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Stagnation Pain

Most of the stagnation-types of pain involve traumatic injury or a palpable-pathogenic process. This is an area where acupuncture and its associated modalities truly shine, treating traumatic injury such as fractures, sprains, infection of tissue and acute pain efficiently and gently. After an acute injury has been assessed by urgent or primary care, go to your acupuncturist for a complete plan of care for immediate physical recovery when other modalities such as physical therapy are not yet indicated.

 

1) Starting from the most superficial type of stagnation, Qi Stagnation involves a type of movement that becomes stuck. Most often it manifests as a tendency to have shoulder and neck pain due to stress which goes away with conscious relaxation and mild exercise. In this case, the muscle tissue itself has not yet been affected. The most common treatments for Qi stagnation involve stress-relieving acupuncture, trigger-point and motor point acupuncture, massage and exercises. Qi stagnation is a component of all the other types of stagnation as well.

 

2) The next level of stagnation involves the blood. A common example of Blood Stagnation is a muscle that has been tense and has formed a series of knots in the tissue, disallowing the full relaxation of the muscle, often present in low back and shoulder muscles. Blood stagnation is treated with strong local acupuncture, cupping and gua sha to physically move the blood. It often presents in combination with heat, cold, damp and phlegm stagnation.

 

3) Heat is part of the inflammatory process, along with redness, swelling and pain. Heat stagnation can be a secondary effect of lingering blood stagnation that starts to become inflamed, or it can be a rapid onset inflammation or infection. Heat stagnation is treated with cooling techniques, using acupuncture distally to relieve heat and inflammation while applying cooling herbal poultices and/or liniments topically. Internal herbs can be used to treat infection and inflammation concurrently. Heat is often combined with damp and blood stagnation.

 

4) Cold Stagnation can either have a fast or a slow origin of onset, with the fast type of onset a physical exposure to cold causing the tissues to tense and the local cellular metabolism to slow down. This causes sharp stabbing pains similar to muscle cramps, accompanied by a deep ache. This can be seen with low back pain after a long bike ride with the low back improperly covered, riding through a cold and rainy environment. Cold stagnation is treated with warming topical liniments and poultices as well as heat packs and moxibustion combined with acupuncture to relax and warm the area. Cold stagnation is often combined with blood or phlegm stagnation.

 

5) Damp Stagnation involves swelling that is still soft, as in the puffiness after a sprain or around a repetitive-motion injury. This can be found around the shoulder blades from overuse of the arms or across the whole low back after intense physical labor. Dampness is treated with cupping, heat poultices, local acupuncture and constitutional body points for eliminating dampness.

 

6) The most bizarre and deep-seated type is Phlegm Stagnation: a type of hard nodule or mass the center of a deep bruise, a fatty lipoma, or the swelling of vertebrae involved in arthritis. Blood and Qi stagnation must both exist prior to the formation of phlegm stagnation. This potentially takes the longest to resolve due to the need to diminish the tissue accumulation. Strong local acupuncture, plum-blossom acupuncture, cupping, gua sha, moxibustion and topical plasters and soaks are all used to treat this more difficult type of stagnation.

 

These six types of stagnation interact with each other and change over the course of an injury or illness.

Neck and Shoulder Pain Related to the Small Intestine

The Small Intestine type of neck, shoulder and jaw pain is caused by stagnant QI (vital energy) and Blood along the energetic channel of the Small Intestine. This is caused by physical or mental/emotional imbalances in the Heart and Small Intestine. Poor sleep, digestive problems, sadness, inability to let go of harmful states of mind, poor body posture, and repetitive movements due to work or sports are among the most common reasons causing imbalances in the Small Intestine channel. 

Acupuncture, cupping and guasha are very effective in relieving muscle tension and pain, relaxing the mind, and improving sleep quality. 

If you think you are suffering from muscle tension and pain associated with Small Intestine and want to learn more about how acupuncture and Chinese medicine can help you, give us a call or schedule your free consultation online. 

