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Acupuncture Therapy

Acupuncture therapy – a traditional Chinese medicine based on circulating the body’s life energy to promote healing & relaxation. Acupuncture penetrates the skin with thin, solid, metallic needles, which are then activated through gentle and specific movements of the practitioner’s hands or electrical stimulation. Improve your health with acupuncture treatment – learn how it stimulates endorphins, impacts the autonomic nervous system & more.

Discover the benefits of acupuncture therapy – from releasing endorphins to influencing the autonomic nervous system. Most people report feeling minimal pain as the needle is inserted. The needle is inserted to a point that produces a sensation of pressure or ache. Needles may be heated during the treatment, or mild electric current may be applied. Some people report acupuncture makes them feel energized. Others say they feel relaxed.


Restore Your Feet with Acupuncture Plantar Fasciitis Therapy

Restore Your Feet with Acupuncture Plantar Fasciitis Therapy

For individuals dealing with plantar fasciitis, every step can be painful. Can taking an integrative approach and utilizing acupuncture help treat this condition and accelerate symptom relief?

Restore Your Feet with Acupuncture Plantar Fasciitis Therapy

Acupuncture Plantar Fasciitis

Plantar fasciitis is when the supportive tissue running under the foot, from the heel to the base of the toes, becomes irritated and painful. The disorder can be difficult to manage, but there are alternative treatment options. Acupuncture plantar fasciitis therapy is one potential method of relief, alleviating pain, and returning the individual to regular activities. Acupuncture involves inserting extremely thin needles into points in the body to restore and balance the normal flow of energy and improve overall health. (Johns Hopkins University. 2024) In traditional Chinese medicine or TCM, the body comprises a series of meridians/channels that supply energy flow or qi/chi.

Facts

Plantar fasciitis is a common disorder affecting the foot. The condition occurs when the plantar fascia, designed to absorb the forces that travel through the arch of the foot, becomes overloaded. When the bottom of the foot is constantly subjected to high amounts of strain, it leads to ligament degeneration, pain, and inflammation. The most common symptom is heel pain, the first thing an individual experiences in the morning or after a long day of work and activities. Anyone can get plantar fasciitis, but those who are more prone to the condition include individuals with:

  1. The disorder is first treated conservatively with physical therapy focusing on relieving the pain symptoms and restoring foot and ankle flexibility.
  2. Orthotics or custom-fabricated shoe inserts can help protect the foot and correct foot positioning,
  3. Night splints help hold the foot in a flexed position at night.
  4. Anti-inflammatory medications may also be used. (American Academy of Orthopaedic Surgeons. 2022)

Benefits of Acupuncture

Acupuncture and its effectiveness are still being studied, but there is evidence suggesting that it is beneficial in plantar fasciitis treatment.

  • One review found significant pain improvements in individuals who had acupuncture for the condition compared to individuals who received standard treatments like stretching, orthotics, and strengthening. (Anandan Gerard Thiagarajah 2017) The same review also found benefits when comparing acupuncture to a placebo version of the treatment, further reinforcing the findings.
  • Another medical review found that acupuncture helped alleviate heel pain and improve daily function when combined with nonsteroidal anti-inflammatory medications/NSAIDs such as ibuprofen or naproxen. (Richard James Clark, Maria Tighe 2012)

Side Effects

While acupuncture plantar fasciitis therapy is beneficial, it is important to remember there can be potential side effects that can include:

  • Pain in the area where the needles were placed.
  • Bleeding in the area where the needles were placed.
  • Bruising or skin discoloration.
  • Allergic reaction or contact dermatitis/itchy rash.
  • Dizziness or light-headedness.
  • Nausea or vomiting (Malcolm W C Chan et al., 2017)

The chances of a serious adverse side effect are relatively low when undergoing acupuncture on the foot.

Acupuncture Points and Sensations

The ways acupuncture works are not yet fully understood, but like other neuromusculoskeletal therapies, the process activates the body’s healing properties.

  • Inserting a needle into the body’s points stimulates the central nervous system.
  • This leads to the release of chemicals in the brain, spinal cord, and muscles that promote healing.
  • These same chemicals and reactions also reduce the body’s sensation of pain. (Teng Chen et al., 2020)

Number of Sessions

The amount of sessions that acupuncture takes to provide pain relief varies from person to person and case to case.

Individuals are recommended to consult a healthcare provider about personalized treatment plans and if they have a bleeding disorder, are on blood thinner medications, or are pregnant.


Understanding Plantar Fasciitis


References

Johns Hopkins University. (2024). Acupuncture (Health, Issue. www.hopkinsmedicine.org/health/wellness-and-prevention/acupuncture

American Academy of Orthopaedic Surgeons. (2022). Plantar fasciitis and bone spurs. (Diseases and Conditions, Issue. orthoinfo.aaos.org/en/diseases–conditions/plantar-fasciitis-and-bone-spurs

Thiagarajah A. G. (2017). How effective is acupuncture for reducing pain due to plantar fasciitis?. Singapore medical journal, 58(2), 92–97. doi.org/10.11622/smedj.2016143

Clark, R. J., & Tighe, M. (2012). The effectiveness of acupuncture for plantar heel pain: a systematic review. Acupuncture in medicine : journal of the British Medical Acupuncture Society, 30(4), 298–306. doi.org/10.1136/acupmed-2012-010183

Chan, M. W. C., Wu, X. Y., Wu, J. C. Y., Wong, S. Y. S., & Chung, V. C. H. (2017). Safety of Acupuncture: Overview of Systematic Reviews. Scientific reports, 7(1), 3369. doi.org/10.1038/s41598-017-03272-0

Chen, T., Zhang, W. W., Chu, Y. X., & Wang, Y. Q. (2020). Acupuncture for Pain Management: Molecular Mechanisms of Action. The American journal of Chinese medicine, 48(4), 793–811. doi.org/10.1142/S0192415X20500408

Treating Neck Pain with Acupuncture: A Guide

Treating Neck Pain with Acupuncture: A Guide

Can individuals dealing with neck pain incorporate acupuncture as part of their health and wellness treatment to relieve headaches?

