The Benefits of Acupuncture for Managing Tremors

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I’ve had a couple of patients this past month with tremors, reporting an ease in their symptoms, better sleep and overall more energy (because their muscles are not constantly trembling) Tremors, or involuntary rhythmic muscle movements, are often associated with neurological conditions like Parkinson’s disease, essential tremor, or multiple sclerosis. Tremors can affect  a person’s ability to perform tasks requiring fine motor skills. Acupuncture has emerged as a valuable complementary therapy for managing tremors. Acupuncture works by stimulating specific points on the body to improve overall balance and reduce involuntary movements.

UNDERSTANDING TREMORS AND THEIR CAUSES

Tremors are caused by abnormal activity in the parts of the brain responsible for muscle control and coordination, particularly the cerebellum and basal ganglia. They can be categorized into different types based on their triggers:

• Resting tremors occur when the muscle is relaxed, commonly seen in Parkinson’s disease.

• Action tremors happen during voluntary movement and are typical in conditions like essential tremor.

• Postural tremors appear when holding a position, often related to anxiety or fatigue.

The cause of tremors varies and can range from neurodegenerative conditions, genetic predisposition, thyroid issues, certain medications, and even emotional stress. Acupuncture can be a beneficial, non-invasive treatment for managing tremors, offering an approach that treats both the physical and emotional components of the condition.

HOW ACUPUNCTURE HELPS WITH TREMORS

1. Modulating Nervous System Activity

Often when a patient with tremors is in a nervous situation, their tremors become apparent. Acupuncture influences the central nervous system, which plays a role in the body’s control over muscles and movement. By inserting needles into specific acupoints, acupuncture stimulates the release of neurotransmitters like dopamine and serotonin, which are crucial for maintaining motor control. This can be particularly beneficial for patients with tremors related to Parkinson’s disease, as dopamine deficiency in the brain is a key contributor to motor symptoms. Through these neurotransmitter effects, acupuncture helps to regulate involuntary movements and improve motor coordination.

2. Reducing Inflammation and Oxidative Stress

Inflammatory processes and oxidative stress are common in conditions that involve tremors. Acupuncture has been shown to reduce inflammation by lowering levels of pro-inflammatory cytokines and stimulating antioxidant pathways. These effects may help prevent further damage to brain cells and support nervous system health, reducing the severity of tremors over time.

3. Improving Blood Flow and Circulation

Improved circulation is another benefit of acupuncture that can help with tremor management. Enhanced blood flow ensures that oxygen and essential nutrients reach the brain and muscles, which is essential for optimal muscle function. By boosting circulation, acupuncture can improve overall tissue health and aid in the removal of toxins, supporting the body’s ability to control muscle movements.

4. Balancing Qi and Promoting Energy Flow

According to Traditional Chinese Medicine, tremors are often seen as a result of disrupted Qi (energy flow) and imbalances in the liver and spleen meridians. Acupuncture seeks to rebalance Qi and enhance energy flow by targeting specific acupoints associated with these meridians. The liver, in TCM, is linked to muscle control, and by stimulating acupoints associated with the liver, acupuncture can reduce muscle tension and spasms. This approach aligns the body’s internal systems and may help stabilize tremors over time.

5. Calming the Mind and Alleviating Stress

Stress and anxiety can exacerbate tremors, particularly in conditions such as essential tremor or psychogenic tremor. Acupuncture effectively reduces stress by stimulating the body’s parasympathetic nervous system, also known as the “rest and digest” system, which helps calm the mind. By reducing the production of stress hormones like cortisol, acupuncture helps prevent episodes of stress-induced tremors and supports overall mental well-being.

CLINICAL EVIDENCE SUPPORTING ACUPUNCTURE FOR TREMORS

Research supporting acupuncture’s benefits for tremors has been growing in recent years. Although more large-scale studies are needed, existing research and case studies indicate positive outcomes.

1. Parkinson’s Disease

A 2017 study published in Evidence-Based Complementary and Alternative Medicine explored acupuncture’s effects on Parkinson’s patients and found that regular acupuncture treatment improved motor symptoms, reduced tremors, and enhanced the quality of life for participants. Another study in The Journal of Traditional Chinese Medicine found that acupuncture, when combined with standard medications, significantly reduced tremor severity in Parkinson’s patients.

2. Essential Tremor

Research suggests that acupuncture may help relieve essential tremor by reducing involuntary muscle contractions. A case study published in The Journal of Integrative Medicine documented a patient with essential tremor who experienced a noticeable reduction in tremor amplitude and improved fine motor skills after undergoing regular acupuncture sessions.

3. Anxiety-Related Tremors

For patients with anxiety-induced or psychogenic tremors, acupuncture has shown promising results in calming the nervous system and alleviating stress. A study in The Journal of Acupuncture and Meridian Studies found that acupuncture reduced stress-related symptoms, including tremors, in patients experiencing generalized anxiety disorder. The calming effect of acupuncture on the nervous system helps these patients better control their symptoms and reduces the frequency of tremor episodes.

WHAT TO EXPECT DURING ACUPUNCTURE TREATMENT FOR TREMORS

When you begin acupuncture treatment for tremors, a licensed acupuncturist will conduct a thorough assessment, examining your symptoms, lifestyle, and medical history. The treatment will typically involve inserting thin, sterile needles into points on the body that correspond to nervous system regulation, motor control, and stress relief.

COMPLEMENTARY LIFESTYLE PRACTICES FOR MANAGING TREMORS

While acupuncture is effective on its own, combining it with other practices can maximize results. Some suggestions include:

• Physical therapy and stretching to improve muscle control and reduce stiffness.

