Case 6, Unconsolidated Fracture Pain

The patient, woman, 60 years old, employed, avulsion fracture of the right lateral ankle for more than 3 months, fracture did not consolidate, but also encountered a sprained left ankle, bilateral pain in the ankle, a worsening of the walk, bilateral pain in the knee, a heavy right side, bilateral pain in the elbow.

Clinical review:
Medial pressure pain of the right knee joint, pressure pain on both sides of the left and right ankle joints and pressure pain on both sides of both elbow joints.
X-ray review: avulsion fracture of the right lateral malleole (Fig.14)
CT scans after 3 months of fracture showed no cure (Fig.15, Fig.16)

Diagnosis:
Fracture of the right external malleole
Left ankle sprain
Causes of pain in the right knee joint to study
Causes of bilateral joint pain of the elbow to be studied

The principle of taking points:
We cannot eliminate all the pain at the same time when there are several types of diseases at the same time.
We choose the main pain of the patient to be treated first.
Acupuncture;
The pain was relieved immediately after the needle was inserted.
The pain in both ankles and both knees disappeared after 20 minutes.

Two weeks later, the patient reported that the pain in both knees was gone. A week later, the pain in both ankles returned, but it was lighter than before. In addition, both wrist joints also hurt, both elbows as before.

Treatment:
Acupuncture;
After 20 minutes, the pain in the ankle, elbow and wrist completely disappeared,
After another two weeks, only bilateral ankle pain, no pain elsewhere,
Acupuncture again;
30 minutes after the needle disappeared,
Ask him to call if he relapses, and then never call again in the future