Introduction

As part of the musculoskeletal system, the neck allows the head to go into full rotation without feeling discomfort or pain. The neck is part of the cervical spine region and is surrounded by numerous ligaments, muscles, and tissues that help protect the spinal cord and the spinal column. However, the neck is also the most susceptible to injury neck to back pain as it is one the top three complaints many individuals suffer from at some point in their lives. When people experience neck pain, numerous causes can contribute to developing neck pain, while pain-like symptoms like headaches contribute to the body. This causes many individuals to seek treatment and find the relief they are looking for to reduce neck pain while continuing their daily routine. Today’s article looks at how neck pain is associated with headaches and how treatments like acupuncture can help with neck pain and reduce the painful effects of headaches. We talk with certified medical providers who utilize our patients’ information to provide acupuncture treatments to lessen the impact of headaches caused by neck pain. We also inform patients how multiple non-surgical treatments can help reduce headaches and pain-like symptoms associated with neck pain. We encourage our patients to ask their associated medical providers intricated and important questions about the pain-like symptoms they are experiencing from neck pain. Dr. Jimenez, D.C., incorporates this information as an academic service. Disclaimer.

 

Neck Pain & Headaches

Have you been experiencing unexplained stiffness along the sides of your neck? Do you feel a dull ache at the base of your neck or skull after looking down at your phone for an extended period? Or do you experience frequent headaches that are constant throughout the day? Many people dealing with these pain-like issues are associated with neck pain that is affecting their quality of life. Neck pain is amongst the top three complaints many people have experienced at some point. Neck pain has common presenting symptoms that are diagnosed, and the prevalence is much higher in older adults due to degenerative spinal changes in the facet joints and spinal discs. (Childress & Stuek, 2020) Many individuals experience common musculoskeletal pain conditions like muscle strains and stiffness when this happens. At the same time, neck pain can also be associated with neurological conditions that cause overlapping risk profiles, forcing many individuals to miss out on important events. Neck pain is a multifactorial musculoskeletal condition affecting many individuals as it induces them to miss work. This is because various modifiable and non-modifiable risk factors contribute to developing neck pain. (Kazeminasab et al., 2022) These risk factors can range from physical inactivity to poor posture, causing overlapping risk profiles that can trigger neck pain to advance over time. 

 

 

So, how are headaches associated with neck pain? When a person is experiencing a headache, many would often think that the headaches are caused by not eating enough food or drinking enough water. Those are some of the factors that contribute to headaches, but they can also be due to the stress and comorbidities that are associated with neck pain. This is due to the risk factors many individuals don’t realize contribute to neck pain. Factors like the forward head position from smartphone usage cause tension on the cervical structures, generating potential degeneration and tearing of the neck structures. (Maayah et al., 2023) As repetitive motions affect the neck structure more over time, the nerve roots that surround the spine and spread through the upper extremities can become aggravated, and cause referred pain to different areas of the body, leading to headaches. When dealing with headaches associated with neck pain, they will feel stress, affecting their productivity. The headaches can range from acute to chronic, depending on the severity. Fortunately, many individuals dealing with headaches associated with neck pain will seek treatment to reduce the pain-like symptoms and feel the relief to return to their daily routine.


Healing After Trauma- Video

Many individuals who are dealing with neck pain often deal with headaches as a sign that risk factors are in play, like poor posture, slouching, or traumatic injuries that can affect their ability to work or participate in activities. This can cause many people to feel miserable and decrease their quality of life, thus causing them to seek out treatment for their pain, hence why many individuals opt for non-surgical treatments due to them being affordable and personalized. Non-surgical treatments range from chiropractic care to acupuncture, depending on the severity and location of where the pain is in the body. The video above shows how non-surgical treatments can help many individuals positively influence healing after a traumatic injury and restore a person’s well-being.


Acupuncture For Neck Pain

Non-surgical treatments are excellent for individuals trying to find the relief they seek in their neck pain. As stated earlier, non-surgical treatments are cost-effective and tailored to the person’s pain. Acupuncture is a form of non-surgical treatment that can help reduce the comorbidities associated with neck pain. Acupuncture is a medical practice in which highly trained, licensed, and certified professionals use solid, super-thin needles to be placed at specific points to treat the body. What this does is that when the needles are penetrating the points, it will begin to open any blockage or excess energy to flow correctly, restore balance to the body, and relieve the individual’s symptoms. (Berger et al., 2021) Some of the beneficial results that acupuncture can provide individuals with neck pain is a reduction of pain and disability to the neck while treating referred pain that is causing overlapping risk profiles to induce headaches. (Peron et al., 2022

 

Acupuncture Relieving Headaches

Since headaches are associated with neck pain, acupuncture can help relieve the headaches from progressing further and enable many individuals to get back to their routine. Some overlapping risk profiles contributing to headaches include trigger points on the neck muscles that can cause non-dermatomal referral pain and discomfort. (Pourahmadi et al., 2019) When an acupuncturist is treating individuals for their headaches, many individuals will begin to feel the relief after a few consecutive sessions, and, combined with physical therapy to strengthen neck and shoulder muscles, will notice that the pain has been reduced significantly. Acupuncture is a safe, helpful, and available alternative treatment that is beneficial for many individuals dealing with headaches associated with neck pain. (Urits et al., 2020) By incorporating acupuncture as part of a person’s treatment plan, they can begin to feel the relief they deserve while also being more mindful of how they are treating their bodies to prevent pain-like symptoms from returning.


References

Berger, A. A., Liu, Y., Mosel, L., Champagne, K. A., Ruoff, M. T., Cornett, E. M., Kaye, A. D., Imani, F., Shakeri, A., Varrassi, G., Viswanath, O., & Urits, I. (2021). Efficacy of Dry Needling and Acupuncture in the Treatment of Neck Pain. Anesth Pain Med, 11(2), e113627. doi.org/10.5812/aapm.113627

Childress, M. A., & Stuek, S. J. (2020). Neck Pain: Initial Evaluation and Management. American Family Physician, 102(3), 150-156. www.ncbi.nlm.nih.gov/pubmed/32735440

www.aafp.org/pubs/afp/issues/2020/0801/p150.pdf

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. doi.org/10.1186/s12891-021-04957-4

Maayah, M. F., Nawasreh, Z. H., Gaowgzeh, R. A. M., Neamatallah, Z., Alfawaz, S. S., & Alabasi, U. M. (2023). Neck pain associated with smartphone usage among university students. PLOS ONE, 18(6), e0285451. doi.org/10.1371/journal.pone.0285451

