- Art of Wellness Acupuncture & Traditional Chinese Medicine (TCM)11704 Wilshire Blvd, Suite 295, Los Angeles, CA, 90025
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Recent Posts
- How To Treat Frozen Shoulder With Acupuncture and TCM
- How to Treat Pelvic Congestion Syndrome With Acupuncture and TCM
- How to Treat Splenomegaly (Enlarged Spleen) With Acupuncture and TCM
- How to Treat Bone Spurs With Acupuncture and TCM
- How To Treat Pelvic Pain With Acupuncture and TCM
- How to Treat Chronic Kidney Disease (CKD) With Acupuncture and TCM
- How to Treat Edema With Acupuncture and TCM
- How to Treat Cirrhosis With Acupuncture and TCM
- How to Treat SIBO With Acupuncture and TCM
- How to Treat Pruritus With Acupuncture and TCM
- How to Treat MCAS With Acupuncture and TCM
- How to Treat Shin Splints With Acupuncture and TCM
- How to Treat Dysautonomia With Acupuncture and TCM
- How to Treat Myofascial Pain Syndrome With Acupuncture and TCM
- How to Treat Costochondritis With Acupuncture and TCM
- How to Treat Ankylosing Spondylitis With Acupuncture and TCM
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Circulation
How to Treat Pelvic Congestion Syndrome With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. and Qineng Tan, L.Ac., Ph.D.
Pelvic pain that gets worse after standing for a long time? Urinary pain and urgency? Lower back pain and sciatica? Bloated stomach after eating? These can all be symptoms of pelvic congestion syndrome (PCS), or vaginal varicose veins. Acupuncture and TCM offer an alternative treatment for pelvic congestion syndrome.
What is Pelvic Congestion Syndrome (PCS)?
Pelvic Congestion Syndrome (PCS) is a chronic condition caused by varicose veins in the pelvis—similar to varicose veins that commonly occur in the legs. These dilated veins in the pelvis can cause severe pelvic pain, particularly a feeling of heaviness or aching pain that worsens over the day. PCS pain can often get worse after standing for long periods.
Pelvic congestion is one of the most common causes of chronic pelvic pain, but PCS often goes undiagnosed because the symptoms can mimic other conditions, such as:
- Endometriosis
- uterine fibroids/leiomyoma of the uterus
- bladder pain/interstitial cystitis
- ovarian cysts
- Generalized back pain, lower back pain, hip pain, or groin pain
All of these conditions can cause chronic pain in the pelvic area.
In Pelvic Congestion Syndrome, dilated veins around the ovaries and the vulvovaginal can happen due to venous obstruction, problems with valves in the blood vessels, and/or changes in hormone levels.
PCS does not only affect women. Men can also suffer from pelvic congestion syndrome and experience chronic pelvic pain.
Pelvic pain conditions related to vascular issues and blood flow are complicated. Most health conditions related to pelvic pain in relation to reproductive organs, and in particular CPS, are still not very well understood by modern medicine.
TCM offers a holistic approach to reproductive healthcare. Acupuncture treatment can help address the many factors involved in pelvic congestion syndrome.
Top 10 Pelvic Congestion Syndrome Symptoms
PCS symptoms can vary from patient to patient, but the most common signs of PCS include:
- Pelvic pain that gets worse as the day goes on. Discomfort tends to accumulate as the day progresses due to the pooling of blood in the pelvic veins, leading to increased pressure.
- Pelvic pain that worsens when standing for long periods. Many women report that standing for extended periods increases the feeling of pressure and pain in the pelvic region.
- Pelvic pain after eating, abdominal pain after meals. Eating can trigger pain and bloating, making meals uncomfortable.
- Urinary incontinence, an inability to control urination, especially when coughing or lifting something heavy.
- Painful urination (urinary pain),burning during urination, often confused with a UTI (urinary tract infection).
- Urinary urgency, sudden need to urinate, sudden, intense urge to urinate, which can feel similar to bladder conditions.
- IBS symptoms, alternating constipation and diarrhea, bloating, and abdominal pain.
- Lower back pain, radiating pain in the lower back, often mistaken for sciatica or musculoskeletal problems.
- Throbbing in the legs, achy legs after standing for a long time, poor circulation in the lower extremities, causing aching, swelling, and throbbing in the legs.
- Painful intercourse (dyspareunia), pain during or after sex due to the increased pressure and swelling of the pelvic veins.
What Does Pelvic Congestion Pain Feel Like?
Pelvic Congestion Syndrome (PCS) and Chronic Pelvic Pain Syndrome (CPPS) are two conditions that cause debilitating pain in the pelvic region, yet they are distinct in the way they present.
