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How to Treat Morton’s Neuroma With Acupuncture and TCM

By Qineng Tan, L.Ac., Ph.D. & Xiaomei Cai, L.Ac., Ph.D.

Morton's neuroma ball of foot pain toe pain
Ball of foot pain and tingling can be a sign of Morton’s Neuroma.

Do you feel like there is a pebble in your shoe all the time? Burning, tingling ball of foot pain? Tenderness between the 3rd and 4th toes? These could be symptoms of Morton’s Neuroma, a condition in which inflammation and swelling around a nerve in the ball of the foot causes toe pain and numbness. Acupuncture and Chinese medicine can help relieve Morton’s Neuroma foot pain.

Morton’s Neuroma is a problem related to swelling and thickening of tissue around a nerve in the foot. This nerve runs under the ligaments that connect the toe bones to the bones of the foot. A neuroma is considered to be a kind of benign tumor or growth and is usually not large enough to feel as an actual lump on the bottom of the foot.

Pain in the forefoot, or ball of foot pain, can be a sign of Morton’s Neuroma, or it could be a symptom of one of several other conditions, including: 

  • Metatarsalgia – a general term for pain and inflammation in the ball of foot, around the metatarsals. Pain symptoms can be similar to those of Morton’s Neuroma
  • Capsulitis – irritation of the capsular ligaments in the foot can cause pain in the ball of the foot that comes and goes
  • Gout – a type of arthritis in the foot or toes, caused by a buildup of uric acid
  • Rheumatoid Arthritis (RA) – an autoimmune condition that causes arthritic pain that usually begins in the extremities
  • Bunion pain – a bony bump that develops on the outside of the big toe joint
  • Edema – swelling caused by fluid trapped in the tissues of the foot
  • Arthritis – a general term for joint pain, which can affect the toes and feet
  • Fractured bones in foot
  • Bursitis – bursas are small sacs that act as cushioning for joints; there are bursae around the metatarsals that can become inflamed, causing ball of foot pain
  • Tarsal Tunnel Syndrome – a condition where the tibial nerve is compressed in the tarsal tunnel area of the ankle, causing pain and tingling in the foot
  • Radiculopathy – compression of a nerve in the lower back can cause pain in the foot, similar to sciatica
  • Hammertoe – when one of the toes becomes bent, usually due to pinching shoes, and the muscles and ligaments can’t straighten it, causing swelling and pain
  • Diabetes – foot pain and numbness (diabetic neuropathy) can happen due to diabetes.

It is possible for a person to have one of the conditions listed above, and also have a Morton’s Neuroma; sometimes another foot problem can contribute to the development of a neuroma.

Morton’s Neuroma Symptoms

The signs of a Morton’s Neuroma include:

  1. Ball of foot pain, especially when you put weight on in
  2. Toe pain or pain between the toes
  3. Numbness or tingling in the ball of the foot, “pins and needles” sensation
  4. Swelling between toes or in the ball of the foot
  5. Pain is better with rest, staying off of your foot

People often describe the sensation as feeling like there’s a pebble in your shoe or a wrinkle in your sock that is irritating, particularly in the area between the third and fourth toes. 

Typically, the symptoms of neuroma begin to be noticeable when you are either engaging in an activity that aggravates the nerve, like running or playing a high-impact sport like tennis, or wearing shoes that force the ball of your foot to take extra impact. The pain and tingling may get better when you finish, take off your shoes, and rub your foot. 

Over time, though, as the neuroma gets bigger, the pain may get worse and more persistent. If Morton’s Neuroma is left untreated, it can cause permanent damage to the nerve.

What Causes Morton’s Neuroma?

Morton's Neuroma ball of boot pain
Wearing shoes with very high heels or a tight toe box can sometimes lead to Morton’s Neuroma foot pain.

Morton’s Neuroma occurs due to compression of the nerve in the foot that carries sensory signals from the toes. Some people may be more prone to developing Morton’s Neuroma due to the shape of their foot, such as having an unusually high arch, or a very flat foot. 

The way that the foot hits the ground and leaves the ground while walking or running can cause a lot of impact and stress to the ball of the foot. An injury to the foot or toes, or other type of trauma, can trigger this nerve condition, as can repetitive stress from a particular sport or other activity. Wearing high heels, flip-flops, or shoes that pinch the toes together can be a factor. 

Morton’s Neuroma Treatment

A foot specialist, or podiatrist, will diagnose Morton’s Neuroma by feeling the ball of the foot to see if there is a noticeable mass and to sense what the pain and tingling symptoms are like for the patient. An ultrasound or MRI can show a soft tissue mass like a neuroma, and may be used to confirm the diagnosis. 

