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Manage Pain Naturally with Acupuncture

In This Issue – May 2012
– Relieve Pain Naturally with Acupuncture
– Acupuncture for Low Back Pain
– Acupuncture for Post Operative Pain
– Ah Shi Points
– Acupuncture for Fibromyalgia Syndrome

Relieve Pain Naturally with Acupuncture
Increasingly, people are looking for more natural approaches to help relieve painful conditions instead of relying on medications. Acupuncture has no side effects and can be helpful for all types of pain, regardless of what is causing the pain or where the pain is located. Some studies have shown the pain relief it provides can last for months.

Magnetic resonance imaging (MRI) of the brain before and after acupuncture treatment for pain shows dramatic decreases in brain activity — up to 70 percent. This decrease in brain activity in certain areas of the brain is thought to be the reason for the reduction of pain caused by the acupuncture treatments.

In addition to reducing pain, acupuncture also hastens the healing process by increasing circulation and attracting white blood cells to an injured area.

The basis of acupuncture is expressed in this famous Chinese saying: “Bu tong ze tong, tong ze bu tong” which means “free flow: no pain, no free flow: pain.”

  In other words, any kind of pain or illness represents an obstruction in the normal flow of Qi or life force. Simply put, acupuncture moves Qi, restoring free flow.

Studies on Acupuncture and Pain



Acupuncture has become readily accepted in mainstream modern medicine as a viable option for pain management and studies support its therapeutic effects. 

In a German study, published in the Archives of Internal Medicine, 1,162 adults with chronic, lower back pain were divided into groups treated with either the standard pharmaceutical and exercise therapy commonly used in conventional medicine or acupuncture. The researchers reported that acupuncture provided relief and lasting benefit to nearly twice as many lower back pain patients as drugs and exercise. Forty-eight percent of the acupuncture patients reported at least a one-third decrease in pain along with improvement in their ability to function, versus 27 percent of the patients treated with conventional methods reporting such benefits.

In another recent study published in the Annals of Internal Medicine, researchers from the University of Maryland School of Medicine analyzed 33 studies covering more than 2,100 patients from around the world on acupuncture for low back pain.

They found acupuncture provided definite pain relief in the short-term (defined as relief sustained for three weeks after the end of the acupuncture sessions).

If you or someone you love suffers from acute and chronic pain, please call to find out more about how acupuncture and Oriental medicine can help you.

Acupuncture for Low Back Pain
Low back pain is an extremely common concern, affecting anywhere from 75 to 90 percent of people at some point in their lives. Low back pain is second only to the common cold as a cause of lost days at work and is one of the most common reasons to seek medical care, including acupuncture. In fact, one of the top reasons that people get acupuncture treatments is for low back pain.

In spite of the large number of pathological conditions that can give rise to low back pain, up to 85 percent of the cases are classified by physicians as ‘non-specific’. When low back pain is examined from an Oriental medicine perspective, it is seen as a disruption to the flow of Qi within the area and associated with a specific disharmony and is treated accordingly.

The disruption of Qi that results in low back pain is usually associated with the following three disharmonies:

Weak Kidney Qi

In Oriental medicine, the lower back is referred to as the “dwelling of the Kidneys”. The majority of chronic low back pain conditions are associated with Kidney deficiency. Pain related to Kidney deficiency is typically dull and erratic. It is usually aggravated by fatigue and improves with rest.

Stagnation of Qi and Blood


When the flow of Qi along the meridians that traverse the lumbar region becomes congested, it is referred to as the stagnation of Qi and blood. This presents with a severe stabbing pain that is worse with rest and better with movement, tender to touch and can be accompanied by stiffness and tightness.



Invasion of Cold and Dampness


Cold, damp type pain is generally worse in the morning and when the weather is cold and damp. This type of pain improves with movement and the application of heat. Stiffness and contraction of back muscles that is aggravated by immobility indicates cold predominance. Swelling, numbness and a heavy sensation are indicative of dampness.

Acupuncture for Post Operative Pain
Research from Duke University Medical Center has shown that acupuncture can significantly reduce surgical patients’ post-operative pain, and their need for powerful opioids to treat pain.

 Duke University anesthesiologists combined data from 15 randomized clinical trials to reach their conclusion. Using acupuncture both before and after surgery produced the best results for patients, who reported lower levels of post-operative pain and a significantly reduced need for painkillers.

In addition, acupuncture mitigated the negative side effects of opioids when they were used.

 “The most important outcome for the patient is the reduction of the side effects associated with opioids,” said T.J. Gan, M.D., the Duke anesthesiologist who presented the study at the annual scientific conference of the American Society for Anesthesiology in San Francisco in October 2007. Gan pointed out that acupuncture is a relatively inexpensive therapy that has virtually no side effects when practiced by trained professionals.

