Acupuncture for Post-Operative Pain

Whenever a patient asks about the effectiveness of acupuncture in treating post-operative pain, I think about Richard Nixon, the New York Times, and China. While it may seem random, we actually have Richard Nixon to thank for the widespread use of acupuncture in the United States, and it all began with an emergency surgery.

During his presidency, Nixon reached out to China, a country with whom the United States had frosty relations. He was planning to visit China, and his advance team went there to work out the details for the visit. A member of the press corps, James Reston, who wrote for the New York Treating post surgical pain with acupunctureTimes, went to China to cover the excitement surrounding the upcoming meeting. However, Reston came down with a case of appendicitis and had to have emergency surgery in Beijing. While he was recovering, Reston was given acupuncture for post-surgical pain, and later wrote about his experience in the New York Times. Reston’s article came to President Nixon’s attention, and as a result, the US began to sponsor doctors to visit China and learn about acupuncture and Chinese medicine.

Nixon’s initiative after his visit to China in 1971 is considered the event that opened the gates to the use of acupuncture in the United States. Doctors began to study acupuncture treatments, and Western scientists initiated studies on its effectiveness. Today, almost 50 years later, we’re confronted with a crisis caused by over prescribing and overuse of opioid medications, which claims over a hundred lives in the United States every day. In slowing the tide of this emergency, the role of acupuncture may be more important than ever.

A common starting point for opioid addiction is surgery. Ninety percent of patients receive opioids after surgery, and ten percent of those patients will use these drugs long term. However, as a way to reduce opioid use post-operatively, health care providers are looking for drug-free ways to control pain. In addition, the majority of patients want alternatives to opioids. One of those alternative options is the use of acupuncture.

In 2016, researchers conducted a review of studies on the effectiveness of acupuncture in treating post-operative pain. They concluded that patients who were treated with acupuncture post-operatively had significantly less pain and used less opioid analgesics on the first day after surgery than those who didn’t have acupuncture.

Scientists have determined that acupuncture is effective for treating pain in a number of ways. It increases the circulation of opioid-like neurotransmitters in your brain. Acupuncture decreases inflammation locally, where the needles have been placed. Additionally, it’s theorized that the slight traumas that the needles create close nerve gates which prevent pain sensations from traveling to the brain.

In the clinic, we see a number of patients who are recovering from surgery. In addition to dealing with pain, they are often seeking treatment to regain their energy, decrease inflammation, restore their range of motion, and speed the healing process in general. Through the use of acupuncture combined with electric stimulation, Chinese herbs, heat therapy, and dietary recommendation, we are able to develop a treatment plan that can effectively help them speed up the recovery process.

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Tendonitis or Tendonosis?

Tennis elbow, rotator cuff injuries, and Runner’s Knee are frequently diagnosed as tendonitis. However, more often than not, these injuries are actually something called tendonosis, and knowing the difference is important in knowing how best to treat the condition.

Acupuncture for tendonitisYour tendons are bands of thick and fibrous tissue that holds your muscles to your bones. Tendons are strong and able to withstand heavy loads, but they can become injured and painful. Tendon injuries are frequently misunderstood and frustrating to deal with, both for the patient and their practitioner. One reason these injuries are so difficult is that they seem to take forever to heal. However, a second reason is that tendon injuries are often improperly diagnosed and treated.

The confusion is between two conditions: tendonitis and tendonosis. Here’s the difference:

Tendonitis

Tendonitis is an acute condition caused by a strain, trauma, pull, tear, or overexertion to the tendon. It involves inflammation, often with swelling, warmth, and redness. In many cases, you know the exact moment when you injured the tendon. If you look at the tendon microscopically, there are inflammatory cells present, and tears or damage to the tendon is obvious.

Treatment for tendonitis may include anti-inflammatory drugs, icing the tendon, rest, and in some cases, a steroid injection to calm the inflammation. If the tendon has suffered a pronounced tear or rupture, surgery may be necessary to repair the tendon.

Tendinosis

In contrast, tendinosis is a chronic condition that doesn’t involve inflammation. It tends to be caused by overuse and can result in conditions such as tennis elbow, Achilles tendinosis, some rotator cuff injuries, and runner’s knee. If you look at the tendon microscopically, you’ll find that it has many tiny tears and disorganized fibers.

Treating tendinosis with an anti-inflammatory regimen doesn’t tend to be very effective, because it typically doesn’t involve inflammation. Instead, rest and physical therapy to stretch and strengthen the tendon can be helpful. Tendinosis can take what feels like forever to heal, and that’s because the tiny tears have to repair themselves and the tendon fibers have to reorganize and regain their original strength.

