- Art of Wellness Acupuncture & Traditional Chinese Medicine (TCM)11704 Wilshire Blvd, Suite 295, Los Angeles, CA, 90025
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Pain
How to Treat Morton’s Neuroma With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. & Xiaomei Cai, L.Ac., Ph.D.
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:
- Ball of foot pain, especially when you put weight on in
- Toe pain or pain between the toes
- Numbness or tingling in the ball of the foot, “pins and needles” sensation
- Swelling between toes or in the ball of the foot
- 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 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?
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.
How To Treat Guillain-Barre Syndrome With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. and Xiaomei Cai, L.Ac., Ph.D.
Guillain Barré Syndrome (GBS syndrome) is a neurological disorder and an autoimmune disorder, in which the immune system attacks the nervous system. Also known as acute inflammatory demyelinating polyradiculoneuropathy (AIDP), Guillain-Barre can cause loss of muscular strength, tingling and numbness (neuropathy), and high blood pressure. TCM and Acupuncture can help people recover from Guillain-Barré syndrome.
What causes Guillain Barre syndrome? Scientists are not entirely sure why some people develop this rare functional neurological disorder, but it usually happens when a person has recently had a viral infection, like a respiratory infection or a gastrointestinal infection. GBS is also associated with infections like pneumonia, Epstein-Barr, Hepatitis, and HIV.
This autoimmune disease often progresses quickly and can even lead to paralysis. Most people with Guillain Barre disease will require hospitalization. With treatment, the majority of people do recover slowly, over the course of several months, or possibly even a few years.
In GBS syndrome, the immune cells damage or destroy the myelin sheaths, which surround and protect nerves. Healthy myelin sheaths allow for the smooth flow of signals around the central nervous system and peripheral nervous system. GBS affects the peripheral nervous system, which includes the cranial nerves, the spinal nerves, the peripheral nerves, and the connections between nerves and muscles.
While some cases may be mild, GBS is a serious condition which requires medical care. Some people will have severe symptoms of Guillain Barre which require urgent care, and treatment will probably last for several months. TCM and Acupuncture can be a helpful adjunct treatment to help patients recover from Guillain Barre more quickly and regain their full function more completely.
Guillain-Barre Syndrome Symptoms
GBS syndrome symptoms can start suddenly and get worse quickly. Most often, it starts with a tingling or pins and needles sensation in the lower extremities, which then moves up the limbs towards the center of the body. Muscle weakness can become so severe that a person is effectively paralyzed.
The most common symptoms of Guillain-Barre Syndrome include:
- Muscle weakness in the arms, legs, trouble walking
- Muscle weakness in the face, for example, unable to control eyelids or eyeballs, difficulty chewing
- Vision problems, double vision, can’t move eyes
- Tingling or numbness in the hands and feet, pins and needles in fingers or toes
- Severe aches and pains, muscle cramping, especially at night
- Lower back pain, low back pain
- Loss of reflexes
- Loss of bladder control, urinary retention, or loss of bowel function
- Nausea, vomiting
- Fatigue
- Rapid heartbeat
- High blood pressure or low blood pressure
- Difficulty breathing
- Nasal-sounding voice
- Abnormal gag reflex
Top 3 Types of Guillain-Barre Syndrome
GBS can be difficult to diagnose because it may look different in different patients, and can sometimes be mistaken for other kinds of neuropathies, or conditions like Lyme disease, myasthenia gravis, chronic inflammatory demyelinating polyneuropathy, or sarcoidosis.
Doctors consider Guillain-Barre Syndrome to be a spectrum disorder, meaning different people will display different combinations of symptoms.
- Acute inflammatory demyelinating polyradiculoneuropathy (AIDP) – starts with numbness, weakness, or pain, usually a vague sort of back pain or neck pain. Sometimes called “ascending paralysis” because the muscles of the legs weaken first, then the muscular weakness seems to move up the body.