Peron, R., Rampazo, E. P., & Liebano, R. E. (2022). Traditional acupuncture and laser acupuncture in chronic nonspecific neck pain: study protocol for a randomized controlled trial. Trials, 23(1), 408. doi.org/10.1186/s13063-022-06349-y

Pourahmadi, M., Mohseni-Bandpei, M. A., Keshtkar, A., Koes, B. W., Fernandez-de-Las-Penas, C., Dommerholt, J., & Bahramian, M. (2019). Effectiveness of dry needling for improving pain and disability in adults with tension-type, cervicogenic, or migraine headaches: protocol for a systematic review. Chiropr Man Therap, 27, 43. doi.org/10.1186/s12998-019-0266-7

Urits, I., Patel, M., Putz, M. E., Monteferrante, N. R., Nguyen, D., An, D., Cornett, E. M., Hasoon, J., Kaye, A. D., & Viswanath, O. (2020). Acupuncture and Its Role in the Treatment of Migraine Headaches. Neurol Ther, 9(2), 375-394. doi.org/10.1007/s40120-020-00216-1

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Treating Acupuncture Myofascial Pain Syndrome Effectively

Treating Acupuncture Myofascial Pain Syndrome Effectively

Can individuals dealing with myofascial pain syndrome in their bodies find the relief they are looking for through acupuncture?

Introduction

The musculoskeletal system has numerous ligaments, joints, soft tissues, and muscles that allow the body to be in motion without feeling pain or discomfort. The musculoskeletal system has upper and lower body portions, and each quadrant has a specific job it needs to do. The head works with the neck for the upper body portions to allow it to turn and be mobile. The shoulders work with the arms and hands to allow flexibility while stabilizing the neck. For the lower body portions, the hips and legs stabilize the upper body’s weight and help the different quadrants flex, extend, and rotate without pain. However, when traumatic or normal forces start to affect the body, it can lead to pain and discomfort, depending on the severity. When this happens, it can cause the muscle fibers from the upper and lower body portions to become tight and form tiny nodules known as trigger points to cause myofascial pain. This causes many individuals to be in constant discomfort and feel pain in different body locations. However, there are numerous treatments that can reduce the pain from the trigger points and restore muscle function to the body. Today’s article examines how myofascial pain syndrome affects the body, how non-surgical treatments like acupuncture can reduce trigger point pain, and how acupuncture can restore body function. We speak with certified medical providers who incorporate our patients’ information to provide various treatments to reduce the effects of myofascial pain syndrome on the body. We also inform patients how non-surgical therapies like acupuncture can help restore body function that is caused by myofascial pain. We encourage our patients to ask intricated questions to our associated medical providers about the pain-like symptoms they are experiencing from myofascial pain syndrome that is affecting their bodies. Dr. Alex Jimenez, D.C., utilizes this information as an academic service. Disclaimer.

 

Myofascial Pain Syndrome Affecting The Body

Do you feel pain radiating in certain locations in your body, affecting your daily routine? Are you feeling any complaints in your back, knees, elbows, or shoulders? Or do you have mobility issues that are affecting your gait and making you feel unstable? Many of these issues that people are experiencing are known as myofascial pain syndrome, and it can cause overlapping risk profiles in the musculoskeletal system. Myofascial pain syndrome is a problematic musculoskeletal pain originating from the muscles and surrounding fascia. (Tantanatip & Chang, 2023) This common musculoskeletal condition causes localized pain in certain body areas or referred pain to various muscle locations. When a person is dealing with myofascial pain syndrome, their muscles in the upper or lower body quadrants will become overstretched and tight through repetitive motions that can cause tiny nodules known as trigger points that can be a source of where the pain might originate from. When people are dealing with myofascial pain syndrome in their bodies, they will inform their primary doctors that they are experiencing pain in different locations in their bodies that are causing them pain. The doctor then will ask the individual numerous questions and examine where the pain is occurring. The doctor will also take note of the person’s daily routine, allowing the doctor to diagnose that myofascial pain syndrome is at play.

 

 

When myofascial pain syndrome affects body function, it can come in the forms of nociceptive pain and neuropathic pain. When the muscle fibers in the upper and lower extremities are dealing with trigger points, the surrounding nerve roots that provide the sensory-motor function to the arms and legs can become irritated, causing spot tenderness, referred pain, and nerve root compression that can cause the muscles to succumb to muscle trauma and muscle overload. (Fernandez-de-Las-Penas et al., 2023) To that point, myofascial pain syndrome can affect a person’s quality of life as the mechanisms of the comorbidities combined with the psychological stressors that are impacting the muscles might sensitize the trigger points. (Sabeh et al., 2020) However, when the pain becomes excruciating in the muscles that are caused by myofascial pain syndrome, many individuals will start to seek treatment to not only reduce the pain but also restore their body functionality.

 


The Non-Surgical Approach To Wellness- Video

Have you been dealing with radiating or localized pain in different body locations? How about experiencing mobility issues when moving your upper or lower extremities? Or do you experience stability issues from walking from one location to another? Many of these pain-like scenarios are associated with myofascial pain syndrome that is affecting the musculoskeletal system. When the human body is dealing with myofascial pain syndrome, it can be difficult to diagnose due to the affected muscles causing referred pain. At the same time, when a person is dealing with myofascial pain syndrome is not finding treatment to reduce the pain, it can lead to major health problems like:

  • Mobility impairment
  • Muscle pain and hypersensitivity
  • Nerve issues
  • Neurological issues

When people with myofascial pain syndrome are looking for treatment, they are looking for cost-effective treatments that can be combined with other therapies that can help reduce the pain and restore body function to the extremities. Non-surgical treatments can be the solution for many individuals because they are cost-effective and can be personalized. The video above shows how non-surgical treatments like chiropractic care can help restore the body through manual and mechanical manipulation that can stretch and locate the trigger points while restoring body function to the extremities.


