Acupuncture involves the use of thin needles to stimulate specific points to alleviate pain and other symptoms. The procedure involves needle insertion as in a traditional treatment, and then a small electrode is attached to the needle/s. The electrode provides a gentle vibration that stimulates the qi/energy running through these points. It is believed to help increase blood circulation, which can help to relieve any pain and potential blockages.
It is often very soothing to the patient, providing a soft humming and a more fluid treatment. The electrode substitutes the acupuncturist’s hand maneuvering of the needle to activate the point/s. This helps prevent the practitioner from tiring and ensures that the patient receives the proper stimulation. Also, electroacupuncture treatments are shorter than regular acupuncture treatments because of the continued and stronger stimulus. A unique advantage of electro-acupuncture is its ability to simulate an area larger than the needle itself. Electroacupuncture can treat various conditions, including:
Stress
Chronic pain
Muscle spasms
Arthritis
Sports injuries
Obesity
Hormonal imbalances
Digestive issues like constipation or diarrhea
Neurological conditions
Electroacupuncture increases the intensity of the signals sent to the body through the needles and can help increase the communication volume to the body.
Athlete Recovery from Motor Vehicle Accidents: El Paso Back Clinic’s Holistic Care
Motor vehicle accidents (MVAs) can significantly disrupt an athlete’s career, causing physical injuries like musculoskeletal damage, back and neck pain, and nerve issues, as well as psychological trauma that impacts performance. At El Paso Back Clinic in El Paso, Texas, we provide a comprehensive, integrative approach to recovery, combining chiropractic care, acupuncture, and nurse practitioner-led medical management to restore athletes’ health and competitive ability. This blog post, written at a high school reading level, explores the effects of MVAs on athletes, the tailored solutions offered by our clinic, and the expertise of Dr. Alexander Jimenez, DC, APRN, FNP-BC, whose dual licensure ensures exceptional clinical care and legal documentation for personal injury cases. Our mission is to help athletes return to their sport stronger through personalized, evidence-based care.
The Impact of Motor Vehicle Accidents on Athletes
Physical Injuries from MVAs
MVAs often result in injuries that challenge an athlete’s physical capabilities:
Musculoskeletal Injuries: Sudden collisions can strain or tear muscles, tendons, and ligaments, with whiplash frequently affecting neck mobility (Cedar Park Chiropractic, n.d.).
Back and Neck Pain: Spinal injuries, such as herniated discs or misalignments, cause chronic pain, limiting movement (Jimenez, 2025).
Nerve Injuries: Compressed nerves, like those causing sciatica, lead to pain, numbness, or weakness (El Paso Back Clinic, n.d.).
Ligamentous Injuries: Torn ligaments destabilize joints, increasing the risk of re-injury (Advanced Bone and Joint, 2021).
These injuries can weaken muscles and reduce strength, significantly impairing athletic performance (Freedom Physical Therapy, n.d.).
Psychological Trauma
MVAs also cause psychological challenges that affect athletes’ mental resilience:
Post-Traumatic Stress Disorder (PTSD): Accident trauma can trigger anxiety or flashbacks, disrupting training focus (The Florida Law Group, 2023).
Depression and Anxiety: Pain and performance limitations can lead to low motivation and confidence (Universidad Europea, n.d.).
Fear of Re-injury: Mental barriers may prevent athletes from fully returning to their sport (Universidad Europea, n.d.).
These emotional hurdles necessitate a comprehensive approach to facilitate complete recovery.
Decline in Sports Performance
The combined physical and psychological effects of MVAs can lead to:
Limited range of motion, reducing agility and power (Lakeside Sports Chiropractic, n.d.).
Chronic pain, hindering training and competition (Miami Chiropractors, n.d.).
Increased re-injury risk due to weakened structures or compensatory movements (Texas Medical Institute, n.d.).
For young athletes, these setbacks can affect long-term development and career potential (Advanced Bone and Joint, 2021).
At El Paso Back Clinic, our chiropractic care is designed to address MVA-related injuries, helping athletes regain their strength and mobility through:
Spinal Adjustments: Correcting misalignments reduces nerve irritation and improves mobility (Cedar Park Chiropractic, n.d.).
Soft Tissue Therapy: Techniques such as myofascial release help alleviate muscle tension and scar tissue (Dr. Luban, n.d.).
Rehabilitation Exercises: Customized plans strengthen muscles and enhance flexibility (Texas Medical Institute, n.d.).
Our chiropractic treatments promote blood flow, reduce inflammation, and support natural healing, aligning with our goal of restoring athletes’ performance (Jimenez, 2025).
Benefits for Athletes
Our chiropractic care offers:
Pain Relief: Adjustments alleviate back, neck, and joint pain without relying on medications (Cedar Park Chiropractic, n.d.).
Enhanced Mobility: Restored joint function improves agility and athletic performance (Miami Chiropractors, n.d.).
Faster Recovery: Targeting the root causes of injury accelerates healing (Dr. Luban, n.d.).
Injury Prevention: Correcting imbalances minimizes re-injury risks (Texas Medical Institute, n.d.).
Dr. Jimenez’s Chiropractic Leadership
Dr. Alexander Jimenez, the cornerstone of El Paso Back Clinic, brings over 25 years of chiropractic expertise to the table. Using advanced diagnostics, such as enhanced imaging and dual-scope procedures, he accurately identifies the extent of injuries and designs precise treatment plans. His clinical observations link spinal misalignments to pain and dysfunction, justifying targeted chiropractic interventions (Jimenez, n.d., dralexjimenez.com). His approach ensures athletes recover fully, reflecting our clinic’s commitment to excellence.
