- Art of Wellness Acupuncture & Traditional Chinese Medicine (TCM)11704 Wilshire Blvd, Suite 295, Los Angeles, CA, 90025
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Autoimmune Disease
How to Treat Ataxia With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. & Xiaomei Cai, L.Ac., Ph.D.
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Ataxia is a general term that covers many conditions involving muscle weakness or lack of coordination. Ataxia causes can include: infections, neurological disorders, degenerative brain disease or tumors, some autoimmune disorders, stroke, or alcohol addiction. Acupuncture can help with the muscular weakness and balance problems of cerebellar ataxia and sensory ataxia.
Ataxia can affect the limbs, leading to difficulty with balance and walking. It can also affect the muscles involved in speech, chewing and swallowing, and eye movements.
Different types of Ataxia include:
- Cerebellar ataxia – The most common types of ataxia are related to some sort of problem with the cerebellum, the part of the brain in the back of the head, which regulates muscle activity, balance, and equilibrium. Damage or dysfunction of the cerebellum can also cause tremors and difficulty in judging distance (dysmetria).
- Sensory ataxia – Ataxia may also happen due to issues with other parts of the brain and nervous system, such as damage to the somatosensory nerve, the brain stem, posterior lobe, cerebral cortex, the spinal cord, or the peripheral nerve. These kinds of ataxia can affect the gait and walking.
- Vestibular ataxia – Inner ear problems can cause ataxia that affects balance and can cause vertigo, dizziness, nausea.
- Hereditary ataxias – While they are rare, some people are born with hereditary forms of ataxia. These are classified as autosomal dominant or autosomal recessive, and they may begin to show up at any point in life. These types of ataxia are usually degenerative, meaning the symptoms are chronic and get worse over time. Autosomal dominant ataxias used to be called “Marie’s ataxia,“ and autosomal recessive ataxias used to be called “Friedrich’s ataxia.”
Ataxia may be acute or chronic, with symptoms that last for hours, days, weeks, or years, depending on the root cause. An infection, for example, could cause a temporary episode of ataxia. Ataxia can be triggered by an autoimmune flare-up.
Acupuncture and other TCM modalities are uniquely helpful for all kinds of neurological problems, including ataxia symptoms. Acupuncture can help to restore communications between parts of the nervous system and repair damaged nerve cells.
Top 10 Causes of Ataxia:
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Ataxia can be caused by a wide variety of health issues that affect the brain and nervous system:
- Stroke, brain aneurysm
- Brain tumor or lesions on the spinal cord
- Alcohol abuse
- Some medications or chemotherapy
- Toxins, heavy metal poisoning
- Severe vitamin deficiency
- Hypothyroidism, hyperthyroidism, thyroid problems
- Multiple Sclerosis
- Celiac Disease
- Encephalomyelitis (Chronic fatigue syndrome, ME/CFS)
Ataxia can also result from serious infections like Lyme disease, Chickenpox, HIV, or COVID-19.
The severity and duration of ataxia symptoms can vary, depending on the cause of ataxia, and the type.
Medical Diagnosis and Treatment for Ataxia
It can be challenging to get a clear diagnosis when a person shows symptoms of Ataxia. Testing for Ataxia often involves performing the Romberg Test. This is a fairly simple, physical test, often used by both doctors to measure a person’s balance and coordination. It is sometimes used by police officers to determine if someone is under the influence of alcohol.
The patient undergoing examination stands in various positions, closing and opening the eyes, and shaking the head from side to side. The changes in their ability to balance and maintain their position can help a doctor quantify their equilibrium in order to diagnose sensory ataxia, or vestibular ataxia, for instance. It can also help determine if a patient suffers from vertigo.
Other physical testing involves studying a person’s gait, or mode of walking. A person with sensory ataxia, for example, often demonstrates a particularly heavy, high-stepping gait due to the lack of sensation of the bottoms of their feet when they touch the ground.
Blood tests, spinal tap testing, or MRI imaging may show if ataxia is due to some sort of damage to the brain or spinal cord, or if there are lesions, tumors, or possibly some sort of infection causing the problem.
For most ataxia symptoms, however, there is no specific medical treatment. Patients who are having trouble with walking or moving their hands and facial muscles, may be referred to physical therapy or occupational therapy. Some people will need walkers or other physical aids.
