- Art of Wellness Acupuncture & Traditional Chinese Medicine (TCM)11704 Wilshire Blvd, Suite 295, Los Angeles, CA, 90025
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Recent Posts
- How to Treat Wrist Pain With Acupuncture and TCM
- How to Treat Cervical Radiculopathy With Acupuncture and TCM
- How To Treat Frozen Shoulder With Acupuncture and TCM
- How to Treat Pelvic Congestion Syndrome With Acupuncture and TCM
- How to Treat Splenomegaly (Enlarged Spleen) With Acupuncture and TCM
- How to Treat Bone Spurs With Acupuncture and TCM
- How To Treat Pelvic Pain With Acupuncture and TCM
- How to Treat Chronic Kidney Disease (CKD) With Acupuncture and TCM
- How to Treat Edema With Acupuncture and TCM
- How to Treat Cirrhosis With Acupuncture and TCM
- How to Treat SIBO With Acupuncture and TCM
- How to Treat Pruritus With Acupuncture and TCM
- How to Treat MCAS With Acupuncture and TCM
- How to Treat Shin Splints With Acupuncture and TCM
- How to Treat Dysautonomia With Acupuncture and TCM
- How to Treat Myofascial Pain Syndrome With Acupuncture and TCM
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Sports injury
How to Treat Wrist Pain With Acupuncture and TCM
By Qineng Tan, L.Ac. Ph.D. and Xiaomei Cai, L.Ac., Ph.D.
Wrist pain when you bend it? Is it hard to open jars or doors? Popping sound in wrist? Pain at the base of the thumb? Wrist or fingers swollen? Wrist pain can be caused by a variety of joint issues, including tendinitis of wrist, or De Quervain’s tenosynovitis. Acupuncture and TCM can help treat the root cause of wrist pain.
The wrist is a complex joint composed of several small bones, tendons, ligaments, muscles, and nerves. In medical terminology, the thumb side of the wrist is the radial wrist (wrist pain on thumb side, radial thumb pain, or inner wrist pain), while the little finger side is the ulnar wrist (wrist pain on pinky side, ulnar wrist pain, or outer wrist pain).
Injuries, such as a wrist fracture, are a particularly common cause of acute wrist pain, as people will often try to catch themselves with an outstretched hand when falling, which can easily lead to wrist injury. Wrist fractures can result in wrist pain, swelling, bruising, and an inability to move the wrist normally.
Fractures may also damage nearby ligaments, nerves, and tendons, which can complicate healing and prolong discomfort. Proper alignment and stabilization are essential for healing, and if not treated correctly, a fracture can lead to chronic pain and arthritis in the wrist.
Acupuncture treatment can certainly be helpful for reducing inflammation, relieving acute pain, and helping to speed the healing of a wrist fracture.
Other, more chronic conditions can also cause wrist pain.
Top 5 Causes of Wrist Pain
Certain chronic health conditions that build up slowly over time can ultimately lead to wrist pain and dysfunction. Some of these include:
- Arthritis of the Wrist – Osteoarthritis of the wrist and rheumatoid arthritis can both be causes of wrist pain. Osteoarthritis is typically caused by wear and tear on the cartilage of the wrist joint. This condition usually develops slowly over time, especially in individuals who have experienced previous injuries or repetitive stress on the wrist. Rheumatoid arthritis is an autoimmune condition that causes inflammation of the wrist joints, leading to pain, warmth, and eventual joint damage. Both types of arthritis can severely limit the range of motion and strength in the wrist, making even simple activities painful.
- Repetitive Stress Injury (RSI) – Repetitive stress injuries in the wrist are caused by continuous or repetitive movements, such as typing, gripping, or lifting, which can strain the tendons and ligaments in the wrist. Over time, this repetitive strain can lead to inflammation, pain, and decreased mobility. Carpal tunnel syndrome and tendonitis (discussed further below) are common forms of repetitive strain injury that cause wrist pain. RSI often requires rest and modification of activities to allow the wrist to heal, as continuous stress can worsen the condition and lead to long-term issues.