• Regular exercise like Tai Chi or yoga, which promotes balance and flexibility.

• Dietary changes to reduce inflammation and promote brain health, such as consuming omega-3 fatty acids and antioxidants.

• Mindfulness practices like meditation, which can reduce stress and improve overall mental well-being.

Acupuncture offers a natural, holistic approach to managing tremors, with benefits that include pain relief, improved muscle control, reduced stress, and overall nervous system support. By targeting the root causes and calming the body, acupuncture has the potential to reduce tremor frequency and severity, helping patients regain a sense of control, improve sleep, and improve their quality of life.

If you are considering acupuncture for tremor management, consult with a licensed acupuncturist (L.Ac) who can create a personalized treatment plan tailored to your symptoms and health goals.

Treating TMJ with Acupuncture for Jaw Pain

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I’ve been treating TMJ a lot lately which seems to manifest differently for different patients. Common symptoms of TMD/TMJ include:

• Jaw pain or tenderness

• Difficulty opening or closing the mouth

• Clicking, popping, or grating sounds in the jaw

• Headaches or migraines

• Ear pain or pressure

• Neck and shoulder pain

Temporomandibular Joint Disorder (TMD), often referred to as TMJ, is a condition affecting the temporomandibular joint, which connects the jaw to the skull. TMD can cause discomfort, pain, and restricted movement in the jaw, often accompanied by headaches, earaches, and difficulty chewing.  While conventional treatments, such as medications, physical therapy, and dental appliances, are commonly used, acupuncture offers another alternative for managing the pain. 

UNDERSTANDING TMD/TMJ

The temporomandibular joint (TMJ) is a hinge-like structure located on both sides of the face, connecting the lower jawbone (mandible) to the skull. It allows for smooth jaw movement when speaking, chewing, and yawning. TMD occurs when there is dysfunction in this joint or the surrounding muscles, ligaments, and tissues.

TMD can be caused by various factors, including stress, teeth grinding (bruxism), poor posture, arthritis, or injury to the jaw.  Conventional treatments aim to relieve pain and improve jaw function, but they may not address the underlying causes or provide long-term relief. Acupuncture offers a complementary approach that targets both the symptoms and the potential causes of TMD.

HOW ACUPUNCTURE HELPS TREAT TMD/TMJ

Acupuncture works by stimulating specific acupoints on the body, which are believed to influence the flow of Qi through meridians, or energy pathways. For TMD, acupuncture focuses on motor points that regulate the muscles, nerves, and tissues surrounding the jaw, as well as those that address stress and tension in the body.

Here’s how acupuncture can help relieve TMD symptoms:

1. Pain Relief and Muscle Relaxation

Acupuncture is known for its analgesic (pain-relieving) properties. When needles are inserted into acupoints, the body releases natural painkillers, such as endorphins and serotonin. This helps reduce pain in the jaw, face, and head.

2. Electro-Acupuncture and Dry Needling techniques

Acupuncture can relax tight or overworked muscles, which are often responsible for jaw tension and discomfort. By using an electric stim to the needles, or even dry needling to neck muscles associated with the jaw, this eases muscle spasms and  helps restore normal jaw movement.

3. Improving Nerve Function

TMD can involve nerve-related pain, especially if there is pressure on the trigeminal nerve, which is responsible for sensation in the face. Electro-acupuncture helps by regulating nerve function, reducing nerve sensitivity, and calming overactive pain signals. This can provide relief from sharp or shooting pains in the jaw and face, which are common in TMD.

4. Stress Reduction

Stress and anxiety are major contributors to TMD, often leading to jaw clenching, teeth grinding, and increased muscle tension. Acupuncture is effective in reducing stress by calming the nervous system and promoting relaxation. By stimulating points that regulate the body’s stress response, acupuncture lowers levels of stress hormones like cortisol, helping to prevent jaw tension from recurring.

CLINICAL EVIDENCE SUPPORTING ACUPUNCTURE FOR TMD

Numerous studies have demonstrated the effectiveness of acupuncture in relieving TMD symptoms. For example, a 2018 study published in The Journal of Orofacial Pain found that acupuncture significantly reduced pain and improved jaw function in patients with TMD. Participants who received acupuncture experienced greater pain relief compared to those who received traditional TMD treatments alone.

Another study published in Evidence-Based Complementary and Alternative Medicine showed that acupuncture improved pain thresholds and decreased the frequency of jaw clicking and muscle tenderness in patients with chronic TMD. These findings suggest that acupuncture can be an effective treatment for both acute and chronic TMD symptoms.

In addition, acupuncture has been shown to reduce the intensity and frequency of headaches and migraines, which are often associated with TMD. A study published in Headache: The Journal of Head and Face Pain found that acupuncture reduced the number of headache days in patients with chronic tension-type headaches, a common co-occurring condition with TMD.

WHAT TO EXPECT FROM AN ACUPUNCTURE TREATMENT FOR TMD

During a typical session, needles may be inserted into points on the face, jaw, neck, and sometimes arms or legs depending on the treatment plan. The needles are very thin, and most patients experience little to no discomfort. Many people find acupuncture relaxing, and some even fall asleep during the treatment. I always start with points away from the pain before needling the jaw directly. This “drains” the pain and inflammation and often don’t need to needle the face. I also include a lot of hands-on therapy for the jaw.

 LIFESTYLE

Here are some additional things you can do to help:

• Massage therapy to relax facial and jaw muscles.

• Stress management techniques such as mindfulness or meditation to reduce emotional tension.