Pelvic Congestion Syndrome (PCS) is primarily caused by varicose veins in the pelvis, leading to blood pooling in the veins and creating chronic pelvic pain, particularly in women of childbearing age. PCS pain tends to worsen after long periods of standing, physical activity, or after sexual intercourse.
PCS is often associated with hormonal changes and pregnancy, but it is also underdiagnosed because the symptoms can overlap with other pelvic disorders besides pregnancy.
Diagnostic tools like Doppler ultrasound or venography are often needed to identify the underlying venous issues, which may be treated with hormone therapy, vein embolization, or surgery.
Medications that suppress estrogen may be prescribed to help relieve symptoms. These include Depo-Provera, Implanon, or Goserelin. These are all drugs that also prevent pregnancy, so they are not helpful for people who may be hoping to get pregnant, or who want or need to avoid taking hormonal birth control for whatever reason.
Ovarian vein embolization is a procedure that blocks or ties off veins so that blood isn’t flowing or pooling in areas of the pelvis.
Acupuncture offers an natural treatment for pelvic congestion syndrome, without side effects of hormonal birth control.
Can Acupuncture Help Pelvic Congestion Syndrome?
Traditional Chinese Medicine (TCM), particularly acupuncture, can be an effective modality for treating conditions like Pelvic Congestion Syndrome (PCS) and Chronic Pelvic Pain Syndrome (CPPS).
Acupuncture has been widely adopted in both Eastern and Western countries for managing pain syndromes. The central mechanism behind acupuncture’s effectiveness in these cases is its ability to stimulate specific acupoints, improving local blood circulation and reducing inflammation, which ultimately helps in alleviating pain.
The muscles and fascia inside the pelvis play a crucial role in maintaining the stability of the pelvis and spine. The fascia in the pelvis can be compromised by trauma, postural stress, pregnancy, anxiety, and other subtle factors.
This is one of the reasons the pelvic pain and congestion can be difficult for conventional medicine to address properly. Visceral pain in the pelvic may not be easily “visible,” as it can be caused by microtraumas, adhesions, scar tissue, and pain referring from one area to another.
Acupuncture treatment can help relieve this type of pain, as placing needles in acupoints has an analgesic, as well as a calming, effect.
Research has demonstrated that acupuncture can release certain neurochemicals like adenosine, which exerts an analgesic effect during stimulation of acupoints, offering relief from pain in conditions like CPPS. This mechanism helps reduce inflammation and regulate pain by influencing inflammatory mediators, which play a significant role in chronic pelvic pain disorders.
Clinical trials have specifically shown that acupuncture improves symptoms in both men and women suffering from CPPS, with better outcomes than placebo or sham treatments.
One study looked at male patients with pelvic pain and venous congestion. After five weekly sessions of acupuncture treatment, patients reported significant reduction in pain, and MR venography showed reduction in intrapelvic venous congestion.
Specific formulations of Chinese herbs have been developed to help address the root cause of pelvic congestion, while also relieving painful symptoms.
Acupuncture’s ability to relieve pain through modulation of inflammatory processes makes it an excellent alternative or complementary therapy for chronic pelvic pain conditions.
Acupuncture Near Me for PCS in West LA
At Art of Wellness Acupuncture and TCM in Santa Monica, we have over 35 years of experience helping people with all kinds of chronic pain conditions. We offer highly specialized care for people experiencing reproductive issues, pregnancy, pelvic pain, referred back pain, lower back pain, hip pain, and groin pain. Our team of practitioners spend time with each patient to provide holistic care that takes the whole person into account: physical, mental, and emotional. If you or someone you know is experiencing chronic pelvic pain, please do not hesitate to reach out to us.
*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.
How to Treat Edema With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. and Xiaomei Cai, L.Ac., Ph.D.
Swollen feet and ankles? Fluid retention in legs? These are signs of edema. Acupuncture and TCM offer natural diuretic herbs and alternative treatment for swelling in legs and feet.
Edema refers to when excess fluid in body tissues, or water retention, leads to swelling. Edema most commonly causes swollen ankles and swollen feet. But edema can occur in many parts of the body.
Blood vessels have tiny valves that work to push blood from the lower body back up to the heart. When this process isn’t working properly, blood and other fluids will gather in the legs and cause swollen feet and ankles.
Edema causes puffiness under the skin, and when you press on the skin, it leaves an imprint. The skin may be shiny and stretched because of water retention.
Other edema symptoms can include a feeling of heaviness in the legs, and a swollen belly or distended abdomen.
Everyone experiences edema once in a while; for example, after a long airplane flight, which causes fluids to pool in the legs and feet, or the day after eating particularly salty foods, which can cause water retention. Edema is also common during pregnancy, when increased blood volume and pressure from the growing uterus can cause edema in the legs.
