Case 1, Sequels of a trauma to the left foot

Patient, man, 50 years old, specialized worker, his main complaint is his pain in his left foot for 2 years due to a sprain, the site of pain is located at the back of the fourth and fifth metatarsals. He's had several treatments but he's ineffective,

Clinical review:
The appearance of both feet is symmetrical, the skin of the left foot is normal and the back of the fourth and fifth metatarsals and their surroundings are sensitive.
Fig.1 shows where the pain is obvious.
TDM X -ray, MRI: no abnormalities.

Diagnosis:
Left foot trauma

Therapeutic method:
Acupuncture.
By inserting five stainless steel needles (size: 0.2 x 20 mm), the pain was immediately significantly reduced, then holding the needles for 30 minutes.
After the needle is removed, there is only a small concentrated pain at the back of the fourth and fifth tarsometarsal joints, indicating that the specific site of the lesion is in the fourth and fifth metatarsal joints.
We booked another treatment for the patient in two weeks, but he did not show up, when we called for follow-up information, he informed us that his pain had disappeared while he was home the same day after treatment.

Fig. 1

Case 8, post-traumatic pain in the ankle

The patient, woman, 18 years old. Seven years ago, the horse's fall caused persistent pain in the left ankle joint, the patient experienced ankle instability, aggravated walking pain. For the past seven years, various treatments, including acupuncture, have been exhausted but ineffective.

Clinical review:
There was no obvious swelling in the left ankle joint, a normal skin color, a pressure pain point in the post-lateral and anterolateral ankle joint, and no relaxation in the joint and ankle amplitude was normal
MRI showed a linear shadow (Fig.21) on the lateral side of the epiphysic plaque of the tibial distal end, probably a contusion of the epiphysal plaque.
This position is consistent with the pain position of the clinical examination.
This situation is not uncommon in the clinic.

Diagnosis:
Post-traumatic pain in the left ankle

Treatment:
acupuncture
After the needle, the pain immediately relieved, keep the needle for 20 minutes, the pain disappeared after the needle.
Two weeks later, the patient stated that there was no pain one week after the last treatment and that the pain gradually returned.

Clinical examination:
Like last time, there was no obvious swelling of the left ankle, normal skin color, pressure pain points in the postero and anterolateral ankle.

Treatment:
Acupuncture;
The pain immediately relieved, keep the needle for 20 minutes, the pain disappeared after the needle.
A week later, said the patient, a week without pain, now a little, repeated the last treatment after the disappearance of the pain.
Ask him to call back if the pain returns, one year after follow-up, no recurrence.