Our acupuncture services, integrated into athlete recovery plans, involve the insertion of thin needles to stimulate the body’s natural healing process. Benefits include:
Dr. Jimenez’s dual licensure as a chiropractor and NP ensures meticulous documentation that meets medical and legal standards. His use of enhanced imaging and dual-scope procedures links injuries to MVAs, strengthening claims. His reports detail the biomechanical and systemic impacts, which are critical for insurance settlements and legal proceedings, embodying El Paso Back Clinic’s dedication to supporting athletes (ChiroMed, n.d.; Jimenez, n.d., LinkedIn).
El Paso Back Clinic, led by Dr. Alexander Jimenez, offers athletes a path to recovery from MVAs through integrative care, combining chiropractic, acupuncture, and nurse practitioner-led treatments. Our approach addresses physical and psychological injuries, ensuring athletes return to their sport stronger. Dr. Jimenez’s dual expertise provides clinical excellence and robust legal documentation, supporting personal injury claims. Trust El Paso Back Clinic to guide you back to peak performance with personalized, holistic care.
Can Affect Lower Back Muscles and Cause Hamstring Spasms
Lower back muscles, including those like the quadratus lumborum, can be affected by paraspinal spasms. (Hospital for Special Surgery, 2024)
The spasms can cause these muscles to tighten or spasm, potentially pulling on the hamstring muscles.
This can lead to hamstring spasms and tightness, further contributing to pain and potential nerve irritation.
Entrapment of the Sciatic Nerve
Piriformis syndrome is a common condition where the piriformis muscle (located in the buttock) spasms and compresses the sciatic nerve. (Cedars-Sinai, 2025)
The sciatic nerve runs from the lower back down the back of the thigh and into the leg, making it vulnerable to compression by surrounding muscles.
If the paraspinal and hamstring spasms create enough tension on the piriformis muscle or surrounding tissues, it can lead to sciatic nerve entrapment. (Hospital for Special Surgery, 2024)
How acupuncture helps relieve sciatica
Acupuncture can help relieve sciatica pain by stimulating specific points on the body, which can trigger the release of endorphins, reduce inflammation, improve blood flow, and relax tight muscles that could be compressing the sciatic nerve. By modulating the nervous system and promoting the body’s natural healing processes, acupuncture can help alleviate pain and improve overall function. (Qin, Z. et al., 2015)
Releases endorphins
Acupuncture stimulates the nervous system, triggering the release of endorphins, the body’s natural painkillers.
Reduces inflammation
Acupuncture can help reduce inflammation in the area surrounding the sciatic nerve, which can contribute to pain and nerve irritation. (Natural Care Chiropractic, 2022)
Improves circulation
By increasing blood flow to the affected area, acupuncture can help deliver nutrients and oxygen to the sciatic nerve and surrounding tissues, promoting faster healing.
Relaxes tight muscles
Sciatica pain can be exacerbated by tight muscles compressing the nerve. Acupuncture can help relax these muscles, reducing pressure on the sciatic nerve and alleviating pain.
Regulates the nervous system
Acupuncture can help regulate the nervous system, positively impacting pain perception and overall well-being. (Qin, Z. et al., 2015)
Promotes regeneration
Some evidence suggests that acupuncture can promote sciatic nerve regeneration, potentially leading to long-term pain relief. (Natural Care Chiropractic, 2022)
Needling Types
Distal needling
Acupuncture can also involve using points that are further away from the site of pain, which can also help to reduce pain and inflammation.
Local needling
Points are also selected on or near the sciatic nerve’s path, which can help directly address the source of pain and inflammation. (Qin, Z. et al., 2015)
Holistic approach
Acupuncture is often viewed as a holistic approach to pain management, addressing the symptoms of sciatica and the underlying causes and imbalances in the body.
Injury Medical Chiropractic and Functional Medicine Clinic
As a Family Practice Nurse Practitioner, Dr. Jimenez combines advanced medical expertise with chiropractic care to address various conditions. Our clinic integrates Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine to create customized care plans that promote natural healing, mobility, and long-term wellness. By focusing on flexibility, agility, and strength, we empower patients to thrive, regardless of age or health challenges. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately focus on treating patients after injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility, and agility programs tailored for all age groups and disabilities. We use in-person and virtual health coaching and comprehensive care plans to ensure every patient’s personalized care and wellness outcomes.
Noonan, A. M., & Brown, S. H. M. (2021). Paraspinal muscle pathophysiology associated with low back pain and spine degenerative disorders. JOR spine, 4(3), e1171. https://doi.org/10.1002/jsp2.1171
Hospital for Special Surgery. (2024). Sciatica. https://www.hss.edu/condition-list_sciatica.asp
Qin, Z., Liu, X., Wu, J., Zhai, Y., & Liu, Z. (2015). Effectiveness of Acupuncture for Treating Sciatica: A Systematic Review and Meta-Analysis. Evidence-based complementary and alternative medicine: eCAM, 2015, 425108. https://doi.org/10.1155/2015/425108
Natural Care Chiropractic, D. M. F. (2022). Acupuncture for Sciatica Pain Relief. https://www.naturalcarechiropractic.com/post/acupuncture-for-sciatica-pain-relief
Can acupuncture be an effective treatment for anxiety and panic disorders in addition to other treatments, like therapy and/or medication?