- Acute motor axonal neuropathy (AMAN) or Acute motor and sensory axonal neuropathy (AMSAN) – the first is associated with motor dysfunction; the second with both motor and sensory dysfunction
- Miller Fisher syndrome (MFS) – characterized by paralysis of the eye muscles and compromise of the tendon reflexes
The treatments for these different variants of Guillain Barre Syndrome are typically the same.
Guillain-Barre Syndrome Treatment
A person experiencing GBS syndrome may need immediate medical treatment to help with breathing and be put on a ventilator or require tube feeding for a period of time until they regain control over these functions. They may also need medications to stabilize their blood pressure.
Current medical treatment for Guillain Barre Syndrome focuses mainly on interfering with the antibodies that are attacking the nervous system. One way to do this is with plasma exchange, also known as plasmapheresis, which can remove antibodies from a person’s blood. Another way is with intravenous immunoglobulin therapy, in which healthy antibodies from other donors are introduced, which can help block the malfunctioning antibodies.
Many patients will go through a period of a few weeks of feeling worse after these types of treatments, but then begin to recover. Most people with Guillain Barre will need to go through a lengthy recovery period that includes physical therapy, exercises and other types of aid in order to regain their full functional mobility. Acupuncture treatment can be a helpful adjunct treatment to speed and optimize the recovery process.
Can Acupuncture Help Guillain-Barre Syndrome?
Acupuncture can help people as they are recovering from Guillain Barre syndrome by improving muscle tone and mobility, rebuilding healthy nerve cells and tissues, as well as relieving nerve pain and muscle pain.
Acupuncture combined with moxibustion treatment has been shown to help improve muscle strength in patients with GBS. Electroacupuncture can help promote new nerve growth while reducing pain.
TCM modalities can help relieve facial paralysis and decrease symptoms of neuropathy like numbness in the fingers and toes.
Patients who have regular acupuncture treatments may see dramatic improvements in their mobility, coordination, and balance.
One study compared patients with GBS who were treated with intravenous immunoglobulin therapy alone, versus patients who were given TCM herbs in addition to the immunoglobulin. The group given the herbal formula showed better motor nerve function and sensory nerve function. The herbs work to relieve inflammation and aid in tissue repair, while clearing dampness and heat, pathogens that are considered to contribute to impaired function of the limbs.
TCM treatment been shown to help with a variety of neurodegenerative diseases, such as Parkinson’s disease, Alzheimer’s disease, Huntington’s disease, ALS, Multiple sclerosis, essential tremor, stroke recovery, and Bell’s palsy. Acupuncture can also help with autoimmune disorders, such as celiac disease, lupus, fibromyalgia, Rheumatoid arthritis, autoimmune encephalitis, and Crohn’s disease.
Acupuncture Near Me in Los Angeles, CA for Guillain Barre Syndrome
Having Guillain Barre Syndrome will probably have a big impact on a person’s life and wellbeing for a while. It is important to take excellent care of yourself while recovering from GBS syndrome, so that you can regain your strength and health fully. At Art of Wellness TCM and Acupuncture, we take every aspect of your health into consideration when we develop a treatment plan to aid in the recovery from serious illness.
*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 Detox With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. & Qineng Tan, L.Ac., Ph.D.
Why is it important to do a detox or body cleanse periodically? When done with the right support from an acupuncturist near me, detoxing can help improve your digestion, immune function, fertility, and many other aspects of your health. Store bought colon cleanse products or a juice cleanse won’t really do the job, though. A detox program with acupuncture and Chinese herbs will do more to optimize your health than just a detox diet will.
When we recommend our Detox Program at Art of Wellness, we are not talking about fasting or detox drinks, like a master cleanse. The goal of our program is to detoxify the organ systems of the body: it’s a liver detox, kidney cleanse, lungs, heart, and spleen. This is a full body cleanse designed to give you a health reset. According to TCM philosophy, your body knows how to repair and renew itself, but it cannot do this job when it is congested and out of balance.