• Reduce gum chewing and eating hard crunchy foods like nuts until it subsides

If you suffer from TMD and are looking for a non-invasive treatment option, acupuncture may be a valuable addition to your wellness plan. Be sure to consult with a licensed acupuncturist L.Ac. who can design a personalized treatment plan based on your specific needs and health goals.

Boosting the Immune System with Acupuncture: A Natural Approach to Health and Wellness

The weather got cold and so came sinus infections, colds, cancellations due to upper respiratory illnesses. The immune system is the body’s defense mechanism, responsible for protecting us from infections, viruses, and harmful bacteria. Maintaining a strong and balanced immune system is crucial for overall health, particularly today where stress, environmental toxins, and poor lifestyle habits can compromise immune function. Acupuncture, along with herbs offer a natural, holistic alternative that has been used for centuries. Here’s how it works;

THE ROLE OF THE IMMUNE SYSTEM AND IMMUNITY IN TCM

In Traditional Chinese Medicine, the immune system is linked to Wei Qi, or "defensive energy." Wei Qi is responsible for protecting the body from external pathogens like viruses and bacteria. When Wei Qi is strong, the body can fend off illness and recover quickly from infections. When it's weak, the body becomes vulnerable to illness, fatigue, and chronic health problems. In TCM, a balanced flow of Qi throughout the body is key to maintaining a strong immune defense.

Specific acupoints are used to strengthen the immune system, clear blockages in energy flow, and improve overall vitality. Now is the time to come in for a good immune boost!

HOW ACUPUNCTURE BOOSTS THE IMMUNE SYSTEM

1. Stimulating the Production of Immune Cells

One of the primary ways acupuncture boosts the immune system is by stimulating the production and activity of white blood cells, which play a key role in the immune response. White blood cells, including lymphocytes and natural killer (NK) cells, are responsible for detecting and neutralizing foreign invaders such as viruses and bacteria.
Several studies have shown that acupuncture can enhance the activity of these immune cells. A 2017 study published in the journal Complementary Therapies in Medicine found that acupuncture increased NK cell activity, which plays a critical role in preventing viral infections and certain cancers. By boosting the function of immune cells, acupuncture enhances the body’s natural defense mechanisms.

2. Regulating Inflammation

Inflammation is a necessary immune response to injury or infection. However, chronic inflammation can weaken the immune system and contribute to various health problems, including autoimmune diseases and chronic infections. Acupuncture has been shown to regulate inflammatory processes by influencing the production of pro-inflammatory cytokines, such as interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α), while promoting the release of anti-inflammatory cytokines.
By reducing excessive inflammation, acupuncture helps maintain a balanced immune response and prevents the immune system from being overtaxed by chronic inflammatory conditions. This modulation of inflammation is particularly beneficial for individuals with autoimmune disorders, allergies, or chronic viral infections.

3. Balancing the Nervous System

The nervous system and the immune system are closely interconnected. Chronic stress, which activates the body's "fight or flight" response, weakens the immune system by suppressing immune cell activity and increasing inflammation. Acupuncture helps by stimulating the parasympathetic nervous system, also known as the "rest and digest" system, which calms the body and reduces the effects of stress.
This balancing of the nervous system allows the immune system to function more efficiently, reducing susceptibility to illness and helps you get a good night’s sleep which is essential for the immune system.

4. Improving Circulation and Lymphatic Flow

Acupuncture improves circulation by promoting better blood flow to various parts of the body, delivering oxygen and nutrients to tissues while removing waste products and toxins.
This improved circulation supports immune function by ensuring that white blood cells and other immune components reach affected areas more quickly and effectively. Additionally, acupuncture may stimulate the lymphatic system, which is crucial for draining toxins and waste from the body, further aiding in immune health.

5. Supporting Gut Health

Gut health plays a significant role in immune function. In fact, a large percentage of the immune system resides in the gut, where it helps protect the body from harmful pathogens. Acupuncture can aid in maintaining a healthy gut by promoting digestive function, reducing inflammation in the gastrointestinal tract, and balancing the gut microbiome.

CLINICAL EVIDENCE OF ACUPUNCTURE’S IMMUNE-BOOSTING BENEFITS

A research published in Evidence-Based Complementary and Alternative Medicine demonstrated that acupuncture increased immune cell activity in cancer patients, improving their ability to fight off infections. Another study in The Journal of Alternative and Complementary Medicine showed that acupuncture enhanced the immune response in patients with chronic viral infections, such as hepatitis C, by boosting natural killer cell activity. Additionally, a review published in the journal Autonomic Neuroscience suggested that acupuncture could regulate the immune system by influencing the autonomic nervous system, which controls immune responses. This suggests that acupuncture not only boosts immune cell activity but also helps maintain a balanced and coordinated immune response.

ACUPUNCTURE FOR PREVENTING ILLNESS AND MAINTAINING WELLNESS

Many people choose acupuncture as a preventive measure to keep their immune systems strong year-round. By receiving regular acupuncture treatments, individuals can help bolster their body’s natural defenses, reducing the likelihood of getting sick during cold and flu season. Acupuncture can also be used to shorten the duration and severity of illnesses when they do occur, by helping the body fight off infections more effectively.

In addition to acupuncture, I recommend herbal remedies, dietary changes, and lifestyle modifications to further support immune function. I swear by Yin Qiao San which is a way to build Wei Qi (defensive Qi) and stop a pathogen from entering the body. 

Make sure to book your appointments ahead of time this upcoming cold and flu season.