Usually the first recommendations for a person with Morton’s Neuroma will be to change their footwear: choosing roomier shoes and softer, padded socks, etc. Orthotic supports may be prescribed.

Steroid injections may be used to relieve pain and swelling. If these measures do not help, surgery for Morton’s Neuroma can either be to cut ligaments and other nearby tissues to try to relieve pressure, or in some cases, the affected nerve itself may be removed (neurectomy). This can relieve pain; it can also reduce sensation in the foot permanently. There is also a chance with some surgeries that the neuroma may simply grow again.

Neuromas do not generally go away on their own. The most conservative treatment options for Morton’s Neuroma—like rest, icing, and different shoes—may or may not help to relieve the pain and tingling. Fortunately, acupuncture treatment is an excellent way to help relieve nerve pain.

Can Acupuncture Help Morton’s Neuroma Foot Pain?

acupuncture points for Morton's neuroma foot pain
Acupuncture treatment for Morton’s Neuroma can help reduce pain and inflammation.

Inflammation and compression around nerves can cause nerve pain in many different parts of the body. For example, pinched or compressed nerves in the spine, or a herniated disc, can cause sciatica or piriformis syndrome: hip pain or pain that radiates down the leg. Compression of the plantar nerve can cause heel pain. A pinched nerve in the neck can cause shoulder pain and/or neck pain. Impingement of the median nerve causes carpal tunnel syndrome. An inflamed trigeminal nerve causes pain in the face. With acupuncture, we are able to provide treatments that can help relieve all of these types of nerve pain.

Acupuncture and other Chinese medicine modalities can help to reduce inflammation that presses on nerves, release scar tissue, and help to heal nerves and the irritated soft tissues surrounding them, like ligaments and muscles. Acupuncture also acts as an analgesic, reducing pain and increasing endorphins.

Evidence suggests that the stimulation of acupuncture points encourages the pituitary gland to release more cortisol, which plays an important role in reducing inflammation. It has been hypothesized that acupuncture influences the release of neuropeptides from nerve endings, which is also a key part of the inflammatory response.

According to TCM theory, this type of pain is often considered to arise due to “Bi Syndrome” conditions, in which stagnation of Qi and blood causes stiffness. The blockage of energy usually occurs due to pathogenic forces of “wind,” “cold,” or “dampness,” or some combination of these factors. Thus, the acupuncture practitioner will choose from a variety of methods including acupuncture, herbal supplements, moxibustion, and Tuina massage to clear obstructions that lead to pain and numbness, such as with Morton’s Neuroma.

Acupuncture Near Me for Morton’s Neuroma, Los Angeles Area

There are many different conditions that can cause foot pain and toe pain. It is important to seek care for foot problems promptly, so that they do not become worse. Acupuncture and other TCM treatments can help improve and maintain foot health for everyone, and can help manage and relieve many types of injury or disorders that affect the feet. At Art of Wellness near Santa Monica, we have 30 years of experience helping people stay active and on their toes.



*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.

Posted in Acupuncture, Arthritis, Inflammation, Neurological Conditions, Pain, Uncategorized | Tagged , | Comments Off on How to Treat Morton’s Neuroma With Acupuncture and TCM

How to Treat Chronic Fatigue Syndrome With Acupuncture and TCM

By Xiaomei Cai, L.Ac., Ph.D. & Qineng Tan, L.Ac., Ph.D.

 

chronic fatigue syndrome
When you have CFS, sleep doesn’t feel refreshing.

Chronic fatigue syndrome (CFS), also known as myalgic encephalitis (ME/CFS), is a condition marked by extreme fatigue that doesn’t get better, even with rest, and gets worse with physical and mental exertion. Chronic fatigue is not well understood by medical science, but acupuncture and Chinese medicine for chronic fatigue syndrome symptoms can be an effective treatment option.

People with chronic fatigue syndrome are always tired, even after getting a normal amount of sleep, and the condition persists for weeks, months, or years. Other chronic fatigue symptoms include body aches, cognitive problems, vision problems, and emotional or mental health problems, like depression and anxiety.

If a person feels tired all the time, with no medical explanation, for six months or more, and has several other chronic fatigue syndrome symptoms like dizziness, difficulty concentrating, headaches, or sensitivity to light, then they might be diagnosed with CFS, or myalgic encephalitis (ME CFS).

By definition, a syndrome is a collection of symptoms that often appear together in combination, for which the exact explanation is unknown. Chronic fatigue has been considered a syndrome for some time, but has more recently been given the designation of a “disease;” hence, the newer term “myalgic encephalitis,” which refers to muscle pain and inflammation of the brain and spinal cord.