In TCM, we have a broad concept of what “toxins” are and how they can affect our bodies and our health. Toxic chemicals that come from our environment, such as food additives, pesticides, cleaning products, and beauty and hygiene products are certainly part of the problem. Drugs, medicines, alcohol, and unhealthy foods can also be toxic. So can behavioral habits, like sitting and looking at our screens and devices too long.
But our own bodies produce toxins, too. The waste products our organs create are “toxic,” and if they are held in the body too long without being adequately cleared out, they can negatively impact organ function. Imbalances in the system can cause conditions of excess heat or phlegm, which can lead to all kinds of problems with both your physical and mental health.
Stress, lack of sleep, and extreme emotions can also contribute to toxic conditions in the body and mind. When the organ systems are out of balance, the body is under constant pressure to keep functioning, but we do not feel our best.
Signs you need to detox include:
- Fatigue, low energy, tired all the time
- Foggy head, memory problems, trouble concentrating
- Constipation
- Trouble sleeping, insomnia
- Weight gain
- Hair loss
- Hormone imbalances
- Signs of rapid aging
- Skin rash, acne
- Fingernails are brittle, lined or ridged
- Severe PMS symptoms or menopause symptoms
- Headaches, migraine
- Water retention, edema, swelling in extremities
Inflammation is largely created by toxic conditions in the body, and most pain conditions and chronic illnesses stem, at least in part, from inflammation somewhere.
Why You Need a Liver Detox
In conventional medicine, we think of the liver as being a sort of filter that removes toxins from the blood and helps metabolize fat. In TCM theory, we consider the liver to be the storehouse and distributor of blood; therefore, it also plays a crucial role in the menstrual cycle. The liver is also strongly connected to a person’s emotional life.
Stress, lack of sleep, too much sugar, alcohol, fatty, fried foods, pharmaceutical medicines, and recreational drugs all tax the liver above and beyond what it needs to do just to keep the blood flowing to nourish the body. When too many demands are placed on the liver, it can cause all kinds of symptoms, including: fatigue, insomnia, and headaches. Feelings of anger, frustration, anxiety, and irritability may arise. Conversely, when a person is feeling bitter and resentful, and isn’t able to express it, those unresolved emotions may begin to cause trouble with liver function.
Just as the liver governs the blood, in TCM, the kidneys govern the water of the body, controlling elimination through the bladder, and maintaining blood pressure by keeping the right amount of water in the bloodstream. Signs that the kidneys are not balanced include: problems with blood pressure, edema, puffiness in the face or extremities, UTIs, chronic fatigue, and menopause symptoms, like dryness and hot flashes.
Detoxing the organ systems, including the liver and kidneys especially, can help rejuvenate the digestion and allow better nutrition to reach all parts of the body, as the quality and flow of blood and other bodily fluids will be improved.
Making sure that your excretory system is in good working order before starting a cleanse is important. If you are already having problems with constipation, for example, we will want to make sure we get things moving before we start cleansing the organs. Our detox also focuses on the body’s largest excretory organ: the skin.
Top 10 Reasons To Detox
It is a good idea for everyone to detox periodically; detoxing every six months is reasonable for most people. Sometimes we will specifically recommend a detox for a patient when they are struggling with a particular health problem, or if they are planning a pregnancy.
Detoxing can help:
- Boost Immunity – a cleanse will help get your lymphatic system, which produces and transports immune cells and removes waste from cells, moving, improving the efficacy of your immune system.
- Break Free From Addiction – if you are ready, a commitment to the detox program and food plan can help you end patterns of substance abuse, drug use, alcohol addiction, smoking, and other types of dependency.
- Infertility – We often advise people who come to Art of Wellness for fertility treatment to begin with the Detox Program. Not only will this help increase the chances of conception occurring, whether naturally or with the aid of ART, but it will also lay the foundation for your child’s health in the future.
- Improve sleep – This works both ways. In order for the body to do its routine daily work of removing toxic waste, it needs plenty of sleep. The Liver, in particular, is working hard through the night to clean and deliver fresh blood to the cells. Sleeping on your side enhances your body’s ability to do this work, allowing the internal organs to drain properly. When your body is functioning well, your sleep will be of better quality, more restful and refreshing.