Treating Spinal Stenosis with Acupuncture: A Holistic Approach to Pain Relief

My mother had spinal stenosis in her later years (she lived to be 95!) and I remember doing acupuncture for her and so gratified that I could give her some relief.  Many of my patients are now turning to Acupuncture as an approach to manage their Spinal Stenosis symptoms and it’s really helpful for them.  Spinal stenosis is a common condition that occurs when the spaces within the spine narrow, putting pressure on the spinal cord and nerves. This can lead to symptoms such as chronic back pain, numbness, weakness, and difficulty walking. Typically affecting the lumbar (lower back) or cervical (neck) regions, spinal stenosis can significantly impair quality of life.

UNDERSTANDING SPINAL STENOSIS

Spinal stenosis often develops as part of the aging process. Over time, degenerative changes in the spine—such as the thickening of ligaments, bone spurs, and herniated discs—can reduce the space available for the nerves, leading to compression and irritation. Symptoms of spinal stenosis may include:

• Chronic back or neck pain

• Numbness or tingling in the legs, feet, arms, or hands

• Weakness in the extremities

• Difficulty walking or maintaining balance

• Muscle cramps or spasms

The pain and discomfort associated with spinal stenosis can severely limit mobility, making daily activities more challenging. While surgery is sometimes necessary for severe cases, non-invasive therapies like acupuncture offer an attractive alternative for those seeking pain relief without undergoing surgery.

HOW ACUPUNCTURE HELPS RELIEVE SPINAL STENOSIS SYMPTOMS

Acupuncture involves the insertion of fine, sterile needles into specific points on the body, known as acupoints. These points are believed to correspond with different organs and energy pathways (meridians) in the body. By stimulating these acupoints and motor points, acupuncture is thought to help blood-flow to the area and promote healing.

For spinal stenosis, acupuncture works through several key mechanisms:

1. Reduction of Pain and Inflammation

 Acupuncture is well-known for its analgesic (pain-relieving) properties. When needles are inserted into specific acupoints, the body responds by releasing endorphins—natural pain-relieving chemicals. Additionally, acupuncture has been shown to reduce inflammation, which is a common contributing factor to nerve irritation in spinal stenosis. By targeting areas around the spine and other affected regions, acupuncture can help alleviate pressure on the nerves and reduce pain and inflammation.

2. Improvement of Circulation 

One of the primary goals of acupuncture is to promote better circulation of blood and Qi throughout the body. Poor circulation can exacerbate pain, stiffness, and inflammation in the spine. Acupuncture can enhance blood flow to the affected areas, delivering oxygen and nutrients necessary for healing, while also removing metabolic waste that may contribute to pain and stiffness.

3. Relaxation of Muscles 

Spinal stenosis often leads to muscle tightness and spasms, particularly in the lower back and legs. By stimulating acupuncture points related to muscle relaxation, acupuncture can relieve muscle tension and improve range of motion. This reduction in muscle tightness can help ease nerve compression and alleviate symptoms such as pain and numbness.

4. Regulation of the Nervous System

 Acupuncture has been shown to modulate the nervous system by influencing both the peripheral and central nervous systems. This helps reduce nerve sensitivity and calms overactive pain signals in the spinal cord. Additionally, acupuncture may activate the body's parasympathetic nervous system (responsible for rest and healing), encouraging a state of relaxation that further aids in pain reduction.

CLINICAL EVIDENCE SUPPORTING ACUPUNCTURE FOR SPINAL STENOSIS

Research has increasingly demonstrated that acupuncture can provide effective relief for spinal stenosis symptoms. A 2017 study published in Pain Medicine examined the effects of acupuncture on patients with lumbar spinal stenosis and found that acupuncture significantly improved pain, functional mobility, and quality of life. Participants experienced greater improvements in pain reduction and physical function compared to those who received conventional care alone.

Another study published in Spine Journal in 2018 explored acupuncture as part of a comprehensive treatment plan for patients with spinal stenosis. The findings indicated that patients who received acupuncture in conjunction with other non-invasive therapies reported greater improvements in mobility and reduced pain levels than those who did not receive acupuncture.

These studies suggest that acupuncture is a viable and effective treatment option, particularly when combined with other conservative therapies such as physical therapy and exercise. Importantly, acupuncture is well-tolerated by most patients and has minimal side effects, making it a safe option for individuals seeking alternatives to more invasive treatments.

WHAT TO EXPECT FROM ACUPUNCTURE TREATMENT FOR SPINAL STENOSIS

If you are considering acupuncture for spinal stenosis, your treatment plan will be tailored to your specific condition and symptoms. As a Licensed Acupuncturist, I will perform a thorough assessment of your health, identifying which areas of the spine and body are most affected. Acupuncture points will be selected based on your pain patterns, range of motion, and overall health.

Sessions may last between 30 and 60 minutes, and most patients find the process relaxing and calming. Some individuals experience immediate relief, while others may require multiple sessions before significant improvement is noticed.

COMBINING ACUPUNCTURE WITH OTHER THERAPIES

While acupuncture can be highly effective on its own, it can also be combined with other treatments for enhanced results. For spinal stenosis, acupuncture is often used alongside:

• Physical therapy to improve strength and flexibility.

• Massage therapy to release muscle tension and improve circulation.

• Herbal medicine or dietary changes to support overall wellness and reduce inflammation.

Spinal stenosis can be a debilitating condition, but acupuncture offers a promising and natural solution for managing its symptoms. By reducing pain, improving circulation, and relaxing tight muscles, acupuncture provides a holistic approach to treating spinal stenosis without the risks associated with medications or surgery.

