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Acupuncture: A Complementary Therapy for Chronic Pain and Other Conditions



Acupuncture involves the insertion of very thin needles through your skin at strategic points on your body. A key component of traditional Chinese medicine, acupuncture is most commonly used to treat pain. Increasingly, it is being used for overall wellness, including stress management.




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In contrast, many Western practitioners view the acupuncture points as places to stimulate nerves, muscles and connective tissue. Some believe that this stimulation boosts your body's natural painkillers.


The risks of acupuncture are low if you have a competent, certified acupuncture practitioner using sterile needles. Common side effects include soreness and minor bleeding or bruising where the needles were inserted. Single-use, disposable needles are now the practice standard, so the risk of infection is minimal. Not everyone is a good candidate for acupuncture.


Each person who performs acupuncture has a unique style, often blending aspects of Eastern and Western approaches to medicine. To determine the type of acupuncture treatment that will help you the most, your practitioner may ask you about your symptoms, behaviors and lifestyle. He or she may also closely examine:


An acupuncture session may take up to 60 minutes, although some appointments may be much shorter. A common treatment plan for a single complaint would typically involve one or two treatments a week. The number of treatments will depend on the condition being treated and its severity. In general, it's common to receive 6 to 8 treatments.


Acupuncture points are situated in all areas of the body. Sometimes the appropriate points are far removed from the area of your pain. Your acupuncture practitioner will tell you the general site of the planned treatment and whether you need to remove any clothing. A gown, towel or sheet will be provided. You lie on a padded table for the treatment, which involves:


Some people feel relaxed and others feel energized after an acupuncture treatment. But not everyone responds to acupuncture. If your symptoms don't begin to improve within a few weeks, acupuncture may not be right for you.


Several studies, however, indicate that some types of simulated acupuncture appear to work just as well as real acupuncture. There's also evidence that acupuncture works best in people who expect it to work.


Acupuncture is part of the ancient practice of Traditional Chinese medicine. Traditional Chinese medicine practitioners believe the human body has more than 2,000 acupuncture points connected by pathways or meridians. These pathways create an energy flow (Qi, pronounced "chee") through the body that is responsible for overall health. Disruption of the energy flow can cause disease. By applying acupuncture to certain points, it is thought to improve the flow of Qi, thereby improving health.


Acupuncture is done using hair-thin needles. 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 to them. Some people report acupuncture makes them feel energized. Others say they feel relaxed.


Improper placement of the needle can cause pain during treatment. Needles must be sterilized to prevent infection. That is why it is important to seek treatment from a qualified acupuncture practitioner. The FDA regulates acupuncture needles just as it does other medical devices under good manufacturing practices and single-use standards of sterility.


Many Americans seek acupuncture treatment for relief of chronic pain, such as arthritis or low back pain. Acupuncture, however, has expanded uses in other parts of the world. Before considering acupuncture, talk to your doctor. Conditions that may benefit from acupuncture include the following:


Because scientific studies have not fully explained how acupuncture works within the framework of Western medicine, acupuncture remains a source of controversy. It is important to take precautions when deciding about acupuncture.


Discuss acupuncture with your doctor first. Acupuncture is not for everyone. Discuss all the treatments and medicines (dietary supplements, prescription and over-the-counter) you are taking. If you have a pacemaker, are at risk for infection, have chronic skin problems, are pregnant, or have breast or other implants, be sure to tell your doctor. Acupuncture may be risky to your health if you fail to mention these matters.


Choose a licensed acupuncture practitioner. Your own doctor may be a good resource for referrals to a licensed or certified practitioner. Friends and family members may also be good sources of referrals. You do not have to be a doctor to practice acupuncture or to become a certified acupuncturist. About 30 states have established training standards for certification in acupuncture, although not all states require acupuncturists to get a license to practice. Although not all certified acupuncturists are doctors, the American Academy of Medical Acupuncture can provide a referral list of doctors who practice acupuncture.