- De Quervain’s Tenosynovitis – De Quervain’s tenosynovitis (also known as Quervain disease or styloid tenosynovitis) affects the tendons on the thumb side of the wrist. It occurs when the tendons around the base of the thumb become inflamed, leading to pain and tenderness, particularly during movements that involve gripping or pinching. This condition is often the result of repetitive thumb movements, such as those used in typing or texting. De Quervain’s disease tenosynovitis can cause sharp pain on the radial (thumb) side of the wrist, and people may find it difficult to grasp or hold objects.
- Tendonitis (or Tendinitis) of the Wrist – Tendonitis of the wrist refers to inflammation of the tendons that cross the wrist joint. It is commonly caused by repetitive motion, excessive strain, or sudden injury. Tendonitis can affect various tendons depending on the type of movement that led to the condition. Pain and swelling are typical symptoms, and the affected area may feel warm to the touch. Wrist tendonitis is often seen in athletes and individuals who perform repetitive tasks with their hands and can result in decreased wrist function and grip strength.
- Carpal Tunnel Syndrome – Carpal tunnel syndrome is a type of neuropathy, or nerve condition, caused by compression of the median nerve as it passes through the carpal tunnel in the wrist. This compression leads to pain, tingling, numbness, and weakness in the hand and wrist. Carpal tunnel syndrome is often associated with repetitive wrist movements and can be exacerbated by activities that involve gripping or bending the wrist. If left untreated, carpal tunnel syndrome can lead to permanent nerve damage and reduced hand function.
Other possible causes of wrist pain could include: bursitis (small, fluid-filled sacs that form between bones), ganglion cysts (fluid-filled cysts that form near joints), or Kienbock’s disease (in which the lunate bone of the wrist begins to break down).
Treatment for Wrist Pain
When a patient presents with wrist pain, diagnosis usually begins with a physical examination to identify the specific cause of pain. The doctor will assess the patient’s range of motion, grip strength, and any areas of tenderness or swelling in the wrist. Imaging via X-rays, MRI or ultrasound may be used to confirm a diagnosis, especially if a fracture, ligament tear, or nerve compression is suspected.
For nerve-related issues like carpal tunnel syndrome, a nerve conduction study (NCS) or electromyography (EMG) may be conducted to assess the functionality of the median nerve. This can help differentiate between arthritis, repetitive strain injuries, or specific tendon and nerve issues.
Conventional treatments for wrist pain depend on the specific diagnosis. In cases of arthritis, anti-inflammatory medications (NSAIDs), corticosteroid injections, or physical therapy are commonly recommended to manage pain and improve joint mobility.
For fractures, immobilization with a cast or splint is typically required, and surgery may be necessary for more severe breaks. Repetitive stress injuries like tendonitis or De Quervain’s tenosynovitis often respond to rest, ergonomic modifications, and anti-inflammatory treatments.
Physical therapy exercises to strengthen and stretch the affected muscles and tendons can be helpful. In cases of carpal tunnel syndrome, wrist splints are often used to keep the wrist in a neutral position, particularly at night, and corticosteroid injections may be administered, aimed to reduce inflammation.
If these methods do not relieve symptoms, surgical intervention, such as carpal tunnel release, might be recommended to decompress the median nerve.
While typical treatment usually involves pain medication, rest, and possibly physical therapy, acupuncture treatment can be an excellent adjunct or alternative treatment to relieve wrist pain.
Can Acupuncture Help Wrist Pain?
Acupuncture and Traditional Chinese Medicine (TCM) can offer natural pain relief for injuries and chronic pain conditions, by reducing pain and inflammation, improving circulation, and supporting the body’s healing process.
According to TCM theory, the health of the internal organ systems is related to the rest of the body parts. For example, the spleen is responsible for transforming Qi and blood. If the spleen is weak, it can cause blockages in blood flow that create stasis, stiffness and pain in the limbs and joints. The liver governs the tendons of the body. When the liver is not functioning well, often due to emotional stress, than there may be pain and dysfunction in the tendons and joints.