Acupuncture For Anxiety and Panic Disorders
Considered one of the most popular types of alternative medicine, acupuncture has grown in popularity as a way to treat a variety of mental health conditions, including depression, post-traumatic stress disorder (PTSD), and other anxiety disorders. With the growth in popularity, more research has been focused on treatment for panic and anxiety symptoms. (Pilkington K. 2010)
Acupuncture can enhance personal wellness.
Acupuncture is generally safe and has few side effects.
It can help reduce physical and mental symptoms like tension, pain, and rapid heart rate.
Other alternative medicine practices include yoga, therapeutic massage, herbal medicines, and aromatherapy.
Traditional Chinese Medicine
Acupuncture is a healing technique originating from traditional Chinese medicine (TCM). The practice is based on the concept that medical conditions and mental health disorders are caused by an imbalance in the energy and circulation of the body’s vital life energy, known as chi or qi (National Institute for Complementary and Integrative Health, 2022). When the body and mind function properly, energy flows optimally through the channels/meridians at certain points throughout the body. Like tight or spasming muscles, energy or circulation becomes congested in different meridian pathways, leading to disease or disorders. The goal of acupuncture is to restore the health and balance of these channels.
How It Works
During acupuncture treatment sessions, small needles are placed along specific body areas, known as acupuncture points. These areas are thought to be where energy blockage occurs. The needles, which come in various thicknesses and lengths, stimulate and open blocked energy channels. Experts have conceptualized acupuncture from a neuroscience perspective, where nerves, muscles, and connective tissues are stimulated, and neurochemicals are released.
Acupuncture can help regulate the nervous system.
It can stimulate the body’s feel-good hormones and reduce stress hormones.
It can help deactivate the analytical brain, which is responsible for anxiety and worries.
Clinical trials examining acupuncture for anxiety and panic disorders have shown some positive results. (Pilkington K. 2010) Acupuncturists and medical professionals are still not clear exactly why it may help with anxiety, but some research has noted that acupuncture appears to have a calming effect. More research studies are needed to prove the effectiveness of acupuncture for anxiety disorders. (Kim Y. K. 2019)
Getting Treated
What it can help with:
Agoraphobia
Generalized anxiety disorder (GAD)
Panic disorder
Phobias
Selective mutism
Separation anxiety disorder
Social anxiety disorder
If you are interested in treating your anxiety and panic symptoms through acupuncture, the first step is to consult your main healthcare provider. Professional acupuncture practitioners are on websites, including the National Certification Commission for Acupuncture and Oriental Medicine and the American Academy of Medical Acupuncture. The use of acupuncture continues to rise, making it more readily available. Since it has been evaluated for effectiveness and is available through many hospitals, some insurance policies may cover some acupuncture treatments.
Injury Medical Chiropractic and Functional Medicine Clinic
Acupuncture can help relieve symptoms of anxiety, stress, pain, discomfort, tightness, and poor circulation. Injury Medical Chiropractic and Functional Medicine Clinic can help individuals recover and build optimal health and wellness solutions with primary healthcare providers and specialists. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.
Discovering The Benefits of Chiropractic Care
References
Pilkington K. (2010). Anxiety, depression, and acupuncture: A review of the clinical research. Autonomic neuroscience : basic & clinical, 157(1-2), 91–95. https://doi.org/10.1016/j.autneu.2010.04.002
National Institute for Complementary and Integrative Health. (2022). Acupuncture: Effectiveness and Safety. Retrieved from https://www.nccih.nih.gov/health/acupuncture-effectiveness-and-safety
Kim Y. K. (2019). Panic Disorder: Current Research and Management Approaches. Psychiatry investigation, 16(1), 1–3. https://doi.org/10.30773/pi.2019.01.08
For individuals wanting to try acupuncture for various health conditions but aren’t sure?
Is Acupuncture Painful?
Acupuncture is a procedure where extremely fine needles are inserted into pressure points in the body. A traditional Chinese medicine technique used to alleviate pain and enhance physical and emotional well-being. (Harvard Health, 2023) It can be beneficial for anyone dealing with persistent painful conditions, such as back pain, sciatica, arthritis-related discomfort, headaches, and post-surgery pain. It’s also a supportive option for individuals experiencing hot flashes and generalized inflammation, making it a versatile choice for holistic health. People undergoing acupuncture experience minimal pain, usually mild pressure or soreness during or after. However, choosing an experienced practitioner and communicating with them during the treatment is the best way to avoid increased pain.
When Performed Correctly, It Should Not Hurt
Many fear that acupuncture will be painful. However, this is not the case because the procedure uses extremely fine needles. One study of pediatric patients found that 87% reported minimal to no pain while having the treatment (Gold J. I. et al., 2023). Improper needle placement is one of the most common reasons that patients experience pain during or after treatment (Johns Hopkins Medicine, 2025). This is why it is important to be treated by a licensed practitioner who is well-versed in treating specific conditions.
Soreness After Treatment
It is relatively uncommon to experience pain after receiving acupuncture. About 10% of individuals experience minor soreness after the treatment (Kelly R. B. & Willis J. 2019). The soreness is typically felt in the areas where the needles were inserted.
Situations When Pain Can Present
A small group of those who undergo acupuncture may experience some pain. It is most frequently seen in the following: (Harvard Health, 2023)
The acupuncturist is inexperienced and inserts the needle incorrectly or not in the right area.
The needles are inserted more deeply than normal or with too much pressure.
