Arthroscopic treatment of ankle impingement syndrome

Arthroscopic treatment of ankle impingement syndrome(AIS)is a minimally invasive surgical procedure used to address symptoms caused by impingement in the ankle joint.This syndrome occurs when there is abnormal contact between certain bones or soft tissues in the ankle,leading to pain,swelling,or limited range of motion.Traditionally,open surgery was the standard approach for treating AIS.However,with advancements in technology and surgical techniques,arthroscopic treatment has become a preferred method for many patients and surgeons.With improved visualization and precise treatment of the arthroscopy,patients can experience reduced pain and improved functionality,allowing them to return to their daily activities sooner.In this paper,we reviewed the application and clinical efficacy the of arthroscopic approach for treating AIS,hoping to provide a reference for its future promotion.

Dental Treatment and Quantum Mechanics

In clinical practice, dentists sometimes encounter phenomena that cannot be explained by common medical concepts;for example, patients’ bodily symptoms immediately improved after adjusting a denture that was not even inside their mouth, by extracting an infected tooth, and by bringing medicine close to the body. Although it seems difficult to completely elucidate the mechanism through modern medicine, it can be explained using quantum mechanics if it is assumed that symptoms appear because of the pathological waves emitted by the afflicted area of the body. The quantum, the smallest unit of matter composition, exhibits wave-particle duality. The fact that symptoms can be improved simply by bringing dentures or medicines closer to the body indicates that the waves emitted by dentures or medicine interfere with the pathological waves. Thus, the pathological waves are deformed and lead to a change in symptoms. In this way, quantum theory can explain phenomena that are difficult to elucidate in conventional medicine, which are encountered in daily clinical practice. Using biological reactions, unsolved problems in quantum mechanics, such as measurement problems, can be solved.

The effects of Park sham needles: a pilot study

BACKGROUND： When performing clinical trials involving acupuncture, it can be difficult to choose a placebo control. OBJECTIVE： To validate the Park sham needle for use as a double-blind control intervention. DESIGN, SETTING, PARTICIPANTS AND INTERVENTIONS： Two different methods were employed. First, a researcher blinded to needle type administered the Park sham or a real needle, chosen at random, on the arms of 16 healthy volunteers. The researcher and the volunteers independently recorded which needle type they thought had been applied at each acupuncture point. Second, 19 patients with shoulder impingement syndrome were randomly assigned to receive acupuncture applied with the real needle or the Park sham needle, once a week for 6 weeks alongside a course of physiotherapy. At the end of the 6 sessions the patients recorded which needle type they thought was being used. The results were analyzed with a Fisher＇s exact test. This study was carried out in the Outpatient Department of Physiotherapy in Chafing Cross Hospital, London, UK, on healthy volunteers and patients with shoulder impingement pain. The age range was 23 to 54 and 22 to 74 years respectively. RESULTS： Of the healthy volunteers, there was no difference （P=0.23） between the number of needles that were correctly （n=43） or incorrectly identified （n=53）. All patients thought that they had received the real needles. The researcher correctly identified all needles that were applied. CONCLUSION： The researcher delivering the acupuncture recognized the needle type. However, both healthy and patient volunteers were blind to the needle type. This demonstrates that the Park sham needle is an effective single-blind control. It should be noted that the number of patients recruited was small and the study was underpowered to detect an effect of treatment.