Therefore, an acupuncturist does not only treat the painful area, but also looks at the deeper root cause and addresses them with acupuncture treatment, Chinese herbs, and other therapeutic modalities, to help relieve pain and inflammation and bring about healing.
A systematic review of trials showed that acupuncture treatment led to significant pain reduction for patients treated for rheumatoid arthritis affecting the wrist. It also concluded that acupuncture brought about pain relief and functional improvement for patients with tenosynovitis and carpal tunnel syndrome.
One study separated patients with carpal tunnel syndrome into two groups: one group received pain medication for wrist pain and the other group had 12 acupuncture treatments. Comparatively, the acupuncture group had greater reduction in pain, tingling, and numbness and greater functional improvement.
Studies of MRI results after acupuncture have suggested that acupuncture for carpal tunnel syndrome actually has a positive impact on nerve function in the wrist and changes the way the brain and nerves are signaling pain.
A trial involving patients treated for De Quervain’s disease tenosynovitis with five acupuncture sessions over the course of two weeks showed improvement in pain and grip strength, and the results were still maintained at a ten week follow up visit.
The combination of acupuncture and moxibustion can be particularly helpful for treating Quervain’s tenosynovitis.
Overall, the evidence shows that acupuncture and other TCM modalities can be a relatively low cost, non-invasive way of helping to treat wrist pain, without surgery or the unwanted side effects of pain medications or steroid injections.
Acupuncture Near Me for Wrist Pain in Los Angeles
Dr. Tan and Dr. Cai at Art of Wellness in West L.A. have over 35 years of experience helping people recover from sports injuries, repetitive stress injuries, and orthopedic pain conditions of all kinds. Acupuncture treatment for wrist pain can be used in addition to your medical protocol to help speed recovery and bring about pain relief.
*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 Bone Spurs With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. and Xiaomei Cai, L.Ac., Ph.D.
Heel pain when walking? Numbness in arms or legs? Hip pain? These can all be signs of bone spurs, or osteophytes—bony projections that develop around joints or along the spine. Acupuncture and TCM can help alleviate pain and tingling related to heel spurs and bone spurs on spine,and help to prevent further growth of bone spurs.
Bone spurs are essentially extra bone tissue that grows around the edges of bones. This happens most commonly where two different bones meet in a joint. Bone spurs can grow in many areas: knees, hips, bone spurs on feet, shoulder, ankle, or bone spur in back.
What Is the Root Cause of Bone Spurs?
Osteoarthritis is a degenerative condition that causes cartilage to wear down over time. Sometimes bone spurs develop as the body’s way of making up for loss of cartilage in a particular area, trying to fill in the gap.
Bone spurs can also grow due to pressure on a bone, which can either be due to repetitive stress from movement (sports, dancing, etc.), extra weight because of obesity, or wearing shoes that rub or pinch the heel or top of the foot.
Maybe you’ve noticed foot spurs on heel. Heel spurs often relate to plantar fasciitis—inflammation in the ligaments of the foot that causes heel pain. Bone spur heel can develop as the body’s reaction to plantar fasciitis, causing sharp pain in the foot.
You might feel a lump or bump growing on the top of your foot or on one of your toes. Bone spurs in foot or heel are very common, especially as people age. The older you are, the higher your risk of developing bone spurs.
Having flat feet can also increase the risk of bones spurs on feet, as this condition puts extra stress on the many small bones and joints in your feet.
Osteophytosis of the spine can develop in the neck (cervical spine), mid-back (thoracic spine), or lower back (lumbar spine), potentially causing pain, stiffness, and nerve compression, leading to tingling or numbness in the arms and/or legs.
Bone Spur Symptoms
Many people have bone spurs without realizing it, because bone spurs don’t necessarily cause pain. In other cases, bone spurs can cause serious, debilitating pain, making it difficult to walk.