5 Myths About Acupuncture You Should Stop Believing Right Now

Acupuncture is part of a medical system known as Traditional Chinese Medicine (TCM) that has been around for nearly 3,000 years. The practice uses hair-thin needles to stimulate acupressure points, specific points on the body that regulate the flow of energy through pathways called meridians. The free and balanced flow of this energy, or Qi, dispels pain and illness from the body, according to TCM. For many years in the Western world, in fact for most of the 3,000 years acupuncture has existed, people have been sceptical about placing their faith in a medical system that looks at energy pathways instead of veins.

Today, a growing body of research on acupuncture is going a long way to prove the efficacy of acupuncture for a variety of afflictions, and the practice is growing in popularity. If you’re one of those people still on the fence, take a closer look at these five prevailing myths about acupuncture before deciding it’s not for you.

 

Myth one: Acupuncture is painful.

It’s understandable to think being pricked with multiple needles will be painful or at least uncomfortable. In the West, our experience with needles is primarily through getting shots with hypodermic needles. Those needs are significantly larger than acupuncture needles, which are only about twice the diameter of a human hair. Acupuncture needles are also extremely flexible and can bend to a 90-degree angle without breaking. Rather than pain, most patients report a vague numbness, heaviness, tingling or dull ache around where the needles are inserted.

 

Myth two: Acupuncture only works to treat pain.

This couldn’t be further from the truth. In Asia, acupuncture is used to treat just about everything, and stateside, research is showing it alleviates a multitude of ailments. Acupuncture has been shown to help everything from allergies to arthritis. Some hospitals are now offering acupuncture to help alleviate stress and anxiety in the emergency room, and the U.S. military is using acupuncture on the battlefield to help with PTSD.

 

Myth three: Acupuncture doesn’t really work: it’s just a placebo effect

Over the past decade, scientific studies have come a long way in disproving this claim. Most studies today test the efficacy of acupuncture treatments by performing true acupuncture on a portion of the study participants and sham acupuncture on another group. The sham acupuncture, placing needles in people at random points rather than known acupoints, is meant to test the strength of the placebo effect in acupuncture. Several studies have found that while people in both groups report some change (pain relief, less nausea etc. depending on the study), the group that receives true acupuncture consistently reports more significant change, for a longer period of time, and system-wide change rather than just localized effects where the needles are inserted. In May 2018, the Journal of Pain published a study that looked at acupuncture and chronic pain using data from nearly 21,000 patients. In their study, patients who received sham acupuncture did not see significant changes in their pain whereas the group that received true acupuncture did, adding to the body of evidence showing acupuncture cannot be explained away by the placebo effect.

 

Myth four: Acupuncture works miracles: it only takes a couple needles to cure you

The truth is that acupuncture works on a cumulative basis, just like building muscle or losing fat by going to the gym. You can’t expect to go to the gym once and look like Dwayne Johnson. It takes time. And depending on how long you’ve been dealing with your ailment, it may take quite a bit of time and multiple treatments. There are no instant fixes when it comes to health.

 

Myth five: Acupuncture is expensive

This all depends on the practitioner, the type of acupuncture being performed and whether or not you use insurance. Practitioners sometimes offer sliding scale pricing. Community style acupuncture, typically performed in an open setting with the practitioner treating multiple people at once, is quite affordable. And, as more and more insurance policies start to cover acupuncture, it is becoming more accessible to more people.

 

Research Update: New Research Might Help Explain How Acupuncture Works

One of the theories scientists have held for many years as to why acupuncture works to alleviate chronic pain and other ailments is called the Vascular-Interstitial Theory. This theory describes the idea that acupuncture works by affecting the electrical system of the body, the network of currents conducted by our cells. Electricity is vital for sending information through the body to the brain and vice versa, as well as in order to conduct currents to the heart, which allows it to pump at the right times.

A disruption to any of these electrical currents can cause illness. The Vascular-Interstitial Theory of acupuncture suggests stimulating acupoints affects these electrical currents in our bodies, facilitating healing by allowing the transfer of blood, organic matter and electrical energy between healthy and injured tissues.

Research published in March 2018 in Scientific Reports offered a significant contribution to our understanding of the interstitium, and therefore sheds new light on the Vascular-Interstitial Theory.