Consider costs and insurance coverage. Before starting treatment, ask the acupuncturist about the number of treatments needed and how much the treatments will cost. Some insurers cover the cost of acupuncture while others do not. It is important to know before you start treatment whether acupuncture is covered by your insurance.


Acupuncture is an age-old healing practice of traditional Chinese medicine in which thin needles are placed at specific points in the body. It's primarily used to relieve pain but also has been used to treat other conditions. More than 3 million Americans use acupuncture, but it is even more popular in other countries. In France, for example, one in five people has tried acupuncture.


Acupuncture seeks to release the flow of the body's vital energy or "chi" by stimulating points along 14 energy pathways. Some scientists believe that the needles cause the body to release endorphins -- natural painkillers -- and may boost blood flow and change brain activity. Skeptics say acupuncture works only because people believe it will, an effect called the placebo effect.


If standard treatments don't relieve your chronic low-back pain, acupuncture may do the job, and two respected medical groups suggest that people in this situation give it a try. One large study found that both actual and "fake" acupuncture worked better than conventional treatments for back pain that had lasted more than three months. The jury's still out on acupuncture for short-term (acute) pain in the low back.


Studies that test how well acupuncture works against the pain of fibromyalgia have had mixed results. Some showed that it provided temporary pain relief, but others did not. A small study by the Mayo Clinic suggested that acupuncture may reduce two other problems of fibromyalgia: fatigue and anxiety. But overall, there's not enough evidence yet to prove that acupuncture works for fibromyalgia.


Acupuncture can be a helpful addition to conventional treatment for osteoarthritis, says the National Institute of Arthritis and Musculoskeletal and Skin Diseases. And some of the most promising, early research has shown acupuncture eased arthritis pain in the knee. However, more research is needed to prove without a doubt that it's effective for osteoarthritis.


Acupuncture was tested and compared with steroid pills for the hand and arm pain of carpal tunnel syndrome. Researchers in Taiwan gave one group eight acupuncture treatments, over about a month, and those patients reported more relief, for a longer time, than the group taking medicine. While studies like this have been promising, more evidence is still needed to confirm that acupuncture is effective for carpal tunnel syndrome.


Acupuncture provides relief from the pain of tooth extraction or dental surgery, but so does fake acupuncture, some studies show. Still, dental pain is considered by many to be one of the conditions that responds to acupuncture.


People have tried acupuncture for neck pain, muscle pain, tennis elbow, and menstrual cramps, hoping to avoid medications and their side effects. The World Health Organization lists 28 different conditions that are sometimes treated with acupuncture. In the U.S., a review by the National Institutes of Health called for robust research to verify the promise that acupuncture holds for many different conditions.


Acupuncture at the pericardium (P6) acupuncture point on the wrist can reduce the symptoms of nausea and vomiting, even after cancer drug treatments or surgery. Studies compared 10 different acupuncture methods -- including needles, electrical stimulation, and acupressure -- to drugs that block nausea or vomiting and found the acupuncture treatments worked.


Because acupuncture can lessen pain, nausea, and vomiting, it is sometimes used to help people cope with symptoms of cancer or chemotherapy. It also can help manage hot flashes associated with breast cancer. Be sure to talk to your doctor first and seek a practitioner who has experience working with cancer patients.


Celebrities such as singers Celine Dion and Mariah Carey credited acupuncture -- used along with infertility treatments -- with helping them get pregnant. A review of medical studies backs up this view, suggesting that acupuncture may boost the effectiveness of fertility treatments. One theory holds that acupuncture helps by reducing stress and increasing blood flow to the ovaries.


Acupuncture has been used for a variety of other conditions, including smoking cessation, insomnia, fatigue, depression, and allergies. The evidence is mixed at best for some uses of acupuncture. For example, acupuncture needles placed in the outer ear to help people stop smoking do not work, studies found.


Acupuncture is generally considered to be safe for children, as long as you are using a licensed practitioner who follows recommended standards of practice. It is primarily used to control pain or nausea and vomiting after surgery or cancer drug treatment. Scientific evidence does not support the use of acupuncture to treat attention deficit hyperactivity disorder. 2ff7e9595c


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