The most common signs of bone spurs include:
- Stiffness
- Redness and swelling around the bone spur
- Stiff joints
- Weakness in limbs
- Tingling or numbness in limbs
- Corns on the toes
- Difficulty standing or walking
Heel Spur Treatment
Bone spurs are typically diagnosed through physical examination and imaging studies, such as X-rays, MRI, or CT scans. These tests help determine the size and location of the bone spur and assess the extent of any associated damage to surrounding tissues, such as cartilage, muscles, or nerves.
Medications like ibuprofen or naproxen are commonly prescribed to reduce pain and inflammation. Corticosteroid injections may also be used to provide temporary relief from pain.
In severe cases, surgical intervention may be recommended. Procedures such as a bone spur removal (osteophyte excision) or joint replacement (in cases of severe osteoarthritis) may be performed. In some cases of heel spurs, this is combined with plantar fascia release surgery.
Most bone spurs, however, do not require surgery. It is possible to relieve pain and pressure caused by bone spurs and prevent them from growing bigger. Acupuncture and TCM can help by addressing the root cause of bone spurs.
Can Acupuncture Help Bone Spurs?
In Traditional Chinese Medicine (TCM), bone spurs are viewed as the result of imbalances within the body, particularly related to deficiencies in the Kidney and Liver organ systems.
What deficiency causes bone spurs?
According to TCM theory, the Kidneys govern the bones and produce marrow, which nourishes the bones. This concept of the “kidney” is very different from the way we think of it in modern medicine; it is more of a functional concept of how water is metabolized in the body, and how it relates to growth, development, and aging. Kidney deficiency can lead to weakened bones and the development of osteophytes.
Herbs that nourish the kidney system will be combined with acupuncture treatment. Specific acupoints can be used to stimulate the parathyroid gland, which plays a role in calcium utilization.
Acupuncture treatment can help provide pain relief for many orthopedic conditions that cause joint pain or bone pain, including tennis elbow, bursitis/hip pain, and arthritis.
One case study of a woman suffering from heel pain that had not resolved with conventional treatments of local steroid injections. After receiving regular acupuncture treatments over a course of six months, the patient reported that her pain had gone from an 8 on the pain scale to a 3. Radiology imaging showed, after the course of acupuncture treatment, that the bone spur was no longer in evidence.
Your TCM practitioner may recommend eating a diet that supports bone health, including foods that are rich in calcium, magnesium, and other essential nutrients. Foods that nourish the Kidneys, such as black beans, walnuts, and seaweed, will usually be emphasized.
Acupuncture Near Me for Bone Spurs in Los Angeles
Acupuncture and Traditional Chinese Medicine provide a holistic and effective way to manage and treat bone spurs. Drs. Tan and Cai at Art of Wellness in West L.A. have over 35 years of experience helping people find relief from bone pain due to all kinds of conditions. Whether you’re dealing with heel spurs, spinal osteophytes, or foot spurs, TCM can be an integral part of your treatment plan, offering a natural and holistic approach to long-term bone health.
*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 Shin Splints With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. and Xiaomei Cai, L.Ac., Ph.D.
Shin pain, especially during or after exercise? Tenderness and swelling around the shin bone? These may be signs of shin splints, or a shin strain. Acupuncture and TCM can provide shin splints treatment.
Shin splints, also known as medial tibial stress syndrome (MTSS), are a common condition characterized by pain along the inner edge of the shinbone (tibia). This discomfort typically occurs during or after exercise, particularly activities that involve running, jumping, or repetitive stress on the legs.
Shin splints are often attributed to overuse or excessive strain on the muscles, tendons, and bone tissue of the lower leg. This condition involves stress to the soft tissues that causes them to become swollen and hard.
Shin splints pain can be similar to compartment syndrome symptoms, but these are two distinctly different conditions. Compartment syndrome occurs when swelling in the calf area causes a blockage of blood flow to the lower leg. This usually happens due to an injury (acute compartment syndrome) or extreme exertion (chronic exertional compartment syndrome) and causes a severe lack of oxygen in the area. Compartment syndrome usually causes severe pain, sometimes with a tingling or burning sensation, and requires medical attention.
