Acupuncture for Neck and Shoulder pain

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acupuncture neck shoulderNeck and shoulder tension is one of the banes of modern life – when severe, the pain often extends down the arms and also can lead to headaches and jaw stiffness. It can really limit your life. But you don’t have to be stuck with it!

Acupuncture is great for melting those knots. Within 4-6 treatments we usually see substantial relief, with the hard areas becoming much looser. The time taken for this to happen depends on how long the tension has been there for, and how severe it is.

The treatments are very gentle – Acupuncture use extremely fine needles that you barely notice, plus moxibustion, a form of herbal heat treatment. The combination works really well in relaxing muscles, especially in the shoulders and neck

During a treatment, our Acupunctuirists uses a combination of Acupuncture points specifically targeted at any imbalance underlying the muscle stiffness, as well as local points to bring fast relief. We also look at lifestyle measures to help prevent the problem recurring.

Tara is a Registered Acupuncturist with many years’ experience in treating neck and shoulder issues. Health-fund rebates are available for Acupuncture treatments.

 

Acupuncture for Low Back Pain

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acupuncture low back painAcupuncture can be very effective in resolving low back pain. We are now seeing several research studies that confirm this, including some that show Acupuncture to be more effective than the conventional approach described above. Interestingly, studies tend to show that very light needling or needling that does not penetrate the skin (approaches often used in Japanese-style Acupuncture) can be as effective as deeper Chinese-style needling.

Our Acupuncturists are very experienced in treating low back pain and finds this is one of the conditions that responds best to Acupuncture.

 

What happens in a treatment?

The Acupuncturists approach to low back pain is to use the gentlest needling possible to reduce the pain and get you back to your normal life as quickly as possible. Often the needles are warmed with moxibustion (a warming herb) to really “unknot” the underlying muscle and ligaments. Most people find the treatments extremely relaxing – the feeling is a bit like having a good massage. The points chosen and method of Acupuncture depend on your constitution (the pattern you fall into based on your symptoms and on information gained from carefully palpating the body and on examination of your pulse and tongue). It’s important to work on the underlying cause of the problem as well as the symptoms.

So what works for one person with low back pain may be quite different from what works for another.

 

How long will it take to work?

Back pain that has recently come on responds more quickly than pain that has been present months or years. There is usually a response within 4-6 treatments, with further treatments consolidating this. Generally, the treatments would be weekly (or sometimes twice-weekly for severe, acute back strain) for the first few, and then we reduce the frequency as the condition improves. Health-fund rebates are available for Acupuncture treatments.

Acupuncture for Sports and Other Injuries

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acupuncture sports injuriesSports injuries (and other injuries like over-use injuries, repetitive strain injury and tendinitis) are really annoying because they stop you doing the sport or leisure activity you love, or they might interfere with work or study.

Common sports and over-use injuries include:

  • Tennis elbow (often caused by something other than tennis!)
  • Golfer’s elbow (often caused by something other than golf!)
  • Knee ligament injuries
  • Iliotibial tract (band) syndrome (runner’s knee)
  • Shin splints
  • Ankle sprains
  • Achilles tendonitis, calf strain
  • Hamstring strain, groin strain
  • Frozen shoulder (often not related to sports or over-use, but it can respond very well to acupuncture), rotator cuff tear

Whether you have occasional niggles or acute, severe pain, you probably want to get to the bottom of what’s happening and find a long-lasting solution. This is where acupuncture comes in. Most of the injuries above respond well to Acupuncture. For recent injuries, we usually see a response in around 4 treatments, but longstanding injuries can take longer.

Treatments involve needles placed at specific acupuncture points in the region of the injury, as well as ones inserted at points further along the acupuncture meridian (one of a network of lines that circulate the energy or “Qi”). Other points are also used to promote healing. For these types of injury, moxibustion (a form of herbal heat treatment) is also very useful. Massage is also used when indicated.

Our Acupuncturists are a registered Acupuncturist with experience in treating a wide variety of sports injuries, including in elite athletes. Health-fund rebates are available for Acupuncture treatments.

 

Acupuncture and Chinese Herbal Medicine in Pregnancy

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acupuncture fertilityPart 1 – Early pregnancy

Congratulations, you’re pregnant! While you might be thrilled to bits, you might not yet be experiencing that “glow” everyone talks about. In fact you might be feeling distinctly unglowing! Some women breeze through this stage of pregnancy but many find their energy is at rock bottom and they experience anything from “morning sickness” to all-day queasiness to outright nausea and vomiting. You may also feel anxious about the weeks and months to come, especially if you’ve previously had fertility struggles or a miscarriage.