- Improve skin and hair – Dull eyes and skin, dark circles or bags, puffiness, and thinning hair are signs of stagnant blood and Qi. Nutrients from the right foods and Chinese herbs help to nourish the skin, and clear heat, dampness, and dryness. When old cells are removed, hair and eyes can shine again. Acupuncture treatment can help stimulate collagen production, which also happens while you sleep.
- Weight loss – While our acupuncture detox is not about how to lose belly fat fast, many people will find that it gives them a good foundation for new eating habits. Detoxing the liver and kidneys will help your body metabolize fat better.
- Balance hormones – severe PMS symptoms, bloated stomach and mood swings, perimenopause symptoms, infertility in women and infertility in men (oligospermia) can all be improved when hormone function improves. Acupuncture treatment can also help relieve conditions like PCOS, fibroids/leiomyoma, and endometriosis for women, and BPH in men.
- Reduce inflammation – many illnesses and pain conditions are inflammatory in nature. If you are suffering from pain due to plantar fasciitis, gout, rheumatoid arthritis, tennis elbow, carpal tunnel syndrome, shoulder or hip pain, acupuncture can help.
- Increased energy – better nutrition, better circulation, better sleep, and better organ function will all work synergistically to help you feel more energetic.
- Chronic illness – many chronic illnesses are rooted in toxic conditions within the body or exposure to toxins. Hard-to-treat conditions like autoimmune conditions and other systemic problems may be helped with alternative medicine when conventional medical treatments have not been successful. We treat many conditions with acupuncture and herbs, such as: lupus, lyme disease, celiac disease, fibromyalgia, and Crohn’s disease. We also provide support for people going through cancer treatment.
7 Steps of Detox Program With TCM Acupuncture and Herbs
Pain and dysfunction occur when there is imbalance and when there are areas of stagnation within the body. Think of the metaphor of a house that needs to be deep-cleaned; there are dark corners of the body that have been ignored for a while, where dust and cobwebs have gathered. The Detox program reaches into these pockets of stagnation, sweeps them clean, and makes sure they get some fresh air and sunlight shining on them, in the form of invigorated Qi and blood.
- Acupuncture Treatments – the primary goal of acupuncture treatments during the detox phase is to get Qi moving freely, remove blockages, and to assist in elimination of toxins from the body.
- Cupping Treatment – the TCM modality of cupping creates a vacuum-like suction that moves Qi and blood from the innermost parts of the body outwards. During the detox program, cupping helps to pull toxins out of the lungs and other organs.
- Detox Herbs – the Chinese herb detox tea helps to clear heat and toxins from the body and improve digestion and elimination.
- Foot Pad Detox – detox foot patches, worn as you sleep at night and removed in the morning, help to pull toxins and fatty deposits from the body.
- Detox Bath – Sweating is an excellent way to remove toxins through the skin; this is why so many traditions rely on saunas and hot baths. Our herbal sachets allow you to enjoy a therapeutic herbal soak in your own bathtub.
- Exercise – Your acupuncturist will instruct you on how to practice daily exercises, based on QiGong movements, that will help to get Qi and blood moving.
- Nutrition – the food plan during the detox is based on whole grains, lean proteins, and plenty of vegetables, flooding your system with nutrients.
Detox Near Me Los Angeles, Westside
The beginning of the year, springtime, after recovery from a long illness, while preparing for a healthy pregnancy–anytime may be the right time for you to detoxify your system and get a fresh start. We recommend that you take the time to dedicate yourself to a week of cleansing with the Art of Wellness Detox Program at least twice a year for optimal health benefits.
*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 Trigeminal Neuralgia With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. & Xiaomei Cai, L.Ac., Ph.D.
Sudden, sharp, shooting pain in the cheek or jaw that feels like an electric shock? Intense facial pain that lasts for a few seconds or a few minutes, and then goes away? This could be a sign of Trigeminal Neuralgia, a type of nerve pain or neuropathy that affects the nerves in the face. TCM and acupuncture provide a safe, effective trigeminal neuralgia treatment to relieve pain.