Occasional edema can often be prevented or remedied by reducing salt intake, drinking more water, and wearing compression garments.
Some health conditions can cause edema, in which case, both the underlying issue and the edema itself need to be addressed.
Acupuncture and Chinese herbs can help relieve swollen ankles and feet due to water retention, as well as helping to address the root cause of edema.
Causes of Edema
Edema can happen when a person stays in one position for a long time and fluids build up in the lower body due to gravity. This type of swelling can be helped by getting up and moving around regularly and/or wearing compression socks that prevent water retention from causing swollen ankles and feet.
Cardiovascular issues having to do with heart function or the health of blood vessels can cause edema. When the heart doesn’t pump blood effectively, it can cause fluid buildup in the legs, ankles, and feet. Venous insufficiency, or weakness in the veins, can prevent blood from being pushed back to the heart properly, which leads to varicose veins and blood buildup in the legs.
Kidney disease and liver disease can contribute to edema. Damaged kidneys are less able to remove excess fluid, leading to swelling. Conditions like cirrhosis can increase pressure in blood vessels and reduce proteins that keep fluid in the bloodstream, causing edema.
Blocked or damaged lymph nodes can prevent lymph fluid from draining well, causing localized edema. This is known as lymphedema. Lymphedema can be related to cancer treatments, when lymph nodes are removed.
People may experience edema after a stroke or cardiac event like a heart attack.
Side effects from some drugs, including those for high blood pressure and corticosteroids, can cause fluid retention.
Conditions such as cellulitis or arthritis can cause inflammation and localized swelling.
When there are underlying conditions like cirrhosis, kidney problems, and vascular issues, they must be addressed in order to resolve the edema.
Treatment for Swollen Legs and Feet
Conventional medical treatments for edema typically focus on addressing the underlying cause and managing symptoms. Typical medical treatment for edema may include:
- Diuretics to help the body expel excess fluid through urine.
- Compression stockings to help reduce swelling by promoting fluid movement in the legs.
- Elevating the affected limbs above the level of the heart can help reduce swelling.
- Lowering sodium in the diet can help prevent fluid retention.
- Regular exercise to improve circulation and help reduce swelling.
- Addressing heart, kidney, or liver issues can help manage edema.
Using diuretic medications may seem to alleviate swelling in the short term, but these drugs create a kind of dependency. As soon as a person stops taking the diuretics, the water retention will return.
Chinese herbal formulations can act as natural diuretics, while addressing the root cause of edema.
By integrating acupuncture and TCM into your treatment plan, you may find a holistic approach that addresses not only the symptoms of edema but also its cause, providing lasting relief from edema swelling.
Can Acupuncture Help Edema?
TCM theory for the treatment of edema goes back over 2000 years. The Yellow Emperor wrote about edema treatment in his medical text before 100 B.C., describing the disruption of fluid movement in the body. In the second century A.D., another well-known Chinese doctor Zhang Zhong-Jing detailed treatments for edema with herb formulas, which are still considered classics today.
Edema can be related to imbalances in Yin and Yang. Yin edema affects the spleen and kidneys, while Yang edema affects the spleen and lungs. Yin edema symptoms tend to start in the lower body, with swollen feet and ankles, while Yang edema symptoms tend to start in the upper body, with the tendency to have tight, shiny skin.
According to TCM, the organ systems of the Spleen, Kidneys, and Lungs must be balanced in order to restore proper functioning of fluid metabolism. An acupuncture treatment protocol would be directed towards clearing wind, heat, dampness, and other pathogenic forces, while balancing Yin and Yang, and regulating Qi and Blood.
Different pathologies of edema can be described by TCM diagnoses, including:
- Blood stasis
- Qi stagnation
- Damp heat
- Heat toxins
- Wind-cold or Wind-heat in the lungs
Recent research shows that ancient herb formulas can help regulate fluids and have a positive effect on vascular function.
Moxibustion, a TCM modality that involves warming acupoint areas by burning mugwort herb near the skin, is often used to help relieve edema. Moxa treatment can help improve blood flow by warming and dispersing dampness and phlegm and invigorating the spleen and kidneys.
One study of patients suffering from swelling in legs and ankles showed that moxibustion helped relieve swelling in the legs.
Breast cancer treatment often involves radiation treatment that affects the lymph nodes, or the removal of lymph nodes, which can lead to lymphedema. This type of lymphedema often affects one arm, or both arms. It can also affect other parts of the body.