What Causes Shin Splints?
Several factors can contribute to the development of shin splints. One of the primary causes is repetitive stress or overloading of the leg muscles, particularly those responsible for dorsiflexion (lifting the foot upwards) and supporting the arch of the foot. This can occur due to sudden increases in activity level, such as starting a new exercise regimen or intensifying training too quickly, without allowing adequate time for the body to adapt and recover.
Some people may be more prone to developing shin splints because of issues like flat feet, overpronation (excessive inward rolling of the foot), and muscle imbalances in the lower limbs can place additional strain on the shinbone and surrounding soft tissues, increasing the risk of injury.
Wearing footwear with insufficient cushioning or support, running on hard or uneven surfaces, and running downhill or on inclined terrain can all exacerbate the stress on the lower legs and contribute to the development of shin splints. Additionally, factors such as tight calf muscles, weak shin muscles, and not warming up or stretching before exercise can further increase susceptibility to this condition.
Taking care to stretch and warm up before working out, wearing shoes with enough support, and gradually increasing intensity of training can help prevent shin splints.
However, runners and athletes who play basketball or soccer are likely to experience shin splints when they are training and competing.
Shin splints treatment generally requires time and patience. Acupuncture can provide pain relief and help speed recovery from shin splints.
Top 10 Signs and Symptoms of Shin Splints
These signs and symptoms may vary in severity and duration depending on the individual and the underlying causes of shin splints.
- Pain along the inner edge of the shinbone (tibia), typically felt during or after physical activity.
- Tenderness and soreness along the shinbone, especially upon palpation or pressure.
- Swelling or inflammation of the lower leg, often localized to the area of pain.
- Dull, aching pain that may worsen with activity and subside with rest.
- Discomfort that initially occurs at the beginning of exercise but may progress to persist throughout the activity.
- Pain that gradually increases in intensity or becomes more widespread over time.
- Pain that may be accompanied by a feeling of tightness or stiffness in the muscles of the lower leg.
- Pain that persists even after cessation of activity and may interfere with daily activities.
- Possible development of small lumps or bumps along the inner border of the shinbone due to inflammation or irritation of the surrounding tissues.
- Pain that improves with rest but recurs upon resuming physical activity, especially activities that involve impact or weight-bearing on the legs.
Shin Splints Treatment
Conventional treatment of shin splints usually involves rest and over the counter pain relief. Typically, a doctor will recommend that a person with shin splints limits their exercise to low-impact activities. Icing the area several times per day is advised.
Acupuncture treatment for medial tibial stress syndrome can help relieve shin pain quickly.
One case study showed that a patient who had been suffering from shin splints for six weeks got pain relief after one session of acupuncture treatment, and at a four week follow, was still pain-free.
Can Acupuncture Help Shin Splints?
Acupuncture treatment helps with the healing of soft tissue injuries by increasing circulation to the area, relieving inflammation, and aiding in the release of endorphins for pain relief. It does this by activating Qi to move blood and energy more efficiently through the body.
One study of three groups of athletes with shin splints looked at patients who received conventional sports medicine, patients who received acupuncture, and patients who received both. The groups who received acupuncture treatment reported significantly lower pain levels and used less NSAIDs than those who did not receive acupuncture.
Acupuncture Near Me for Shin Splints in West Los Angeles
Acupuncture is an effective modality for treating many kinds of repetitive stress injuries and nerve pain conditions, including sprained ankles, Baker’s cyst, tendinitis, and carpal tunnel syndrome. Dr. Tan has over 35 years of experience helping patients find pain relief and improved mobility through treating all kinds of orthopedic and musculoskeletal conditions. While each case is unique, it is possible to get pain relief quickly with TCM treatment, including acupuncture, electro-acupuncture, therapeutic massage like Tui Na, topical herbal patches, and herbal ointments. If you are in pain and need to heal quickly to get back to your regular activities, acupuncture can help.