Acupuncture Reducing Trigger Point Pain

When a person goes in for non-surgical treatments for their myofascial pain syndrome, acupuncture could be the answer. Acupuncture is an Eastern medical practice from China performed by highly trained licensed professionals. So, how can acupuncture help alleviate trigger point pain from myofascial pain syndrome? Acupuncturists use solid, super thin needles to place them in specific points in the body to reduce the referred pain-like symptoms causing issues. This causes the myofascial trigger points to become inactive and, reduces intramuscular hypertension, relieves uneven musculoskeletal pull, and improves mechanical balance in the upper and lower extremities. (Lin et al., 2022

 

Acupuncture Restoring Body Function

Acupuncture is traditionally used to restore the normal flow of energy to the body. Still, in the modern era, it has been shown to have multiple positive effects on the central and peripheral nervous systems. So, since myofascial pain syndrome is both nociceptive and neuropathic, the effects of acupuncture can change the pain’s perspective while causing the body’s natural healing process to be restored. (Kelly & Willis, 2019) At the same time, acupuncturists can gently prick and stimulate the affected tendon with the myofascial to induce a muscle twitch to relax the tight muscle. (Qiu et al., 2023) This allows the body to relax and helps reduce the chances of trigger points returning to the muscle facia. For individuals who are looking for treatment for their myofascial pain syndrome, incorporating acupuncture could be the solution to restore body function to the musculoskeletal system.

 


References

Fernandez-de-Las-Penas, C., Nijs, J., Cagnie, B., Gerwin, R. D., Plaza-Manzano, G., Valera-Calero, J. A., & Arendt-Nielsen, L. (2023). Myofascial Pain Syndrome: A Nociceptive Condition Comorbid with Neuropathic or Nociplastic Pain. Life (Basel), 13(3). doi.org/10.3390/life13030694

Kelly, R. B., & Willis, J. (2019). Acupuncture for Pain. American Family Physician, 100(2), 89-96. www.ncbi.nlm.nih.gov/pubmed/31305037

www.aafp.org/pubs/afp/issues/2019/0715/p89.pdf

Lin, X., Li, F., Lu, H., Zhu, M., & Peng, T. Z. (2022). Acupuncturing of myofascial pain trigger points for the treatment of knee osteoarthritis: A systematic review and meta-analysis. Medicine (Baltimore), 101(8), e28838. doi.org/10.1097/MD.0000000000028838

Qiu, X. H., Yang, X. Y., Wang, Y. Y., Tian, S. L., Yan, Y. B., Xu, A. P., Fu, F., Wen, F. Y., Yang, Y., Zhang, Y., Zhang, Y. Q., Yang, Z. W., Xu, C., Sun, Q. H., Wu, X. L., Dai, X. Y., Li, N., & Cheng, K. (2023). Myofascial acupuncture versus routine acupuncture for mechanical neck pain: a protocol for a multicentre randomised controlled trial. BMJ Open, 13(8), e068129. doi.org/10.1136/bmjopen-2022-068129

Sabeh, A. M., Bedaiwi, S. A., Felemban, O. M., & Mawardi, H. H. (2020). Myofascial Pain Syndrome and Its Relation to Trigger Points, Facial Form, Muscular Hypertrophy, Deflection, Joint Loading, Body Mass Index, Age and Educational Status. J Int Soc Prev Community Dent, 10(6), 786-793. doi.org/10.4103/jispcd.JISPCD_328_20

Tantanatip, A., & Chang, K. V. (2023). Myofascial Pain Syndrome. In StatPearls. www.ncbi.nlm.nih.gov/pubmed/29763057

 

Disclaimer

The Benefits of Acupuncture for Pelvic Pain Relief

The Benefits of Acupuncture for Pelvic Pain Relief

For individuals experiencing pelvic pain, can incorporating acupuncture help alleviate and reduce low back pain?

Introduction

In the musculoskeletal system, the upper and lower body portions have jobs to allow the host to be in motion. The lower body portions provide stability and maintain proper posture, which can help the surrounding muscles be strong and protect the vital organs. The skeletal joints in the body help ensure that the person’s body weight is evenly distributed. For the musculoskeletal system, the pelvic region in the lower body portion helps with stabilization and provides normal urinary function to the body. However, when normal and traumatic factors begin to affect the lower portions of the body, it can lead to pain-like issues that can cause some visceral referred pain to the lower back, and it can make many individuals think they are experiencing lower back pain, which is one of the symptoms associated with pelvic pain. When many individuals are experiencing pelvic pain associated with lower back pain, many will opt to seek treatment to reduce the pain-like symptoms and restore their body function. Today’s article looks at how pelvic pain is associated with low back pain and how treatments like acupuncture can help reduce pelvic pain associated with low back pain and provide relief. We speak with certified medical providers who incorporate our patients’ information to provide various treatments to ease low back pain correlated with pelvic pain. We also inform patients how non-surgical therapies like acupuncture can help reduce the effects of pelvic pain. We encourage our patients to ask intricated questions to our associated medical providers about the pain-like symptoms they are experiencing correlating with pelvic pain that is also causing issues in their lower backs. Dr. Alex Jimenez, D.C., utilizes this information as an academic service. Disclaimer.

 

How Pelvic Pain Is Associated With Low Back Pain?

Have you experienced excruciating pain from excessive sitting that is causing pain in your lower back or pelvic region? Do you feel stiffness in your lower back and pelvic region due to poor posture? Or are you experiencing intense cramping around your pelvic area? When many individuals are dealing with these pain-like issues, it is correlated with pelvic pain. Now, pelvic pain is a common, disabling, persistent pain that is associated with comorbidities that are multifactorial and are often centralized pain. (Dydyk & Gupta, 2023) At the same time, pelvic pain is a challenge to diagnose due to being multifactorial and sharing the numerous nerve roots that are spread out and intertwined with the lumbar region. To this point, this causes referred pain to the lower back and causes many individuals to think they are experiencing lower back pain when, in actuality, they are dealing with pelvic pain. This is due to the pelvic floor muscles becoming weak, which can cause many individuals to develop poor posture, leading to low back pain over time.

 

Additionally, when the pelvic region is misaligned due to repetitive motions that cause lower back pain, it can cause the surrounding muscles to be overstretched and loose around the sacroiliac joints. (Mutaguchi et al., 2022) When this happens, the surrounding muscles surrounding the hips and lower back may weaken, leading to anterior pelvic tilt and causing alterations to the lumbopelvic area. 