The patient has a lower pain threshold and/or is more sensitive to needles.
The practitioner uses higher gauge/thicker needles.
It is important for individuals who have not had acupuncture before to discuss the procedure and any concerns with their provider beforehand. The acupuncturist may be able to perform a trial needle insertion to provide a preview of the treatment. During the initial session, they may use fewer needles or target a smaller area. Constantly communicate with the acupuncturist during the treatment. This allows them to adjust the needles causing soreness or discontinue the procedure if there is increased pain.
Acupuncture Process
Modern medicine explains acupuncture’s benefits. When the needles are inserted, they stimulate the release of endorphins, opioids, immune system cells, and neurohormones. These chemicals help reduce and relieve pain and modify how the body perceives it. They may also impact blood pressure, body temperature, and central nervous system function. (Harvard Health, 2023)
Pressure Points: Is Acupuncture Painful On Certain Body Parts?
Acupuncture can cause some increased soreness in certain body areas. This is especially true when needles are inserted into less muscle or fat regions. For example, hand or foot acupuncture can occasionally cause increased pain (Kaiser Permanente, 2021). Thin individuals with less soft tissue may also experience a stinging sensation as needles are inserted. Communication with the provider is the key to making the acupuncture sessions as comfortable as possible.
During A Session
The first acupuncture session may consist of the following:
The practitioner goes over medical history and current symptoms.
The practitioner examines the body and may also examine the tongue to assess for any present imbalances.
The patient will lie or sit on a table.
Sterilized needles are inserted into the affected areas one at a time.
In some situations, heat or electrical stimulation may also be used to enhance its effects. (Johns Hopkins Medicine, 2025)
Most cases of soreness after treatment will resolve in one to three days. During this time, here are a few recommendations to alleviate any soreness symptoms:
Apply ice to the areas of soreness.
Gently stretch the sore areas.
Increase fluid intake.
Soak in a warm bath with Epsom salts or magnesium oil.
Perform light aerobic exercise.
Take over-the-counter anti-inflammatory medication if recommended by a physician. (University of Georgia, N.D.)
Find a Licensed Acupuncturist
Most states have an online directory of licensed acupuncturists that can help find a local provider. Some national acupuncture associations also maintain lists of members who are board-certified. For example, this directory searches for certified acupuncturists through the National Certification Commission for Acupuncture and Oriental Medicine. (National Certification Commission for Acupuncture and Oriental Medicine, 2024)
Injury Medical Chiropractic and Functional Medicine Clinic
Therefore, acupuncture is not painful and can help relieve symptoms such as anxiety, stress, pain, discomfort, tightness, and poor circulation. Injury Medical Chiropractic and Functional Medicine Clinic can help individuals recover and build optimal health and wellness solutions with primary healthcare providers and specialists. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.
Beyond Adjustments: Chiropractic and Integrative Healthcare
References
Harvard Health Publishing. (2023). Acupuncture. https://www.health.harvard.edu/a_to_z/acupuncture-a-to-z
Gold, J. I., Kobylecka, M., Ngo, N. H., Lin, C. T., & Hurray, C. N. (2023). Does Acupuncture Hurt? A Retrospective Study on Pain and Satisfaction during Pediatric Acupuncture. Children (Basel, Switzerland), 10(11), 1774. https://doi.org/10.3390/children10111774
Kelly, R. B., & Willis, J. (2019). Acupuncture for Pain. American family physician, 100(2), 89–96.
Kaiser Permanente. (2021). Acupuncture 101: here’s what you can expect. https://healthy.kaiserpermanente.org/health-wellness/healtharticle.acupuncture-101
University of Georgia. (N.D.). Dry needling. https://healthcenter.uga.edu/healthtopics/dryneedling/
National Certification Commission for Acupuncture and Oriental Medicine. (2024). Directory: Feel Confident About Finding a Qualified Practitioner. https://directory.nccaom.org/#
For individuals dealing with knee pain symptoms from injury and/or arthritis, can incorporating an acupuncture and/or electroacupuncture treatment plan help in pain relief and management?
Acupuncture For Knee Pain
Acupuncture involves inserting very thin needles into the skin at specific acupoints on the body. It is based on the premise that the needles restore the flow of the body’s energy to activate and promote healing, relieve pain, and help the body relax.
Acupuncture can help address various health conditions, including knee pain caused by arthritis or injury.
Depending on the type and severity of pain, treatments can help reduce the pain for days or weeks.
Acupuncture is often used as a complementary therapy – treatment in addition to other treatment or therapy strategies like massage and chiropractic.
Acupuncture Benefits
Knee pain caused by osteoarthritis or injury can reduce flexibility, mobility, and quality of life. Acupuncture can help provide relief.
When the acupuncture needles are placed on the body, a signal is sent along the spinal cord to the brain, which triggers a release of endorphins/pain hormones. Medical researchers believe this helps reduce pain. (Qian-Qian Li et al., 2013) Acupuncture also helps decrease the production of cortisol, a hormone that helps control inflammation. (Qian-Qian Li et al., 2013) With reduced pain sensations and less inflammation after acupuncture treatments, knee function and mobility can be improved.
Various factors play a role in the pain relief experienced from acupuncture. Some evidence suggests that an individual’s expectations may impact the results of acupuncture treatment. (Stephanie L. Prady et al., 2015)
Researchers are currently assessing whether the expectation that acupuncture is beneficial contributes to a better outcome after treatment. (Zuoqin Yang et al., 2021)
In 2019, acupuncture was recommended in treating knee osteoarthritis in the American College of Rheumatology/Arthritis Foundation guidelines for hand, hip, and knee osteoarthritis pain management. (Sharon L. Kolasinski et al., 2020)
Research
Different clinical studies support acupuncture’s ability to help in knee pain relief and management.