If you’re unsure whether your tendon problem is tendinitis or tendonosis, it can be diagnosed with a simple ultrasound, in which any inflammation will be apparent, leading to a diagnosis of tendonitis.

Whether you have tendonitis or tendonosis, acupuncture can be an important part of the healing process. For tendonitis acupuncture needles placed near the inflamed tendon, can increase the circulation of inflammation-fighting white blood cells significantly and clear the heat associated with inflammation. If you have tendinosis, acupuncture can help increase circulation to the area in general, as well as to speed the healing process. Furthermore, in both conditions, acupuncture can effectively decrease the pain, as acupuncture has been shown to affect your brain in a way that ramps up your body’s own pain relief mechanisms.

The bottom line is that knowing the difference between tendonitis and tendonosis can help determine the appropriate treatment. In addition, acupuncture can be a key part of that treatment to relieve pain, reduce inflammation if necessary, increase the circulation of healing blood and nutrients to the area, and speed up the healing process.

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Recovering from Whiplash with Acupuncture

Whiplash can change your life in an instant. I know, because it did for me. Years ago I was rear-ended by a van going about 40 miles per hour. In a split second my car was totaled and my body was injured, and I struggled with months of low-grade disability.

Whiplash is most commonly associated with car accidents, but can also happen from falls and other accidents. It’s a musculoskeletal injury that’s caused by sudden impact, a quick jerking of your head forward or to the side, and the resulting trauma to your spine. The most common symptom of whiplash is pain—neck, shoulder, arm, low back, or pain between your shoulder blades. However, there are other symptoms associated with a whiplash injury, which can include headaches, sleeplessness, dizziness, anxiety, vision problems, fatigue, and poor concentration.

Many people don’t feel any pain right after a car accident, and some assume because the impact happened at a slow speed, that they’re fine. However, crash tests have determined that soft tissue injuries can occur at speeds as slow as five miles per hour. For that reason, many people walk away from an accident thinking they’re fine, only to begin experiencing symptoms days and even weeks after the fact.

Treating whiplash with Chinese medicineWhiplash causes inflammation to the soft tissue of your neck and back. It can also cause damage not only to the soft tissue, but also to the ligaments, tendons, nerves, and bones of your spine and surrounding areas. It can cause muscle tears, cervical sprains, ligament ruptures, herniated discs, and even fractures of the spine.

The Role of Acupuncture

A whiplash injury that’s not treated can easily become a chronic problem, and this is where acupuncture and Chinese medicine can help. A great deal of research has concluded that acupuncture is an effective treatment for neck and back pain. Acupuncture works for this kind of injury for a number of reasons:

-It reduces inflammation. Studies have documented significant increases in the circulation of inflammation-clearing white blood cells in the areas where acupuncture needles have been placed locally.

-Acupuncture increases circulation, which flushes out inflammatory toxins and brings new blood and nutrients into the area being treated, which helps to speed the healing process.

-Your brain chemistry is altered by acupuncture—in a good way. Acupuncture ramps up your body’s own opioid-like pain relief system. In addition, it increases the circulation of endorphins in your brain, which are responsible for mood enhancement and feelings of well-being.

-The decrease in pain and increase in circulation help to improve your range of motion in the injured area.

In addition to acupuncture, your practitioner may incorporate other healing methods into your treatment. This may include massage-like Tui Na, heat therapy, and cupping. If you’re experiencing systemic symptoms, they may also include an herbal formula or some lifestyle changes into your plan for healing as quickly as possible.

Sadly, my whiplash experience happened long enough ago that acupuncture wasn’t a readily available option for healing. I suffered from pain between my shoulder blades that lasted many months; it limited my activities and left me feeling unwell overall. The good news is that now acupuncture is an option, and if you’ve experienced a whiplash injury, it can be an effective path to healing.

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Can Acupuncture Treat Fibromyalgia?

If you know anyone who suffers from fibromyalgia, they might tell you that some days their muscles are so sore that it feels like they have the flu. Or they might say that their muscle pain feels like they completely overdid it at the gym. When it comes to fibromyalgia however, muscle pain is just the tip of the iceberg. That’s because while the symptoms of fibromyalgia are muscle achiness and pain, that pain is almost always combined with other symptoms. The symptoms can vary widely and may include overwhelming fatigue, insomnia, muscle spasms, muscle knots, depression, memory issues, and poor concentration. Fibromyalgia is a chronic condition, but the symptoms may come and go, and change from day to day.