 

Since the lumbopelvic area is in the lower body portions, it can cause alterations to the body’s skeletal structure, leading to lower back pain. When an increasing number of individuals deal with spinal deformity, they will maintain a standing position while preventing their central gravity from moving forward by using their pelvic muscles to compensate for their weight. (Murata et al., 2023) When this happens, it causes the surrounding core muscles and back muscles to overstretch, which then causes the accessory muscles to produce more energy and do the primary muscles’ jobs. This causes urinary and muscle issues that cause tomato-visceral referred pain in the musculoskeletal system. However, there are numerous ways to reduce pelvic pain associated with low back pain while restoring pelvic function and restoring muscle strength to the surrounding core muscles in the pelvic region.

 


Is Motion Key To Healing- Video

Have you been experiencing any muscle stiffness around your hips, lower back, or pelvic region? Do you feel you have a limited range of motion in the morning, only for it to feel better throughout the day? Or are you experiencing bladder issues that are correlated with low back pain? Many of these pain-like scenarios are associated with pelvic pain and can cause common back pain issues that cause many individuals to be hunched over and be in constant pain. Since pelvic pain is a multifactorial musculoskeletal disorder, it can be associated with comorbidities that can cause issues to the lumbar region of the spine and affect the body’s mobility. However, numerous treatments can reduce the effects of pelvic pain and restore low back mobility to the body. When it comes to looking for treatments, many individuals will look for therapies that are cost-effective and can help reduce the referred pain that is associated with low back and pelvic pain. The video above shows how non-surgical treatments can help restore mobility to the lower extremities.


Acupuncture For Pelvic & Low Back Pain

When it comes to non-surgical treatments, many individuals will seek cost-effective treatments. Treatments like chiropractic care, spinal decompression, and massage therapy can help reduce low back pain, but for pelvic pain, many individuals will seek out acupuncture. Acupuncture is a medical practice performed by a highly trained professional that uses solid but thin needles in specific body areas. So, for individuals dealing with pelvic pain, acupuncture can help restore the balance of energy that is associated with the internal organs that are causing the pain. (Yang et al., 2022) Acupuncture can help restore power to the pelvic region by redirecting the energy to the body and helping reduce impairment and functional disorders. (Pan et al., 2023) Acupuncture can minimize low back pain by selecting certain trigger points that can influence the areas between the hips and back to unblock circulation back to the muscle. (Sudhakaran, 2021) When many people start incorporating acupuncture as part of their personalized treatment plan, they can utilize it with other therapies to feel better and improve their health.

 


References

Dydyk, A. M., & Gupta, N. (2023). Chronic Pelvic Pain. In StatPearls. www.ncbi.nlm.nih.gov/pubmed/32119472

Murata, S., Hashizume, H., Tsutsui, S., Oka, H., Teraguchi, M., Ishomoto, Y., Nagata, K., Takami, M., Iwasaki, H., Minamide, A., Nakagawa, Y., Tanaka, S., Yoshimura, N., Yoshida, M., & Yamada, H. (2023). Pelvic compensation accompanying spinal malalignment and back pain-related factors in a general population: the Wakayama spine study. Sci Rep, 13(1), 11862. doi.org/10.1038/s41598-023-39044-2

Mutaguchi, M., Murayama, R., Takeishi, Y., Kawajiri, M., Yoshida, A., Nakamura, Y., Yoshizawa, T., & Yoshida, M. (2022). Relationship between low back pain and stress urinary incontinence at 3 months postpartum. Drug Discov Ther, 16(1), 23-29. doi.org/10.5582/ddt.2022.01015

Pan, J., Jin, S., Xie, Q., Wang, Y., Wu, Z., Sun, J., Guo, T. P., & Zhang, D. (2023). Acupuncture for Chronic Prostatitis or Chronic Pelvic Pain Syndrome: An Updated Systematic Review and Meta-Analysis. Pain Res Manag, 2023, 7754876. doi.org/10.1155/2023/7754876

Sudhakaran, P. (2021). Acupuncture for Low-Back Pain. Med Acupunct, 33(3), 219-225. doi.org/10.1089/acu.2020.1499

Yang, J., Wang, Y., Xu, J., Ou, Z., Yue, T., Mao, Z., Lin, Y., Wang, T., Shen, Z., & Dong, W. (2022). Acupuncture for low back and/or pelvic pain during pregnancy: a systematic review and meta-analysis of randomised controlled trials. BMJ Open, 12(12), e056878. doi.org/10.1136/bmjopen-2021-056878

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Using Acupuncture for Pain Management

Using Acupuncture for Pain Management

For individuals dealing with injuries and pain conditions, can incorporating acupuncture into a treatment plan help alleviate and manage pain?

Using Acupuncture for Pain Management

Acupuncture Pain Management

Pain management techniques include physical therapy, medications, cold therapies, chiropractic, and massages. One method that is growing is acupuncture. (World Health Organization. 2021) According to a report by the World Health Organization, acupuncture is the most commonly used form of traditional medicine practiced globally. (World Health Organization. 2021) More than 10 million acupuncture treatments are administered annually in the U.S. (Jason Jishun Hao, Michele Mittelman. 2014)

What Is It?

Acupuncture is a medical practice that involves placing solid but super thin needles at specific points in the body to treat certain health issues. They can be used on their own or stimulated with electric currents, called electroacupuncture. Acupuncture originated in China about 3,000 years ago and is known as traditional Chinese medicine or TCM. In more recent years, the practice has gained acceptance and demand worldwide. (Jason Jishun Hao, Michele Mittelman. 2014)

How Does It Work?

Acupuncture pain management works by balancing the flow of qi/chi/energy, which moves through meridians, or channels in the body. By inserting needles into specific points along these channels, balance is reestablished for overall health and well-being. When the energy is imbalanced due to internal and external stressors that can include injuries, underlying conditions, unhealthy diet, and stress, individuals can present with symptoms and illness. Using diagnostic techniques and comprehensive interviews, practitioners can determine which organ systems and meridian channels need addressing to restore function. There are more than 2,000 acupoints in the body. (Johns Hopkins Medicine. 2024) Each point has its own purpose and function: some increase energy, others decrease it, helping balance the body to support healing and recovery. Acupuncture pain management goes beyond energy healing and can help alleviate pain by stimulating nerves, muscles, and fascia/connective tissue, regulating immune response, nervous system response, lymphatic flow, and increasing muscle relaxation.