One study found that acupuncture helps manage various conditions that cause chronic pain. (Andrew J. Vickers et al., 2012)
A scientific review analyzed previous studies on pain management interventions after knee surgery and found supporting evidence that the treatments delayed and reduced the use of medications for pain relief post-surgery. (Dario Tedesco et al., 2017)
Osteoarthritis
A systematic review analyzed randomized control studies to determine whether or not acupuncture reduced pain and improved joint function in individuals with chronic osteoarthritis knee pain. (Xianfeng Lin et al., 2016)
Individuals received six to twenty-three weekly acupuncture sessions for three to 36 weeks.
The analysis determined that acupuncture can improve short and long-term physical function and mobility and provide up to 13 weeks of pain relief in individuals with chronic knee pain caused by osteoarthritis.
Rheumatoid Arthritis
Rheumatoid arthritis is a chronic disease that affects joints, including the knee joint, causing pain and stiffness.
Acupuncture is beneficial in treating rheumatoid arthritis/RA.
A review found that acupuncture alone and in combination with other treatment modalities benefits individuals with RA. (Pei-Chi, Chou Heng-Yi Chu 2018)
Acupuncture is believed to have anti-inflammatory and antioxidant effects to help regulate immune system function.
Chronic Knee Pain
Various conditions and injuries can cause chronic knee pain, making mobility difficult.
Individuals with joint pain often turn to complementary therapies for pain relief management, with acupuncture being one of the popular modalities. (Michael Frass et al., 2012)
Working with a licensed, professional acupuncture practitioner can reduce the risk of unwanted side effects and complications.
Types
Other acupuncture options that may be offered include:
Electroacupuncture
A modified form of acupuncture where a mild electrical current passes through the needles, providing additional stimulation to the acupoints.
In one research study, individuals with knee osteoarthritis reported significant improvements in their pain, stiffness, and physical function after electroacupuncture treatment. (Ziyong Ju et al., 2015)
Auricular
Auricular or ear acupuncture works on acupoints in the ear corresponding to the body’s different parts.
A research review analyzed several studies on auricular acupuncture for pain relief and found that it can provide relief within 48 hours of pain onset. (M. Murakami et al., 2017)
Battlefield Acupuncture
The military and veteran healthcare facilities use a unique form of auricular acupuncture for pain management.
Studies show that it is effective at providing immediate pain relief, but more research is necessary to determine long-term pain relief effectiveness. (Anna Denee Montgomery, Ronovan Ottenbacher 2020)
Before trying acupuncture, consult a healthcare professional for guidance, as it may be integrated with other therapies and lifestyle adjustments.
Overcoming an ACL Injury
References
Li, Q. Q., Shi, G. X., Xu, Q., Wang, J., Liu, C. Z., & Wang, L. P. (2013). Acupuncture effect and central autonomic regulation. Evidence-based complementary and alternative medicine : eCAM, 2013, 267959. https://doi.org/10.1155/2013/267959
Prady, S. L., Burch, J., Vanderbloemen, L., Crouch, S., & MacPherson, H. (2015). Measuring expectations of benefit from treatment in acupuncture trials: a systematic review. Complementary therapies in medicine, 23(2), 185–199. https://doi.org/10.1016/j.ctim.2015.01.007
Yang, Z., Li, Y., Zou, Z., Zhao, Y., Zhang, W., Jiang, H., Hou, Y., Li, Y., & Zheng, Q. (2021). Does patient’s expectation benefit acupuncture treatment?: A protocol for systematic review and meta-analysis. Medicine, 100(1), e24178. https://doi.org/10.1097/MD.0000000000024178
Kolasinski, S. L., Neogi, T., Hochberg, M. C., Oatis, C., Guyatt, G., Block, J., Callahan, L., Copenhaver, C., Dodge, C., Felson, D., Gellar, K., Harvey, W. F., Hawker, G., Herzig, E., Kwoh, C. K., Nelson, A. E., Samuels, J., Scanzello, C., White, D., Wise, B., … Reston, J. (2020). 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Arthritis care & research, 72(2), 149–162. https://doi.org/10.1002/acr.24131
Vickers, A. J., Cronin, A. M., Maschino, A. C., Lewith, G., MacPherson, H., Foster, N. E., Sherman, K. J., Witt, C. M., Linde, K., & Acupuncture Trialists’ Collaboration (2012). Acupuncture for chronic pain: individual patient data meta-analysis. Archives of internal medicine, 172(19), 1444–1453. https://doi.org/10.1001/archinternmed.2012.3654
Tedesco, D., Gori, D., Desai, K. R., Asch, S., Carroll, I. R., Curtin, C., McDonald, K. M., Fantini, M. P., & Hernandez-Boussard, T. (2017). Drug-Free Interventions to Reduce Pain or Opioid Consumption After Total Knee Arthroplasty: A Systematic Review and Meta-analysis. JAMA surgery, 152(10), e172872. https://doi.org/10.1001/jamasurg.2017.2872
Lin, X., Huang, K., Zhu, G., Huang, Z., Qin, A., & Fan, S. (2016). The Effects of Acupuncture on Chronic Knee Pain Due to Osteoarthritis: A Meta-Analysis. The Journal of bone and joint surgery. American volume, 98(18), 1578–1585. https://doi.org/10.2106/JBJS.15.00620
Chou, P. C., & Chu, H. Y. (2018). Clinical Efficacy of Acupuncture on Rheumatoid Arthritis and Associated Mechanisms: A Systemic Review. Evidence-based complementary and alternative medicine : eCAM, 2018, 8596918. https://doi.org/10.1155/2018/8596918
Frass, M., Strassl, R. P., Friehs, H., Müllner, M., Kundi, M., & Kaye, A. D. (2012). Use and acceptance of complementary and alternative medicine among the general population and medical personnel: a systematic review. Ochsner journal, 12(1), 45–56.