Trigeminal neuralgia is a chronic pain disorder associated with the trigeminal nerve, which branches out across the face along each eye, cheek, and the upper and lower jaws. It communicates signals from the face to the brain related to pressure and temperature, and is also involved with the motor action of chewing.
Neuropathy is a general term that refers to any kind of nerve damage or dysfunction that leads to sensations of pain, tingling, or numbness. When there is something wrong with the trigeminal nerve–maybe compression, a lesion on the nerve, or some other problem–then even a light touch, or eating something hot or cold, can cause a very intense pain signal. Trigeminal neuralgia is sometimes called tic douloureux, meaning “painful tic,” because the jolt of pain causes people to wince or grimace. Sometimes people think the pain they’re feeling is dental pain.
The pain of trigeminal neuralgia is often described in terms like: stabbing, burning, and excruciating pain. Sometimes people say it feels like a sudden electric shock. This pain may last only a few seconds, or a few minutes, or it can come and go over the course of hours or days.
Occipital neuralgia is a similar condition, in which the pain is in the back of the head and upper part of the neck. This occurs when the occipital nerves are irritated.
Trigeminal neuralgia pain often flares up on just one side of the face, sometimes isolated to one area. Pain may be around or behind the eye, across the cheek, along the jaw, or inside the mouth. Doctors categorize trigeminal neuralgia into 2 types:
- Type 1 – Typical – facial pain occurs in sporadic, sudden bursts which may last seconds or minutes, or come and go over the course of a few hours. There are periods of times between episodes when there is no pain.
- Types 2 – Atypical – pain in face is constant, with aching, burning sensations present over a widespread area.
Trigeminal neuropathy is similar in some ways to other cranial neuropathy conditions like Bell’s Palsy. In the case of Bell’s palsy, lack of blood flow to the 7th cranial nerve causes a temporary paralysis of the facial muscles and one side of the face to droop. Bell’s Palsy usually goes away after a while, but Trigeminal neuropathy tends to become a chronic condition that gets worse as time goes on.
Acupuncture and TCM are an excellent way to help relieve pain and dysfunction due to all types of neuropathies, including Bell’s Palsy, peripheral neuropathy, sciatica/sciatic nerve pain, piriformis syndrome, radiculopathy (pinched nerve) that can cause neck pain, thoracic or low back pain, or shoulder pain, occipital neuralgia, Morton’s neuroma, and carpal tunnel syndrome.
Acupuncture treatment can help not only to relieve pain caused by nerve disorders, but can actually help to repair damaged nerves, regenerate nerve tissues, and facilitate better communication throughout the nervous system.
Top 10 Trigeminal Neuralgia Triggers
Trigeminal neuralgia pain can occur spontaneously for no apparent reason, but it is often triggered by some sort of touch, movement, or other stimulus. Some common triggers of trigeminal neuralgia pain include:
- Brushing your teeth
- Eating or drinking something hot, cold, or spicy
- Touching your face, leaning your face on your hand
- Shaving facial hair
- Putting on makeup
- Washing your face
- Talking
- Smiling, laughing
- A breeze blowing in your face, wind in your face
- Vibrations from being in a car or airplane, etc.
While the nerve pain caused by trigeminal neuralgia is not life-threatening, and doesn’t really affect your ability to move your face, that doesn’t mean that it doesn’t have an impact on your life. Never knowing when you might suddenly experience severe pain is debilitating. Many people with this type of neuropathy pain can fall into a depression and even begin to experience suicidal thoughts because the thought of having to live with this kind of pain forever is scary.
What Causes Trigeminal Neuralgia?
Trigeminal neuralgia tends to occur more frequently in women, and in people who are over 50. While the exact cause is not always apparent, it usually has to do with a blood vessel creating extra pressure somewhere along the nerve. Sometimes it can be due to a head injury or a tumor in the brain. Multiple sclerosis (MS) can sometimes contribute to trigeminal neuralgia. Sometimes people develop trigeminal neuralgia after a dental procedure.