Types

Different types of acupuncture have been modified in training and styles, but all involve needling into certain points and include:

Orthopedic/Dry Needling

  • This technique combines Traditional Chinese Medicine and structure manipulation to treat pain, tissue injuries, imbalances in the body, and other general systemic disorders.

Five Element Style

  • This is a spiritual and emotional technique that uses the five elements of nature, including wood, fire, earth, metal, and water, to transfer energy, creating balance in the body.

Japanese Style

  • uses similar techniques to TCM but uses a more subtle approach, such as using fewer needles or inserting them at lower depths in the body.

Korean

  • This technique uses both techniques from Chinese and Japanese acupuncture.
  • Practitioners may use more needles and different kinds of needles, like a copper variety, instead of the standard stainless steel type.
  • This type of acupuncture uses only acupoints on the hand to treat different areas of the body.

Auricular

  • This is similar to Korean acupuncture but relies on certain points in the ear to treat other areas of the body.
  • The goal is to overcome imbalances and disharmonies.

Distal

  • This technique treats pain indirectly.
  • Practitioners place needles in spots other than the area of discomfort.
  • For example, practitioners may place needles around the elbows for knee pain or the lower legs for shoulder pain.

Acupressure

  • This form of therapy stimulates different acupoints without using needles.
  • Practitioners use precise finger placements, hands, or other tools and essential oils to apply pressure over specific points to enhance energy flow.

Providers can combine and use various forms based on an individual’s needs.

Conditions

One analysis of more than 2,000 scientific reviews of acupuncture therapies found it to be effective for post-stroke aphasia, neck, shoulder, lower back pain, muscle pain, fibromyalgia pain, lactation issues after delivery, vascular dementia symptoms, and allergy symptoms. (Liming Lu et al., 2022) A study on mice by neuroscientists found that electroacupuncture can decrease inflammation. (Shenbin Liu et al., 2020) The National Center for Complementary and Integrative Health found that acupuncture can be helpful for: (National Center for Complementary and Integrative Health. 2022)

  • Carpal tunnel syndrome
  • Back and neck pain
  • Sciatica
  • Myofascial pain syndrome
  • Chronic pelvic pain syndrome
  • Fibromyalgia
  • Osteoarthritis
  • Improves sleep
  • Stress
  • Headaches
  • Migraines
  • Menopausal hot flashes
  • Post-surgery pain
  • Cancer pain
  • Nausea and vomiting in cancer patients undergoing treatment
  • Chronic prostatitis
  • Digestion
  • Irritable bowel syndrome
  • Seasonal allergies
  • Urinary incontinence
  • Infertility
  • Asthma
  • Quitting smoking
  • Depression

Safety

When the treatment is performed by a highly trained, licensed, and certified acupuncturist, it is very safe. The most common serious adverse events were pneumothorax/collapsed lung, cardiovascular problems, and fainting, which in some cases caused trauma, like fractures. (Petra Bäumler et al., 2021) There are some short-term risks associated with acupuncture, including:

  • Pain
  • Bleeding
  • Bruising
  • Drowsiness
  • Dizziness for individuals that have not eaten or fear of needles.

Serious side effects associated with acupuncture, like a punctured lung or infection, are very rare. For individuals that have a metal allergy, infection, or open wound in the area where the needles will be inserted, it is recommended to avoid acupuncture. Individuals who have a bleeding disorder, are taking any medicines like an anticoagulant, or are pregnant, should talk to the acupuncturist before beginning a treatment plan.

What to Expect

Everyone’s visit will be tailored to their specific needs, and the first visit will likely last an hour or two. The initial evaluation will include a full medical/health history. The individual will spend a few minutes discussing concerns and health goals with the acupuncturist. Individuals will be asked to lie on the treatment table so the practitioner can access their limbs, back, and abdomen. After inserting needles, they will stay in place for about 20 to 30 minutes. At this time, individuals can relax, meditate, sleep, listen to music, etc. The practitioner may monitor if and how the pulse has changed and add or remove needles. After the needles are removed, the practitioner will determine the course of treatment. Depending on how chronic or severe the condition is, they may recommend several acupuncture pain management treatments over the course of several weeks.


Chiropractic Care For Healing After Trauma


References

World Health Organization. (2021). WHO benchmarks for the practice of acupuncture.

Hao, J. J., & Mittelman, M. (2014). Acupuncture: past, present, and future. Global advances in health and medicine, 3(4), 6–8. doi.org/10.7453/gahmj.2014.042

Johns Hopkins Medicine. (2024). Acupuncture.

Lu, L., Zhang, Y., Tang, X., Ge, S., Wen, H., Zeng, J., Wang, L., Zeng, Z., Rada, G., Ávila, C., Vergara, C., Tang, Y., Zhang, P., Chen, R., Dong, Y., Wei, X., Luo, W., Wang, L., Guyatt, G., Tang, C., … Xu, N. (2022). Evidence on acupuncture therapies is underused in clinical practice and health policy. BMJ (Clinical research ed.), 376, e067475. doi.org/10.1136/bmj-2021-067475

Liu, S., Wang, Z. F., Su, Y. S., Ray, R. S., Jing, X. H., Wang, Y. Q., & Ma, Q. (2020). Somatotopic Organization and Intensity Dependence in Driving Distinct NPY-Expressing Sympathetic Pathways by Electroacupuncture. Neuron, 108(3), 436–450.e7. doi.org/10.1016/j.neuron.2020.07.015

National Center for Complementary and Integrative Health. (2022). Acupuncture: what you need to know.

Bäumler, P., Zhang, W., Stübinger, T., & Irnich, D. (2021). Acupuncture-related adverse events: systematic review and meta-analyses of prospective clinical studies. BMJ open, 11(9), e045961. doi.org/10.1136/bmjopen-2020-045961

Acupuncture: an Alternative Treatment for Allergies

Acupuncture: an Alternative Treatment for Allergies

For individuals suffering from allergies, could using acupuncture help relieve and manage symptoms?

Acupuncture: an Alternative Treatment for Allergies

Acupuncture Can Help With Allergies

Acupuncture is becoming a more respected alternative treatment for various medical issues, from anxiety to fibromyalgia to weight loss. There is evidence that acupuncture can help with allergies by alleviating symptoms and improving the quality of life. (Shaoyan Feng, et al., 2015) The American Academy of Otolaryngology-Head and Neck Surgery Foundation recommends doctors offer acupuncture to patients looking for nonpharmacological treatments for their allergies or refer them to an acupuncturist. (Michael D. Seidman, et al., 2015)

Acupuncture

Acupuncture is a traditional Chinese medicine/TCM practice in which extremely thin needles are inserted into the body at specific points, creating a network of energy pathways known as meridians.