The good news is that acupuncture and Chinese herbal medicine can help with many of these conditions.

You might be wondering if acupuncture and Chinese Herbal Medicine are safe in pregnancy. The answer is a resounding “Yes”, as long as given by a qualified practitioner who has been trained in the points and herbs to use during pregnancy and those to avoid.

 

Quell nausea naturally

Some researchers think that the heightened sense of smell and aversion to anything but the blandest of food could be part of an evolutionary mechanism to protect the embryo from food poisoning. Perhaps pregnancy hormones boost our sense of smell to protect us from consuming food that has gone off or would be harmful in another way. This certainly seems to make sense given that we did not have fridges for most of our evolutionary history!

Some women experience disabling nausea to the point where they can barely get out of bed and their diet becomes very restricted. If you are finding it hard to cope with morning sickness, acupuncture can be very useful. Unfortunately this has not yet been well proven by medical research. However, one study looked at 88 women with morning sickness who received either acupuncture plus acupressure or medication plus vitamin B12. The women who had acupuncture/acupressure had similar relief to those who took medication. Although it took longer to gain this improvement, the acupuncture group were actually better able to function in everyday life than those who took the drugs.

 

Boost your energy levels

Feeling extremely tired in early pregnancy may be another evolutionary adaptation, as it encourages us to rest during this time. That being said, if you are completely wiped out and unable to get out of bed, then treatment is a good idea.

I find acupuncture very helpful in gently boosting energy levels in early pregnancy. Treatments concentrate on boosting energy production by working on specific meridians (energy pathways) and organs, depending on your symptoms, pulse and tongue pattern. In this way, treatments are tailored to suit your individual circumstances. As well as very gentle needling, we warm key points on the body by applying a herb (moxibustion).

 

Calm your mind

Acupuncture is fantastic for calming the mind and harmonizing the emotions. Many women find themselves feeling anxious at the change in their circumstances and wondering how they will cope with pregnancy, birth or being a mum. Acupuncture treatments, as well as talking it over with a trusted friend, or if necessary, a counsellor, can really help. It can also help you sleep better at a time when hormonal changes may be interfering with your night’s rest.

 

Protecting the pregnancy

One of the things you may be concerned about is miscarriage, which is something no-one wants to experience. Most miscarriages are caused by chromosomal abnormalities in the embryo, and cannot be avoided. However, other causes do occur, where something seems to go wrong in the implantation process. So, particularly if you have had more than one miscarriage, acupuncture and Chinese herbal medicine may be of benefit. We theorize that these therapies counteract an over-active immune system or aid implantation in another way. This is certainly borne out by studies on animals. There has not been much research done on this in humans, but one study of 250 women who had become pregnant after IVF showed that those who took a Chinese herbal formula as well as a standard medication (progesterone) to support the pregnancy had a significantly lower miscarriage rate (13% miscarried) than those who just took the progesterone (23% miscarried).

Several acupuncture points are also used to reduce the chance of miscarriage. I recommend that women who’ve had previous miscarriages, especially if a chromosomal cause has been ruled out, have acupuncture weekly from conception (preferably before, as part of a pre-conception program) until about 12 weeks. Herbs would also be useful in this situation.

If you do experience bleeding in pregnancy, as alarming as it seems, remember that reasons other than miscarriage are often found, such as bleeding from the implantation site and hormonal changes affecting the cervix. Get checked out medically (see your obstetrician or ask your GP for a referral to your hospital’s Early Pregnancy Unit) and also see your acupuncturist as soon as you can, and hopefully your mind can be put at rest.

 

Moving past the first trimester

Once they get past the first 13 weeks, many women find they start to feel much better, with energy levels picking up and nausea subsiding. This is when the glow starts! See next month’s newsletter for more about how acupuncture can help later in pregnancy.

 

More information?

For more information or to make an appointment to see Toby or Louise, our Acupuncturists, call 9904-1333 or contact us here: Contact.

Neck and shoulder pain.

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acup-shoulder-painMany of us live with permanently stiff shoulders or a neck that seizes up from time to time. Our modern lifestyle is a major culprit, with computer work (especially on laptops) putting a lot of strain on the neck and shoulders. Out-of-control stress levels don’t help either. One of the worst environments for neck and shoulder pain is a high-pressure work environment with badly set-up computers and cold air flowing down on you from air conditioning. With this sort of combination of stress, poor ergonomics and the tendency to tense up the shoulder muscles in response to cold, it’s not surprising that so many people suffer from stiff neck and shoulders.