Acupuncture offers a way to help people with all kinds of ataxia to improve their muscle coordination, balance, and other problems.
Can Acupuncture Help Ataxia?
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Acupuncture treatment and other TCM modalities are suited to helping patients with all kinds of neurological conditions, by enhancing connections between the brain and the nervous system, and helping to restore the healthy development of nerve and neural cells. For patients with ataxia, this means an improvement in muscle coordination and limb function. Similar to the way that acupuncture helps Bell’s Palsy,Trigeminal Neuralgia, Myasthenia Gravis, and Parkinson’s, it may be able to improve eye problems and problems with eating due to nerve damage.
One case study followed a man who had suffered a stroke and was experiencing sensory ataxia. After regular rehab, he regained some of his muscular strength, but still had trouble with balance and perception. Acupuncture helped him regain his sense of spatial awareness and coordination of his lower limbs.
Another study found that acupuncture treatment helped increase connectivity between different parts of the brain and motor function in patients who were recovering from a stroke.
Formulations of traditional Chinese herbs are also a key part of TCM treatment for ataxia.
Tai Chi movement practice can also benefit people with ataxia, promoting better dynamic balance.
Acupuncture Near Me for Ataxia in West Los Angeles
Conditions like ataxia can be difficult to treat with conventional medicine. Neurological disorders, autoimmune disorders, stroke recovery, the long-term effects of a serious infection; these are all situations in which a person may be helped by trying acupuncture and TCM as an alternative or adjunct to traditional treatment. Drs. Tan and Cai at Art of Wellness in Los Angeles, CA have over 30 years of experience helping people regain muscular strength and motor function.
*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 Myasthenia Gravis With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. & Xiaomei Cai, L.Ac., Ph.D.
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Muscle weakness around the eyes, drooping eyelids (ptosis), double vision, blurred vision (diplopia), impaired speech? These are potential signs of Myasthenia Gravis, an autoimmune disorder that affects the voluntary neuromuscular system, especially around the eyes, mouth, and throat, and the limbs. Acupuncture and TCM offer an adjunct treatment for Myasthenia Gravis symptoms.
As with some other autoimmune diseases, Myasthenia Gravis causes antibodies produced by the body’s own immune system to attack healthy cells instead of pathogens. In the case of Myasthenia Gravis, the immune cells attack receptors on certain groups of muscles, which blocks chemicals required to stimulate voluntary muscular contractions.
A person can develop Myasthenia Gravis at any age, but the disorder is twice as prevalent among women between 20 and 40. Myasthenia is a chronic condition that cannot be completely cured. However, the symptoms can often be controlled with medications and/or other types of treatment for myasthenia gravis.
Many people with Myasthenia Gravis are able to improve their muscular strength with the right combination of treatments and maintain their normal activities. Acupuncture and other TCM modalities can be used as an adjunct therapy to improve quality of life and keep functionality strong, helping to control this autoimmune disorder.
What Causes Myasthenia Gravis?
Our voluntary muscular movements rely on the ability of our muscles to receive communications through the nervous system. There are various neurotransmitters that interact with receptors on the muscles and the proteins that make up the chemical connections between nerves and muscles. Some people with Myasthenia Gravis seem to have antibodies that are damaging or destroying these key receptors and/or proteins. Other people with Myasthenia Gravis, however, do not show unusual antibody activity (seronegative myasthenia gravis or antibody-negative myasthenia gravis), but doctors believe they must still be experiencing some form of autoimmune dysfunction affecting the nerves and muscles.
The thymus gland plays a part in immune function and is believed to play a role in the production of these antibodies that block receptors. Some people with Myasthenia Gravis had an enlarged thymus gland, or a tumor or tumors on the thymus gland.
In rare cases, a baby may be born with a form of congenital Myasthenia gravis; this is called congenital myasthenic syndrome.
People with Myasthenia Gravis may also have problems with their thyroid gland, and may be more likely to show signs of other autoimmune disorders, like rheumatoid arthritis, or lupus.
Symptoms of Myasthenia Gravis
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More than half of people who end up discovering that they have Myasthenia Gravis first present with eye problems, such as double vision, blurry vision, or droopy eyelids. But the signs can also show up in the throat, with trouble swallowing, or in the mouth area, with trouble forming words, chewing food, or even breathing.
