reasons. Teenage have knee pain may be because of sport injury, such as Anterior Cruciate Ligament (ACL), Meniscus or Medial Collateral Ligament (MCL) injuries. As for middle age and elderly, they may suffer knee pain because of degeneration, or chronic pain from sport injuries.
答: 原因是取決於病人的年齡。少年，中年和老年人膝關節痛的原因並不相同。少年膝關節疼痛的主因可以是運動損傷，如前交叉韌帶 (ACL)，半月板或內側副韌帶 (MCL) 傷害。至於中年和老年人，他們可能會遭受的膝關節退行性變性，或慢性運動損傷急性發作。
Q: Can patient with ACL repair come for acupuncture treatment right after surgery?
A: Patient with ACL repair surgery can receive acupuncture, because they may have inflammation and swelling and acupuncture can work for it. After symptomatic control, they can also have the rehabilitation training, such as hamstring training. And we can also give them daily life advice.
Q: Knee pain can be compensation result from other areas, any idea? back posture? low back?
A: Other areas can affect knee function, such as below knee region or low back region. Ankle function and foot arch status can affect knee function, causing wearing and tearing of knee and result in pain. Some people may also have knee pain because of back conditions. For example, sciatica patients can have behind side of knee pain. As a result, if patient come to clinic for knee pain, we also needs to exclude back conditions causing their knee pain.
Q: Apart from knee pain, how do people describe their knee discomfort?
A: Patients might also complaint knee bending and straightening stiffness. For pain nature, it is different according to the stage of knee pain. In acute stage, pain is the main symptom. Acupuncture, cupping and gentle massage can relieve pain in acute stage. As for long term condition, patients usually find their knee pain become better, and our focus should shift to help for recovery to pre-injury / pre-morbid status. For example, helps athlete back to joggling by training their agility.Different time point would have different key problems.
Q: How to differentiate acute, subacute and chronic stages of pain?
A: Acute stage would have swelling, increasing body temperature and severe pain, and it usually lasts for 3-4 days. R.I.C.E principles can help in acute stage. R refers Rest, I means Ice -pack , C is compression, and E refers to elevation.
Subacute might still have swelling, and pain level become stable.
For Chronic stage, patients might still have mild swelling and most to their symptoms would subside, and patients change to have knee joint instability now. And the training exercise is depended on their knee injury conditions.
問： 如何區分急性、 亞急性和慢性階段的痛的特點？
答： 急性期的特徵是腫脹，皮膚溫度上升和嚴重的疼痛，和它通常會持續 3-4 天。 急性期可以依R.I.C.E 原則治理。R是指休息，I是冰敷，C是包紥加壓，E側是提高傷肢。亞急性期腫脹和疼痛程度變得穩定。 慢性期患仍可能有輕度腫脹。此外，若患者有膝關節失穩情況，則須加强穩定性的訓練。而訓練內容會取決於傷患所屬組織。
Q: For chronic knee pain, how can we train our knee joint?
A: we can strengthen our knee, and train knee joint agility as well. It is hope that they can go back to their favorite sport.
Q: Can we use cupping for knee pain?
A: Yes, but it depends on every knee conditions. For example, not every patients needs to treat their ITB tightness, and we will use cupping to release muscle till we find the benefit of releasing muscle tightness
答：可以，但這仍取決於個别膝關節的情況。舉例來說，是不是每個病人都需要治療繃緊的 ITB ？事實上，我們須預計放鬆肌肉的好處，才會決定用拔火罐來治療。