Diagnosis, Causes, and Treatment of Fibromyalgia

Fibromyalgia can be difficult to diagnose for a couple of reasons. First, there’s no visible illness and no lab test for it. Second, because overpowering fatigue is a common symptom, it’s frequently confused with Chronic Fatigue Syndrome. Third, Fibromyalgia is a syndrome, which means that it can manifest with a wide variety of symptoms, although not every patient will have every symptom. While pain and fatigue are common, people with Fibromyalgia may also experience seemingly unrelated symptoms, such as numbness and tingling of their extremities, headaches, digestive symptoms, sensory hypersensitivity, heart palpitations, and mood swings.

Can acupuncture treat Fibromyalgia?Fibromyalgia isn’t considered to be an inflammatory condition, nor is it rheumatic. While the symptoms fluctuate from day to day, it doesn’t tend to get worse over time or cause physical degeneration. While diagnosing Fibromyalgia can be complicated, it’s primarily based on pain and/or tenderness at specific points on the body.

Doctors are unsure of what causes Fibromyalgia, but it’s thought that it may be related to how your spinal cord transmits pain to the brain. In patients with Fibromyalgia, the pain intensity is turned way up. Researchers also know that Fibromyalgia often runs in families, is more common in people with other health conditions, and occurs more frequently in patients who don’t exercise. Furthermore, it seems like there’s an emotional link for Fibromyalgia, with a higher incidence in people with a history of childhood abuse and in people struggling with emotional issues, such as anxiety, depression, and post-traumatic stress syndrome.

Treating Fibromyalgia in Western medicine includes NSAIDs for the pain, anti-depressant medications, and sleep aids to help with insomnia. Your doctor might also suggest physical therapy, massage therapy, heat, and physical activity.

Treating Fibromyalgia with Chinese Medicine

Chinese Medicine also has much to offer patients with Fibromyalgia. A recent review of several research studies on the effectiveness of treating Fibromyalgia with acupuncture concluded that acupuncture treatments are helpful in relieving pain and stiffness, can improve sleep, and increase patients’ overall well-being. They found that electric acupuncture, which is the gentle simulation of the needles with an electric current, is more effective than regular acupuncture.

While there are several different diagnoses for Fibromyalgia in Chinese medicine, one of the most common is something called a Liver and Spleen disharmony. In simplest terms, this means that stress and strong emotions are disrupting the overall balance in your body, especially your ability to produce the energy necessary to function normally. It also means that the flow of blood, nutrients, and energy throughout your body is disrupted, which is felt in the presence of pain and tightness in your muscles. A Liver and Spleen pattern is often just the starting point for a cascade of various other patterns and symptoms, which explains why Fibromyalgia is experienced very differently by every patient.

Acupuncture can be an effective treatment for Fibromyalgia sufferers, because it works at a number of different levels. First, acupuncture ramps up the pain modulation systems in your body and affects the neurotransmitters in your brain to help control your pain. Acupuncture also increases the circulation of endorphins, also a neurotransmitter, that’s responsible for feelings of relaxation and well-being, as well as reducing feelings of depression. In addition, Acupuncture increases circulation throughout your entire body, which is helpful for the muscle pain and stiffness related to Fibromyalgia.

If you seek out acupuncture for the treatment of your Fibromyalgia, one strategy might be to focus on relieving your insomnia first. The belief is that if you’re sleeping well, you’re more likely to feel less pain and more energy. Beyond concentrating on insomnia, a sound treatment plan is to treat your current symptoms as they arise, using a variety of healing tools. Along with acupuncture or electric acupuncture, your practitioner mayprescribe an herbal formula, make dietary suggestions, apply heat therapy, and perform a kind of hands on therapy called Tui Na.

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The Low Down on Headaches

One of the most common questions I get about acupuncture is what it can treat, and one of the most common conditions I am asked about is headaches. Before answering, I need to find out what’s going on, because it’s important to know what kind of a headaches they’re having. There are several kinds to choose from, and it makes a difference in their treatment. Here is a brief rundown on the different kinds of headaches that you may experience:

-Tension headaches are just what they sound like. They’re caused by stress and worry that tend to tighten up your shoulder and neck muscles, which inhibits circulation in the blood vessels in your head. Tension headaches can be chronic, the pain tends to be dull and achy, and may affect your entire head.