Chronic fatigue syndrome symptoms can be very similar to those of fibromyalgia. People with fibromyalgia also experience severe fatigue, but the primary symptoms of fibromyalgia are musculoskeletal pain that comes and goes all over, especially in “tender points” around the major muscles and joints, along with swelling and inflammation. It is possible to have both ME/CFS and fibromyalgia.

Women are much more likely to have chronic fatigue than men. MECFS can begin to appear at any stage of life, but most usually develops in adulthood. It is estimated that up to 90% of people who have chronic fatigue go undiagnosed.

ME/CFS is a serious and disabling condition that can interfere with even the most basic daily activities. People with chronic fatigue may be able to participate in some events where they exert themselves mentally and/or physically, but afterwards, they will feel completely wiped out and have to take time to recover, often confined to bed. This is called post-exertional malaise (PEM).

Top 10 Chronic Fatigue Syndrome Symptoms

ME CFS chronic fatigue
Dizziness and headaches can be signs of chronic fatigue.

The most common ME/CFS symptoms include:

  1. Fatigue, tired all the time, weakness
  2. Sensitivity to light
  3. Trouble concentrating, hard to focus, memory problems, confusion
  4. Dizziness, especially when getting up from lying down
  5. Headaches
  6. Muscle aches, body ache, muscle weakness, joint pain
  7. Enlarged lymph nodes in neck or armpit area, sore throat
  8. Tired after exercise or mental exertion (post-exertional malaise)
  9. Depression, mood swings, moodiness
  10. Insomnia, sleep problems 

Other signs of chronic fatigue syndrome may include: fever, abdominal pain, weight loss or weight gain, allergies, rash, rapid heart beat, and night sweats/hot flashes.

What Causes Chronic Fatigue?

The cause of ME/CFS is not known. Immune system dysfunction, the aftereffects of having a virus, and psychological factors have all been associated with the development of chronic fatigue.

Some people begin to have symptoms of chronic fatigue after having a viral infection, such as Epstein Barr, mononucleosis, or herpes. Postural orthostatic tachycardia syndrome (POTS) is also strongly associated with chronic fatigue.

While it does seem that some people who suffer from CFS also have immune system problems, chronic fatigue is not considered to be an autoimmune disorder in and of itself.  As with other conditions like lupus or fibromyalgia, CFS sometimes appears after a person has gone through some sort of emotional trauma or physical injury. 

Some people with chronic fatigue have hormone imbalances related to pituitary hormone, adrenal hormone, or hypothalamus hormones, but it is not understood how these might be related to their condition. Diabetes, anemia, or hypothyroidism can also create hormonal imbalances that can contribute to chronic fatigue.

In some cases, chronic fatigue could be due to a sleep disorder, such as sleep apnea or chronic insomnia. Long-standing mental health issues like depression, anxiety, or PTSD can interfere with sleep and hormone responses, contributing to the chronic fatigue syndrome symptoms.

Treatment for Chronic Fatigue Syndrome Symptoms

tired all the time fatigue
Feeling exhausted after mental or physical activity is called post exertional malaise (PEM).

There is no clear treatment protocol within conventional Western medicine for ME/CFS. A doctor may diagnose myalgic encephalitis if they have ruled out other possibilities and then try to recommend medications or various types of therapy to help people deal with the symptoms of chronic fatigue.

Pain relievers or NSAIDs will often be the standard recommendation for handling ME/CFS related pain like headaches or muscles aches. 

Doctors may prescribe antidepressants as a way of helping patients cope with depression and anxiety related to chronic fatigue. However, these medications can sometimes cause side effects that will exacerbate the chronic fatigue rather than helping it.

Some doctors have tried treating CFS with antiviral medications, corticosteroids, or thyroid hormone medications. None of the pharmacological interventions that have been used to treat chronic fatigue syndrome have proved to be very effective.

Thus, many patients with ME/CFS consider turning to alternative medicine or complementary therapies to relieve CFS symptoms. Acupuncture is now widely recognized as an alternative therapy for chronic fatigue. 

Can Acupuncture and Chinese Medicine Help Chronic Fatigue Syndrome?

Traditional Chinese medicine is well suited to treatment for ME/CFS. Overall, TCM philosophy pays close attention to the subtle balance of energy, known as Qi, within the body as a whole, as well as within the various organ systems. By observing the specific symptoms each person experiences as part of chronic fatigue syndrome, we can pinpoint which organ systems are deficient and need strengthening. 

Classic TCM patterns related to chronic fatigue diagnosis include:

  • Spleen Qi deficiency
  • Liver Qi stagnation
  • Kidney deficiency
  • Yin deficiency
  • Heat toxicity
  • Phlegm obstruction/dampness

Latent heat and dampness are sometimes the long-term effects of a viral infection or other illness, or a long period of emotional stress. These conditions originate from an external pathogenic factor, but then cause a series of imbalances which weaken the kidneys and other organs over time. Acupuncture treatment and herbs can help reduce inflammation and strengthen Qi.

