Electroacupuncture

Electroacupuncture is an acupuncture technique that, comparatively speaking, has only recently come into use. Some scholars believe electroacupuncture was first used by physicians in France and Italy as far back as the early 1800s. Others attribute its discovery to Japanese scientists in the 1940s who were interested in making bone fractures heal more quickly. Still others claim that electroacupuncture wasn't really developed until 1958, when acupuncturists in China began experimenting with it as a form of pain relief. Whatever the case, electroacupuncture is an increasingly popular form of treatment, and is used by practitioners of traditional Chinese medicine for a wide array of conditions.

How long will the treatment last?

After the needles are inserted you are usually left to rest for a period of 10 - 45 minutes. Within some styles the needles are inserted quickly and removed immediately and in others they are left in for a longer period of time. Most people feel fairly relaxed during this period and many simply fall asleep.

In many cases your treatment may consist of points on the front and back of your body so the practitioner may insert needles on the front, let you rest for awhile and then remove them, have you turn over and continue the treatment on your back.

Instruments for Acupressure

There are several different instruments for applying nonspecific pressure by rubbing, rolling, or applying pressure on the reflex zones of the body. The acuball is a small ball made of rubber with protuberances that is heatable. It is used to apply pressure and relieve muscle and joint pain. The energy roller is a small cylinder with protuberances. It is held between the hands and rolled back and forth to apply acupressure. The foot roller (also "krupa chakra") is a round, cylindrical roller with protuberances. It is placed on the floor and the foot is rolled back and forth over it. The power mat (also pyramid mat) is a mat with small pyramid-shaped bumps that you walk on. The spine roller is a bumpy roller containing magnets that is rolled up and down the spine. The Teishein is one of the original nine classical acupuncture needles described in the original texts of acupuncture. Even though it is described as an acupuncture needle it did not pierce the skin. It is used to apply rapid percussion pressure to the points being treated.

Acupressure work theory

According to the principles of TCM, qi flows through the body via 14 primary meridians or channels. To strengthen the flow of qi,or remove blockages in the meridians, an acupuncturist inserts a number of tiny, sterile, flexible needles just under the skin at certain specific points (called acupoints) along the channels. There are four to five hundred named acupoints along the meridians, some of which are associated with specific internal organs or organ systems. If you are suffering from nausea, for example, needles might be inserted into acupoints on your wrist, while a vision problem might be treated with needles in the foot. (Additional ear, scalp, and hand points are also commonly used by some practitioners.) Acupuncture practitioners believe that the therapy stimulates the body’s internal regulatory system and nurtures a natural healing response.

A variant system known as two point acupressure attempts to bypass a blockage of vital flow by using one acupoint to create a link with one of the collateral meridians, and then using one additional acupoint to stimulate or reduce the flow around the obstruction.

Acupressure

Acupressure (a blend of "acupuncture" and "pressure") is an alternative medicine technique derived from acupuncture. In acupressure physical pressure is applied to acupuncture points by the hand, elbow, or with various devices.

Traditional Chinese medicine's (TCM) acupuncture theory predates use of the scientific method, and has received various criticisms based on scientific thinking. The anatomical or histological basis of acupuncture points or meridians, is unknown. Felix Mann "...a Acupuncturists tend to perceive TCM concepts in functional rather than structural terms, i.e. as being useful in guiding evaluation and care of patients.Neuroimaging research suggests that certain acupuncture points have distinct effects that are not otherwise predictable anatomically.

Results

The benefits of acupuncture are sometimes difficult to measure, but many people find it helpful as a means to control a variety of painful conditions.

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

Since acupuncture has few side effects, it may be worth a try if you're having trouble controlling pain with more-conventional methods.

After acupuncture

 Some people feel relaxed while 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 the right treatment for you.

What you can expect

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 many questions about your symptoms, behaviors and lifestyle. He or she may also closely examine:

• The parts of your body that are painful
• The shape, coating and color of your tongue
• The color of your face
• The strength, rhythm and quality of the pulse in your wrist

This initial evaluation may take up to 60 minutes. Subsequent appointments usually take about a half-hour. A common treatment plan for a single complaint would typically involve six to 12 treatments, scheduled over a few months.

How you prepare

No special preparation is required before acupuncture treatment.

Choosing a practitioner
If you're considering acupuncture, do the same things you would do if you were choosing a doctor:

• Ask people you trust for recommendations.
• Check the practitioner's training and credentials. Most states require that nonphysician acupuncturists pass an exam conducted by the National Certification Commission for Acupuncture and Oriental Medicine.
• Interview the practitioner. Ask what's involved in the treatment, how likely it is to help your condition and how much it will cost.
• Find out whether the expense is covered by your insurance.

Don't be afraid to tell your doctor you're considering acupuncture. He or she may be able to tell you about the success rate of using acupuncture for your condition or recommend an acupuncture practitioner for you to try.