If you're exploring non-invasive treatments for spinal stenosis, acupuncture could be an effective and safe option. Be sure to consult with a licensed acupuncturist who can design a personalized treatment plan to help you find relief from your symptoms and improve your quality of life.

The Metal Element in Traditional Chinese Medicine: What It Means For You

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Many of you know that I love to talk about the seasons as it relates to your body.  When you understand how your system is affected by the seasons, you can balance your system and be able to take better care of yourself. For many, fall is the season to restructure things. Let’s explore how the element of metal in Traditional Chinese Medicine plays into this.

In Traditional Chinese Medicine (TCM), the natural world and human health are viewed through the lens of the Five Elements, also known as the Five Phases: Wood, Fire, Earth, Metal, and Water. Each element represents specific qualities, organs, emotions, and seasons, providing a framework for understanding the body’s balance and harmony with nature.

The Metal element, associated with Autumn, plays a crucial role in TCM's philosophy, governing the functions of the Lungs and Large Intestine. It is also linked to the process of letting go and refinement. Understanding the Metal element and its influence on your health and emotions can guide you toward greater physical, emotional, and spiritual well-being.

THE METAL ELEMENT: AN OVERVIEW

In TCM, the Metal element is all about purification, structure, and boundaries. It represents the ability to discern what is valuable and what must be released. Just as autumn is the season when trees shed their leaves in preparation for winter, Metal teaches us about the importance of letting go, refining what is essential, and creating space for new growth.

Key Associations of the Metal Element:

• Season: Autumn

• Organs: Lungs and Large Intestine

• Emotion: Grief and sadness

• Sense: Smell

• Climate: Dryness

• Color: White

• Tissues: Skin and body hair

THE METAL ELEMENT AND YOUR BODY: THE LUNGS AND LARGE INTESTINE

1. The Lungs: Purifying and Protecting

The Lungs are the primary organ associated with the Metal element in TCM, and they play a vital role in both physical and emotional health. The Lungs also control respiration, the intake of oxygen, and the release of carbon dioxide, which parallels Metal's theme of taking in and letting go.

2. The Lungs: Taking In

When the Metal element is in balance, the Lungs function optimally, and you experience clear breathing, strong immune function, and a sense of vitality. However, when the Metal element is out of balance, you may experience respiratory issues such as coughing, asthma, or chronic colds, as well as skin conditions since the Lungs also govern the skin.

3. The Large Intestine: Letting Go

The Large Intestine, also governed by the Metal element, plays a vital role in the body’s process of elimination. In TCM, the Large Intestine is responsible for the final stage of digestion, where the body absorbs remaining nutrients and expels waste.

Just as autumn signals the time to let go of what is no longer needed, the Large Intestine ensures that waste is efficiently eliminated, maintaining internal cleanliness and balance. If the Large Intestine is imbalanced, issues such as constipation, diarrhea, or irritable bowel syndrome (IBS) may arise.

On a deeper level, the Large Intestine’s function of elimination reflects Metal’s ability to let go of emotional baggage. Emotional stagnation, particularly related to grief or an inability to let go of past experiences, can manifest as physical symptoms in the Large Intestine.

THE METAL ELEMENT AND YOUR EMOTIONS: GRIEF AND LETTING GO

Emotionally, the Metal element is associated with grief and sadness. These emotions are considered natural and necessary but can become problematic if they are not properly processed or released. Just as trees shed their leaves in autumn, the Metal element teaches us that it is essential to release emotions that no longer serve us.

When the Metal element is balanced, you are able to experience grief fully and let go of it when the time is right, allowing for healing and new beginnings. However, when the Metal element is out of balance, you may struggle with prolonged sadness, difficulty moving on, or feelings of isolation and emptiness. Conversely, an excess of the Metal element can lead to an over-rigid or controlling nature, where one holds onto grief or material possessions too tightly.

Signs of Metal Imbalance in Emotions:

• Difficulty letting go of past hurts or experiences

• Prolonged or unresolved grief

• A sense of detachment or emotional coldness

• Over-perfectionism or controlling behavior

• Feeling stuck in rigid routines or thoughts

THE METAL ELEMENT AND THE SKIN

In TCM, the skin is often referred to as the "third Lung," as it serves as the body’s external boundary and plays a crucial role in protecting the internal body. Healthy skin is a reflection of strong Lung function and balanced Metal energy.

When the Metal element is balanced, the skin is radiant, healthy, and free of issues. However, an imbalance can manifest as skin problems such as dryness, eczema, or rashes. The skin, like the Lungs, needs moisture and proper regulation to maintain its protective function, and imbalances in the Metal element can disrupt this delicate balance.

HOW TO SUPPORT THE METAL ELEMENT

Balancing the Metal element involves practices that support the Lungs and Large Intestine, promote emotional processing, and align with the seasonal energy of autumn. Here are some key ways to nurture your Metal element:

1. Breathwork and Meditation

Because the Lungs are the organ of Metal, practices that promote healthy breathing are essential. Deep breathing exercises, pranayama, and meditation help increase Lung capacity, improve Qi flow, and support emotional release. Mindful breathing can also help you process grief and let go of emotional stress.

Introduction to the Metal Element | Chinese Five Elements

2. Hydrate and Moisturize

The Metal element is associated with dryness, particularly in the autumn season. To counter this, stay well-hydrated by drinking warm fluids like herbal teas or soups, and ensure your skin is moisturized with natural oils or creams. Foods with high water content, such as pears, can also help nourish the Lungs and keep the skin healthy.

