Accidental needle pain
Pain is one of the most common clinical symptoms. Acupuncture , especially acupuncture therapy as an injury , it is difficult to achieve in the course of treatment that is not painful . Broken skin when the needle and feed needle pain pain occurs during an accident can not be called , of course , does not appear to minimize or even puncture pain caused moxibustion acupuncture workers basic requirements. This section focuses on the pain of an accident caused by acupuncture
[ Injury ]
One , into the cause of the pain caused by the needle
( A ) , needle reasons: When the needle to prick the skin as pain receptors on pain points that can cause pain . Generally, the thicker the needle , hitting the possibility of pain points , the more likely cause pain. Tip should be sharp and sleek , needle piercing the body with hooks easy to produce pain ; needle body should be straight and shine , such as the needle body bends rust, but also easy to cause pain , especially in the twisting , lifting and thrusting will become more prominent.
( Two ) , operational reasons : acupuncturist because of manual dexterity and not smoothly needle into the desired depth . Resulting produce pain when the needle . Secondly, in the needling process, the lack of understanding of anatomical structure , the tip touches the vessel wall of the vessel may be deeper or puncture pain . If the mm needle into the tendon , especially the periosteum , the pain becomes more apparent. In addition, such as acupuncture improper stab at the scar tissue ; or feeling sensitive points at ( hand, foot palm side and nose, lips and other parts ) acupuncture , easier to cause pain .
( Three ) , psychological factors: patient mental stress , fear, especially the fear of pain, often due to muscle tension , not the needle , not only prone to pain, but also easy to enhance the feeling of pain .
Second, twisting , lifting and thrusting generated when the cause of pain
( A ) , acupuncture put plug Twist magnitude is too large, too strong stimulation . Or because the needle body corrosion, twisting too much, or to a single direction of twisting , winding needle muscle tissue prone body, lifting and thrusting the twisting will produce pain.
( Two ) , because in the course of acupuncture manipulation too frequent lifting and thrusting too deep , or twisting too much, damage to muscle tissue. Neural stem tip touches and put plug Twist too heavy.
Third, the needles cause pain arising
( A ) , Needle : patient mental stress due to pain or muscle spasms ; or twisting caused to a single muscle fiber winding direction of the needle body , causing stagnation needle , resulting in pain when the needles .
( Two ) , curved needle: the needle when the manual dexterity due to excessive force ; or under the needle hit hard tissue ; or because the needle position when moving ; or needle and looper by the collision force , resulting in pain when the needle .
Fourth, the cause of the pain from the needle aftermath
( A ) , local hematoma pain : Due to a hook tip bending , twisting acupuncture injure blood vessels and cause bleeding too much lifting and thrusting , the needle after local swelling and pain .
( Two ) , stabbing pain, internal bleeding include: stabbed liver, spleen, kidneys , etc., can cause bleeding pain.
( Three ) , acupoint injection joint cavity, causing swelling and pain due to drug stimulation .
( Four ) , unexplained pain in the aftermath .
Clinical manifestations
First, when the needle pain : Popi time as barbed tip to “pain points ” , stabbed or scar tissue at the point of feeling sensitive at ( hands, feet, nose, lips and other parts ) of acupuncture , there may be more difficult endure sharp stinging ; needle into the skin , sending the needle process, such as thorn in the vessel wall will produce persistent pain or tingling . Such as acupuncture to the tendon or periosteum when the patient will feel persistent pain , such as patient mental stress , fear , can make the pain worse .
Second, twisting , lifting and thrusting generated when the pain : Because muscle fiber winding needle body or tip a hook or a partial stretch like pain : because way too strong muscle tissue damage caused soreness. As the tip touches neural stem and put plug Twist too heavy, electric shock-like radiation in the event of a feeling , can produce a burning pain.
Third, from the pain caused by the needle : Needle in traction generated when the needles pain . Curved needle , which can cause difficulty or pain when the needle .
Fourth, after the needles appear residual pain : acupuncture injure blood vessels and cause bleeding too much twisting mention inserted , the needle may occur after local uplift of the masses , with a clear sense of pain when pressed more obvious ; stabbed liver, spleen bleeding, patients with liver or spleen pain, abdominal pain , muscle tension , abdominal pressure and other symptoms of illness and rebound tenderness . If stabbed kidneys , there may be pain , tenderness and percussion pain kidney area , or hematuria . Points after intra-articular injection of severe pain , and can be accompanied by local swelling , severe systemic symptoms may occur .
[ Prevention ]
First, the prevention of pain when the needle : healer should assiduous exercise that power and skill , and more in his body exercises, carefully understand acupuncture . In order to better train their acupuncture manipulation , acupuncture relieve pain caused thereby . When the needle point hook easily after piercing the body resulting in pain , must be selected before the acupuncture needles . Acupoints to avoid scarring or ulceration organization , under the needle point area before means cut the skin , avoiding the pain points , in order to avoid harming the vessel wall and stabbed tendon or periosteum , should be familiar with the anatomy point area , send the needle to carefully understand is the needle touches relatively tough organization , and understanding of the patient’s response . Sensitive in the sense that at the points ( hands, feet, nose, lips and other parts ) into the needle , the approach should be familiar with lightweight, fast needle and transferred their attention and mobilize their initiative with enthusiasm, acupuncture appears to reduce the pain.