Hinman, R. S., McCrory, P., Pirotta, M., Relf, I., Forbes, A., Crossley, K. M., Williamson, E., Kyriakides, M., Novy, K., Metcalf, B. R., Harris, A., Reddy, P., Conaghan, P. G., & Bennell, K. L. (2014). Acupuncture for chronic knee pain: a randomized clinical trial. JAMA, 312(13), 1313–1322. https://doi.org/10.1001/jama.2014.12660
National Center for Complementary and Integrative Health. (2022). Acupuncture in depth. National Center for Complementary and Integrative Health. https://www.nccih.nih.gov/health/acupuncture-what-you-need-to-know
Harvard Medical School. (2023). Acupuncture: what is it? Harvard Health Publishing Harvard Medical School Blog. https://www.health.harvard.edu/a_to_z/acupuncture-a-to-z#:~:text=The%20most%20common%20side%20effects,injury%20to%20an%20internal%20organ.
Ju, Z., Guo, X., Jiang, X., Wang, X., Liu, S., He, J., Cui, H., & Wang, K. (2015). Electroacupuncture with different current intensities to treat knee osteoarthritis: a single-blinded controlled study. International journal of clinical and experimental medicine, 8(10), 18981–18989.
Murakami, M., Fox, L., & Dijkers, M. P. (2017). Ear Acupuncture for Immediate Pain Relief-A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Pain medicine (Malden, Mass.), 18(3), 551–564. https://doi.org/10.1093/pm/pnw215
Montgomery, A. D., & Ottenbacher, R. (2020). Battlefield Acupuncture for Chronic Pain Management in Patients on Long-Term Opioid Therapy. Medical acupuncture, 32(1), 38–44. https://doi.org/10.1089/acu.2019.1382
Can individuals with thoracic outlet syndrome incorporate electroacupuncture to reduce neck pain and restore proper posture?
Introduction
More times throughout the world, many individuals have experienced pain around their necks, which can lead to pain and discomfort. Many environmental factors, like being in a hunched position while looking at the computer or phone, traumatic injuries, poor posture, or spinal issues, can cause pain-like symptoms and complications to the body. Since neck pain is a common complaint many people suffer, symptoms like tingling, numbness, or muscle weakness in the upper extremities can lead to comorbidities. When this happens, it can lead to the development of a complex condition known as thoracic outlet syndrome or TOS. Today’s article looks at the link between thoracic outlet syndrome and neck pain, how to manage TOS while alleviating neck pain, and how electroacupuncture can help with TOS. We talk with certified medical providers who consolidate our patients’ information to assess how to minimize the effects of TOS while reducing neck pain. We also inform and guide patients on how electroacupuncture can help manage TOS. We encourage our patients to ask their associated medical providers intricate and important questions about incorporating electroacupuncture to alleviate TOS associated with the neck. Dr. Jimenez, D.C., includes this information as an academic service. Disclaimer.
The Link Between Thoracic Outlet Syndrome & Neck Pain
Have you been noticing how you are hunched over more than usual? Do you experience symptoms of tingling or numbness down from your arms to your hands? Or do you feel muscle tension in your neck? Thoracic outlet syndrome, or TOS, is a challenging condition resulting in the compression of neurovascular structures between the clavicle and the first rib. (Masocatto et al., 2019) These neurovascular structures are near the neck and shoulders. When environmental structures affect the upper extremities, it can lead to referred neck pain, which can cause overlapping risk profiles. Some of the factors that TOS can contribute to neck pain include:
Atomical variations
Poor posture
Repetitive motions
Traumatic injuries
At the same time, people with neck pain can develop TOS, as neck pain is a multifactorial musculoskeletal condition that can be associated with overlapping risk profiles that contribute to TOS. (Kazeminasab et al., 2022) As stated earlier, factors like poor posture can overstretch the neck muscles and the neurovascular structures, leading to neuropathic pain symptoms that can cause deep aching referred pain to the neck and muscle weakness. (Childress & Stuek, 2020) When this happens, many people will begin to feel miserable and start to seek treatment to not only reduce TOS but also alleviate neck pain.
What Is Thoracic Outlet Syndrome- Video
Managing TOS & Alleviating Neck Pain
When it comes to treating TOS, especially when neck pain is a significant component, many individuals will try to seek out non-surgical treatments to reduce the symptoms. Many individuals may try physical therapy to stretch and strengthen their shoulder, chest, and neck muscles to relieve compression. Others might try a manual treatment that is joint-oriented for the neck while neural-tissue-oriented for TOS to improve mobilization on the upper extremities and even improve poor posture. (Kuligowski et al., 2021) Additionally, non-surgical treatments can be combined with other therapies to reduce the chances of TOS from returning as they can further increase sensory-motor function back to the neck and upper extremities. (Borrella-Andres et al., 2021)
How Electroacupuncture Can Help With TOS
Electroacupuncture is a modern form of traditional acupuncture that is part of the non-surgical treatments that can help manage TOS while alleviating neck pain. Electroacupuncture is a modification of inserting needles into the body’s acupoints while incorporating electric stimulation to deliver a pulsed electrical current to the affected area gently. (Zhang et al., 2022) Some of the beneficial properties that electrostimulation can provide for TOS include:
Pain reduction by stimulating the release of endorphins to decrease inflammation.