3. Eat Lung-Nourishing Foods

In TCM, certain foods are considered particularly beneficial for the Lungs and Large Intestine. White-colored foods, such as pears, radishes, and daikon, align with the Metal element and help nourish Lung function. Warming spices like ginger and cinnamon are also beneficial for balancing the dryness of autumn and strengthening the Lungs.

4. Practice Letting Go

To support the Metal element’s emotional function, practice the art of letting go. This could mean decluttering your living space, journaling about unresolved emotions, or engaging in practices like yoga or qigong that promote the release of stagnant energy. Remember that grief is a natural part of life, and creating space for reflection and healing is essential to balance the Metal element.

5. Stay Connected to Nature

Autumn is a time when nature begins to contract, and the Metal element teaches us to reflect and turn inward. Spending time in nature, especially in cool, crisp autumn air, can help you connect with the energy of Metal and align with the season's natural rhythm. Hikes in the woods, appreciating the changing leaves, and practicing mindfulness in nature can help cultivate a sense of peace and clarity.

The Metal Element is not just about the actual metal — it’s about what metal stands for — being strong, clear about things, and knowing when it’s time to let things go. This helps keep our bodies and minds in balance, especially as the seasons change.

MENISCUS TEARS AND TREATING MY OWN KNEE WITH ACUPUNCTURE

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Last week I fell off my bicycle while standing still (I call this my Joe Biden move!) While I thought I had a mild contusion of my knee, knowing the scrape would eventually heal, I wasn’t prepared for the pain I experienced nearly 2 weeks later. I continued to ride my bike all week, on a weakened knee. After three days of intense pain, I decided to just give myself a treatment, and 24 hours later, I’m 90% better! Acupuncture works!

Meniscus tears are a common knee injury that can affect athletes, active individuals, and people with degenerative joint conditions alike. In Western medicine, treatment options typically involve physical therapy, pain management, and in severe cases, surgery. However, Acupuncture offers an alternative, non-invasive treatment option.

Acupuncture has long been used to treat musculoskeletal injuries by promoting healing, reducing pain, and improving function. This article explores how acupuncture can be used to effectively treat meniscus tears and aid in the recovery process.

WHAT IS A MENISCUS TEAR?

The meniscus is a crescent-shaped piece of cartilage that acts as a cushion between the femur (thighbone) and the tibia (shinbone). Each knee has two menisci – the medial meniscus on the inner side and the lateral meniscus on the outer side. These structures help absorb shock, stabilize the knee joint, and distribute weight evenly across the joint during movement.

A meniscus tear occurs when this cartilage is torn, usually due to sudden twisting, pivoting, or forceful movements. Meniscus tears can also develop gradually due to wear and tear, especially in older individuals with degenerative joint conditions like osteoarthritis. Common symptoms of a meniscus tear include:

    •    Pain, particularly along the inner or outer sides of the knee

    •    Swelling and stiffness

    •    Difficulty bending or straightening the knee

    •    A “locking” sensation, where the knee becomes stuck in a certain position

    •    Instability or weakness in the knee joint

HOW CAN ACUPUNCTURE HELP?

For meniscus tears, acupuncture works by:

1. Reducing Pain

Acupuncture has been shown to stimulate the release of endorphins, the body’s natural painkillers, as well as serotonin and other neurotransmitters that help regulate pain perception. By targeting specific acupoints, acupuncture helps to reduce pain, both locally at the knee and systemically.

2. Anti-inflammatory

By helping to reduce swelling and inflammation around the torn meniscus. Inflammation is a common response to injury and can prolong recovery if not properly managed. Acupuncture helps bring the body back to a state of balance, allowing for better healing.

3. Improving Circulation

A key benefit of acupuncture is its ability to improve circulation. of both Qi and Blood in the injured area. When a meniscus is torn, the area around the knee can become congested with stagnant fluids and blood, slowing the healing process.

Improved circulation also ensures that nutrients and oxygen are delivered to the injured meniscus, while waste products and toxins are removed. This speeds up recovery and helps prevent further damage to the cartilage and surrounding tissues.

4. Restoring Joint Mobility

After a meniscus tear, patients often experience stiffness and limited range of motion in the knee. Acupuncture and electric stimulation, helps to relax the muscles and improve range of motion.

5. Supporting Tissue Regeneration

Acupuncture encourages the regeneration of damaged tissues, including cartilage and connective tissues in the knee joint. This is particularly important for chronic meniscus injuries or degenerative tears, where the cartilage is worn down over time. Taking a good glucosamine supplement will also help.

INTEGRATING ACUPUNCTURE WITH CONVENTIONAL TREATMENTS

While acupuncture is highly beneficial for treating meniscus tears, it can also be used alongside conventional treatments such as physical therapy, rest, and, in some cases, surgery. Acupuncture complements these therapies by reducing pain and inflammation, accelerating the healing process, and improving the body’s overall ability to recover.

For patients recovering from knee surgery (such as a meniscus repair or meniscectomy), acupuncture can help reduce post-surgical pain, promote faster tissue healing, and prevent the formation of scar tissue, which can limit mobility.

CASE STUDIES AND RESEARCH

Several studies support the use of acupuncture for knee injuries, including meniscus tears. Research has shown that acupuncture can reduce pain, improve joint function, and enhance overall recovery for patients with knee osteoarthritis, which often involves meniscal damage.

    •    A study published in the journal Arthritis & Rheumatism found that acupuncture significantly reduced pain and improved physical function in patients with knee osteoarthritis, with benefits persisting for several weeks after treatment.

