jeudi 31 août 2017

The Knee Osteoarthritis and Acupuncture Mesopuncture

The Knee Osteoarthritis and Acupuncture Mesopuncture                                                                                                                                                 
Mesopuncture is a supplementary means from the classical acupuncture treatment for osteoarthritis in general and especially in the knee osteoarthritis.
It complements the classical acupuncture session.
As with the laser, it is an association, Chinese medicine and modern pharmacopoeia.
The BMN allows performing Mesopuncture Acupuncture Mesotherapy or MAM, with the same device inserted in the same Acupuncture Point_ AP.
It is the injection (or the passive deposition), in the AP of few drops of a liquid drug.
Let us remember that there are three categories of Acupuncture Points _ APs:  APs of general, regional and local action.
The Mesopuncture is preferentially applied to APs of local action.
**- In osteoarthritis of the knee, the PAs chosen are active on the various components of osteoarthritis

Mesopuncture is the injection (or passive deposition), in the AP of few drops of a liquid drug. The daily active dose is divided in several micro-deposits created into the various APs.
• Due to its intrinsic pharmacological properties it treats the knee osteoarthritis.
• Due to its physicochemical volume, it stimulates the AP.
The choice of the liquid drug used depends
On the ‘Acupuncture effect’, therapeutic effect in Acupuncture, produced by the AP stimulation.
On the ‘pharmacologic effect’, therapeutic effect known in the western pharmacology of the liquid drug.
*      The ability to create Mesotherapy Points and to associate them to APs in the dermis around the AP with the liquid drug depends on the presence or absence of ‘pharmacological effect’ of this liquid drug.
it depends on the association or not of Mesopuncture to Mesotherapy
The liquid drug into the AP.
It is injection (or passive deposition), in the AP of few drops of a liquid drug. 
**-* The liquid drug has two actions, in the AP, both dependents on its physicochemical structure: 
Due to its physicochemical structure or volume, the liquid drug is a fluid stimulus of the AP, adding an energy dimension to the pharmacological treatment. The liquid drug keeps its intrinsic therapeutic properties, active on osteoarthritis in general and especially of the knee :  Pharmacological effect.
       Stimulates the AP creating a therapeutic effect: Acupuncture effect.
The duration of both actions of this injection, in pharmacology and acupuncture, also are dependent on the rate of resorption of the liquid drug, of its physicochemical structure. It often exceeds the stimulus duration of the classic metal needle.
       Generally, the pharmacological properties (pharmacological effect) of the liquid drug selected and injected into the AP are synergistic of the therapeutic properties resulting from the stimulation of APs (Acupuncture effect): Pharmacological and Acupuncture effects are synergistic and of same duration.

Two therapeutic possibilities:
--- Either the Pharmacological effect, of the drug used, is synergistic of the Acupuncture effect produced by the drug when injected into the dedicated AP. Duration of the Acupuncture effect due to stimulation of the AP is the same as duration of the pharmacological effect.
This liquid drug of dual effect pharmacologic and Acupuncture can also be used for creating MPs.

There is no in the pharmacopoeia active liquid drug in osteoarthritis, by both pharmacological and acupuncture effect, beyond 2-3 weeks.

--- Or there is no synergy between the pharmacological effect of the drug and acupuncture effect, produced by stimulation of the AP, by this drug.
Is found in this group, liquid drugs whose pharmacological action, so-called comfort, is not synergistic of the acupuncture effect born from the AP stimulus by these liquid drugs.
This acupuncture effect is of long or even very long duration
This type of long-term stimulation is obtained with hyaluronic acid and its derivatives. The pharmacological effect although not valued is not to be neglected.
In conclusion: The knee osteo-arthritis of is managed by Mesopuncture Acupuncture Mesotherapy or MAM in a single therapeutic gesture with a single BMN inserted in each PA.
Around the AP, with the same needle and liquid drug, it is possible to create Mesotherapy points also of the same therapeutic action duration.
The liquid drug injected into the APs located in the skin, like in Mesotherapy, has an interesting therapeutic future: 

It reaches directly the weathered zone first, and then after passage into the blood and conjugation in the liver, it again reaches the altered zone: The liquid drug acts twice in the altered area.
For the treatment of osteoarthritis, by Mesopuncture Acupuncture, we do not have, in our pharmacopoeia, active drugs for more than a few weeks. 
It is possible to use liquid drugs of long or even very long stimulus duration of the AP (Acupuncture effect) without synergistic pharmacological effect but with pharmacological effect, not harmful, rather dedicated to comfort or aesthetics, as hyaluronic acid, for example. 
This type of long stimulus of the AP is interesting because it is possible to space the Acupuncture sessions: Fear of needles, loss of time, financial concerns etc. or to use them for patients intolerant to anti-inflammatory drugs or wishing to avoid them....

Conclusion:  Osteoarthritis of the knee is treated by Mesopuncture Acupuncture Mesotherapy_ MAM. 
We can find, at the disposal of Therapists, the specific device to achieve, with a single needle insertion, Mesopuncture Acupuncture (and Mesotherapy eventually).

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