*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 Myofascial Pain Syndrome With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. and Qineng Tan, L.Ac., Ph.D.
Muscle aches and pains? Knotted muscles? Pain in trigger points? These could be signs of myofascial pain syndrome. Acupuncture and TCM can provide myofascial release and help relieve chronic myofascial pain (MPS pain).
Myofascial pain disorder is a common, yet often overlooked chronic pain condition that affects the muscles and fascia. Fascia is the thin connective tissue that is found all over the body, holding muscles, organs, and blood vessels together. Fascia is also filled with nerves, which makes it highly sensitive.
Healthy fascia is thin, stretchy and pliable. Stress, injuries, weakness and other issues can cause fascia to tighten up, become sticky, dry, or thicker. This can cause painful knots to develop in your muscles.
These areas are sometimes called fascial adhesions, or myofascial trigger points, and they can be very tender to the touch and cause muscle soreness, aches and pains.
Chronic myofascial pain can seem very similar to fibromyalgia, or symptoms of ME/CFS, and is sometimes misdiagnosed as such. However, these conditions are distinct from one another.
Fibromyalgia causes widespread, diffuse pain and tenderness all over the body, while myofascial pain is centered around specific trigger point sites. Fibro, as it is sometimes called, is believed to be caused by a disorder within the central nervous system. Fibromyalgia is usually triggered by stress, trauma, hormonal changes, lack of sleep, or sensitivities to weather changes.
It has been suggested that long-term myofascial pain syndrome may ultimately lead to a person developing fibromyalgia, as the brain and nervous system become so used to experiencing pain that they begin to produce disordered pain signaling.
Acupuncture treatment, cupping, and therapeutic Chinese massage can provide trigger point therapy that is effective for relieving tight muscles and soreness.
Myofascial Pain Syndrome Symptoms
People experience myofascial pain differently from one another; each case is unique. For some people, the pain can come and go suddenly; for others, it’s a constant, dull pain.
Myofascial pain syndrome can feel like:
- Tight muscles, stiffness
- Throbbing pain
- Dull, aching pain
- Sore muscles, tender areas
- Knotted muscles, nodules or bumps in specific areas that are sore
- Muscle weakness
- Limited range of motion
- Trouble sleeping
- Headaches
- Fatigue
Myofascial pain can be localized in one area, or referred pain, which spreads to other nearby areas. Myofascial referred pain patterns can look like pain that originates in the rotator cuff which then spreads to the deltoid, and even down the arm to the hand.
What Causes Myofascial Pain?
Medical science is not entirely clear on the causes of myofascial pain syndrome, but it seems to occur more often in people who have experienced things like:
- Periods of inactivity, such as having one of your limbs in a cast
- Repetitive movements in your work
- Pinched nerves
- Injury to a muscle or muscle group
- Having to work outdoors in the cold
- Diabetic neuropathy
- Thyroid disorders, hypothyroidism
- Deficiencies in Vitamin D or folate, or iron deficiency
- Stress, chronic tension that leads to clenched muscles
- Structural conditions like scoliosis, spondylosis, or osteoarthritis
Estimates suggest that the majority of people who are treated for chronic musculoskeletal pain may have myofascial pain syndrome. Up to 85% of the general population may experience myofascial pain at some point in time.
Treatment for Myofascial Pain Syndrome
One of the primary approaches to managing myofascial pain syndrome is physical therapy. Physical therapists may use manual therapy, stretching exercises, and postural correction to address muscle imbalances, improve flexibility, and release tension in affected muscles. Trigger point therapy, which involves applying pressure to trigger points to release muscle knots and promote relaxation, is a common component of physical therapy for MPS.
Modalities such as heat therapy and cold therapy may also be used in conjunction with physical therapy to provide pain relief and enhance the effectiveness of treatment. Heat therapy helps to increase blood flow and promote muscle relaxation, while cold therapy can reduce inflammation and numb the affected area.