One study involved using acupuncture treatment twice a week to help relieve lymphedema after cancer treatment. More than half of the patients experienced a significant improvement in lymphedema, as measured by arm circumference. The conclusion was that acupuncture is a safe treatment that can help reduce swelling.
Acupuncture treatment improves blood flow and the movement of fluids in general, while nourishing the kidneys and spleen. Moxibustion can be used to further stimulate the flow of blood and Qi.
Acupuncture Near Me for Edema in West Los Angeles
Edema is a common problem, but it requires an individualized approach, as it can have many different root causes. Experienced acupuncture practitioners like Dr. Tan and Dr. Cai at Art of Wellness in Westwood, CA can help patients find relief from edema swelling and water retention in legs through a combination of acupuncture, moxa, herbs, and personalized nutrition counseling.
*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.
How to Treat Raynaud’s Syndrome With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. and Xiaomei Cai, L.Ac. Ph.D.
Fingers numb? Numbness in fingers and toes? Fingers turning white, poor circulation in fingers, cold fingers and toes? Raynaud’s disease, or Raynaud’s phenomenon, causes poor circulation in the extremities due to constriction of the blood vessels, usually triggered by cold weather or stress. Acupuncture can help relieve Raynaud’s disease symptoms.
Raynaud’s disease is a condition characterized by occasional narrowing of the blood vessels, primarily in the fingers and toes. The small arteries that supply blood to the skin of the fingers and toes (and sometimes, to the ears and the tip of the nose) become constricted in cold conditions.
Raynaud’s syndrome causes the tips of the fingers and/or toes to turn white due to the lack of circulation, and there may be numbness in fingers or tingling in toes. A “Raynaud’s attack” or episode lasts until the person warms up, at which point, there may be a burning sensation, and the affected skin may flush and turn red as blood flow returns.
Raynaud’s can occur in two forms: primary and secondary.
Primary Raynaud’s, also called Raynaud’s disease, is the more common form and isn’t usually related to another medical condition. Raynaud’s is considered to be an exaggerated response to cold, emotional stress or anxiety, leading to spasms in the small arteries.
People with primary Raynaud’s phenomenon usually begin to experience symptomatic episodes during their teenage years. Women are more likely to have Raynaud’s.
Secondary Raynaud’s is less common but more serious. It is associated with other diseases, typically autoimmune diseases or connective tissue disorders, like scleroderma, rheumatoid arthritis, thyroid disorders, or lupus.
Secondary Raynaud’s can be linked to conditions that directly damage the arteries or affect blood flow, like carpal tunnel syndrome. In these cases, it is considered a symptom rather than a separate condition.
Raynaud’s Syndrome Causes
For most people with Raynaud’s syndrome, there is probably a combination of genetic, physiological, and environmental factors at play.
Vascular abnormalities, or dysfunction in the blood vessels, involving excessive narrowing (vasospasm) and poor dilation in response to stimuli, may be involved.
Overactivity of the nerves controlling the blood vessels (sympathetic nervous system) may cause spasms.
Raynaud’s can tend to run in some families. If someone is already susceptible, then the numbness in fingers and toes may be triggered by cold temperatures, or a stressful situation. Smoking cigarettes can also cause Raynaud’s symptoms.
In secondary Raynaud’s, underlying autoimmune conditions can lead to inflammation and damage to blood vessels.
An injury to one of the limbs, like a broken wrist, or damage to the tissues from frostbite, could also trigger Raynaud’s phenomenon.
Some prescription medications, such as beta blockers, ADHD medications, medications for migraine headaches, and even some cold and flu medicines, could cause Raynaud’s symptoms.
Acupuncture treatment can help to relieve Raynaud’s syndrome symptoms and also address the underlying condition that may cause Raynaud’s.
Top 10 Raynaud’s Disease Symptoms
Raynaud’s symptoms may show up differently for each person. Symptoms of Raynaud’s disease can vary in severity and may include:
- Skin changes color: pallor (pale skin, white skin, or yellow skin) in the affected fingers or toes during an episode
- In rare cases, Raynaud’s phenomenon can affect other areas, such as the nose, ears, and lips.
- Some people may experience Raynaud’s in their nipples, which can cause a severe throbbing pain.
- Bluish discoloration (Cyanosis) as blood flow decreases
- Affected areas feel cold and/or numb during an episode
- Throbbing or tingling in the fingers or in the toes
- Sensitivity to cold temperatures, leading to more frequent episodes in cold weather.
- In severe cases, recurrent or persistent episodes of reduced blood flow can lead to skin sores or ulcers, particularly on the fingertips or toes.
- Changes in the texture and color of the nails, including nail beds that turn white and then blue during an episode.
- Some individuals may experience joint pain, particularly if there is an underlying connective tissue disorder.