Other things that can trigger neck and shoulder pain are prolonged driving, freehand writing or drawing, occupations involving a lot of repetitive use of the arms (hairdressing comes to mind), and playing some musical instruments.

So what can be done? Obviously it’s important to address anything in your lifestyle that might be contributing, which could involve a rethink of your work or leisure patterns. I’ve included a list of other tips at the end.

But what if your shoulders and neck are still sore after doing everything you can to relax them? This is where acupuncture comes in.

Japanese acupuncture uses several needling techniques to melt tension in the neck and shoulders. Another technique that is great for neck and shoulder pain is moxibustion – the use of a warming herb on the tight, painful areas. Cupping is also very useful. But much of the treatment is done away from the local painful region– as it is just as important to treat the constitutional pattern that Oriental medicine sees as causing disruption to the flow of energy, as we see this as underlying the neck and shoulder pain. This ensures that treatments will have a lasting effect.

We usually see an improvement within 4-6 weekly treatments, and when this happens we scale back the frequency of sessions as your body “relearns” this state of reduced tension. Eventually most people will just need the occasional top-up session every few months or so during periods of particularly intense activity or stress.

Tips for relieving neck and shoulder stiffness:

  • Make sure your desk is properly set up. Many offices these days have ergonomic guidelines and it’s also possible to have an expert review your set-up.
  • Give your neck and shoulders a break by taking lots of breaks from computer work, or other intense activities like writing freehand, drawing, music practice or driving. Aim to have a break where you get up, walk around and stretch after every 20 min of typing etc.
  • If at all possible, avoid sitting in air-conditioning, or wear a scarf (or a top with a collar that covers your neck).
  • Warmth helps most people with this sort of pain, so try hot showers or heat packs.
  • Try to build some type of relaxation into your day, like meditation, yoga or Tai-Chi. Another really useful strategy is to focus on becoming aware of shoulder tension as it builds up and repeatedly and deliberately relax and drop your shoulders. Tricky to do at first, but it gets easier with time.
  • It is also often possible to strengthen other muscles in the upper body so that your traps don’t take all the strain. If you go to a gym, ask one of the trainers to show you how to strengthen these muscles.

 

Low back pain.

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acup-lower-back-painIf your back has ever seized up, you’ll know it’s one of the most disabling experiences there is. Or perhaps you suffer from a more low-grade, but still annoying and uncomfortable, form of low back pain. You’re far from alone, with somewhere between 70 and 85% of us having suffered an acute back strain at some point. The pain may be brought on by heavy lifting, sudden movements, or prolonged standing or driving, or it may appear “out of the blue”.

Western medicine does not have much to offer sufferers of low back pain, with usual advice being to gradually resume usual activities, while taking painkillers for the discomfort. In the longer term, strengthening exercises and losing excess weight can be useful. Surgery may be recommended for some specific problems affecting the lumbar spine (especially if the nerves that exit the spine are trapped), but tends to be a last resort and is not always successful.

 

Acupuncture for low back pain

Acupuncture can be very effective in resolving low back pain. We are now seeing several research studies that confirm this, including some that show acupuncture to be more effective than the conventional approach described above. Interestingly, studies tend to show that very light needling or needling that does not penetrate the skin (approaches often used in Japanese-style acupuncture) can be as effective as deeper Chinese-style needling.

 

What happens in a treatment?

My approach to low back pain is to use the gentlest needling possible to reduce the pain and get you back to your normal life as quickly as possible. I use mainly the Japanese style of acupuncture, which focuses on light needling (of carefully selected points) with deeper techniques when required. Often the needles are warmed with moxibustion (a warming herb) to really “unknot” the underlying muscle and ligaments. Most people find the treatments extremely relaxing – the feeling is a bit like having a good massage. The points chosen and method of acupuncture depend on your constitution (the pattern you fall into based on your symptoms and on information gained from carefully palpating the body, and on examination of your pulse and tongue). It’s important to work on the underlying cause of the problem as well as the symptoms.

So what works for one person with low back pain may be quite different from what works for another.

 

How long will it take to work?

Back pain that has recently come on responds more quickly than pain that has been present months or years. There is usually a response within 4-6 treatments, with further treatments consolidating this. Generally, the treatments would be weekly (or sometimes twice-weekly for severe, acute back strain) for the first few, and then we reduce the frequency as the condition improves.

 

Oriental medicine and fertility – a personal and professional view.

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acupuncture fertilityFacing fertility problems can be a very stressful experience. I have always had an interest in this area of health and have worked with many couples trying to conceive. But it wasn’t until I battled with infertility myself that I really understood how deeply it can affect you. I now know first-hand that it can take you to some very dark places. The experience has made me passionate about helping people in the same predicament.