A TCM doctor will choose acupuncture points and a combination of herbs that will help harmonize the affected systems. With herbs, we are able to get nutrients into the body beyond what you can do with foods alone. A balanced diet that cools heat and tonifies the organs will also be important for recovering strength and energy.

One controlled trial found that four weeks of acupuncture treatment led to improvements in CFS symptoms. 

A systematic review of studies regarding acupuncture treatment for ME CFS showed a reduction in the severity of fatigue.

A study using acupuncture and moxibustion treatment for CFS showed a 90% effective rate, with half of the patients feeling that their CFS was “cured.”

Another study involving acupuncture and moxibustion found that the moxa treatment in particular became more and more effective as treatment sessions continued past the 10th treatment. Moxibustion was shown to have an effect on the vagus nerve, which controls the parasympathetic nervous system.

How long it takes to get results from acupuncture treatment for chronic fatigue will vary from person to person, depending on how long the person has been experiencing CFS, and how deeply the organ systems are affected. TCM treatment has a cumulative effect which strengthens over time and several sessions.

Acupuncture Near Me for Chronic Fatigue Syndrome (ME/CFS) in the Los Angeles Area

ME CFS is far more common than statistics show, because many people suffer in silence and invisibility. Now, many people are struggling with chronic fatigue after having COVID-19. TCM modalities like acupuncture, Chinese herbs, and moxibustion, can help relieve fatigue, depression, mental fogginess, poor sleep, and other symptoms of CFS. If you or someone you love has been feeling exhausted for months without improvement, it may be time to consider trying acupuncture for chronic fatigue.



*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.



Posted in Acupuncture, Anxiety, Autoimmune Disease, Chinese Medicine, Depression, fatigue, Headaches/Migraines, Herbal Medicine, Immune System, Inflammation, Insomnia, PTSD, Sleep, Stress, Stress & Anxiety, Uncategorized, What We Treat | Tagged , , , | Comments Off on How to Treat Chronic Fatigue Syndrome With Acupuncture and TCM

How to Treat Colic and Infant Reflux With Acupuncture and TCM

By Xiaomei Cai, L.Ac., Ph.D. & Qineng Tan, L.Ac., Ph.D.

baby reflux, infant reflux, colic
Chinese medicine can help with baby reflux and colic.

Colic and infant reflux are conditions that can cause excessive crying in babies and a lot of worry for new parents. Newborn reflux is when a baby spits up a lot, which is sometimes treated as GERD in infants. Infant reflux, also called baby reflux, and colicky pain can both be soothed with acupuncture and TCM treatment for babies.

Colic or Baby Reflux Can Be Treated With Chinese Medicine and Acupuncture

What is colic? Infantile colic is a well-known yet little understood syndrome, with crying being the primary symptom. Signs of colic include fussiness and crying inconsolably for hours. The crying, which can be more like screaming, often occurs at about the same time every day, usually in the later afternoon or evening. A colicky baby may also have a red face and display motor behaviors like clenched fists and drawing their legs up to their tummy.

What causes colic is not known, but it is sometimes attributed to gassiness and the movement of the undeveloped digestive system, which the colic newborn experiences with intense discomfort. It has been suggested that it may be related to food allergies in some infants, or to gut health. Some people also link colic to birth trauma. Babies with colic may have sensitivities related to the nervous system and have more trouble adapting to their environment, both externally and internally.

Colic is fairly common, affecting about 10-35% of infants. Most babies outgrow colicky abdominal pain within a matter of months. Those few months can be very stressful for the whole family, though. Colic is considered to be a factor in some mothers developing postpartum depression, so finding colic remedies is important for everyone’s mental health.

The symptoms of colic can sometimes look similar to those of infant reflux. Baby reflux also leads to fussy crying, wiggling and arching the body, and having trouble settling down to sleep.

Infant reflux refers specifically to a baby spitting up undigested milk from the stomach. This is also called GER (gastroesophageal reflux) and is actually a normal thing that happens with most babies. 

Reflux happens because there is not a firm seal created by the esophageal sphincter muscle, which is still developing in a young infant. Sometimes premature infants are especially susceptible to having infant reflux.

Babies’ stomachs are designed to take in just a little bit of milk at a time. If the baby is getting too much milk, or swallowing air, it can cause leaking from the stomach up into the esophagus, especially when lying down.

baby reflux, infanta reflux, colic
Changing baby’s sleeping and feeding positions may help reduce colic and reflux.

Sometimes just working out the right feeding schedule, burping, and sleeping positions helps. In other cases, nothing seems to help. If spitting up or vomiting is interfering with the baby getting enough nutrients, then failure to thrive can become a real concern.