Risks

The risks of acupuncture are low if you have a competent, certified acupuncture practitioner. Possible side effects and complications include:

• Soreness. After acupuncture, you might have soreness, minor bleeding or bruising at the needle sites
• Organ injury. If the needles are pushed in too deeply, they could puncture an internal organ — particularly the lungs. This is an extremely rare complication in the hands of an experienced practitioner.
• Infections. Licensed acupuncturists are required to use sterile, disposable needles. A reused needle could expose you to diseases such as hepatitis.

Not everyone is a good candidate for acupuncture or for particular types of acupuncture. Conditions that may increase your risks of complications include:

• Bleeding disorders. Your chances of bleeding or bruising from the needles increase if you have a bleeding disorder or if you're taking blood thinners such as warfarin (Coumadin).
• Having a pacemaker. Some types of acupuncture involve applying mild electrical pulses to the needles, which can interfere with a pacemaker's operation.
• Being pregnant. Some types of acupuncture are thought to stimulate labor, which could result in a premature delivery.

Community Acupuncture

Tests Acupuncture

Acupuncture Points

How Acupuncture Works

The mechanisms of acupuncture, though not solidly proven, have exhibited several commonly accepted effects to the body. Most notable is that acupuncture stimulates the central nervous system—the brain and spinal cord. Most people report a tingling sensation, feeling relaxed or even energized. Again, this is largely based on the individual receiving the acupuncture treatment and how he or she perceives it.
During an acupuncture treatment session, anywhere from 1 to 20 FDA-approved, metallic needles are inserted into the body, ranging from just breaking the surface to up to 1 or several inches long. The longer acupuncture needles (such as 5 to 9 inches) are inserted into areas of deeper muscle/fat layers or along, under the skin or even scalp, depending on what is being treated and the required depth or penetration. The acupuncture needles are often left in for approximately 15 to 30 minutes. Some practitioners insert needles, turn them either in one direction or the other or both, depending on what they are attempting to achieve, and these needles are inserted for perhaps 10 seconds only, removed and the same needle is used for treatment of other points on that same patient. In certain instances, needles are warmed or electrically charged after insertion. The electrical acupuncture can be used with needles or through the use of a non-penetrating probe.

DOES ACUPUNCTURE REALLY WORK?

Yes. In the past 2,000 years, more people have been successfully treated with acupuncture than with all other health modalities combined. Today acupuncture is practiced widely in Asia, the Soviet Union, and in Europe. It is now being used more and more in America by patients and physicians. Acupuncture treatments can be given at the same time other techniques are being used, such as conventional Western medicine,osteopathic or chiropractic adjustments, and homeopathic ornaturopathic prescriptions. It is important that your physician-acupuncturist know everything that you are doing, so he or she can help you get the most benefit from all your treatments.

Is it safe?

When practiced by a licensed, trained acupuncturist, acupuncture is extremely safe. As a system of health care, acupuncture already has some inherent safeguards. Because the treatment is drug-free, patients do not have to worry about taking several doses of a medication or suffering a possible adverse reaction.

Properly administered, acupuncture does no harm. However, there are certain conditions you should notify an acupuncturist about before undergoing treatment. If you have a pacemaker, for instance, you should not receive electroacupuncture due to the possibility of electromagnetic interference with the pacemaker. Similarly, if you have a tendency to bleed or bruise easily, or if you are a hemophiliac, you may want to consider a different type of care.

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Side effects

The most common serious injury reported from the needles of acupuncture has been accidental puncture of the lung. This results in a partial collapse of the lung called pneumothorax. The most common infection reported from acupuncture treatments is viral hepatitis, a potentially serious infection of the liver. Other side effects include bacterial infections locally at the site of needle insertion in the skin and elsewhere in the body. Generally, side effects seem to relate to poor hygiene and training of the acupuncturist.

Needles

Acupuncture needles are typically made of stainless steel wire. They are usually disposable, but reusable needles are sometimes used as well, though they must be sterilized between uses. Needles vary in length between 13 to 130 millimetres (0.51 to 5.1 in), with shorter needles used near the face and eyes, and longer needles in more fleshy areas; needle diameters vary from 0.16 mm (0.006 in) to 0.46 mm (0.018 in), with thicker needles used on more robust patients. Thinner needles may be flexible and require tubes for insertion. The tip of the needle should not be made too sharp to prevent breakage, although blunt needles cause more pain.

Apart from the usual filiform needle, there are also other needle types which can be utilized, such as three-edged needles and the Nine Ancient Needles. Japanese acupuncturists use extremely thin needles that are used superficially, sometimes without penetrating the skin, and surrounded by a guide tube (a technique adopted in China and the West). Korean acupuncture uses copper needles and has a greater focus on the hand.

Feeling about acupuncture

You may feel slight pressure when a needle goes in. Most people find that it doesn't hurt. The area may tingle, feel numb, itch, or be a little sore. Providers believe that this is a sign that the energy flow, or chi, has been accessed.

After the needle is placed, your provider may roll the needle slightly back and forth. Or he or she may use heat or electrical current on the needle.