Signs of myasthenia gravis include:
- Weakness of the muscles around the eyes (ocular myasthenia)
- Drooping eyelids (ptosis)
- Double vision or blurred vision (diplopia)
- Speech problems, impaired speech (dysarthria), trouble pronouncing words
- Shortness of breath
- Change in facial expressions
- Muscular weakness in the neck, arms, hands, or legs
- Difficulty holding up the head, neck problems
- Fatigue, especially muscle fatigue
Symptoms of Myasthenia Gravis often seem to abate in the early part of the day, after a night’s rest, and then worse as the day goes on, and a person has been more active. In other words, the muscle weakness tends to improve with rest, and get worse with exertion.
Like some other autoimmune disorders, Myasthenia Gravis symptoms can come and go, sometimes flaring up and at other times going into remission. Some issues that can exacerbate symptoms might be:
- Infection or illness
- stress
- Fatigue, overwork, not enough sleep
- Surgery
- Menstrual period
- Pregnancy
- Certain medications, including some antibiotics, anesthetics, or beta blockers
The most serious form of Myasthenia Gravis occurs if the muscles that control the breathing apparatus become so weak and fatigued that a person cannot breathe; this is a medical emergency called a “myasthenia crisis,” and requires immediate medical intervention.
Myasthenia Gravis Treatment
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It can be a difficult process being definitely diagnosed with Myasthenia Gravis. Problems with balance, coordination, reflexes, and muscle strength may show up in a neurological exam, but they do not prove definitively what is going on. When the eyelids are drooping, doctors will often perform a test where they ice the area for two minutes to see if this improves the problem. A blood test may show a higher than normal level of antibodies of the type that affect the muscle receptors or proteins. A CT or MRI may reveal a tumor on the thymus.
Other conditions that may appear similar to Myasthenia Gravis include ALS and botulism.
Doctors will prescribe different medications to treat Myasthenia Gravis, either alone, or in combination, depending on the severity and type of symptoms. Corticosteroids and immunosuppressants can reduce the production of antibodies. Plasmapheresis can remove some of the overload of antibodies already in the system. Intravenous immunoglobulin introduces healthy antibodies that can cancel out the malfunctioning ones. Cholinesterase inhibitors can help boost the communication between the nervous system and the muscles. Unfortunately, all of these medications can come with side effects.
Surgical removal of the thymus gland if there is a tumor, or even in some cases when there is no tumor but the gland is believed to be a contributing factor, may help relieve the condition.
Acupuncture and TCM, when used as an adjunct, can help alleviate symptoms of the disorder itself, and help mitigate the side effects of other treatments.
Can TCM Herbs and Acupuncture Help Myasthenia Gravis?
Myasthenia Gravis causes miscommunications between the nervous system and the muscles. Acupuncture treatment can be beneficial for many different types of neurological, musculoskeletal, and autoimmune disorders because it has a positive impact on the communications between the various systems of the body.
TCM treatment with an experienced acupuncturist can be very helpful for patients with Myasthenia Gravis, as we take all aspects of your health into consideration while also focusing on the symptoms related specifically to this autoimmune condition. For example, acupuncture can help with sleep, feelings of anxiety and depression, problems with appetite and digestion, as well as with the muscular weakness associated with Myasthenia Gravis.
One study tested the effects of acupuncture treatment on ocular myasthenia, or eye-related symptoms. Over 90% of the patients treated experience significant improvement in their symptoms.
Chinese herb preparations used in addition to Western conventional medicines can help patients with Myasthenia Gravis. A study compared two groups of patients: one treated with corticosteroids (Prednisone), and one treated with both Prednisone and Chinese herbs. After three months, the patients given herbs showed more improvement, and were able to reduce the amount of corticosteroids needed.
A review of several studies done in China of acupuncture treatment used as complementary treatment for Myasthenia Gravis concluded that patients who had acupuncture reported better clinical outcomes than people who only received the standard pharmaceutical treatments.
While it may be challenging, it is good to include physical activity and even muscular strength training, as it is possible for patients to help overcome muscle weakness with regular exercise. Your TCM practitioner can help you follow an appropriate nutrition and movement program.