Acid reflux in newborns that is on the level of a disorder is rare (less than 1%). Sometimes, though, a baby may actually have GERD, where the spitting up happens very frequently and is causing the baby to feel sensations that we think of as “heartburn.” This can also lead to respiratory problems like coughing or choking due to breathing in the stomach acids.

You might find it hard to imagine acupuncture treatment being used for a tiny baby, but infants respond very positively to treatment. Sometimes auricular acupuncture (acupuncture on ear), where seeds are used instead of needles, is an option. Acupuncture can help baby reflux and colic on many levels: relieving pain, reducing bloating and inflammation in the digestive tract, while calming anxiety and restlessness and improving sleep.

Top 10 Signs of Infant Reflux

Newborn reflux symptoms can look similar to the symptoms of colic, but if there is frequent regurgitation of milk, or respiratory symptoms like coughing and wheezing, that may indicate baby reflux as opposed to colicky symptoms. Symptoms of infant reflux include:

  1. Frequent spitting up or vomiting
  2. Fussiness, irritability
  3. Crying a lot, screaming inconsolably 
  4. Arching back, tensing the body, wiggling
  5. Hiccups
  6. Coughing or wheezing while feeding
  7. Excessive drooling
  8. Poor sleep
  9. Doesn’t want to feed
  10. Spit up is green or bright yellow

New parents may be easily overwhelmed when it appears that their baby is in pain and isn’t digesting their food properly. If dietary changes and adjustments to the feeding schedule aren’t helping, then parents may seek medical advice.

Treatment for Infant Reflux

baby reflux, infant reflux, colic
Some cases of infant reflux may be related to food allergy.

Generally, if your doctor just sees colicky symptoms, there is not a whole lot they can do other than offer suggestions for changing the dietary routine and making your baby as comfortable as possible.

In recent years, it seems that doctors are more and more likely to make a diagnosis of infant reflux when a baby is spitting up and crying, and to recommend medication as a treatment.

In the last few decades, GERD medications for reducing stomach acids, known as PPIs, (proton pump inhibitors), like Prilosec and Prevacid, have been deemed safe for adults and infants. However, evidence has also pointed to various problems and side effects with using these medications for more than a short period of time.

Changing the production of stomach acids in a young baby can affect how they are absorbing nutrients, like calcium and Vitamin B12. Use of PPIs has also been observed to cause kidney problems and affect bone density in adults. Less stomach acid can lead to more bacteria and more respiratory infections.

The majority of babies who experience infant reflux and/or colic will get over it naturally, usually within a few months. Anything that can be done to help understand the child’s constitution and promote good health during this time should certainly be considered. However, many people will not feel that resorting to medications is the best or only option.

Acupuncture and TCM offer a way to help acid reflux in babies and adults, without side effects. TCM treatment can help strengthen an infant’s digestive system, nervous system, and immune system, all at the same time.

Can Acupuncture Help Infant Reflux and Colic?

An acupuncturist will look carefully at the baby for symptoms of reflux and colic so as to differentiate, according to TCM principles, where there is an imbalance. For example, if a baby is crying, has a red face, and is feverish, we might see the pattern of “hot colic,” which happens when there is too much warmth in the stomach Qi. Babies with “cold colic” may be more listless and have chilly hands and feet. When treating Colic and infant reflux, the TCM practitioner will work on balancing and regulating the stomach Qi and clearing stagnation.

baby reflux, infant reflux, colic
Resolving colic or infant reflux is important for both baby and parents’ mental health.

Many acupuncture points can be stimulated in order to help make the baby more comfortable and calm. The Yin Tang point can be helpful for reducing restlessnessShen Men is the classic point to regulate the nervous system and help banish anxiety. Stomach points can help to reduce nausea and help stimulate the appetite. 

Case studies have shown that small infants who are vomiting or spitting up can respond to acupuncture quickly, even after just one treatment. A larger study showed that acupuncture was effective at relieving colicky symptoms, shortening the duration of episodes of fussy crying.

Studies with adults have shown that acupuncture and herbs are more effective for long term reduction of acid reflux than PPIs. Acupuncture treatment can also help strengthen the lower esophageal sphincter (LES).

In many cases, new parents need individualized support for making feeding and dietary changes. A qualified acupuncture provider is also highly trained in nutrition and can help determine if there are certain foods that need to be eliminated from the nursing parent’s diet or from the formula of choice. Finding positions and practices that help the baby relax before and during feeding, burp appropriately, and be settled to sleep when a feeding has come to a satisfactory close can be life-changing. These will be easier to implement when acupuncture treatment has helped even out the infant’s nervous system and soothed the stomach.