-Cluster headaches can be nasty. The pain often occurs near your eye and is usually one-sided. You may have nasal congestion, tearing, flushing, sweating, and a red face with this kind of headache. The pain associated with a cluster headache is severe, often described as burning or stabbing. This kind of headache can be short-lived, but sadly, you can have more than one of these beasts in a day. Cluster headaches are more common during the seasonal changes of spring and fall, and tend to be more common in men than women.

-Migraines are the king of headaches. The pain is severe, throbbing, can last for several days, and can cause sufferers to end up in the emergency room begging for relief. Migraines frequently are one-sided, and sufferers can frequently pinpoint the exact spot where their headaches begin. Migraines tend to occur in stages, beginning with feeling out of sorts or irritable, followed by vision or other sensory stages (aura), then the actual Help for your headachesheadache, and ending with the feeling of a shadow headache, or feeling completely depleted. Many migraine sufferers can identify triggers that set off their headaches, such as scents, foods, dehydration, low blood sugar, stress, and even the resolution of stress. Interestingly a large percentage of people report suffering from migraines on the weekends—a time when the stress of the week has lifted. Sometimes a combination of factors may set off your migraine, which makes it more difficult to pinpoint the exact trigger.

-Sinus or allergy headaches are caused by the buildup of pressure in your sinuses. The can be caused by a sinus infection, chronic sinusitis, allergies, or a structural problem that makes it difficult for your sinuses to drain. The pain from this kind of headache is felt in your face—your forehead, behind your cheeks, or even in your teeth—depending on which sinuses are affected. Sinus headaches can be acute or chronic, depending on the underlying cause.

-Hormonal headaches are caused by fluctuations in your hormones, and may occur with your menstrual cycle, during perimenopause, menopause, and during pregnancy. Interestingly, for some women, the hormonal changes associated with becoming pregnant relieves their headaches. The pain with a hormone-related headache can be intense, and for some women the fluctuation in hormones can trigger a migraine. For most women who suffer from hormonal headaches, their symptoms are relieved after menopause.

-A Caffeine headache occurs when you drink a lot of coffee and decide to quit cold turkey. The ensuing headache you experience is known as a caffeine headache, and is fairly common. This occurs because caffeine affects the constriction and dilation of your blood vessels, and the sudden change of quitting coffee can trigger a headache. In addition, it’s possible to get a caffeine headache simply from drinking too much coffee in general.

-An Exertional headache is a headache occurs after you’ve had a hard workout, and is caused by an increase of blood flowing to your head. The pain from this kind of headache can become very intense very quickly, and may be related to migraines. While an exertional headache is generally benign, if you experience them, you should get checked out by your doctor.

-Hypertensive headaches are headaches caused by high blood pressure. They occur because the force of the blood flowing in your arteries is elevated. Needless to say, if you suffer from blood pressure that is high enough to give you a headache, you should be working with your health provider get it under control.

-A Post-traumatic headache is one that occurs after a head injury or concussion. The pain of this kind of headache can vary, but may feel like a tension headache or a full-blown migraine. These headaches may last on and off for six to twelve months after the initial injury, and should slowly abate during the healing process.

-Rebound headaches may occur when you quit a medication that you have been using to control your headaches. Any headache medication that you take more than a couple of days a week is a candidate for giving you a rebound headache when you quit taking it. It’s frustrating to have your headaches return as the result of your medication, but the headaches should stop after a few days off the medication. It’s important to note that if you’re taking a pain medication for another reason, such as arthritis, stopping it won’t give you a rebound headache unless you suffer from headaches in the first place.

So what does acupuncture and Chinese medicine have to offer if you suffer from any of these types of headaches? Your practitioner can create an effective treatment strategy in many cases, based on the underlying cause of your headaches. They will ask you whether your headaches are episodic or chronic, where the pain is occurring, the nature of the pain, other symptoms associated with your headaches, and about your overall health. From that information they can make an accurate diagnosis and develop a treatment plan that will likely include acupuncture, Chinese herbs, lifestyle changes, stress relief, and diet modifications. In many cases, treatment with Chinese medicine can greatly reduce the incidence and severity of your headaches. Your noggin will thank you!

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Snuff Out Sinus Infections

I’m not prone to sinus infections, but the few I’ve had in my life have been doozies. What sticks in my memory is painful pressure when bending down to tie my shoes, constant post-nasal drip, and running a fever. Also known as sinusitis, sinus infections can exhibit a wide variety of symptoms such as overall fatigue, headaches, tooth pain, coughing, sore throat, stuffiness, and lots of funky-colored phlegm. Yuck!