Many other studies have shown acupuncture effective in reducing post-operative nausea and vomiting compared with other medications.

  According to a meta-analysis presented at the American Society of Anesthesiologists’ meeting, acupuncture reduced rates of post-operative nausea by 32 percent, pruritus (itchiness at the surgical site) by 25 percent, dizziness by 38 percent, and urinary retention by 71 percent compared with control groups.

Acupuncture is excellent for managing post-surgical side effects such as surgical pain, loss of appetite, and upset stomach or nausea. In addition to strengthening the immune system and increasing energy, acupuncture is also a great way to reduce swelling, decrease stiffness and pain, reduce scarring and scar tissue and assist with a quick recovery.

If you, or a loved one, will be undergoing surgery, please call us to see if acupuncture can improve your recovery.

Ah Shi Points
Not all acupuncture points have a specific name and specific location. Some of the most effective points to use in acupuncture are local points of tenderness. These points are referred to as Ah Shi points which in Chinese literally means, “That’s the point!” 

Ah Shi points were first mentioned during the Tang Dynasty (founded in 618 AD) classic bookThousand Ducat Prescriptions. These points become spontaneously tender when disease or injury occurs, or in locations where Qi has become congested. They are not among the regular acupuncture points on a specific meridian or pathway. 

Their locations are not fixed; they are the points that, upon palpation, are the most sensitive.

In many cases a small knot or pea sized nodule can be felt under the skin at these points of tenderness.

The Ah Shi points are especially effective in the treatment of pain and are often used in conjunction with local and distal acupuncture points. 

If you have pain, palpate around the area of pain to see if you can find the Ah Shi points. This is a great way to self treat the problem.

Acupuncture for Fibromyalgia Syndrome
Fibromyalgia Syndrome (FMS) affects an estimated two percent of the population. It is diagnosed when there is a history of widespread pain in all four quadrants of the body for a minimum duration of three months and pain when pressure is applied to at least 11 of 18 designated tender points on the body. 

Research shows that as many as 90 percent of people with fibromyalgia have turned to complimentary and alternative medicine to manage their symptoms. Acupuncture, in particular, has become a popular treatment choice and has shown to be an effective treatment for FMS.

Oriental medicine does not recognize fibromyalgia as one particular disease pattern. Instead, it aims to treat the specific symptoms that are unique to each individual depending on their constitution, emotional state, the intensity and location of their pain, digestive health, sleeping patterns and an array of other signs and symptoms. 

A treatment program may include a combination of psychological or behavioral therapies, medications, exercise, acupuncture, herbal medicine and bodywork.

If you have fibromyalgia call today to see how acupuncture can ease your symptoms!

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Vitiligo treatment

Dr. Nieters,
I heard about you through a friend and heard that you have past success in treating auto-immune diseases. I have a auto-immune disease called vitiligo where I lose pigmentation in my skin. I have been getting treated for this condition with light therapy at Kaiser for many years now with limited success, but recently, the condition has spread on my face, despite diligently sticking to my doctor’s treatment regiment.

What type of experience do you have in treating vitiligo?
What kind of results have you seen?
What type of treatment is typical for autoimmune diseases?
How does your treatment help them?
Is the treatment mostly acupuncture or medicine-based?
How often would I have to come in for treatment?
How long is recovery time/ when should I start seeing some results?

To aide you in answering some of these questions, here is some information about me:
Sex: Male Age: 23 Height: 5’6″ Weight: 135 lbs

I exercise regularly. I don’t smoke, but drink on occasion. I eat all types of food, but have been recently trying to eat more raw fruits and vegetables via juicing. I don’t have any allergies other than to pollen. I don’t use any medicine other than topical steriods, which are applied to the affected areas of vitiligo. (Protopic and Fluocinide)

Thanks again for your help, and I look forward to meeting you in the near future.
Miles

Dear Miles,
I have treated a fair amount of vitiligo with very good results.  The treatments in Chinese Medicine are pretty clear. The caveat is that most of my vitiligo patients have been women.

While I do acupuncture whenever I see my patients, most autoimmune, and internal medicine conditions in general, are best treated with herbs and lifestyle adjustments.  Because of this I do not need to see typical autoimmune patients very often.

A great deal of my practice is treating autoimmune disorders.  A lot of my patients fly in from the east coast or southern California, so I do not see them often. Ideal treatment frequency would be about every three weeks for the first 4-5 treatments to see what is most effective for you, and then every 6-9 weeks until the condition is resolved.