  • These pathways circulate vital life energy/chi or qi.
  • Each meridian is associated with a different body system.
  • Needles are placed to target the organs associated with the condition being treated.
  1. Acupuncture can help with allergies by targeting several meridians, including the lungs, colon, stomach, and spleen. These meridians are believed to circulate defensive life energy or a type of immunity energy.
  2. A backup of defensive energy or a deficiency can cause allergy symptoms like swelling, watery eyes, runny nose, sneezing, allergic eczema, and conjunctivitis. (Bettina Hauswald, Yury M. Yarin. 2014)
  3. The objective is to stimulate the points to restore balance in the energies and relieve symptoms.

Scientific Theories

  • One theory is the needles work directly on nerve fibers, influencing messages to the brain or the autonomic nervous system and transmission of signals within the body, including the immune system. (Tony Y. Chon, Mark C. Lee. 2013)
  • Another is the needles influence certain activities of cells, particularly the transport, breakdown, and clearance of bioactive mediators.
  • The combination of these actions is thought to decrease inflammatory conditions like allergic rhinitis – hay fever, in which the inside of the nose becomes inflamed and swollen after breathing in an allergen. (Bettina Hauswald, Yury M. Yarin. 2014)

A 2015 review concluded there have been high-quality randomized controlled trials demonstrating acupuncture’s efficacy in treating seasonal and perennial allergic rhinitis. Smaller studies have shown some preliminary benefits of acupuncture when compared with antihistamines, but more research is needed. (Malcolm B. Taw, et al., 2015)

Treating Allergies

  • Some individuals who choose acupuncture are seeking alternatives to standard treatment like medications, nasal sprays, and immunotherapy.
  • Others are looking for ways to enhance the effectiveness of medications already being taken, such as antihistamines or nasal sprays, or shorten how long or how frequently they are needed.
  • Initial treatment usually involves weekly or twice-weekly appointments over several weeks or months, depending on symptom severity.
  • This may be followed by annual treatments or on an as-needed basis. (American Academy of Medical Acupuncture. 2020)
  1. Most states require a license, certification, or registration to practice acupuncture, but these vary from state to state.
  2. Recommendations are for a practitioner who is certified by the National Certification Commission for Acupuncture and Oriental Medicine.
  3. A medical doctor who offers acupuncture.
  4. The American Academy of Medical Acupuncture has a list of acupuncturists who are also medical doctors.

Improperly administered acupuncture needles can cause serious side effects that range from infections, punctured organs, collapsed lungs, and injury to the central nervous system. (National Center for Complementary and Integrative Health. 2022) Before trying acupuncture, consult your primary healthcare provider, allergist, or integrative medicine specialist to make sure it’s a safe and viable option and the best way to integrate it into overall allergy care.


Fighting Inflammation Naturally


References

Feng, S., Han, M., Fan, Y., Yang, G., Liao, Z., Liao, W., & Li, H. (2015). Acupuncture for the treatment of allergic rhinitis: a systematic review and meta-analysis. American journal of rhinology & allergy, 29(1), 57–62. doi.org/10.2500/ajra.2015.29.4116

Seidman, M. D., Gurgel, R. K., Lin, S. Y., Schwartz, S. R., Baroody, F. M., Bonner, J. R., Dawson, D. E., Dykewicz, M. S., Hackell, J. M., Han, J. K., Ishman, S. L., Krouse, H. J., Malekzadeh, S., Mims, J. W., Omole, F. S., Reddy, W. D., Wallace, D. V., Walsh, S. A., Warren, B. E., Wilson, M. N., … Guideline Otolaryngology Development Group. AAO-HNSF (2015). Clinical practice guideline: Allergic rhinitis. Otolaryngology–head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 152(1 Suppl), S1–S43. doi.org/10.1177/0194599814561600

Hauswald, B., & Yarin, Y. M. (2014). Acupuncture in allergic rhinitis: A Mini-Review. Allergo journal international, 23(4), 115–119. doi.org/10.1007/s40629-014-0015-3

Chon, T. Y., & Lee, M. C. (2013). Acupuncture. Mayo Clinic proceedings, 88(10), 1141–1146. doi.org/10.1016/j.mayocp.2013.06.009

Taw, M. B., Reddy, W. D., Omole, F. S., & Seidman, M. D. (2015). Acupuncture and allergic rhinitis. Current opinion in otolaryngology & head and neck surgery, 23(3), 216–220. doi.org/10.1097/MOO.0000000000000161

American Academy of Medical Acupuncture. (2020). Acupuncture and Seasonal Allergies.

National Center for Complementary and Integrative Health. (2022). Acupuncture: What You Need To Know.

Understanding Acupuncture Treatment: A Beginner’s Guide

Understanding Acupuncture Treatment: A Beginner’s Guide

For individuals dealing with pain, inflammatory conditions, and stress issues, could adding acupuncture to a treatment plan help bring relief and healing?

Understanding Acupuncture Treatment: A Beginner's Guide

Acupuncture Treatment

Acupuncture treatment is a traditional Chinese medicine based on circulating the body’s life energy, or qi, with the idea that a blockage or disturbance in the energy flow can cause health issues. Acupuncturists insert thin needles into specific points throughout the body to rebalance the body’s energy, stimulate healing, and promote relaxation. (Johns Hopkins Medicine. 2023) Researchers are not exactly sure how the treatment works; however, theories suggest that it can help release endorphins, as well as influence the autonomic nervous system.

How Does It Work?

Researchers have not been able to understand how acupuncture works fully, but some theories include:

  • The needles stimulate the release of endorphins – the body’s natural pain-relieving chemicals.
  • They can influence the autonomic nervous system, and specific needle placement impacts breathing, blood pressure, and heart rate. (Tony Y. Chon, Mark C. Lee. 2013)

Conditions

Acupuncture has been useful for a variety of conditions, including (Tony Y. Chon, Mark C. Lee. 2013)

  • Chronic pain
  • Migraines and associated symptoms
  • Sinus congestion or nasal stuffiness
  • Insomnia and sleep-related difficulties
  • Stress
  • Anxiety
  • Arthritis joint inflammation
  • Nausea
  • Infertility – difficulty getting pregnant
  • Depression
  • Skin appearance (Younghee Yun et al., 2013)

Benefits

The health benefits can vary depending on the individual. It may take several sessions before benefits are noticed. (Tony Y. Chon, Mark C. Lee. 2013) Research is still limited; however, there are some studies that found acupuncture to be helpful for certain conditions.