Your sinuses are great little air purifiers. They warm and moisten the air you breathe and filter out bacteria. Unfortunately, a cold, flu, or allergies can cause the lining of your sinuses to swell, clogging things up. Congested sinuses can create a back-up of mucous, causing bacteria to breed, ultimately triggering a sinus infection.

Sinusitis and acupunctureIn Chinese medicine, a sinus infection is always considered to be a kind of blockage, as in Western biomedicine. However, the Chinese make a little more distinction when it comes to diagnosing and determining how to treat this condition. At the most superficial level, sinusitis always involves a diagnosis of phlegm, but there’s usually more to the picture than that. Phlegm plus cold often presents as stuffy and clogged sinuses, but not necessarily an infection. In this case, you would not be running a fever, and if you are able to blow your nose, the phlegm is likely to be clear or white. Phlegm plus heat is a straight up sinus infection. The mucous will be yellow or green, you are likely to feel like you’ve been hit by a bus, and in many cases you may be running a fever.

The beauty of Chinese medicine is that it looks a little deeper into why you are having phlegmy sinuses in the first place—and there are a number of reasons. A common cause is that your immunity is low and you’re getting a lot of colds, which can wreak havoc on your sinuses. In Chinese medicine, this is a function of your Lung system, which keeps outside invaders like bacteria, viruses, pollen, and molds from making you sick. In order to keep your immune system strong, you need to be in good health and have enough energy to fight off invading pathogens.

A second common cause for sinusitis, especially if it’s chronic, is your diet. This take a little more explaining, but in general too many sweets, fatty foods, dairy, and rich meals can bog down your digestion to the point where it creates a condition called dampness. What this means is that your body becomes less able to metabolize fluids and you form something similar to puddles. These puddles may appear in the form of water retention, yeast infections, athlete’s foot, and even excess weight. When dampness sits around long enough, it can congeal and form phlegm. When that phlegm congregates in your sinuses, the conditions are ripe for sinusitis.

Using Chinese medicine to deal with your chronic sinus problems can be effective because your practitioner has a number of tools to help deal with this condition. First, they can perform acupuncture to open up your sinuses fairly quickly, while also treating the underlying cause of your problem. In addition, Chinese herbs are also extremely helpful, as some have antimicrobial properties, some can disperse phlegm, and others can be used to strengthen your immune function. Finally, if your diet is the culprit behind your sinus problems, your practitioner can help you develop a diet that’s based on your needs.

There are also some things you can do at home too, to help keep your sinusitis under control, including:

-Use steam to keep your sinuses open. While it may seem counterintuitive to use moisture when your sinuses are so clogged with phlegm, keeping your sinus passages moist will actually keep the swelling down and help to keep them clear. Get into a hot, steamy shower twice a day, put a pot of boiling water on the stove and breathe the steam (careful not to burn yourself), and get a humidifier for your home.

-Along the same line, make sure you stay hydrated. Drink plenty of fluids, and if you’re nursing a sinus infection, go for soup, which hydrates as well as steams your sinuses.

-Clean out your sinuses by either using a Neti pot (follow directions included) or sniff up some water and then blow your nose. For a nasal wash recipe, dissolve one teaspoon of salt and a pinch of baking soda into two cups distilled water.

-Apply some moist heat to your sinuses. Wet a washcloth with warm water and place it over your sinuses. Keep it there until it cools. Repeat. The heat will help expand your sinuses and help get things moving.

-Go easy on the decongestant nasal sprays. While these products shrink the tissue lining your sinuses at first, they quickly cause a rebound reaction, making things worse in the long run.

-Choose spicy food. Acrid, spicy foods cause your nose to run, and that’s what you want in order to get your sinuses to drain. Dishes that contain garlic, scallions, horseradish, and hot peppers can be your friend during a sinus infection.

-Rest. When you’re sick and your body is trying to heal, it takes a great deal of your energy. While you may want to power through a sinus infection, you will heal faster and feel better if you give your body the rest it needs.

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Can Acupuncture Treat My Gout?

People who suffer from Gout will tell you that the pain is like nothing they have ever experienced. It often wakes you up in the middle of the night, slowly getting more and more painful, until even the weight of the bed covers feel like torture. While many people think of Gout as a sore big toe, it can be excruciating, limit your mobility, and affect the quality of your life.

Long ago, Gout was considered to be the disease of kings, because it is associated with a diet of rich and fatty foods. Far more men than women suffer from Gout, and one of the most common sites to be affected is the base of your big toe. That said, women also get Gout, and any joint in your body can be affected.