    •    Another study in The American Journal of Chinese Medicine demonstrated that acupuncture reduced knee pain and improved mobility in patients with degenerative meniscus injuries, even when conventional treatments had limited success.

Meniscus tears can be a painful and debilitating condition, but acupuncture offers a holistic and effective approach to healing. By reducing pain, improving circulation, promoting tissue repair, and restoring joint mobility, acupuncture can significantly aid in the recovery process for meniscus tears. Whether used as a stand-alone treatment or in combination with conventional therapies, acupuncture provides a safe, natural, and non-invasive option for those seeking relief from knee pain and injury. 

Cooked Foods vs. Raw Foods: A Chinese Medicine Perspective

Photo by Ruslan Dashinsky from iStock

Many of my patients are probably wondering why I’m not an advocate for a raw food diet. In this article, I want to explain why. Raw foods are often praised for their vitality, high nutrient content, and ability to promote health and detoxification. However, from a Traditional Chinese Medicine (TCM) perspective, raw and cooked foods are viewed quite differently. TCM focuses on the energetic properties of food and its effect on the body's internal balance. The choice between eating raw or cooked foods depends on an individual’s constitution, the season, and overall health, with TCM typically advocating for a more balanced approach to food preparation airing on the side of lightly cooked or cooked foods instead of salads or all raw fruits and veggies.

THE TCM PERSPECTIVE ON DIGESTION

In Chinese medicine, digestion is viewed as a process of transformation and transportation, primarily governed by the Spleen and Stomach.

• The Stomach receives food and begins the breakdown process, while the Spleen transforms food into Qi (vital energy) and Blood, which are then distributed throughout the body.

• Digestion is seen as a "cooking" process—just as food is cooked outside the body, it must be "cooked" internally to be properly digested and absorbed. This requires warmth and energy from the digestive system. When we’re eating cold/raw foods, the digestive system has to work that much harder to break everything down.

When food is difficult to digest, it can cause issues such as Spleen Qi deficiency, Dampness, or stagnation, leading to symptoms like bloating, fatigue, or loose stools.  The primary concern is supporting the digestive fire or "digestive Qi" to optimize nutrient absorption and energy production. The digestive fire has to work harder when you’re consuming cold/raw food.

COOKED FOODS: EASIER ON THE DIGESTIVE SYSTEM

1. Warming Nature

In TCM, cooked foods are seen as easier to digest because the external cooking process helps "pre-digest" the food, making it less taxing on the digestive system. This is particularly important for individuals with weak digestion or Spleen Qi deficiency, which is common in people who experience fatigue, bloating, loose stools or energetically depleted. 

• Cooking food warms it, aligning with the body's natural warmth. This is especially important in colder seasons like fall and winter, when the body needs more warmth to maintain balance.

• Warm, cooked foods, such as soups, stews, and steamed vegetables, help preserve and nourish the body's Qi, Blood, and internal fluids, promoting better digestion and overall health. I love taking out the crock-pot this time of year!

2. Supports Spleen Function

The Spleen prefers warmth and dryness, and eating cold or raw foods can weaken its function. When the Spleen is compromised, it struggles to properly transform and transport food, leading to Dampness (excess moisture), which can manifest as bloating, lethargy, or weight gain.

Cooked foods are often recommended in TCM to strengthen the Spleen and support efficient digestion, as they require less energy to process and convert into Qi. This is especially true for those who have a weak constitution, are recovering from illness, or feel cold and tired frequently. 

3. Seasonal Considerations

Especially in the cool weather, starting now, the body benefits from warm, cooked foods that align with the external environment.. Foods that nourish, protect and help maintain balance and what’s in season now such as squash, root vegetables, and dark leafy greens (sauteed or steamed)

Having said that, please don’t cook your foods until they are over-cooked and have no color or life to them.

RAW FOODS: COOLING AND DETOXIFYING, BUT HARDER TO DIGEST

While raw foods like salads, fruits, and smoothies are often praised in Western nutrition for their high enzyme and vitamin content, TCM views them as having a cooling and detoxifying nature, which can be beneficial in certain cases but may also present challenges for digestion.

1. Cooling Nature

Raw foods are seen as cold in nature, meaning they can have a cooling effect on the body. While this can be beneficial in hot weather or for individuals with too much Heat in their bodies (such as those who tend to feel hot, have red skin, or experience inflammation), it may not be suitable for everyone, especially those with weak digestive fire or a cold constitution.

• In TCM, people with a Cold constitution or weak Spleen Qi often find that eating raw foods can further weaken their digestion, leading to symptoms like bloating and feeling cold easily.

• Excessive consumption of raw, cold foods can dampen the digestive fire, resulting in Qi stagnation or Dampness. Over time, this can lead to sluggish digestion, low energy, and weakened immune function.

2. Detoxifying Benefits

Raw foods are often praised for their detoxifying qualities, especially in cases of Heat or Damp-Heat conditions in the body. In these cases, raw fruits and vegetables may help cool and cleanse the body, especially in the summer months or for individuals with excess Heat signs like inflammation, acne, or a strong appetite for greasy and spicy foods.

However, raw foods should be consumed in moderation and in the appropriate season, as overconsumption can disrupt the digestive process, especially in individuals with existing Spleen or Stomach deficiencies. So many of my patients are eating salads after salads, which in theory sound good for us, but are actually not.

3. Mindful Preparation

Even if you enjoy raw foods, lightly cooking or warming certain foods can make them easier to digest while still retaining much of their nutritional value. For example, steaming vegetables rather than eating them raw helps soften their fibers and aids in digestion without losing too many nutrients.