In my case, a combination of issues meant the odds were not looking good, even with IVF. I’m sure that following a pre-conception program of acupuncture and Chinese herbal medicine, and continuing the acupuncture to support the IVF cycles, was instrumental in having a successful pregnancy. Other things helped too, which I will go into later.

 

First, let’s look at how Oriental medicine boosts fertility.

Oriental medicine looks at the body as being governed by the flow of energy (Qi), which in turn influences the flow of Blood. (The concept of Blood in Oriental medicine is a bit broader than that in Western medicine, so we are talking about more than just the fluid that we know as blood in the West.) The smooth flow of Qi and Blood in the meridians (energetic channels) is vital to the various organ systems working harmoniously together. This is especially true when it comes to the reproductive system. Oriental medical theory sees the Kidney, Liver and Heart organ and meridian systems as being particularly important, but others can be involved as well.

By regulating Qi and Blood flow, Acupuncture and Chinese herbal medicine help regulate the menstrual cycle and calm the mind, so that your body is in the optimum state to conceive and carry a baby. One way that this works is by increasing the blood flow to the uterus and ovaries, something that has been measured in scientific studies.

 

Preparing the ground.

In Oriental medicine, we see preparation for pregnancy as being very important. In the same way as a farmer would carefully prepare the soil to grow crops, we work on your internal environment so that it is ideal for an embryo to implant and grow for the next nine months. I recommend a pre-conception program of around 3 months, as this is the time an egg takes to mature in the ovary. During this time we focus on observing your body’s natural signs, regulating the menstrual cycle and calming the mind, as well as looking at any lifestyle changes that may be beneficial.

Similarly, it takes between 2 to 3 months for sperm to develop, so this time-frame works well for men too. Ideally, both partners should come in for treatment for best results.

 

Specific fertility issues.

Many conditions affecting fertility can be helped with Oriental medicine. These include endometriosis, polycystic ovarian syndrome, and sperm problems.
A recently published review of several studies showed that women taking Chinese herbal medicine for fertility problems were 3.5 times more likely to conceive than those having drug therapy alone.

 

Supporting IVF or ART (assisted reproduction technology).

In some cases, IVF or ART are needed, and acupuncture and Chinese herbal medicine work well with these treatments. In fact, research shows that they can improve the success rate of IVF, particularly in poor responders (when few eggs develop in response to hormonal stimulation) and women over 35.

Again, it is important to prepare the body adequately before having these invasive procedures. During this time, acupuncture and Chinese herbs are useful. When the IVF cycle starts (hormonal injections begin), we usually continue with acupuncture alone, to avoid interactions with fertility drugs. It is important to have acupuncture at key times in the IVF cycle, with a treatment before and after embryo transfer being very important in maximising the chances of implantation. We also tailor the acupuncture program to the type of IVF cycle (long down-regulation, antagonist etc.).

Acupuncture increases blood flow to the reproductive organs, helping follicle development, and preparing the endometrium (lining of the uterus) for implantation. It may also help stop the uterus from contracting after the transfer, thereby helping implantation. It also has a key role in balancing the emotions and counteracting stress. Which is useful, as undergoing IVF can be extremely stressful, and you may find yourself on an emotional rollercoaster.

 

What else can help with fertility issues?

Here are some of the things I found useful:

  • Research. Spend some time educating yourself about any diagnosed fertility problems, so that you can ask the right questions of your health care team. If further medical help is needed, think carefully about the best specialist and clinic for you. I can help you with some factors to consider.
  • Have your diet looked at by a Naturopath. Many nutrients and supplements are important in boosting fertility. But you need a dietary approach that is sustainable and that doesn’t add to your stress. If you need to lose weight (and this can be important in some types of fertility issues), slow and steady is best.
  • Relaxation / stress reduction. This is important in dealing with infertility, especially if you need ART or IVF. Keeping a balanced frame of mind can be difficult but is important from an Oriental medicine point of view. Yoga worked well for me, but for others the answer might be reflexology or massage. Some people deal with stress through exercise, and this is certainly beneficial. But it’s important not to do intense exercise from a few days after ovulation (or after the embryo transfer if you are doing IVF) until the end of the cycle, as this can be counter productive.
  • Find an outlet. Talking with friends or family that understand, online discussion forums, counselling – these can all save your sanity.