The cause of Gout is a buildup of uric acid crystals, which your body is struggling to eliminate. Uric acid is a metabolite of purine, a chemical found in high concentrations in rich foods like organ meats, oily fish, shellfish, yeast and beer. Interestingly, purines found in plant-based foods don’t tend to build up and cause Gout as commonly as animal based foods.

Can acupuncture treat my Gout?Some people are more prone to developing Gout than others. Risk factors for this painful condition include having a family history of Gout, being overweight, being over the age of 45, and having other health conditions such as cardiovascular disease, diabetes, or renal disease. In Western biomedicine, the first line of treatment for Gout is dealing with the pain through the use of NSAID’s such as ibuprofen. However, if you suffer from frequent attacks of Gout, there are other medications available to help stabilize the levels of uric acid in your body.

In Chinese medicine, Gout is diagnosed as a Bi Syndrome, which means that there is an obstruction of some kind causing your pain and swelling. In most cases, Gout is an obstruction caused by a combination of dampness, heat, and wind. While this may sound like bad weather, heat, dampness, and wind actually describe Gout well. Most cases of Gout present with a warm, swollen, and painful joint. The warmth accounts for the diagnosis of heat. When there is swelling, it’s caused by a build-up of fluid in the area—called dampness in Chinese medicine. Gout is also characterized flares and remissions, and may move from one joint to another, which is a characteristic of wind.

While most cases of Gout are warm and damp, in some instances patients experience a pattern of wind, cold, and damp. In these cases, their symptoms are aggravated by the cold and damp weather.

The source of Gout in Chinese medicine comes from your digestion, or what we would call an imbalance in your Stomach and Spleen. Poor digestion can be a cause of Gout, but in most cases the cause is overeating the wrong foods. Rich, fatty, sweets, fast foods, and alcohol are all offenders when it comes to Gout.

As a practitioner of Chinese medicine, my plan for treating gout, especially during a flare would be to use acupuncture to move the blockage, enhance circulation in the area, and relieve the pain. However, between episodes of Gout, my strategy is to work on resolving the underlying cause by combining acupuncture with Chinese herbs, and dietary changes to address the source of your Gout and prevent any further flare ups.

If you struggle with Gout, there are a few things that you can do for yourself to help prevent future episodes, including:

-Stay hydrated, as it helps flush the uric acid out of your system.

-Avoid alcohol. Not only does it make you dehydrated, but it also aggravates your Gout.

-Educate yourself on which foods contain high levels of purines, and do your best to avoid eating those foods in large quantities.

-Avoid rich and fatty foods.

-Stay clear of high fructose corn syrup.

-Some people report that drinking tart cherry juice daily helps to keep Gout symptoms under control. It’s worth a try to see if it works for you.

 

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Treating Asthma with Chinese Medicine

Over thirty years ago I moved to Minnesota from Hawaii. My husband and I had spent a couple of years in the islands swimming in the ocean, biking endlessly, running in the humidity, and spending Saturday afternoons sitting on the beach near our house.

Needless to say, moving to Minnesota was a shock on so many levels, but I was determined at the very least to continue running throughout the winter. In those early years, my lowest temperature limit was fifteen below. I would bundle up, cover my face and go run a couple of miles. Somehow it made me feel a little self-righteous and invincible to be running outdoors when it was so cold.

Exercise induced asthmaA couple of years into my cold weather running craziness, I began to struggle with shortness of breath. Whenever I was physically active, regardless of the temperature outside, I felt like I had an elephant sitting on my chest. To make a long story short I had developed exercise-induced asthma. It was my body’s way of telling me to lighten up on my lungs and ditch the icy workouts.

About 25 million people in the US have asthma, or about eight percent of the population. Symptoms can range from mild to severe, with about half of sufferers experiencing an asthma attack in the past year. Asthma may present as shortness of breath, coughing, or wheezing. However, during an attack, the muscles surrounding the airways tighten (bronchospasm) and breathing becomes difficult. For some, an asthma attack can be severe enough to be life threatening. Treatments for asthma from a Western biomedical perspective include rescue inhalers for acute attacks, and long term medications, such as inhaled steroids, beta agonists, and leukotriene modifiers.

In Chinese medicine, the cause of asthma is something called “enduring phlegm”, which means that there is always an element of phlegm obstructing the lungs in people who have asthma. However, digging a little deeper, the underlying cause of any kind of phlegm in your body comes from issues with poor water metabolism.