Emotional stress, anxiety, or rapid changes in temperature can trigger Raynaud’s symptoms.
Raynaud’s disease is generally considered a benign condition, but repeated episodes can lead to more serious problems, like skin sores, chilblains, or even gangrene, which can cause permanent damage to tissues.
Raynaud’s Syndrome Treatment
Diagnosis of Raynaud’s disease may involve a test called nailfold capillaroscopy. This is a non-invasive test that allows the doctor to see the capillary size and action in the tips of the fingers and nail bed. This can help to determine whether the person has Primary Raynaud’s, or may have a connective tissue disorder, like lupus or Sjogren’s syndrome.
The standard medical treatment for Raynaud’s phenomenon aims to manage symptoms, improve blood flow, and prevent complications. While there is no cure for Raynaud’s, various medications and lifestyle modifications can be employed to alleviate symptoms and enhance circulation.
Medications that relax and widen blood vessels, known as vasodilators, are commonly prescribed. Calcium channel blockers, such as nifedipine, are often used to help dilate the small blood vessels in the extremities, reducing the frequency and severity of Raynaud’s episodes.
Phosphodiesterase inhibitors like sildenafil (which is also commonly prescribed to help erectile dysfunction, ED) can sometimes be beneficial in promoting blood vessel dilation and improving blood flow.
In some cases, topical nitroglycerin cream may be prescribed to increase blood flow to the affected areas.
Endothelin receptor antagonists, such as bosentan, may be considered in cases where blood vessel constriction is severe. These medications target endothelin, a substance that can cause blood vessels to narrow.
Antiplatelet agents like aspirin may be recommended to reduce the risk of blood clots and improve blood circulation.
If Raynaud’s is secondary to another condition, treating the underlying cause is crucial. For example, if it is associated with an autoimmune disorder, immunosuppressants might be considered.
Lifestyle changes play a significant role in managing Raynaud’s symptoms. Patients are typically advised to dress warmly.
Quitting smoking is strongly recommended, as smoking constricts blood vessels.
Can Acupuncture Help Raynaud’s Syndrome?
TCM has acknowledged Raynaud’s phenomenon as a condition of severe cold in the limbs for centuries. According to TCM theory, a deficiency of Qi and blood circulation is the root cause of Raynaud’s symptoms. In TCM, we consider that Qi (life force energy) and blood work together; Qi moves the blood throughout the body, and blood carries the Qi throughout the body.
In TCM, we are always looking at both external factors and internal factors that contribute to a condition. In the case of Raynaud’s disease, cold acts as a pathogenic factor that can be already present inside the body, and then, when a person is exposed to cold temperatures as an external factor, this triggers an extreme reaction.
So, in many cases, a person suffering from Raynaud’s is already dealing with too much cold and poor blood circulation. Herbs can be used to help warm the body internally and increase blood flow.
Some people develop Raynaud’s symptoms in response to stress. In this case, the liver may be involved. In TCM, the liver is associated with strong emotions, and when the liver is distressed, it can trigger muscular contractions that squeeze the blood vessels, restricting blood flow. In these cases, we will use herbal formulas and acupuncture points to help restore balance in the liver.
When there is an autoimmune disease also present, such as scleroderma or lupus, then there may also be blood stasis, and a thickening of the blood and tissues. TCM can address those conditions at their roots, as well.
An acupuncturist will make careful observations about how each individual is experiencing Raynaud’s symptoms, and address it according to the pattern presenting.
Top 3 Tips for Managing Raynaud’s Syndrome Symptoms
You can help prevent Raynaud’s attacks by keeping your whole body warm, especially your hands and feet.
- Protect your hands and feet. Wear mittens or gloves, thick socks and lined boots, and use hand and foot warmers in cold weather. Consider wearing gloves or oven mitts when reaching into the refrigerator or freezer.
- Exercise regularly, both to stimulate healthy blood circulation, and to help manage stress levels.
- If hands and/or feet do begin to feel cold or numb, take action to warm them up immediately by wiggling them, running them under warm water, massaging them, or putting your hands in your armpits or against your abdomen under your clothing.
Acupuncture Near Me for Raynaud’s Syndrome in West Los Angeles
It is important to address Raynaud’s disease to avoid damage to the nerves and skin tissue in your extremities, and to be sure whether or not Raynaud’s symptoms are related to an underlying autoimmune disorder. The acupuncturists at Art of Wellness Acupuncture in West L.A. have over 35 years of experience helping people with autoimmune conditions, circulatory problems, and nerve pain and tingling. The combination of herbs and acupuncture treatment can help relieve Raynaud’s phenomenon symptoms and address any autoimmune disease or nerve conditions.
