Acupuncture is often seen as a form of complementary medicine, although it is used nationally in many NHS general practices, as well as the majority of pain clinics and hospices in the UK. It is recommended by the National Institute for Clinical Excellence as a treatment for lower back pain, and a range of other conditions. If we decide together that acupuncture is a good choice for you within your chiropractic treatment, then we can start there and then! Our chiropractor Philippa is fully trained and registered to use acupuncture as part of her treatments in clinic.
Acupuncture involves the insertion of needles (which are about the thickness of a human hair) into specific points in your body. Mention “acupuncture” to someone, and you may think of someone with dozens of needles in their back looking like a hedgehog. It may surprise you to know that we tend to use a maximum of 6 needles in our treatments! This is because we use a Western medical approach to acupuncture in clinic, which is different to traditional Chinese treatments.
Want to learn more?
A medical approach to acupuncture involves a few essential features:
- Medical history, examination and clinical investigations (if necessary) are all used to form a diagnosis.
- An appropriate plan of management, and appropriate needling points are identified.
- As with all our treatments, the appropriate treatment is given, in a way that is carefully tailored to the individual. This can mean using more needles (usually up to a maximum of 6), using percutaneous electric nerve stimulation, or increasing the length of time the needles are inserted.
- Your response to treatment is monitored, and subsequent treatment is determined based on your response to this treatment.
Acupuncture is, in itself, a phenomenon- it produces an unique sensation, can alleviate pain in areas quite far away from where the needle is inserted, and patients have been known to spontaneously report feelings of improved wellbeing and deep sleep after treatment! This treatment is also a powerful tool for pain relief, and this sometimes occurs immediately after removing the needles; several hours after treatment; or gradually accumulating over a course of several treatments.
So if acupuncture is a phenomenon, with varied responses for each individual, how do we know that it is an appropriate, evidence-based, effective treatment for you?
Here are five mechanisms to help explain how acupuncture works:
1) Acupuncture promotes healing. It stimulates nerve fibres in the skin and muscle, and this leads to the release of a substance called CGRP- calcitonin gene-related peptide (no, we won’t quiz you on this later!) This substance causes blood vessels around the needle to dilate, and increases blood flow, which encourages tissue healing.
2) When a needle stimulates nerve fibres, these travel to a specific part of the spinal cord, called the dorsal horn (which helps regulate pain signals). This stimulation helps to reduce the response of the dorsal horn to pain, and this is probably the main mechanism by which acupuncture relieves pain, and what it is most commonly used for.
3) These nerve signals then transmit up to the brain, and stimulate the body’s pain-suppressing mechanisms. (Yes, our body can suppress pain- think about the times when you haven’t noticed a scratch or a graze because you’ve been concentrating on something else). This is why acupuncture is so helpful, as it can suppress pain throughout the entire body.
4) Parts of our brain that control emotion, behaviour and sleep are also stimulated by acupuncture, and so acupuncture has a calming effect and can improve our feeling of wellbeing.
5) When our muscles are strained or injured, it develops a small area of damage (called a trigger point) which can be slow to heal and can cause persistent pain. Acupuncture helps to deactivate and reduce these trigger points.
If you would like to find out more about this type of treatment, what it can be used for and whether it could be a good option for you, book an appointment with us today!