Acupuncture Near Me for Myasthenia Gravis in West Los Angeles
TCM is well-suited to help patients who suffer from both autoimmune disorders and neurological and muscular problems of all kinds because it works on multiple levels to help quiet pain signals while boosting communication signals between the different systems of the body. Dr. Tan and Dr. Cai have over 30 years of experience helping people recover from chronic illnesses like Myasthenia Gravis.
*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 Rheumatoid Arthritis (RA) With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. & Xiaomei Cai, L.Ac., Ph.D.
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Do you have joint pain, swelling or stiffness in the joints, especially finger joint pain or a swollen knee? Maybe you feel that the joint pain is moving to other parts of your body, or flares up sometimes, and then seems to go away. Joint pain accompanied by fever and fatigue may be a sign of Rheumatoid Arthritis (RA), an auto immune disease that causes inflammation and can lead to serious physical disability. Acupuncture and TCM offer a way to help people who suffer from Rheumatoid arthritis, as well as other types of arthritis and autoimmune disorders.
Arthritis is a general term that refers to all kinds of joint pain. Most types of arthritis begin to occur due to aging and the repeated “wear and tear” on the joints of the body that happens as we move through life. Any place in the body where two bones meet is considered a joint, so arthritis pain and inflammation can occur in the large joints of the limbs, causing shoulder pain or hip pain, in the spine, causing back pain, or in the extremities: arthritis in hands and feet. Rheumatoid arthritis most commonly shows up first as arthritis in fingers, hands, and knees.
RA can also be considered a connective tissue disorder, and, as such, bears similarities to Lupus and Ehlers-Danlos Syndrome (EDS).
Rheumatoid arthritis used to be commonly known as “rheumatism,” and now may be referred to as “RA.” It is different from other types of arthritis because the joint pain is caused by immune system problems, not injury or overuse of the joint.
When a person develops an autoimmune disorder, their immune system is mistakenly attacking normal tissues in the body. In the case of RA, an immune response attacks the lining of the joints, a soft tissue membrane called synovium. This creates inflammation and can ultimately begin to cause damage to the bones themselves (osteoporosis). Affected parts of the body can begin to change shape, become weak, and eventually lose their ability to function properly.
In later stages of RA, other body systems can be affected, as well. The joint lining contains blood vessels and nerves, so damage to the synovium can also impact the cardiovascular system and the nervous system. People with RA are at greater risk for developing nerve damage, heart disease, lung disease, and problems with the eyes. People with Rheumatoid arthritis can also be more prone to getting infections like the flu or pneumonia, and certain types of cancers, like lymphoma.
RA can affect your body composition, leading to obesity. Some people may lose weight initially, but it is usually muscle mass that is lost, as RA makes exercise difficult. This means that people can end up with an unhealthy ratio of fat to muscle.
RA is different from osteoarthritis in that it can show up at any time in life. Sometime children develop Juvenile Rheumatoid Arthritis (also known as Juvenile Idiopathic Arthritis). Like RA in adults, this is an autoimmune disorder, and can cause other symptoms like fever and rashes. Some children will grow out of their RA symptoms; others may carry this disorder with them into adulthood.
Most people with RA begin to show signs in their middle age. Women are more likely to have RA than men. As with other autoimmune diseases, medical science has not determined the exact Rheumatoid arthritis causes, but they may be partly genetic, and partly having to do with hormones. Environmental factors may contribute to RA, as can stress and strong emotions. Past illnesses or viral infections, like Epstein Barr virus, can also be a factor.
TCM and acupuncture treatment for Rheumatoid arthritis works on multiple levels. Acupuncture can help to reduce inflammation and stiffness in the joints. TCM treatment with herbs helps to improve and balance immune function. Acupuncture can also relieve emotional symptoms related to stress, fatigue, and depression.