Vitiligo takes a little longer than most autoimmune conditions to see clear results because the cellular turnover takes awhile.  Typically about 2-3 months.  If no success by that time, it will likely not work.  That being said, I have a couple of patients where we had some obvious improvement in a few weeks.  I would not count on it, but it has happened.

I hope that this information helps.

Be Happy!
John Nieters, DAOM, L.Ac.
Doctor of Acupuncture and Oriental Medicine

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Liver enzymes

I am concerned about my liver enzymes, is there a particular food that I should avoid, like meat protein, dairy, etc…?  I didn’t know what “high liver enzyme” mean?
Thank you,
Nadia

 

Dear Nadia,
Liver enzymes are released from damaged cells in the liver allowing the enzymes to leak out.  This damage can be from many causes such as viral infections like hepatitis, alcohol intake, pharmaceutical or recreational drugs.  Sometimes, no cause is ever found.   It could even be caused by inflammation from the high thyroid levels.

A supplement that we commonly prescribe supports the healing process of the liver by supporting the phospolipid fatty membranes around the cells of the liver to protect the liver.

Foods that support the liver:

  • high quality fats and oils (extra virgin olive, grapeseed, high quality fish, cod liver,  krill, virgin coconut, etc)
  • green vegetables
  • micro algae.

Foods that are hard on the liver:

  • Processed foods
  • drugs
  • alcohol
  • artificial sweeteners
  • high fructose corn syrup
  • pesticide residue on food
  • birth control pills

Be Happy!
John Nieters, DAOM, L.Ac.
Doctor of Acupuncture and Oriental Medicine

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Thrush & fungal infections

Hello John,
I’m coming in to see you tomorrow but wanted to ask you what you thought of this. Last 2 days my throat has been a little sore and it’s around the back left side of my tongue. This morning I woke up to see a film on my tongue that looks a lot like this: http://healthytonguesecrets.com/wp-content/uploads/2010/08/thrush1.jpg

What should I do? I didn’t have my probiotics for a day and a half, maybe that caused it. I’ll be calling my doctor shortly.

Thanks,
Sam

Dear Sam,
I get to see these types of tongues frequently. Unfortunately it is all too common with antibiotics. One thing to remember is that it is very difficult to have thrush unless you have fungal overgrowth throughout the system. There are many good intestinal yeast killers which, will lower the load.

For your mouth specifically:

  • You can take an oral anti-fungal from you MD
  • You can get an anti-thrush anti-fungal from you doctor
  • You can get a a strong liquid natural probiotic (health food store) and hold it in you mouth as long as possible.
  • Good quality kephir or yoghurt will help some.  Drink the kefir about 3-4 ounces at a time. Hold it in your mouth and then swallow.  Repeat every 1/2 hour or so.

Good intestinal anti-fungals (may taste too bad to use orally) are Grapefruit seed extract, capryllic acid, undecyclenic acid.  I have a list of about 20 of them, but these are top notch.
Butter, ghee and coconut oil are also anti-fungal. Increase probiotics up to about 6 times per day.   Don’t take them within 1.5 hours of the antibiotics.

See you tomorrow.

Be Happy!
John Nieters, DAOM, L.Ac.
Doctor of Acupuncture and Oriental Medicine

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Thanks for the nutrition course

Hi, Dr. Nieters!
Thanks for a great class!!  I am more aware of the issues involved and how to properly view various lifestyle diseases.  Here’s an article published on Boston.com blog. Written by John McDonough, Director of the Center for Public Health Leadership at Harvard Medical School.  It may have come a time when even the “western” doctors are sick and tired of the treatments they provide for their patients.  http://www.boston.com/lifestyle/health/health_stew/2012/03/statins_chronic_disease_–_and.html?comments=all#comments

I have heard of great things/changes about the school – new location, new clinic policy, etc.  Hope I will be back soon.  We are fortunate to have you lead the school.  As a side note, when I was in Chinese classes on weekends, I heard some students saying the president should be Chinese.  I found this a bit ridiculous.  At this point, I find the English program to be much stronger than the Chinese program on weekends.  Unfortunately, if I have to return to work full time, the Chinese program will be my own option.  Is it possible to have weekend English program in the near future?!

Take care!
Sherry

Dear Sherry,
Thank you for the very kind words and also for the feedback. I too have heard from many sources that the President should be Chinese. I have tried to become Chinese, but as yet to no avail!

I have been looking into an English program on weekends.  I think it would help in many ways.  We could stagger it a bit to allow people to make up classes that they missed, etc. and not get too far behind.

I look forward to seeing when you come back.

Be Happy!
John Nieters, DAOM, L.Ac.
Doctor of Acupuncture and Oriental Medicine
President, Academy of Chinese Culture and Health Sciences (2011-2015)

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