Acupuncture Near Me for Infant Reflux and Colic in Los Angeles

Parenting is a hard job, especially when the baby is not eating or sleeping well. TCM treatment can help with all kinds of postpartum issues for both mother and child, including problems with breastfeeding, postpartum depression, an infant’s weight loss or failure to thrive, as well as colic and infant reflux. Please, if your baby is crying and seems to be in pain, or is having trouble feeding, do not hesitate to call us at Art of Wellness. Drs. Cai and Tan have over 30 years of experience treating mothers and children with gentle acupuncture, herbs, and good advice.



*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.

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How to Treat Emphysema With Acupuncture and TCM

By Qineng Tan, L.Ac., Ph.D. & Xiaomei Cai, L.Ac., Ph.D.

smoking emphysema
Smoking is the number one cause of emphysema.

Pulmonary emphysema is a kind of chronic obstructive pulmonary disease (COPD) that causes coughing and wheezing. Symptoms of emphysema are similar to those of chronic bronchitis and pneumonia. Acupuncture treatment and TCM herbs can help relieve emphysema symptoms and other COPD symptoms.

COPD refers to a group of progressive lung diseases, where damage to the lungs causes serious breathing problems and a chronic cough. Emphysema and chronic bronchitis are both considered COPDs, and it is possible to have both of these conditions at the same time.

Bronchitis is when there is inflammation in the bronchial tubes that bring airflow into the lungs, so they get swollen and have too much mucus buildup. Emphysema is what happens when there is damage to the alveoli, the small air sacs that make up the bottom part of the lungs. This makes it difficult to draw a full breath and get enough oxygen into your bloodstream.

Smoking is the primary thing that causes emphysema. Exposure to toxic chemicals or air pollution, repeated respiratory infections, or a genetic predisposition could also be causes of emphysema. 

The number one thing people can do to prevent or help emphysema is to quit smoking. Acupuncture treatment can help people overcome nicotine addiction.

Acupuncture and other TCM treatment can also help to clear the lungs, reduce inflammation and shortness of breath, and improve quality of life for people suffering from emphysema and other types of COPD.

Top 10 Symptoms of Emphysema

smoker's cough, emphysema, COPD
A persistent cough can be a sign of emphysema.

In many cases, people do not realize that they have emphysema; they may only be feeling some fatigue and shortness of breath and not take much notice. By the time symptoms have become severe enough that they seek medical help, they may have already suffered a lot of lung damage.

Emphysema symptoms are similar to those of bronchitis; although, with acute bronchitis, there may also be chills and fever, and a sense of tightness in the chest. 

The most common symptoms of emphysema include:

  1. Chronic cough, coughing up phlegm, cough with mucus, smoker’s cough, persistent cough
  2. Shortness of breath, especially with activity or exercise (dyspnea)
  3. Rapid breathing, breathing fast
  4. Wheezing
  5. Sputum, mucus, mucous, phlegm
  6. Fatigue, chronic fatigue
  7. Sleep problems, trouble sleeping, insomnia
  8. Heart problems
  9. Depression, anxiety
  10. Weight loss

Other signs of emphysema or COPD include: blue fingernails or lips, enlarged glands, broken capillaries under the skin, enlarged veins around the neck, enlargement of the chest or rib cage (emphysema barrel chest), and repeated respiratory infections.

 

4 Stages of COPD

As a COPD, emphysema is a progressive lung disease. Sometimes symptoms worsen and breathing becomes more difficult over a short period of time; this is known as an “emphysema exacerbation.” As a person’s respiratory function decreases, they are said to enter the later stages of COPD. Interventions and treatments may help to slow COPD progression.

Emphysema can greatly increase the risk of a person having heart problems, due to extra pressure on the blood vessels around the heart. It can also eventually lead to there being actual holes in the lung tissues, or a collapsed lung (pneumothorax).

Medical Treatment for Emphysema

emphysema, COPD, lung damage
Imaging may show damage to the lungs due to COPD/emphysema.

In order to diagnose emphysema, doctors may look at X-ray or CT scans imaging to see damage to the lungs. Blood tests and other lung function tests like spirometry may show the level of oxygen in your bloodstream.

Medical science has no cure for the lung damage caused by emphysema. Bronchodilators or inhaled corticosteroids may be prescribed, which can help open airways and reduce shortness of breath. Antibiotics may be used to keep infections like the flu or pneumonia at bay. If emphysema gets to a severe stage, some people may need supplemental oxygen. Some patients may be able to have a major surgery, such as lung volume reduction (removal of damaged lung tissue) or a lung transplant.

TCM modalities like acupuncture and herbal medicine can help relieve shortness of breath and coughing, improving quality of life, while staving off further decline in lung function. Acupuncture, herbs, and moxibustion can be used effectively as adjuncts to regular medical treatments for emphysema.