*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.
How to Treat POTS With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. and Xiaomei Cai, L.Ac., Ph.D.
Do you often feel shaky, like you’re fainting, or experience dizziness, especially when you’re getting up from sitting down or lying down? Do you feel like you have a rapid heartbeat, or shortness of breath? Postural orthostatic tachycardia syndrome, known as PoTS syndrome, or POTS, is a condition that causes unstable blood pressure when changing positions. Acupuncture and TCM can help relieve dizziness and other symptoms of POTS.
Postural tachycardia syndrome (or postural orthostatic tachycardia syndrome) is a chronic disorder related to the autonomic nervous system that causes people to experience dizziness and increased heart rate when they move into an upright position; this is known as orthostatic intolerance, which is a type of dysautonomia.
POTS syndrome is fairly common, affecting up to 3 million people in the U.S. POTS occurs more often in people assigned female at birth, and often first shows up during the teenage years.
The most common symptom of POTS is feeling light-headed when changing your position from sitting to standing, or when getting up from lying down.
Whenever we have been sitting or lying down for a while, blood pools in the lower parts of the body. When we get up, the autonomic nervous system starts a series of actions to move blood back up into the top half of the body. This involves squeezing blood vessels, and releasing adrenaline and norepinephrine, to make the heart beat faster.
When a person has POTS, more blood tends to pool in the legs, and the nervous system process doesn’t cause the normal, quick response from the blood vessels, so more hormones are released, which can cause the person’s heart rate to increase, and a dizzy, faint feeling.
Medical science has not yet discovered exactly what causes POTS, but there are different characteristics that allow for categorizing these different types of POTS syndrome:
- Neuropathic POTS – damage to small fiber nerves that control blood vessel constriction in the abdomen and limbs
- Hyperadrenergic POTS – when a person has elevated levels of norepinephrine
- Hypovolemic POTS – when a person has unusually low blood levels
- Secondary POTS – when POTS symptoms are related to another condition that causes neuropathy, such as Lyme disease, diabetes, or autoimmune disorders like Lupus or celiac disease.
While POTS is not rare, it can be difficult to get a diagnosis, because the criteria can be vague, and the symptoms can so often be related to other conditions, or just seem “normal.”
For many people, POTS is truly debilitating and can have a serious, negative impact on daily life. It can also contribute to feelings of anxiety and depression. Acupuncture and TCM offer an adjunct or alternative treatment for POTS that can help with dizziness, irregular heartbeat, digestive problems, muscle weakness, migraines, trouble sleeping, and other symptoms, all at the same time.
Top 10 POTS Symptoms
The primary symptoms of POTS are related to the cardiovascular system: rapid heartbeat, and dizziness. However, there can be many other POTS symptoms.
- Irregular heart rate, rapid heart rate, fast heartbeat, chest pain, heart palpitations
- Dizziness, especially when standing up or getting up from lying down, feeling faint
- Breathing problems: hyperventilating, bronchial asthma, shortness of breath
- Constipation, diarrhea, nausea, abdominal pain
- Muscle weakness, muscle pain, tremor
- Skin rash, flushed face, flushing, sweating
- Migraine headaches
- Cognitive issues, brain fog, difficulty concentrating
- Trouble sleeping
- Frequent urination, nocturia
Other symptoms of POTS may include: tinnitus (ringing in the ears), blurred vision, red or purple appearance of the legs when standing up, and a “jittery” feeling or general nervousness.
As with many syndromes, different people will experience different combinations of symptoms. While dizziness and rapid heartbeat are the signs most commonly associated with POTS, many people with POTS will also suffer from abdominal pain and gastrointestinal problems, perhaps without realizing there is a correlation.
POTS symptoms may resemble many other conditions, such as:
- Chronic fatigue syndrome, ME/CFS
- Graves disease
- Other heart conditions that involve tachycardia
- Anemia
- Stroke
- Epilepsy
- Adrenal fatigue
- Drug use
- Eating disorders
- Benign paroxysmal positional vertigo
- Ménière’s disease
Because POTS is often misunderstood or misdiagnosed, many patients will be offered medications to manage headaches, vertigo, or depression, which may not offer much relief.
Medical Treatment for POTS
As there is no definitive cure for POTS, Postural orthostatic tachycardia syndrome treatments typically aim to manage symptoms and improve quality of life.
Dietary modifications are a fundamental component of POTS management. Adequate daily fluid intake is crucial. A diet that includes plenty of salt helps maintain blood volume, aiding blood flow to vital organs. Patients are typically advised to avoid alcohol and carefully monitor caffeine intake, as these substances can exacerbate symptoms.
