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The Chinese explanation of how this ancient needling treatment works fits uncomfortably in the western psyche. The traditional explanation is that bodily health depends on the smooth flow of vital energy ('qi') around the body, the qi flowing along 14 narrow channels or meridiens.

A blockage in the flow of qi, it is explained, can cause dysfunction or disease, and 'needling' a small hole through the skin on a meridien line can release the blockage, allowing the restoration of natural flow - with consequent healing.

Meniscus transplant is only twenty years old, and has become an established procedure only in the last five. However, meniscal transplant is NOT a cure-all and is not the answer for every patient suffering the long term consequences of total meniscectomy. For example, in patients where a previous total meniscectomy has left the joint damaged, with established painful arthritis and collapse of the joint space, the results coming in suggest that meniscal transplant is likely to be a waste of time and a waste of valuable donor material.