Can Acupuncture Help Emphysema?

moxibustion TCM treatment
Moxibustion may be a part of TCM treatment for emphysema.

According to TCM theory, emphysema is considered to be caused by Lung deficiency, which can lead to “fei zhang,” distension of the lungs, and/or “chuan zheng,” which means “panting.” TCM can help COPD in several ways: by clearing lung congestion and opening the bronchial airways, helping to boost immune function so that a person can better avoid infections, and providing more nutrient-rich blood flow to the whole body.

One study found that COPD patients who were given acupuncture treatment had improved breathing when doing a six minute walk.

A systematic review comparing TCM treatment and convention treatment for COPD showed that acupuncture, acupressure massage, and moxibustion were all effective interventions and concluded that TCM works well as a complementary medicine/adjunct therapy for COPD.

Many Chinese herbs and herbal formulations are useful for helping to dissolve phlegm and reduce inflammation of lung tissues. TCM herbal preparations can help reduce phlegm and clear heat, relieve inflammation of airways and improve lung function.

Nutrition is also very important for patients with emphysema, who may suffer weight loss due to lack of proper nutrients in the bloodstream. An acupuncture practitioner will work with each individual to determine what kind of food program will help to reduce inflammation and provide adequate nourishment for the organ systems.

Acupuncture Near Me for Emphysema COPD in Los Angeles

TCM is a good way to help people breathe easier, whether they are suffering from allergies, asthma, pneumonia, Cystic Fibrosis, the common cold or a sore throat, or COPDs like bronchitis and emphysema. If you or someone one you love needs to quit smoking, or has been exposed to chemical pollution through their work, acupuncture can help to detoxify and strengthen the lungs.



*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.

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How To Treat Claustrophobia Anxiety Disorder With Acupuncture and TCM

By Xiaomei Cai, L.Ac., Ph.D. & Qineng Tan, L.Ac., Ph.D.

claustrophobia anxiety disorder panic attacks
Claustrophobia is an intense fear of enclosed spaces.

Claustrophobia is a specific kind of anxiety disorder in which fear of being in an enclosed space can bring on symptoms similar to those of panic attacks. Claustrophobic feelings like being anxious, hyperventilating, sweating, shaking, and rapid heartbeat can be eased with acupuncture and TCM.

Claustrophobia is actually quite common; at least 10% of people report experiencing some claustrophobic feelings. Women report having a fear of confined spaces more often than men do. Phobias are sometimes rooted in a childhood experience, but they can arise in anyone, at any age, and are considered mental health issues or psychiatric disorders.

Phobias are distinct from regular fears because of their intensity and, to some extent, irrational nature. Phobias are unreasonable fears; feeling very afraid, to the point of physical and emotional distress, of something that isn’t really happening. Claustrophobia becomes a serious mental health problem if it interferes with a person’s daily life or relationships.

Sometimes claustrophobia can get in the way of a person getting help for other health problems. For example, it may cause them to avoid undergoing an MRI. Some people might fear visiting a doctor’s office, which often means facing elevators, public restrooms, and other small rooms without windows. Some women report feeling claustrophobic during pregnancy, as if they are “trapped” inside their own bodies.

Other common triggers of claustrophobia include: airplanes, trains, tunnels, small cars, revolving doors, or amusement park rides with restraints. Even thoughts of having to be trapped in one of these situations can be enough to bring on symptoms of claustrophobia. Signs of claustrophobia can be similar to those of a panic attack.

Top 10 Symptoms of Claustrophobia:

  1. Sweating
  2. Shaking or trembling
  3. Trouble breathing
  4. Rapid heartbeat, fast heart rate, high blood pressure
  5. Tight feeling in chest, chest pain
  6. Flushed face, feeling hot
  7. Dizziness, feeling lightheaded or faint
  8. Ringing in ears, tinnitus
  9. Butterflies in stomach feeling, nausea, queasy feeling
  10. Numbness or tingling in parts of the body

Other signs of anxiety due to claustrophobia could include: dry mouth, difficulty swallowing, choking, chills, confusion, or disorientation. In addition to physical symptoms of panic, claustrophobia may cause a person to cry, yell, or to be overwhelmed by a desire to get out of a situation because they feel that they are in serious danger, even if it seems irrational.

Elevator claustrophobia
Elevators can trigger claustrophobic feelings.

Cleithrophobia is another type of anxiety disorder that is sometimes confused with claustrophobia. Cleithrophobia specifically refers to the fear of being trapped or confined with no way to escape. Claustrophobia is a fear of the small space itself. These two phobias can exist together. Either one could cause serious anticipatory anxiety, for example, if a person has to have an MRI.