In addition to physical therapy and modalities, medications may be prescribed to manage pain and improve symptoms associated with myofascial pain syndrome. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen may be recommended to reduce inflammation and alleviate pain. Muscle relaxants such as cyclobenzaprine or benzodiazepines may also be prescribed to help relax tense muscles and improve sleep quality. In some cases, tricyclic antidepressants or anticonvulsant medications may be used to modulate pain signals and improve overall pain management.
Trigger point injections are another treatment option for myofascial pain syndrome, particularly for individuals who experience severe or persistent symptoms that do not respond adequately to conservative measures. During a trigger point injection procedure, a local anesthetic or corticosteroid is injected directly into the trigger point to help alleviate pain and reduce muscle tension.
Acupuncture needling is also considered an effective and valuable treatment option for myofascial release and relief of musculoskeletal pain.
Can Acupuncture Help Myofascial Pain Syndrome?
Many studies conducted over the past two decades point to acupuncture as an effective mode of treatment for myofascial pain syndrome.
Acupuncture is effective for myofascial pain because it can positively affect the central nervous system, increase blood flow, increase endorphin production, improve fascial adhesions, and promote muscle relaxation. Acupoints used in TCM correspond closely with myofascial trigger points.
One study looked at patients who received two acupuncture treatments per week for four weeks on trigger points in the upper trapezius. Patients reported significant reduction in pain after just two weeks.
Another study followed two groups of patients with myofascial pain centered in the neck area. One group received acupuncture treatment. The other group had acupuncture and also engaged in regular aerobic exercise. Findings showed that both groups experienced significant improvement in pain symptoms.
A review of studies found that acupuncture was effective both for reducing myofascial pain and improving function and mobility.
Acupuncturists may also use electro-acupuncture, cupping, and massage techniques like gua sha and tui na to help move lymph and blood, release muscle trigger points, and improve muscular movement that has been limited by pain.
Acupuncture Near Me for Myofascial Pain Syndrome in Los Angeles
At Art of Wellness Acupuncture in West L.A., we have over 35 years of experience helping people find relief from musculoskeletal pain of all kinds. Dr. Tan and Dr. Cai are able to use electro-acupuncture, cupping, and massage techniques like Tuina for myofascial release. If you are suffering from muscle pain and tenderness, do not hesitate to make an appointment with us.
*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.
How to Treat Costochondritis With Acupuncture and TCM
By Qineng Tan, L.Ac. Ph.D. and Xiaomei Cai, L.Ac., Ph.D.
Chest pain? Rib pain, sternum pain? These can be costochondritis symptoms, caused by inflammation of the cartilage that connects the ribs to the sternum. Acupuncture and TCM can provide costochondritis treatment to relieve pain and inflammation.
Costochondritis is a pain condition caused by inflammation of cartilage in the rib cage. It can be scary, because the pain can feel like a heart attack or a symptom of heart disease.
It is quite common for people who are experiencing costochondritis pain to visit the emergency room complaining of chest pain. Almost 10% of ER visits are related to chest pain symptoms, and a significant number of those turn out to be related to something other than heart problems.
Sometimes called “chest wall pain syndrome,” or costosternal syndrome, costochondritis is considered a syndrome because it presents as a set of symptoms that often does not have a clear cause.
Possible causes of costochondritis include:
- Trauma or injury to the chest or ribs
- Persistent cough
- Repeated bouts of vomiting
- Chest or lung infection
- Allergies that affect the lungs
- Fibromyalgia
- Tietze syndrome
Suddenly doing some kind of heavy labor or intense workout that you’re not used to, that causes you to be winded, could cause inflammation of the chest. Playing contact sports in which you may be tackled or collide with another player or get hit hard with a ball in the chest could also cause costochondritis.
Tietze syndrome is a rare condition in which the cartilage connecting the ribs to the breastbone becomes inflamed and swollen. With Tietze syndrome, the pain and swelling in the chest is usually higher up, around the second and third ribs.
Costochondritis pain usually is felt more on the left side of the chest, radiating outward, and there isn’t any swelling involved.
Rib pain may be exacerbated when lying down, which can make it difficult to sleep comfortably.