 

Acupuncture for migraine

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migraine1If you suffer from migraines, you will know how disabling these headaches can be, especially if they happen frequently. Many sufferers find migraines very disruptive to work and free time — it’s not often convenient to take the evasive action they call for, like lying in a darkened room. However, Western pharmacological treatment often does not bring the results hoped for or causes side-effects. In addition, overuse of painkillers can actually worsen the severity and frequency of headaches (“medication overuse headaches”), and this has recently been recognized as a huge problem.

The good news is that acupuncture can be very effective in treating migraines. A 2009 Cochrane review (an overview of many studies, 22 in this case) found acupuncture to be effective in treating this type of headache. In fact, the studies in this review that compared acupuncture to drug therapy found acupuncture to have better results with fewer side effects. Interestingly, the studies also suggest that acupuncture that does not penetrate the skin (similar to many Japanese techniques in which the needles are inserted only a couple of millimeters), was just as effective as stronger forms of acupuncture.

This is great news for migraine sufferers. Traditional Chinese Medicine is deeply rooted in ancient philosophy, and while reports of the effectiveness of acupuncture date back 200 years, it’s comforting to note that modern research is confirming these clinical observations.

 

Are you a Migraine/Headache sufferer?

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MeditatingA New Study Shows Acupuncture to be More Effective than Western Medication.

Migraines are a major health and disability problem and are one of the main reasons headache patients will visit a doctor for treatment. A recent survey of migraine patients found Western pharmacological treatment options to be unsatisfactory in their results. Latest studies have shown that Acupuncture has been found to be more effective for treating and preventing migraines than most Western medications.

Frequency of migraines can range from daily headaches to once/month. The symptoms, occurrence and cause of migraines vary widely between each case and it is quite common for patients to be prescribed incorrect medication. This is a serious concern that is linked to development of chronic daily headaches. Interestingly, patients who have received preventative Western medication often report using more over the counter painkillers than those not receiving any preventative medication.

Acupuncture is a safe, effective and pain free alternative to medication. A recent Cochrane systematic review found Acupuncture to be as effective, or possibly more effective than preventative migraine medication. These results were demonstrated through a number of small and large scale randomised trials. Researchers were met with positive results, agreeing that Acupuncture was more superior than the only evidence-based, oral drug for treating chronic migraines. This is great news for migraine sufferers and also practitioners of Acupuncture. Traditional Chinese Medicine is deeply rooted in ancient philosophy whilst always results driven. Although reports of Acupunctures’ efficacy dates back 2000 years, it’s comforting to note that modern, evidence based research is confirming these clinical observations.

 

Frozen Shoulder (Adhesive Capsulitis)

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Health In The Bay Frozen ShoulderSigns/Symptoms

  • Frozen shoulder is characterised by stiffness and restriction of movement leading to a high degree of shoulder joint immobilisation (passive and active movements).
  • In most cases there is also some localised pain that can also cause secondary pain in the neck and trapezius muscle.
  • Patients are generally unable to raise their arm above 45 degrees and often any movement that involves external shoulder rotation inhibits pain.
  • Pain at night is often more severe, and a secondary side effect of frozen shoulder is insomnia.
  • It is most common over the age of 40 and more prevalent in woman.
  • Symptoms can often last from 5 months to 3 years, but healing time can be reduced with appropriate therapy, stretching and preventative techniques.

 

Causes

  • It is most commonly caused by thickening and contraction of the joint capsule – the connective tissue around the bony structures of the shoulder joint. There can also be a lack of synovial fluid in the joint
  • Can be caused by injury, however, it may also be a secondary symptom of thyroid, metabolic disease, stroke and auto-immune disease. Higher incidence in smokers. In many cases, there is no recognisable cause.
  • In Eastern medicine – deficient cases, there is a lack of nourishment (Ying Qi), leading to tendon/muscular weakness. In excess cases, wind/cold/damp/injury penetrates the shoulder joint causing local Qi/Blood stagnation in the channels (often Colon/Small Intestine channels). Can also include Gall Bladder, Lung, Triple Heater and Pericardium channels.

 

Treatment

  • Aims to reduce pain, increase recovery time, increase range of movement and prevent worsening of symptoms.
  • Western medicine treatment aims to reduce pain and inflammation with anti-inflammatory drugs, and if particularly severe, steroid injections are used. Chronic painful issues are sometimes treated with surgery.
  • The most effective method of recovery is to continue a full range of movement within the joint to prevent further joint stiffness and muscle loss/weakness. Therefore, physical therapy generally involves range-of-motion exercises. Functional exercises should include moving the diseased shoulder in abduction, adduction, internal rotation and external rotation – morning and night.
  • Other therapies that can be effective are massage, acupuncture, herbal linaments and stretching. Common acupuncture points include SI9,10, LI4, 11, 14, 15.