For nervous patients , fear , not into the needle, and produces pain. Should be prepared to explain to the patient before acupuncture work , eliminate unnecessary concerns of patients , to win trust and obtain cooperation .
Second, the prevention of twisting , resulting in pain when lifting and thrusting : To prevent muscle fiber winding needle body , should be selected before acupuncture needles, according to the disease , physical and tolerability and take appropriate twisting or mention intervene France . According to the disease and the different parts , and use the appropriate acupuncture techniques to avoid tissue damage . If the needle touches nerve trunk , feeling of electric shock -like radiation , they should immediately withdraw the needle and disable practices.
Third, the prevention of pain arising from the needle : the key pin to prevent stagnation of the looper . When the patient is not nervous needle ; does not make a single direction may cause muscle fiber winding twisting needle body ; into the needle when not too much force ; instruct patient when the needle can not change position , pay attention to the needle body can not be impacted from the outside and curved needles.
Fourth, the prevention of residual pain from the needle : Familiar anatomy, to avoid accidental injury acupuncture vascular or visceral . Points in the injection , the drug should not be injected into the joint cavity . In this regard, the previous chapters have been introduced , not repeat them here .
[ Processing Method]
First, when the pain caused by the needle treatment: as a result of body piercing needle point hooks easy to produce pain , then should immediately remove the needle , replace the needle with a needle again , otherwise , easy to damage the muscle tissue. Such as accidental injury of blood vessels, the needles should be promptly . If stabbed deeper blood vessels may produce hematoma , but mostly by rubbing , heat and other methods, can slowly dissipate themselves . If stabbed tendon or periosteum , the needle should retreat subcutaneous tissue , transpose direction , re- piercing desired depth , reduce the patient ‘s pain. When the needle to prick the skin sensitization as the point of pain when the needle should be starting out , to avoid the pain points , and then the road .
Second, twisting , lifting and thrusting generated when pain treatment: muscle fiber winding needle body , resulting in pain , can be gently twisting in the opposite direction and back needle . As a result of the process of lifting and thrusting acupuncture manipulation too frequent too deep, or twisting too much, causing damage muscle tissue, the needle should be taken , temporarily select the points. Using heat and other local laws. Neural stem tip touches the emergence of electric shock-like sensation and burning when radiation . Hypodermic needle should be retreated at this time , the replacement of the puncturing direction , repeated mention plug and power to prevent twisting , to avoid damage to nerve tissue.
Third, the needle is generated when the pain treatment: Needle treatment, the patient should eliminate the tension , so that the body relax ; such as one-way delay caused by twisting the needle , should do reverse twisting newcomer needle ; due to muscle spasm and Needle who , according to the needle body or surrounding tissue near the needle body and then stabbed a needle to relieve spasms , followed by the needle out . Curved needle treatment, such as needle body slightly bent, the needle should be slowly starting out , if the bending angle is too large , you should take advantage of the needle slowly , such as postural changes , acupuncture should be restored when the position, the needle slowly , avoid forced needle injection to avoid patient suffering or fold needles.
Fourth, the treatment of residual pain from the needle :
Hematoma pain : the needle after local pain or swelling purple . Treatment: If trace bleeding, bruising generally do not have small pinhole local treatment can be self-limiting . Such as excessive bleeding, swelling or bruising effects of acupuncture local actors , can first cold bleeding, hot blood only after the line in order to promote local blood stasis dissipate after a few days to go away.
Visceral Bleeding stabbing pain : stabbed liver, spleen bleeding , the patient had liver or spleen pain, abdominal pain , muscle tension , abdominal pressure and other symptoms of illness and rebound severe internal bleeding , blood pressure , resulting in shock and other symptoms. Light treatment after bed rest , is generally self-healing. If signs of bleeding time should strengthen surveillance , and note the condition and changes in blood pressure , while the addition of hemostatic agents , or topical hemostatic first cold , after the heat to dissipate blood . In case of severe bleeding and accompanied by shock occurs, must take prompt emergency treatment [ 1 ] . Injection, intra-articular injection of drugs such as can be supine , heat and medication.
For unexplained residual pain can be caused by nearby or contralateral acupuncture point area , like a middle-aged female patients with insomnia , acupuncture Neiguan left after the aftermath of pain, a sense of self-righteous left needle , so that patients rest can be alleviated , when not treated . But the next day, sleep state referral of patients is improving , but the left forearm still around Neiguan pain, forearm pain during activity increased , giving the acupuncture ipsilateral music pool, gu , and supplemented by local massage . Three clinics pain relief, but also to give local massage , four clinics , pain disappears.