Low Back Pain

  • A study on non-pharmacological options for lower back pain showed that acupuncture treatment relieved intense pain and promoted better back functioning.
  • However, in terms of long-term benefits, it was not clear how helpful the treatment was. (Roger Chou, et al., 2017)

Migraines

Research done over a six-month period showed that:

  • Acupuncture was able to reduce the frequency of migraine symptoms by half in 41% of individuals compared to those not receiving acupuncture.
  • Treatment was noted as being helpful as preventative migraine medications. (Klaus Linde, et al., 2016)

Tension Headaches

  • According to research, having at least six acupuncture sessions may be helpful for individuals with frequent head pain or pressure/tension headaches.
  • This study also noted that acupuncture, combined with pain medication, significantly reduced headache frequency compared to those only given medication. (Klaus Linde, et al., 2016)

Knee Pain

  • Multiple studies found that acupuncture treatment may be able to improve knee function short and long-term in individuals who have knee osteoarthritis.
  • This condition causes the connective tissue in the knee to break down.
  • The study also found that treatment was able to help with osteoarthritis and decrease knee pain but was only helpful for the short term. (Xianfeng Lin, et al., 2016)
  • Another review looked at multiple studies that found that treatment delayed and reduced the use of pain medication in individuals who had knee replacement surgery. (Dario Tedesco, et al., 2017)

Facial Elasticity

  • Cosmetic or facial acupuncture is used to improve the appearance of the skin on the head, face, and neck.
  • In a study, individuals had five acupuncture sessions in three weeks, and a little over half of the participants showed skin elasticity improvement. (Younghee Yun et al., 2013)

The Process

Before getting acupuncture treatment, the acupuncturist will ask the individual about their medical history and may perform a physical examination.

  • Thin needles are placed in specific areas to address your concern or condition.
  • The acupuncturist may gently twist the needles to emphasize stimulation.
  • The needles are left in for 20 to 30 minutes, with the total session lasting anywhere from 30 minutes to an hour. (Tony Y. Chon, Mark C. Lee. 2013)

The acupuncturist may use additional techniques that can include: (Tony Y. Chon, Mark C. Lee. 2013)

Moxibustion

  • This is the burning of dried herbs near the acupuncture needles to warm and stimulate the points and enhance healing.

Electroacupuncture

  • An electrical device is connected to the needles, providing a gentle electrical current that stimulates the muscles.

Cupping

  • Glass or silicone cups are placed on the area, creating a vacuum/suction effect, which helps stimulate blood circulation and rebalance the energy. (Johns Hopkins Medicine. 2023)
  • After the treatment, some individuals may feel relaxed, while others may feel energized.

Is It Painful?

Individuals may feel a slight ache, sting, or pinch as the needle is inserted. Some acupuncturists adjust the needle after it has been inserted, which can cause additional pressure.

  • Once the needle is properly placed, individuals may feel a tingling or heavy feeling, referred to as de qi. (National Institutes of Health. (N.D.)
  • Let the acupuncturist know if there is discomfort or increased pain at any point during the session.
  • Intense pain may mean the needle has not been inserted or placed correctly. (Johns Hopkins Medicine. 2023)

Side Effects

As with any treatment, side effects can present in individuals that include:

  • Pain and bleeding from the needle insertion
  • Bruising around the area, the needles were placed
  • Nausea
  • Allergic reaction
  • Skin rash
  • Infections
  • Dizziness (Malcolm W. C. Chan et al., 2017)

In order to reduce the risks, the treatment should always be done by a licensed trained healthcare provider using clean, disposable needles. It is recommended to consult with a primary care physician before getting acupuncture, as the treatment may not be right for individuals with certain health conditions.


Heel Spurs


References

Johns Hopkins Medicine. (2023) Acupuncture.

Chon, T. Y., & Lee, M. C. (2013). Acupuncture. Mayo Clinic proceedings, 88(10), 1141–1146. doi.org/10.1016/j.mayocp.2013.06.009

Yun, Y., Kim, S., Kim, M., Kim, K., Park, J. S., & Choi, I. (2013). Effect of facial cosmetic acupuncture on facial elasticity: an open-label, single-arm pilot study. Evidence-based complementary and alternative medicine : eCAM, 2013, 424313. doi.org/10.1155/2013/424313

Chou, R., Deyo, R., Friedly, J., Skelly, A., Hashimoto, R., Weimer, M., Fu, R., Dana, T., Kraegel, P., Griffin, J., Grusing, S., & Brodt, E. D. (2017). Nonpharmacologic Therapies for Low Back Pain: A Systematic Review for an American College of Physicians Clinical Practice Guideline. Annals of internal medicine, 166(7), 493–505. doi.org/10.7326/M16-2459

Linde, K., Allais, G., Brinkhaus, B., Fei, Y., Mehring, M., Vertosick, E. A., Vickers, A., & White, A. R. (2016). Acupuncture for the prevention of episodic migraine. The Cochrane database of systematic reviews, 2016(6), CD001218. doi.org/10.1002/14651858.CD001218.pub3

Linde, K., Allais, G., Brinkhaus, B., Fei, Y., Mehring, M., Shin, B. C., Vickers, A., & White, A. R. (2016). Acupuncture for the prevention of tension-type headache. The Cochrane database of systematic reviews, 4(4), CD007587. doi.org/10.1002/14651858.CD007587.pub2

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. doi.org/10.2106/JBJS.15.00620

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. doi.org/10.1001/jamasurg.2017.2872

National Institutes of Health. (N.D.) De qi sensation.

Chan, M. W. C., Wu, X. Y., Wu, J. C. Y., Wong, S. Y. S., & Chung, V. C. H. (2017). Safety of Acupuncture: Overview of Systematic Reviews. Scientific reports, 7(1), 3369. doi.org/10.1038/s41598-017-03272-0