• Yong Zhao, Lin Wu, Yan-Fei Chen, Wei-Kai Qin, Yuan-Hao Li, Jun-Yu Wei, Cheng-Zhi Hou, and Yong-Li Dong.
• Department of Orthopedics, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China.
• Zhongguo Zhen Jiu. 2020 Mar 12; 40 (3): 247-50.

ObjectiveTo compare the clinical effect between Stiletto needle combined with massotherapy and articular injection of sodium hyaluronate for pain in patients with knee osteoarthritis (KOA).MethodsA total of 156 patients with KOA were randomly divided into an observation group and a control group, 78 cases in each group. The patients in the observation group were treated with Stiletto needle (once a week) combined with massotherapy (twice a week); the patients in the control group were treated with articular injection of sodium hyaluronate (once a week). The treatment period were 5 weeks in total. The visual analogue scale (VAS) score, local tenderness value, knee joint activity and Lysholm knee joint score were recorded before treatment, 3 weeks and 5 weeks of treatment.ResultsCompared before treatment, the VAS score, local tenderness value, knee joint activity and Lysholm knee joint score in the two groups were improved 5 weeks of treatment (P<0.05). After 5 weeks of treatment, The local tenderness value and Lysholm knee joint score in the observation group were significantly improved compared with the control group (P<0.05), but the knee joint activity in the control group was superior to that in the observation group (P<0.05).ConclusionThe Stiletto needle combined with massotherapy are superior to articular injection of sodium hyaluronate in relieving pain and improving knee joint function in patients with early-to-moderate KOA, but its effect on joint activity is inferior to sodium hyaluronate.

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