Top 10 Rheumatoid Arthritis Symptoms
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For some people the symptoms of Rheumatoid Arthritis may develop slowly over many years; for others, they may start suddenly. People will experience RA symptoms as different sensations, in different parts of the body, which is part of what makes it difficult to diagnose. The most common symptoms of RA include:
- Joint pain that starts in the smaller joints: pain in hands, pain in knees, pain in toes
- Redness and swelling in joints: swollen fingers, swollen knee, hands swollen, ankle swollen
- A sensation of heat or warmth in the joints
- Stiffness first thing in the morning that gets better as the day goes on
- Fatigue, feeling exhausted, tired all the time
- Pain in same joint on both sides, for example, pain in both knees
- Hard lumps under the skin near the painful joints (Rheumatoid nodules)
- Eye pain, dry eyes, blurry vision
- Low grade fever
- Depression, feelings of frustration or hopelessness
People with RA that affects their hips, knees, or ankles may begin to walk with a limp. Diminished function of the joints may cause a person to lose their grip strength and coordination. Over time, the hands and fingers or feet and toes may begin to become disfigured, as loss of soft tissue and bone changes their shape.
People with Rheumatoid arthritis are also more likely to experience Raynaud’s syndrome, a condition that constricts blood vessels in the fingers and/or toes when exposed to cold, causing numbness and a whitening of the skin as blood circulation slows.
In some cases, RA can also cause an enlarged spleen.
Rheumatoid Arthritis Treatment
At this time, treatments for rheumatoid arthritis are mainly directed towards relieving pain, reducing chronic inflammation, and slowing down the progression of this inflammatory disease.
A primary care physician will probably refer patients to a rheumatologist for rheumatoid arthritis diagnosis and treatment. Rheumatologists specialize in joint diseases and all types of arthritis, so they treat joint pain related to conditions like osteoarthritis, psoriatic arthritis, reactive arthritis, musculoskeletal pain related to fibromyalgia, tendonitis, and autoimmune diseases like lupus.
Typical medical options for RA include NSAIDs and corticosteroids, to quickly reduce pain inflammation. Anti-rheumatic drugs, known as DMARDS, have both anti-inflammatory and immunosuppressive properties. They work more slowly, but if started soon after diagnosis, they can help to prevent more damage to joint tissues, and relieve RA symptoms.
Unfortunately, all of these medications carry side effects. In the case of DMARDS, some patients experience gastric upset, headaches, and fatigue. They can also increase chances of infections, which is already a problem for people with RA.
Biologics are another type of injectable medication used to help relieve chronic inflammation by suppressing certain immune responses. These can also put people at higher risk for infections and certain cancers.
Acupuncture and TCM offer a way to reduce inflammation and pain without side effects.
Can Acupuncture Help Rheumatoid Arthritis?
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TCM has its own way of categorizing diseases. According to TCM theory, Rheumatoid arthritis falls under the category of “Bi” disorders. In TCM, environmental factors like cold, wind, heat, and dampness can invade the body and affect the organs, ultimately causing organ systems to malfunction. When they manifest in the body, pathogenic factors like cold and dampness can slow down or block the flow of blood and Qi (life force energy) through the body.
“Bi” conditions involve obstructions of Qi and blood that then lead to stiffness, swelling, soreness, redness, and heat in the joints. The famous TCM medical text known as “The Yellow Emperor’s Classic of Internal Medicine,” which was written a few centuries B.C., recorded identification of Bi syndromes. Bi syndromes can certainly be in part related to outside environmental conditions, such as living in a cold, wet, windy place. They can also be related to a weakness of protective Qi that would translate into conventional terms as being a weakened immune system. Thus, Bi syndromes include rheumatoid arthritis, other types of arthritis, and other painful joint conditions like gout, lupus, and neuralgia.
A review of studies conducted on patients who received acupuncture treatment for Rheumatoid arthritis concluded that TCM is a good method for helping patients with this type of condition. TCM acknowledges that within one disease, different people may have very different symptoms, due to their genetics, or what we sometimes call “constitution.” One person will show hot symptoms like redness, swelling, and fever. Another person may find that their joint pain is particularly affected by cold, wet weather. An acupuncturist near me will look and listen to see what sort of pattern has developed, and will treat each individual accordingly with acupuncture points for joint pain.
Acupuncture Near Me for Rheumatoid Arthritis in Greater Los Angeles
TCM offers a framework in which we are able to see autoimmune disease as a collection of issues that can all be addressed in concert. With acupuncture and herbs, we can help relieve pain and inflammation, while also building back up of the systems of the body that have become weak. At Art of Wellness in West LA, we have many years of experience helping people manage autoimmune disorders and get relief from joint pain.
*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.