Exercise is gradually introduced, often starting in reclined or horizontal positions, with the goal of increasing exercise tolerance over time. Physical therapy helps retrain the autonomic nervous system, enhancing blood circulation.
Compression garments can help reduce blood pooling, and specific postures while sitting or sleeping may alleviate symptoms. Identifying triggers such as prolonged sitting, heat, or certain drugs allows for better symptom control. Regular monitoring of blood pressure and pulse, along with adequate sleep hygiene, aids overall well-being.
While no single pharmacological solution is universally effective, some medications may be prescribed based on individual symptoms. These may help to improve blood volume, aid sodium retention, reduce heart rate, and enhance blood vessel constriction.
While POTS symptoms may intermittently improve with medications and lifestyle modifications, the underlying cause of POTS may persist. Acupuncture and TCM treatment can provide a holistic solution for individuals living with POTS, which may help to address the root causes of this syndrome.
Can Acupuncture Help POTS?
POTS is a kind of Dysautonomia; this is a general term that describes conditions that involve malfunctioning of the autonomic nervous system. This causes people’s bodies to have problems with regulating the sorts of functions that are typically automatic, like the beating of the heart, circulation of blood, breathing, and temperature control.
Western medicine offers some treatments that can help address individual symptoms of dysautonomia, but it does not have a way of treating the root of the problem. It can be difficult to get proper treatment, because people who suffer from POTS and other kinds of dysautonomia often seem reasonably healthy, and their complaints—dizziness, headaches, mental health problems—seem vague.
Acupuncture and TCM have been used to treat these kinds of problems for centuries. Acupuncture treatment can help provide positive effects on the subtle communications of the nervous system, as well as the heart rate, and physiological symptoms of anxiety. According to TCM theory, several organ systems may be involved and need support: not only the heart, but also the kidneys or spleen.
Studies have shown that acupuncture for dysautonomia can help relieve symptoms like heart palpitations, insomnia, and digestive problems.
A qualified acupuncturist is also well-versed in nutrition and can offer more detailed information regarding dietary and lifestyle changes that can help each individual patient. Your TCM provider will spend time learning more about you, so that they can offer personalized advice.
Acupuncture Near Me for POTS in West Los Angeles
TCM and acupuncture can help people with all types of autoimmune disorders, nerve disorders, and conditions involving fatigue and dizziness that may be difficult to solve with conventional methods. Acupuncture works on a deeper, more subtle level to help address complex syndromes. If you are regularly experiencing trouble with feeling light-headed, having unexplained headaches and sleep problems, it may be time to seek a more holistic alternative treatment.
*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.
How to Treat Anemia With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D & Xiaomei Cai, L.Ac., Ph.D
Tired, weak, and pale? These can be symptoms of Anemia. Whether anemia is due to deficiency of iron, or inherited, as with sickle cell anemia or thalassemia, TCM and acupuncture can provide an alternative or adjunct anemia treatment.
Anemia (sometimes spelled ‘anaemia’) is a broad term referring to blood disorders that cause people to either not have enough red blood cells, or to have red blood cells that don’t function properly. Red blood cells are made by the bone marrow, using iron, folic acid, and vitamin B12 as building blocks.
Red blood cells carry hemoglobin to organs and tissues throughout the body. Hemoglobin is a protein that contains iron. Hemoglobin picks up oxygen from the lungs and carries it to the rest of the body. If this process is disrupted, then cells in the body don’t get the oxygen they need.
Top 5 Types of Anemia
There are many different types of anemia. Some are genetically inherited. Others may manifest due to conditions like pregnancy, an injury, an illness like mononucleosis, or nutritional deficiencies. Some types of anemia are related to autoimmune disorders, such as lupus, Crohn’s, or Celiac disease. Anemia can also be caused by blood loss due to an accident or surgery, or internal bleeding. The most common types of anemia include:
- Sickle cell anemia
- Pernicious anemia
- Iron deficiency anemia
- Thalassemia
- Aplastic anemia
Sickle cell disease is an inherited condition in which some red blood cells form in an unusual shape, like a sickle or crescent. These cells have a harder time moving through the blood vessels, so blood flow can become slow or blocked.
Thalassemia is also inherited. With this condition, the body does not make enough hemoglobin.
Iron deficiency anemia occurs when a person doesn’t have enough iron to nourish their red blood cells, so they have low hemoglobin levels. This type of anemia can happen due to a loss of blood, or because a person’s digestive system isn’t absorbing enough iron from their food. Sometimes people develop this type of anemia during pregnancy, because a lot of iron is going to the growing fetus.