Cleithrophobia is related to other “winter phobias,” which may include “cabin fever,” which is a sense that one is stuck inside, or a fear of being literally trapped in the ice or snow. Many people feel an extra sense of sadness or dread during the winter months; this kind of depression is known as SAD (seasonal affective disorder).

Over time, repeated panic attacks or bouts of intense anxiety brought on by claustrophobia can create long-term stress that is harmful to overall physical and mental health. Acupuncture and TCM offer an adjunct or alternative treatment for claustrophobia which can help reduce symptoms and offset the effects of stress.

What Causes Claustrophobia?

Phobias can be triggered by some event or experience in which a person felt endangered and was traumatized, similar to PTSD (post-traumatic stress disorder). Like other mental health conditions, claustrophobia is influenced by brain chemistry. Imbalances in the neurotransmitters in the brain can cause some people to experience symptoms of anxiety or panic attacks even if nothing scary is really happening. Then, they may associate those physical and emotional feelings with a specific place or situation, which causes the anxiety to be triggered whenever they approach that place or even think of that situation.

People can perceive things differently. One research study suggested that people with claustrophobia may have a different perception of how near something, like a wall, is to them. In other words, they underestimate distances, or their sense of “personal space” is different from other people’s.

The amygdala is the part of the brain that processes incoming sensory information from the environment and signals the autonomous nervous system if it detects danger. This is essentially the neurological pathway of fear. Some research has suggested that people who experience panic disorders are more likely to have a smaller-than-average amygdala.

Treatment for Claustrophobia

MRI claustrophobia
Having an MRI can make people feel claustrophobic.

To be diagnosed with claustrophobia, a person will need to explain to their doctor that they have been having these intense feelings for a while and that they are having a negative impact on their lives. This could mean that they go out of their way to avoid certain places or situations. A mental health professional will try to determine whether these fears are normal, or could be attributed to some other condition. 

Some doctors may prescribe SSRIs like Zoloft or Lexapro, which influence serotonin levels in the brain, to help patients who are suffering from claustrophobia or anxiety. Often therapy is recommended to help patients learn to cope with their feelings. Cognitive behavioral therapy (CBT) and/or exposure therapy aim to retrain the mind and may help people learn to get used to being in a small space without feeling so anxious.

Psychiatric medications can have unwanted side effects and may create a sense of dependence. Some people will avoid therapy because it can be very confronting and become another source of fear.

Acupuncture and other TCM modalities, including herbs and movement techniques like Tai Chi, may offer an alternative solution for panic attacks due to claustrophobia, without side effects or having to work through the problem with uncomfortable talk therapy sessions.

Can Acupuncture Help Claustrophobia?

According to TCM, the organ systems closely associated with fear are those of the kidneys, liver, and heart. Kidney deficiency, in particular, can cause fear and mental disturbances. These types of mental disorders can also be related to imbalances in Yin and Yang energies, and blood deficiencies. An acupuncture practitioner’s approach to treatment for claustrophobia may, therefore, focus on strengthening and nourishing the kidneys, while soothing the liver and heart.

One study compared patients who knew they had claustrophobic feelings going into an MRI; some were treated with acupuncture based on TCM acupoints. Control groups patients were given sham acupuncture (not really the points that would correspond with TCM theory). They concluded that the real acupuncture treatment did offer a therapeutic effect for claustrophobia, with a 92% rate of effectiveness; meaning, the patients were able to remain calm during the MRI.

A case study of a woman who had experienced bouts of claustrophobic symptoms since her teenage years, including shortness of breath, trembling, sweating, and loss of motor control in her hands and feet. After six acupuncture treatment sessions, she reported much improvement: feeling calmer, no headaches, palpitations, or anxiety. Chinese herbs can also be used, in conjunction with acupuncture treatment, help a person overcome claustrophobia.

Acupressure Points for Claustrophobia

shen men ear point
Shen men ear point for anxiety relief

In between acupuncture sessions, you can use self-care acupressure to relieve claustrophobia. 

Shen Men is a Master point, located in the valley of the upper part of the ear. This is a classic point to help feelings of anxiety.

Shoujie, which is located on the palm of the hand between the metacarpals of the fourth and fifth fingers, along the topmost crease, helps relieve palpitations and dizziness.

Acupuncture for Claustrophobia Near Me in Los Angeles Area

TCM is an excellent way for people to find relief from mental health issues of all kinds, including depression, anxiety, panic attacks, and phobias. We will do all we can to make sure that you are comfortable in one of our larger treatment rooms with a window, and to make your acupuncture treatment experience relaxing and pain-free. If you or someone you know is finding that the thought of enclosed spaces is creating anxiety in day-to-day life, please do not hesitate to try acupuncture for claustrophobia.




*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.

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