Trigeminal Neuralgia Treatment Medications
The medications most commonly prescribed for people suffering from trigeminal neuralgia are a class of drugs called anticonvulsants. These medications were originally intended to be used to treat seizures and epilepsy, but they have been found to help some people with neuropathy pain, too. Medicines like Neurontin and Topamax can help disrupt the nerve signals that are causing the pain.
The side effects of these medications can include dizziness, trouble concentrating or remembering things, drowsiness, headaches, vision problems, and nausea.
If a patient has not found relief from trigeminal neuralgia nerve pain with medication, then surgery may be attempted. Doctors may drill into the skull to expose the trigeminal nerve and try to remove blood vessels that may be pressing against the nerve. This is called microvascular decompression (MVD), and is an invasive operation that carries risks and requires a few weeks of recovery time. Not everyone gets pain relief from this procedure, in which case, other options may be tried.
Gamma knife radiosurgery and Radiofrequency lesioning are less invasive procedures that involve applying radiation or heat from an electrode to the trigeminal nerve. The idea is to purposely damage the nerve in order to stop the pain signals. In some cases, this can lead to numbness, or loss of sensation in the face. For some patients, the pain comes back in a matter of years, in which case the surgery can be repeated.
Acupuncture offers an alternative treatment that can relieve pain from trigeminal neuralgia without side effects or risk of permanent nerve damage.
Can Acupuncture Help Trigeminal Neuralgia?
According to the TCM view, different people can suffer from the same type of pain condition or disease but have different underlying problems that are the root cause of the pain. When treating individual patients, an acupuncture practitioner first listens carefully and observes all of a person’s symptoms to determine what kind of internal pathogens or imbalances may be contributing to the pain disorder.
In the case of trigeminal neuralgia, the cause may be related to a blockage in the stomach meridian, which extends into the same facial areas as the trigeminal nerve does. As with other neurological conditions (like Bell’s Palsy and Parkinson’s disease), this blockage may be related to an invasion of wind, either hot or cold, that affects the flow of Qi through the face and head.
In addition to acupuncture treatment, Chinese herbs can help strengthen Qi and help with the rejuvenation of nerve cells. It is also important for a person struggling with trigeminal neuralgia to be cautious of eating or drinking anything that is too hot or too cold. It is also advised that you avoid spicy foods, caffeine, sugar, and processed foods.
Acupuncture works as a natural analgesic to relieve pain, affecting the way that nerve cells transmit pain signals and activating the opioid receptors in the brain.
A case study of a woman who had suffered from trigeminal neuralgia pain for 25 years found that after six weeks of acupuncture treatment, she was free of pain, and was still free of pain six months later.
A review of studies related to trigeminal neuralgia treatments concluded that acupuncture was more effective for pain management of trigeminal neuralgia than medication or surgery, and had fewer adverse effects than either of the other solutions. Over a five year period, acupuncture treatment also cost significantly less money than other treatments.
A study that compared patients who had had trigeminal neuralgia symptoms for an average of 10 years. Half were treated with acupuncture and the other half treated with the anticonvulsant medication Carbamazepine. The acupuncture group reported a higher percentage of effective pain reduction; 95% of the patients found relief, with 30 out of 40 people reporting that their pain was totally resolved.
One study of a dozen patients treated with acupuncture found that all of the participants had reduced pain, to the point that they no longer needed to take medications for trigeminal neuralgia.
Acupuncture Near Me for Trigeminal Neuralgia in the Los Angeles Area
Trigeminal neuralgia can have a serious impact on a person’s quality of life. The pain of this nerve condition can be so extreme that it inspires fear and depression. The standard medical treatments for trigeminal neuralgia don’t work for everyone, and they can come with significant negative side effects. If you or someone you love is suffering from facial pain, please do not hesitate to reach out to us at Art of Wellness Acupuncture. Drs. Tan and Cai have been serving the Westside and Santa Monica since 1995, with expertise in TCM and integrative medicine.
*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.
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
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?
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.