Previous research on the interstitium suggested it was a layer of densely packed connective tissue lining the digestive tract, lungs, urinary systems and surrounding veins and fascia between the muscles. New and increasingly powerful microscopes now allow scientists to look inside living tissues. In this case, the authors of the research were able to look inside the interstitium for the first time, and rather than a web of densely packed connective tissue, they found the space is a network of interconnected, fluid-filled compartments. This finding may help to explain why placing acupuncture needles at specific points on the body creates healing elsewhere in the body.

In an article for The Cut, reporter Katie Heaney interviewed one of the authors of this new research, Neil Theise, a clinician and professor of pathology at NYU Langone Health and a proponent of alternative medicine. While the research paper itself did not discuss acupuncture, Heaney asked Theise to weigh in on the possible connections. Theise posited it was possible the research had implications for understanding acupuncture. The layer of skin into which acupuncture needles are inserted is the interstitium, Theise explained.

“There’s fluid in there,” he told Heaney. “When you put the needle [into an accu-point], maybe the collagen bundles are arranged into a channel through which fluid can flow.”

The research shows the interstitium is a structured and organized system in the body. It may be that stimulating true acupoints allows interstitial fluid to travel throughout the body, explaining why acupuncture has far-reaching effects, not just offering pain relief at the site where the needles are inserted. Channels of interstitial fluid may be responsible for facilitating the transfer of blood, organic matter and electricity between healthy and injured parts of the body. These findings also offer a possible explanation as to why other research has shown sham acupuncture points have some pain-relieving effects where the needles are inserted, but true acupoints go a lot further in offering system-wide relief.

As always, this research is inconclusive on its own. It will require more research to further explore the connection between the interstitium and acupuncture, but it is undoubtedly an interesting idea.

 

https://www.thecut.com/2018/03/dowefinallyunderstandhowacupunctureworks.html

https://www.nature.com/articles/s41598-018-23062-6

https://www.graduate.umaryland.edu/gsa/gazette/February-2016/Howthehumanbodyuseselectricity/

 

 

 

Research Update – Acupuncture and the Heart

A study published by the National Institutes of Health looked at the prevalence of acute myocardial infarction, or heart attacks, on participants that received acupuncture treatments compared with those who did not. The group of participants that were selected to receive acupuncture went through at least one acupuncture treatment course (six sessions). The results showed those receiving the acupuncture treatment series were less likely to experience a heart attack. And the more treatment sessions, the less likely a heart attack would occur. This study shows regular acupuncture treatments can indeed be helpful at preventing heart attacks.

Traditional Chinese Medicine (TCM), just like Western medicine, believes the heart is responsible for the circulation of blood. When the heart is strong, circulation will be sufficient, the body will be well nourished and the pulse will reflect that by being full and regular. Both medical systems agree a weak heart can manifest as palpitations, chest pain and even heart disease or a heart attack.  Where the two medical systems diverge is this: Traditional Chinese Medicine also acknowledges that the heart “houses the mind.”

In TCM, the heart and the mind are virtually inseparable. The heart governs the ability to think clearly, sleep soundly and maintain a good memory. Our emotional state is strongly influenced by how healthy or unhealthy our heart may be. A weak and deficient heart may create feelings of anxiety and mania, while also contributing to insomnia, forgetfulness and lack of concentration. Conversely, a weak mind or uncontrolled emotions can lead to a sick heart.

Regular acupuncture treatments have been found to be very helpful in lowering blood pressure. The needles stimulate the release of opioids, which then decrease the heart’s activity and its need for oxygen. This in turn helps lower blood pressure. Acupuncture also decreases the resting heart rate and blood pressure by helping to decrease stress levels.

Unmanaged, chronic stress can lead to heart disease, high blood pressure, heart arrhythmias and even heart attacks. Numerous studies have shown that stress can be managed through the use of acupuncture. TCM offers more than just acupuncture to treat stress, though. Herbal formulas and exercises like tai chi and qi gong are all wonderful tools for managing stress and keeping the heart healthy.

Poor sleep and insomnia have been linked to heart failure, heart attacks, high blood pressure and strokes too. TCM can help treat a wide array of sleep problems without the harsh side effects of many pharmaceuticals. When a person is rested, their heart will generally be healthier.

Without a healthy heart, the body cannot function properly and the mind may be clouded and disconnected. Contact a licensed acupuncturist in your area to see how TCM can assist you with all of your heart health needs.

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5381414/

 

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