From a Chinese medicine perspective, the choice between raw and cooked foods depends on the individual’s constitution, but cooked foods are generally preferred in TCM due to their ease on the digestive system and ability to support the body's internal warmth. The key to optimal health lies in balance—adjusting your diet to meet your body’s needs and the environment, ensuring that your digestion remains strong and your digestion and energy flows smoothly.

For an individual consultation about approaching your diet through a Chinese Medicine lens, I suggest making an appointment with Dr. Alex. 

September is Self-Care Awareness Month!

September is “Self-Care awareness month”, a time to remind ourselves of the importance of taking care of our physical, emotional, and mental health. In our fast-paced society, self-care often takes a back seat to work, family, and other responsibilities, leading to burnout, stress, and various health issues. Acupuncture and Chinese Medicine offer a different approach to well-being on multiple levels. This article explores how acupuncture can support self-care practices and enhance your overall health during Self-Care Awareness Month.

THE IMPORTANCE OF SELF-CARE

Self-care is not a luxury but about making conscious choices to nurture your mind, body, and spirit. Regular self-care practices can lead to:

• Reduced Stress

• Improved Physical Health

• Enhanced Mental Well-Being

• Greater Balance in Life

HOW ACUPUNCTURE SUPPORTS SELF-CARE

Acupuncture is a time-tested practice that involves the insertion of fine needles into specific points on the body to stimulate energy flow (Qi) and restore balance. Here’s how acupuncture can enhance your self-care routine:

1. Stress Reduction

One of the most well-known benefits of acupuncture is its ability to reduce stress. Stress is often the root cause of many health problems, including headaches, insomnia, digestive issues, and weakened immunity. We’re seeing this more and more!

3. Boosting Energy Levels

Whether you feel fatigued, drained or just burnt-out, acupuncture helps restore energy and vitality through balancing your energy and supporting organ health. is a common barrier to effective self-care. 

4. Enhancing Mental Clarity and Emotional Balance

Self-care is not just about physical health—it’s also about nurturing your mental and emotional well-being. Acupuncture works so well to calm the nervous system so you can fully relax while you’re here. It’s a great reset for the mind and increases clarity.

5. Strengthening Immunity

During Self-Care Awareness Month, it's important to focus on preventive care. Acupuncture can strengthen your immune system by:

• Boosting Wei Qi (Defensive Energy): In TCM, Wei Qi is the body’s protective energy that defends against external pathogens. Acupuncture can strengthen Wei Qi, making you more resilient to colds, flu, and other infections running around this time of year.

• Reducing Inflammation: Acupuncture can lower inflammation levels in the body, which is essential for preventing chronic illnesses and maintaining overall health.

WAYS TO ENHANCE SELF-CARE ALONGSIDE ACUPUNCTURE

In addition to acupuncture, there are many simple self-care practices you can incorporate into your daily routine. Here are some effective ways to prioritize self-care during Self-Care Awareness Month:

1. Establish a Mindfulness Routine

Taking a few minutes each day to practice mindfulness can help you stay grounded and reduce stress:

• Meditation: Set aside 5-10 minutes each day to focus on your breathing and clear your mind. Apps like Headspace or Calm can be helpful tools.

• Gratitude Practice: Writing down a few things you're grateful for each day can improve emotional resilience and foster a positive mindset.

2. Practice Gentle Movement

Physical activity is an essential component of self-care, but it doesn’t have to be strenuous. Gentle forms of exercise, like yoga, stretching, or Tai Chi, can help relieve tension and enhance energy flow.

• Morning Stretches: Start your day with a few simple stretches to get your blood flowing and release stiffness from sleep.

• Evening Yoga: Incorporate a few calming yoga poses before bed to help you wind down and sleep better.

• Walk: Taking a brisk morning walk helps to increase your energy or an evening stroll to wind down after a long day is great for the body and soul.

3. Nourish Your Body with Healthy Foods

What you eat directly impacts your physical and mental health. During September, focus on:

• Eating Seasonal Foods: In TCM, eating foods that are in season, such as root vegetables and warming soups, helps align the body with the changing environment.

• Staying Hydrated: Drinking enough water is essential for keeping your energy levels up and flushing out toxins.

4. Prioritize Rest and Sleep

Sleep is one of the most powerful forms of self-care. To improve your rest:

• Set a Bedtime Routine: Create a relaxing bedtime ritual, such as reading a book, listening to calming music, or taking a warm bath to signal to your body that it’s time to wind down.

• Limit Screen Time: Avoid using electronics at least an hour before bed to reduce blue light exposure, which can interfere with sleep quality.

5. Engage in Creative Activities

Creative expression is a form of self-care that nurtures the mind and spirit. Try engaging in activities like:

• Journaling: Writing down your thoughts can be a powerful way to process emotions and gain clarity.

• Art and Craft Projects: Whether it’s painting, knitting, or crafting, creative activities allow you to relax and express yourself.

• Dance!:  Whether it’s going to a class, or just putting on your favorite music and shaking it up, dance is a wonderful way to nourish your body and soul.

• Gardening: Many of my patients are avid gardeners.  This is a wonderful time to harvest the fruits of your labor. Cut those flowers and make a beautiful bouquet.

Self-Care Awareness Month is the perfect opportunity to reflect on your health and well-being. Acupuncture offers a natural, holistic approach to self-care, providing relief from stress, pain, fatigue, and emotional imbalances. By incorporating acupuncture into your self-care routine, you can support your body’s natural healing processes and promote balance in all areas of your life. Take this September to prioritize your health, and consider acupuncture as a valuable tool in your journey to holistic well-being.