Help relax the affected muscles in the chest and neck to alleviate the pressure on the nerves of the thoracic outlet.
Help enhance the blood flow to reduce vascular compression of TOS.
Help stimulate the nerve pathway to promote healthy nerve function and reduce pain-like symptoms.
By incorporating electroacupuncture and non-surgical treatments to reduce TOS, many individuals can make modifications to their lifestyle habits and prevent issues from affecting their upper body extremities. By utilizing these treatments, many people can listen to their bodies and focus on their health and well-being by addressing the pain-like symptoms they are experiencing from TOS correlating with neck pain. At the same time, they have a positive relationship with their primary doctors to develop a personalized treatment plan that can manage their TOS symptoms to the best outcomes.
References
Borrella-Andres, S., Marques-Garcia, I., Lucha-Lopez, M. O., Fanlo-Mazas, P., Hernandez-Secorun, M., Perez-Bellmunt, A., Tricas-Moreno, J. M., & Hidalgo-Garcia, C. (2021). Manual Therapy as a Management of Cervical Radiculopathy: A Systematic Review. Biomed Res Int, 2021, 9936981. https://doi.org/10.1155/2021/9936981
Kazeminasab, S., Nejadghaderi, S. A., Amiri, P., Pourfathi, H., Araj-Khodaei, M., Sullman, M. J. M., Kolahi, A. A., & Safiri, S. (2022). Neck pain: global epidemiology, trends and risk factors. BMC Musculoskelet Disord, 23(1), 26. https://doi.org/10.1186/s12891-021-04957-4
Kuligowski, T., Skrzek, A., & Cieslik, B. (2021). Manual Therapy in Cervical and Lumbar Radiculopathy: A Systematic Review of the Literature. Int J Environ Res Public Health, 18(11). https://doi.org/10.3390/ijerph18116176
Masocatto, N. O., Da-Matta, T., Prozzo, T. G., Couto, W. J., & Porfirio, G. (2019). Thoracic outlet syndrome: a narrative review. Rev Col Bras Cir, 46(5), e20192243. https://doi.org/10.1590/0100-6991e-20192243 (Sindrome do desfiladeiro toracico: uma revisao narrativa.)
Zhang, B., Shi, H., Cao, S., Xie, L., Ren, P., Wang, J., & Shi, B. (2022). Revealing the magic of acupuncture based on biological mechanisms: A literature review. Biosci Trends, 16(1), 73-90. https://doi.org/10.5582/bst.2022.01039
For individuals dealing with musculoskeletal pain, can incorporating acupuncture and electroacupuncture therapy provide beneficial results?
Introduction
The upper and lower body quadrants are surrounded by muscles, soft tissues, and ligaments that allow the body to be mobile with feelings of pain or discomfort. Each muscle group has an important job providing sensory-motor functions like grasping objects, moving extremities, supporting the body in a correct posture, and stabilizing vertical axial weight. However, many people have adopted various habits from environmental factors or have been through traumatic injuries that can cause referred muscle pain in the upper and lower body quadrants. When this happens, it can lead to a life of disability, pain, and discomfort over time if it is not treated right away. To that point, musculoskeletal pain can also cause overlapping risk profiles with other comorbidities that can be pre-existing in the body. Fortunately, numerous treatments can help reduce musculoskeletal pain and benefit the body. Today’s article looks at two different non-surgical therapies, how each is beneficial to reducing musculoskeletal pain, and how effective they can help many people with musculoskeletal pain. We talk with certified medical providers who consolidate our patients’ information to assess how to reduce the pain-like effects of musculoskeletal pain with non-surgical treatments. We also guide patients on how these non-surgical treatments can help lessen the referred pain caused by various environmental factors affecting their musculoskeletal system. We encourage our patients to ask their associated medical providers intricate and important questions about incorporating non-surgical treatments into their health and wellness treatments. Dr. Jimenez, D.C., includes this information as an academic service. Disclaimer.