Low levels of Vitamin B12 and/or folate can also cause anemia. Pernicious anemia is a type of autoimmune disorder in which the digestive tract cannot properly absorb vitamin B-12 because immune cells are attacking the lining of the stomach. Megaloblastic anemia is another kind of anemia, where the red blood cells are too large, that happens due to a B12 deficiency, or lack of folate.
People can also develop a form of pernicious anemia after having a gastric bypass or other surgery in which a part of the stomach or small intestine is removed. This inhibits their ability to absorb nutrients during digestion.
Aplastic anemia occurs when the bone marrow cannot produce enough blood cells. Aplastic anemia is rare, but it may happen when a person has gone through chemotherapy or radiation treatment, had a reaction to some toxin or medication, or after a viral infection.
Aplastic anemia can also manifest as an autoimmune disorder, in which the immune system attacks the bone tissue. Fanconi anemia is a genetic condition that also affects the bone marrow’s ability to make red blood cells.
Top 10 Anemia Symptoms
What are the signs that you are anemic? Pallor, or pale skin, weakness and fatigue, dizziness, and headaches are some of the most well-known iron deficiency symptoms.
Other signs of anemia include:
- Fatigue, feeling tired all the time
- Muscle weakness
- Markedly pale skin, pallor, or yellow skin
- Shortness of breath, rapid breathing
- Changes in stool
- Dizziness, light-headed
- Palpitations, rapid heart rate
- Low blood pressure
- Feelings of irritability, anger, frustration, depression, anxiety
- Headaches
Other signs of low iron can include:
- bruising easily
- pounding or “whooshing” in the ears
- cravings for ice or clay
- brittle nails
- hair loss
- sore tongue
- enlarged spleen
If anemia worsens, low iron symptoms or low hemoglobin symptoms could include:
- fainting, passing out
- whites of the eyes look blue
- chest pain
Treatment for Anemia
Doctors will usually order a CBC test first to check for anemia. This can reveal how many red blood cells you have, and the shape of the cells. Tests can also show B12 and iron levels.
Iron supplements and high iron foods will be recommended. In more severe cases, iron may be supplied intravenously, or with a blood transfusion. Vitamin B12 shots or supplementation of folic acid and Vitamin C may also be recommended.
Genetic types of anemia like sickle cell disease and thalassemia may be treated with a bone marrow transplant.
Autoimmune related anemia, like aplastic anemia, is usually treated with blood transfusions, immunosuppressant medications and steroids, and ultimately, bone marrow transplant, or stem cell transplant.
Anemia is, for the most part, considered a chronic illness that can be managed with additional iron and other nutrients. TCM allows us to look more deeply at the root causes of anemia, and to help increase iron absorption by addressing deficiencies affecting the digestive tract.
Can Acupuncture Help Anemia?
In TCM, we see many conditions as occurring due to a deficiency of Qi (vital energy) and/or blood. Blood deficiency can be the result of excessive blood loss, as after an injury, or due to heavy menstrual bleeding, as when a person has uterine fibroids. It can also happen because the organ systems are not able to perform their roles in the production of blood. Blood stasis, which occurs when blood is not being moved or replaced properly, can also be a factor.
In TCM theory, blood is considered to be governed by the heart, stored in the liver, and produced by the spleen. TCM differentiates different patterns of blood deficiency according to which organ systems seem to be affected:
- Heart blood deficiency: restlessness, difficulty concentrating, memory problems, heart palpitations
- Spleen blood deficiency: weight loss, lack of appetite, mental fatigue
- Liver blood deficiency: irritability, dry, brittle nails, spasms
Acupuncture treatment for anemia may involve, then, using specific acupoints to help strengthen the Qi of the liver, stomach, and/or spleen.
The root cause of anemia is that the digestive tract is not able to absorb nutrients adequately. Acupuncture has been shown in studies to help increase iron absorption in the intestinal tract. In laboratory studies, acupuncture treatment was seen to increase levels of serum ferritin, a protein that carries iron in the blood.
Chinese herbal supplements for anemia can help to remove blood stasis, strengthen the spleen and heart, and provide nourishment for the production of blood cells.
One study showed that TCM herbs helped reduce mortality risk when used as an adjunct or alternative to medical therapies in patients with aplastic anemia.
Acupuncture Near Me for Anemia in Los Angeles and Santa Monica
Anemia can have an impact not only on your energy and physical well-being, but your mental health, as well. TCM treatment for anemia involves a combination of acupuncture, herbs, and nutrition that can help strengthen the process of blood production and transportation throughout the body, while also helping to relieve symptoms like dizziness, fatigue, headaches, and irregular heartbeat. The acupuncturists at Art of Wellness have over 30 years of experience helping patients overcome chronic conditions like anemia.
*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.