In simple terms, water is metabolized at three levels in your body. In your Lungs, water is processed through respiration. If you breathe onto a mirror, you will see that the moisture from your lungs will make the mirror mist up. At the mid-level, your Chinese Spleen is responsible for metabolizing water through the digestive process. And at the lower level your Kidneys are responsible for the balance of fluids in your body, but also for elimination of water that’s not needed.

An imbalance in any of these three organ systems can lead to a buildup of water, which over time stagnates and thickens and becomes phlegm. The most common culprit is poor diet or digestion, in which eating too many rich foods, sweets, or dairy foods can bog down your digestion, to the point of generating phlegm.

Because problems with water metabolism can come from your Lungs, Spleen, or Kidneys, there are a number of patterns in Chinese medicine describing the source of your asthma. For example, you can have a Lung depletion, phlegm and heat in your Lungs, internal cold, a Spleen depletion (poor digestion), or a Kidney depletion. In addition, the pattern describing your asthma may change dramatically during an acute attack compared to when your asthma symptoms are relatively calm.

There are a number of triggers for your asthma symptoms, again depending on the underlying cause of your asthma. One of the most common triggers is inhaling cold air or being in the cold, and less frequently breathing warm, humid air. In addition, changes in the weather, pollen, smoke, and pollution may also act as triggers for asthma attacks. Internal factors that can trigger symptoms include having a cold or the flu and even stress.

Treatment for asthma in Chinese medicine involves determining the source of the problem. Where is there a water metabolism problem? What are your triggers for an asthma attack? What is your overall body constitution like? Your practitioner would incorporate acupuncture and most likely a Chinese herbal formula to treat your asthma. However, if you are having an acute attack with difficulty breathing, it’s imperative that you are under the care of a Western doctor, too. Chinese medicine can be a powerful tool in treating chronic asthma, preventing attacks and bringing your water metabolism back into balance, but Chinese medicine and Western medicine are not mutually exclusive when it comes to treating asthma.

Looking back, I realize that my running in the very cold weather was irritating to the point of disrupting the water metabolism in my Lungs. However, my asthma story has a happy ending. First, I quit running when it was so cold out. My lower limit today is about ten degrees above zero, and even then my face is covered. I also had to use a rescue inhaler for a year or two when it became difficult for me to breathe. I also incorporated some acupuncture, Chinese herbs, and breathing exercises into the healing process. Today, I don’t think about asthma and haven’t had that elephant sitting on my chest in years.

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Natural Relief for Rib Pain

Why Do Broken, Cracked, or Bruised Ribs Hurt So Much?

Last week I did something really stupid. In our acupuncture clinic we have a water cooler/heater that takes five gallon water bottles. Loading full bottles into the cooler means lifting over 40 lbs. of bulky awkwardness, turning it over, and inserting it into the cooler—a job that usually takes two of us. However, last week I decided that I could hoist the container myself, which I did, but in the process dinged my second rib, just under my collarbone. At the time, I didn’t think much of it, but as the day went on the pain increased and spread throughout my chest like a developing Polaroid photograph.

By the time I got home that night, not only did the spot I hit hurt, but the trajectory of the rib—my collarbone, shoulder, and upper back—was sharply painful. To make it worse, every breath I took intensified that pain. I don’t believe that I broke or even cracked the rib; the hit wasn’t hard enough, but clearly it was bruised and not very happy.

I’ve known a lot of people who have broken or cracked ribs, and they describe the pain as excruciating. They talk about pain that seems to last forever, and then after about six weeks, it starts to calm down.

Natural help for rib painSo why does a rib injury hurt so much? First, because so many things are attached to your ribs—muscles, tendons, cartilage, ligaments, and fascia. And second, all of those body parts that are attached to your ribs move when you breathe, laugh, sneeze, or blow your nose. Like a bellows or an accordion, your rib cage expands and contracts every time you breathe, and when your ribs are injured every breath is painful.

What Can You Do for Rib Pain?

First of all, if you suspect a broken rib, get an X-Ray. This is mostly to look for complications from a rib fracture, not necessarily for the fracture itself. If you feel breathless after a rib injury (not to be confused with pain on inhaling), seek out emergency treatment as soon as possible, as the rib may have damaged one of your lungs.

The bad news is that there’s not much your doctor can do for a broken, cracked or bruised rib, except to let it heal. In the past, it was recommended that people with rib injuries tape the area to limit movement, thus reducing pain. However, taping it is no longer recommended, because the lack of movement increases the risk of developing pneumonia. Your doctor may prescribe a pain medication while your rib injury heals. In addition, he or she is likely to tell you to limit your activities to avoid further injury to your ribs.