The Traditional Touch Of Acupuncture
After a long workday, do you feel soreness in your arms, legs, or feet? Have you experienced any symptoms of numbness or stiffness in the upper or lower portions of your body? Or do you feel muscle aches and pains after waking up in the morning? Around the world, many individuals have dealt with musculoskeletal pain at some point, which causes many people to miss out on numerous activities. Musculoskeletal pain is a multifactorial condition that any individual can develop over time. Some biological mechanisms contributing to the development of musculoskeletal pain can be heterogeneous, cardiometabolic, and systemic inflammation that can affect the body. (Dzakpasu et al., 2021) When many people are doing repetitive motions or have dealt with injuries, it can cause the various muscles to be overstretched, tightened, or weak, which can cause individuals to feel miserable and seek treatment. When people go to get treatment for their musculoskeletal pain, many people will tell their doctors about their pain experience and how it impacts their daily social well-being. By gaining information about how musculoskeletal pain negatively affects their lives, a multidisciplinary approach to pain management that emphasizes rehabilitation and non-surgical treatments can be the first step in effectively managing musculoskeletal pain. (Welsh et al., 2020)
Now, non-surgical treatments vary depending on the severity of musculoskeletal pain the person is experiencing. Since musculoskeletal pain is a multifactorial condition, many people could experience comorbidities that cause overlapping risk profiles that correlate with musculoskeletal pain, hence why many people incorporate non-surgical treatments since it is affordable and can be combined with other treatments. One of the oldest therapies that is still practiced today is acupuncture. Now, acupuncture involves the insertion of thin, solid needles into the body’s acupoints to restore the normal flow of energy through the body’s pathways. Highly trained professionals do acupuncture, and it is safe and effective for the person dealing with musculoskeletal pain. Additionally, acupuncture can positively affect the body as it can help change the pain perception of the affected muscle. (Kelly & Willis, 2019)
How Acupuncture Benefits Muscle Pain
Acupuncture can also provide beneficial results to individuals by emphasizing the mobilization of self-healing mechanisms to restore the body’s homeostasis to normal. (Wang et al., 2023) Some of the beneficial properties that people can experience with acupuncture include:
Provides natural pain relief by stimulating the release of endorphins in the affected muscle.
Reducing muscle inflammation in the affected muscle group area.
Improving blood flow circulation to decrease muscle stiffness and soreness.
Reducing stress and muscle tension in the affected area.
At the same time, acupuncture therapy for muscle pain can help reduce the inhibitory effects and modulate the feeling of pain, which then modifies central sensitization. (Zhu et al., 2021)
The Modern Twist Of Electroacupuncture
Now, electroacupuncture is a different form of acupuncture that uses the application of acupuncture needles and electric stimulation on the affected muscle. At the same time, when people are getting treated with electroacupuncture, their somatosensory afferent nerves provide pain relief. They are blocked to stop the pain signals from reaching the central nervous system. (Chen et al., 2021) This is because adding electric stimulation can enhance the therapeutic effects of the acupuncture points in the body.
How Electroacupuncture Benefits Muscle Pain
Regarding reducing muscle pain, electroacupuncture is more effective as acupuncturists can help adjust the intensity of the electric currents on the affected muscle to ensure comfort. Some of the benefits that electroacupuncture provides include:
Enhanced pain relief as the electric current can stimulate endorphin release.
Muscle relaxation from spasms in the affected muscle group.
Increased the healing rate by stimulating deeper muscles.
Help enhance muscle strength and flexibility to improve functionality.
Electroacupuncture can relieve pain and even adjust the biomechanical properties of the extensor-flexor muscles to improve abnormal joint loading caused by musculoskeletal pain. (Shi et al., 2020)
How These Two Treatments Help With Musculoskeletal Pain?
When it comes to acupuncture and electroacupuncture, it all depends on the severity of musculoskeletal pain affecting the body. Many people prefer traditional acupuncture for acute musculoskeletal pain in a more holistic approach. In comparison, others might prefer electroacupuncture to reduce the chronic pain effects of musculoskeletal pain. However, both of these treatments are non-surgical. They can be combined with other therapies like physical therapy or chiropractic care to help stimulate the body’s natural healing factor and relieve musculoskeletal pain. When these two treatments are combined with other therapies, the affected muscles are strengthened and provide mobility function back into the extremities. When people start thinking about their well-being, they can utilize these treatments to reduce the comorbidities associated with musculoskeletal pain that is affecting them. Thus allowing them to make small, healthy changes to their routine and live pain-free lives.
Beyond Adjustments: Chiropractic and Integrative Healthcare- Video
References
Chen, L., Wang, X., Zhang, X., Wan, H., Su, Y., He, W., Xie, Y., & Jing, X. (2021). Electroacupuncture and Moxibustion-Like Stimulation Relieves Inflammatory Muscle Pain by Activating Local Distinct Layer Somatosensory Afferent Fibers. Front Neurosci, 15, 695152. https://doi.org/10.3389/fnins.2021.695152
Dzakpasu, F. Q. S., Carver, A., Brakenridge, C. J., Cicuttini, F., Urquhart, D. M., Owen, N., & Dunstan, D. W. (2021). Musculoskeletal pain and sedentary behaviour in occupational and non-occupational settings: a systematic review with meta-analysis. Int J Behav Nutr Phys Act, 18(1), 159. https://doi.org/10.1186/s12966-021-01191-y
Shi, X., Yu, W., Wang, T., Battulga, O., Wang, C., Shu, Q., Yang, X., Liu, C., & Guo, C. (2020). Electroacupuncture alleviates cartilage degradation: Improvement in cartilage biomechanics via pain relief and potentiation of muscle function in a rabbit model of knee osteoarthritis. Biomed Pharmacother, 123, 109724. https://doi.org/10.1016/j.biopha.2019.109724
Wang, M., Liu, W., Ge, J., & Liu, S. (2023). The immunomodulatory mechanisms for acupuncture practice. Front Immunol, 14, 1147718. https://doi.org/10.3389/fimmu.2023.1147718
Welsh, T. P., Yang, A. E., & Makris, U. E. (2020). Musculoskeletal Pain in Older Adults: A Clinical Review. Med Clin North Am, 104(5), 855-872. https://doi.org/10.1016/j.mcna.2020.05.002
Zhu, J., Li, J., Yang, L., & Liu, S. (2021). Acupuncture, from the ancient to the current. Anat Rec (Hoboken), 304(11), 2365-2371. https://doi.org/10.1002/ar.24625
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