Knee Pain Relief Guide • Staged Rehabilitation Protocol

# **Knee Pain Relief Guide • Staged Rehabilitation Protocol**
**Evidence-Based Acupressure for OA & Sports Injuries**

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## **Program Features**
– **Phase-Specific Protocols**: Acute ( *Knee Injury and Osteoarthritis Outcome Score

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## **Theoretical Framework**
Integrating Sports Medicine & Meridian Theory:
– **Tendon Convergence at GB34**: Gallbladder meridian for lateral pain, SP10 regulates synovial fluid
– **Biomechanical Correction**: Releases iliotibial band/hamstring imbalances
– **Synovial Hydration**: EX-LE5 reduces inflammatory effusion
– **Cartilage Nutrition**: KI3 stimulates glycosaminoglycan synthesis

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## **Target Beneficiaries**
– Osteoarthritis morning stiffness (>30 min resolution)
– Runner’s knee (IT Band Syndrome)
– Chondromalacia Patellae (stair-climbing pain)
– Post-meniscectomy rehab (Phases 1-3)
– Non-acute rheumatoid swelling

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## **Curriculum**
– **Acute Anti-Swelling** (10-min cryo-acupressure)
– **Functional Restoration** (28-min myofascial release: kinesiology taping included)
– **Degeneration Prevention** (9-min daily quadriceps eccentric training)

**Each module includes**:
1. Swelling self-assessment (circumference measurement)
2. Finger/palm/tool pressure gradation
3. Meniscus injury warning signs
4. PRP therapy synergy windows

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## **Absolute Contraindications**
– ⚠️ Ligament rupture / Septic arthritis / Acute gout
– ⚠️ Avoid EX-LE2 with patellar fractures
– ⚠️ No Gua Sha over varicose veins

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### **Acupoint Matrix**
| Acupoint | Code | Location | Indication | Risk Mitigation |
|—————-|———|———————————–|—————————-|———————————-|
| **Xiyan (EX-LE5)** | Extra | Patellar ligament depressions | Joint effusion | Avoid deep patellar pressure |
| **Xuehai (SP10)** | SP10 | 2 cun above medial patella | Bursitis | Caution with thrombocytopenia |
| **Yanglingquan (GB34)** | GB34 | Fibular head depression | LCL injury | Peroneal nerve zone |
| **Weizhong (BL40)** | BL40 | Popliteal crease midpoint | Hamstring spasm | No moxa (tibial nerve) |
| **Liangqiu (ST34)** | ST34 | 2 cun above lateral patella | Patellar subluxation | Avoid with arterial puncture |

> References: AAOS Clinical Guidelines (2023) *Evidence-Based Acupuncture for Knee Pain*