Costochondritis is most commonly experienced by people in middle age (40-50s), but it can occur in children and adolescents, as well as adults.
In most cases, costochondritis is temporary. However, costochondritis pain can limit your activities and be debilitating for weeks, or even months. One study showed that up to a third of adults reported pain persisting beyond a year.
Acupuncture has been shown to help alleviate costochondritis pain, often in a matter of weeks.
Costochondritis Symptoms
Costochondritis pain can range anywhere from a slight tenderness to severe chest pain. In mild cases, the pain may go away in a matter of days, but in other cases, the pain can become serious.
Symptoms of costochondritis include:
- Sharp chest pain
- Chest pressure, chest ache, tenderness in breastbone
- Pain on the left side of chest, to the left of the breastbone
- Rib pain in more than one rib
- Pain radiating to shoulders and/or arms
- Chest pain when coughing, sneezing, or taking a deep breath
- Pain in chest when reaching up or twisting the torso
- Rib pain when lying down
- Pain when hugging someone
- Pain when putting on a seatbelt
Medical Diagnosis and Costochondritis Treatment
Other than the doctor palpating the area around your breastbone and ribs, there is no specific test to determine if you have costochondritis.
Chest pain can be an indicator of a variety of health conditions, including heart problems or lung problems, so it is always important to get it checked out with a healthcare professional. They will rule out other problems by ordering an EKG or chest X-ray in order to get to a diagnosis of costochondritis.
Treatment will consist of recommendations for ways to alleviate pain. Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin IB) or naproxen (Aleve) can help reduce inflammation and pain.
In cases of more severe or persistent pain, a doctor may prescribe stronger pain medications such as prescription-strength Motrin or muscle relaxers.
Applying heat or cold packs to the affected area can help reduce inflammation and alleviate pain. Some individuals find relief by alternating between heat and cold therapy.
In cases where pain is severe and not responding to other treatments, corticosteroid injections directly into the affected area may provide temporary relief by reducing inflammation.
Acupuncture treatment is a great way to relieve pain and reduce inflammation, without the side effects that can result from using pain medications or steroids for several weeks or months.
Can Acupuncture Help Costochondritis?
Acupuncture has been used for many centuries to treat pain and inflammation. Now, research is able to show how and why this modality is able to regulate inflammatory responses. Acupuncture affects the nerve signaling that produces hormones like dopamine and can reduce the production of cytokine storms. This is why acupuncture can help relieve inflammation and chest pain of costochondritis.
In TCM theory, pain and inflammation are usually considered to occur because of stagnation, or stasis, of blood and/or Qi (life force energy). The same symptoms can occur in different individuals because of different imbalances in the organs systems that are causing the blockages and different pathogenic factors, such as excess heat, dampness, etc.
Costochondritis inflammation can occur due to dampness and stagnation of Qi in the liver, spleen, and/or kidney systems. Depending on each patient’s specific situation, your acupuncturist will choose acupoints to open channels, clear dampness, heat, and phlegm. This allows for Qi and blood to flow smoothly again, cooling down the inflammation and relieving pain.
One case study of six women who were treated for costochondritis pain with acupuncture found that all patients reported improvement and were able to discontinue taking OTC pain medications.
One pediatric study looked at young students suffering from costochondritis; they were missing school, limiting their sports, dance, and work, and having trouble sleeping. After 4-6 weeks of acupuncture treatment, these patients reported a significant reduction in pain, and were able to resume their usual activities.
Not only is acupuncture treatment effective for relief of costochondritis pain; it can work quickly. In many cases, patients feel better after one or two treatments.
Acupuncture Near Me for Costochondritis in Los Angeles Area
Dr. Tan and Dr. Cai of Art of Wellness Acupuncture in West L.A. have been helping treat pain conditions for over 35 years. Our office is a home away from home where patients are able to relax and find relief from pain and inflammation. If you or someone you love is experiencing chest pain due to costochondritis, please do not hesitate to come in for a consultation.
*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.