ACUPUNCTURE – WHAT IS IT?
Acupuncture is a method of treating various ailments by inserting very fine needles into the skin.
It developed in China over 2000 years ago. Traditional Chinese Acupuncture relies on a system of ideas which modern orthodox doctors have some difficulty understanding or indeed using to any great effect. However, that is not to say that Acupuncture cannot be used successfully in the treatment of many conditions alongside other methods of treatment such as drugs or physiotherapy.
HOW DOES IT WORK?
Acupuncture was thought by the Ancient Chinese to alter an energy flow through a system of channels or meridians which run through the body. The Chinese believe that the circulation of this life force (or Chi) influences health and well-being. This is difficult to quantify from a conventional point of view and so a more orthodox explanation has developed.
Although the precise mechanism is unclear it is probable that Acupuncture exerts an effect through the central nervous system. By the stimulation of the very fine nerves which run underneath the skin it is possible to modify nerve impulses to the spinal cord and brain. This may facilitate the release of certain chemical transmitters thereby easing many symptoms for which Acupuncture can be effective.
IN WHAT CONDITIONS CAN ACUPUNCTURE BE USED?
The list of conditions in which Acupuncture can be utilised is endless. It also varies from practitioner to practitioner; from patient to patient; and from condition to condition. I find, however, that it is most useful in the alleviation of pain: almost from whatever cause, but particularly from musculoskeletal origin – including neck pains, low back pains and persistent pains from joints – whether due to arthritis or other causes.
Other conditions in which I find Acupuncture helpful are some gastrointestinal problems such as irritable bowel syndrome; hayfever and sinus congestion; hormonally based complaints such as period pains and premenstrual syndrome; certain skin conditions, migraines and some addictions eg nicotine.
WHERE ARE THE NEEDLES INSERTED?
The needles are inserted quite superficially, rarely penetrating more than ¼ to ½ below the skin. They may be inserted anywhere on the body and often in paradoxical places. For example, I often use an Acupuncture point on the foot for neck and shoulder pains. Potentially any point on the skin can be considered as an Acupuncture point and may exert an effect; however, experience indicates that there are certain known Acupuncture points which are more effective than others and these tend to be used by preference.
IS ACUPUNCTURE SAFE?
The needles I use are individually sterilised and disposable. They are used on one subject only before being discarded.
Acupuncture is a safe method of treatment with little in the way of side effects, and in trained hands any risk is very small.
WHAT CAN I EXPECT TO FEEL?
Reaction to the insertion of the needle can be divided into two groups: local and general. Local effects: Because the needles are so fine there is only the slightest prick as the needle pierces the skin. After, it is possible to have a variety of sensations from nothing at all to a sensation of heaviness; a tingling sensation like pins and needles, or the sensation approaching that of a local anaesthetic. If the needle is advanced further then there may be a duller pain or heaviness of a limb which may last for some time afterwards. It is possible that odd sensations may be experienced in areas distant to the spot being needled.
General effects: There are variable and tend to happen in more sensitive individuals. Some subjects experience a lightness of mind and body, a relaxation which approaches effects gained by one or two drinks of alcohol and is usually pleasant. Others may simply feel that their general well-being is improved. Still others may feel no difference in their general state.
It is possible for a few susceptible individuals to feel faint but this is usually short-lived and subsides when the needle is removed.
AND AFTERWARDS? The main precaution after an Acupuncture treatment is rest. This should, ideally, be of 12 to 24 hours duration. Resting not only has a soothing effect on the subject as a whole, but also increases the effect of the treatment.
The frequency of treatments is determine largely by the effects of the previous one. Often a course of several (3 to 4) treatment sessions is needed in order to gauge the response of an individual to Acupuncture. This is particularly if a complaint is of a longstanding nature. Generally speaking complaints of a shorter duration require fewer treatments to improve them.
Often there is no response at all to Acupuncture, at least on the first treatment: however, it is often worthwhile persisting to gain the maximum benefit.
SHOULD ANYONE NOT HAVE ACUPUNCTURE? Clearly anyone who is averse to needles should not consider having a therapy which involves them!
Also anyone who is or may be pregnant should avoid Acupuncture as its effect on pregnancy, although probably safe, is unproven.
Dr Fraser Wood
Union Brae Surgery, Tweedmouth, Berwick upon Tweed
Pedwell Way Surgery, Norham, Berwick upon Tweed
For more information about Acupuncture you can go to the British Acupuncture Society website.
MBChB MRCGP
Diploma in Medical Acupuncture
01289 330333
01289 382265
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Debbie McLeman September 2004