Can Acupuncture Help with a Rib Injury?

While acupuncture can’t undo a broken or cracked rib or fix structural damage to your rib cage, research studies have documented that it can help in the healing process. Here are a few ways in which acupuncture can be an effective treatment for rib injuries:

  • Acupuncture can be effective for pain relief
  • It can relax muscles that are in spasm from the injury
  • Acupuncture can reduce inflammation locally
  • A series of acupuncture sessions increases circulation in the area to speed up the healing process

With a rib injury, your instinct is to limit yourself to shallow breathing because of the pain. However, it’s important for the health of your lungs to take some deep breaths several times throughout the day. The best (read: least painful) way to do this is stop what you’re doing and slowly inhale to fill your lungs as completely as possible. Slow, deliberate, deep breathing tends to be less painful and get the job done.

As for my rib incident, I spent a number of days struggling to breathe without pain. Lying down hurt, and getting up hurt more. I tried to run on about day three, and was immediately shut down by the pain. I did a little acupuncture plus rest, and am slowly feeling better each day. When you’re in the middle of a rib injury, it’s important to remember that it will heal; it just takes a long time. In the meantime, just breathe.

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Can Acupuncture Help Your Skin?

People seek out acupuncture for a variety of reasons. They may be suffering from some kind of pain, digestive problems, stress, anxiety, hormonal issues, or even migraine headaches. However, most people won’t think about acupuncture when it comes to their skin. To a practitioner of Chinese medicine, the condition of your skin—including dry skin, rashes, easy bruising, and how much you sweat—can offer up all kinds of clues about the state of your health.

When it comes to skin there are many instances when acupuncture and Chinese medicine can really improve its appearance and health. Here are some examples:

Rashes and Hives

Rashes and hives (urticaria) are often associated with something called wind in Chinese medicine. If you have a rash, it tends to be very superficial, it often moves around, and it frequently is itchy. The itchiness and tendency of hives to move from place to place make it a prime example of wind on your skin. The appearance of your rash indicates the nature of what’s going on. For Minneapolis cosmetic acupuncture clinicexample, rashes that are very red are associated with some kind of heat in your body; pale or light rashes are considered cold, and those that are blistered or moist would be diagnosed as damp. The bad news is that you can have a combination of these, such as shingles in which the rash is very red, itchy, and blistered. In that case, you would be diagnosed with a combination of wind, damp and heat. Frequently rashes can be treated with Chinese medicine through a combination of acupuncture, and herbs.

Acne and Rosacea

Both acne and rosacea are caused by heat in the body, as indicated by the red appearance of the eruptions. In most cases, the heat that causes acne and rosacea tends to be a little deeper than that of a common rash. Treating these conditions would involve combining acupuncture and heat clearing herbs, as well as some dietary modifications to include foods that are cooler in nature. With regular acupuncture, it has been our experience that the breakouts or eruptions from acne and rosacea can be greatly improved.

The Importance of Circulation

One of the greatest benefits of acupuncture is that it improves your circulation, which not only benefits your health, but it also improves the appearance of your skin. Many patients find that their cheeks are flushed after an acupuncture treatment, and this is because their overall circulation has been improved. Research on the effects of acupuncture has documented that the concentration of inflammation-fighting white blood cells are increased in the area where acupuncture needles are placed. The benefits of better circulation include improved immunity, faster healing, more nutrients moving throughout your body, and healthier looking skin.

Cosmetic Acupuncture

It’s possible to apply the benefits of improved circulation directly to your face through a process called cosmetic acupuncture. What’s involved is a series of treatments in which tiny needles are inserted into acupuncture points in your face. Cosmetic acupuncture is a good way to increase circulation in both your face and neck, which brings more nutrients to those areas. In addition, the needling creates tiny micro traumas, which bring more collagen and elastin to the area as part of the healing process. The results of cosmetic acupuncture vary for each individual because each person has a unique body constitution and heals at a different pace. However, most patients who have had a series of cosmetic acupuncture treatments report looking healthier in general. In addition, many patients have noticed a decrease of fine lines and puffiness around the eyes, a slight lifting along the jawline, and a softening of deeper wrinkles.  In addition, for those who suffer from acne breakouts and rosacea, a series of cosmetic acupuncture treatments can decrease the frequency and severity of flare-ups. The added benefit of cosmetic acupuncture is that during a session, points are also needled in other areas of your body to support your overall health—so you can feel better and look better at the same time!

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