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How to Treat Muscular Dystrophy With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. & Xiaomei Cai, L.Ac., Ph.D.
Progressive muscle weakness and muscle atrophy (loss of muscle mass) are the primary symptoms of Muscular Dystrophy. Acupuncture and TCM offer an alternative treatment to prevent muscle atrophy and treat complications of muscular dystrophy.
Muscular Dystrophy refers to a group of genetic muscle diseases that cause damage to muscles and lead to decreased flexibility and movement.
There are several types of Muscular Dystrophy. Some types of muscular dystrophy are more likely to show up during childhood, while others may develop later in life.
The most common type is Duchenne Muscular Dystrophy (DMD). Duchenne muscular dystrophy can lead to muscle wasting, limited mobility, and other complications with breathing and heart function. Duchenne most often affects boys and starts showing up in early childhood.
Becker muscular dystrophy is similar to Duchenne, but less common, and generally leads to milder symptoms of muscular dystrophy.
Muscular dystrophy of all types is caused by genetic mutations, usually inherited. These mutations affect muscular development and growth by blocking certain proteins in the body from performing their usual functions of building and maintaining muscle mass.
Muscular dystrophy is a progressive disease, which means that trouble with walking and other complications will get worse as a person gets older. Muscle weakness can affect the limbs and trunk, and can also affect the major internal organs, like the heart, lungs, and the muscles involved in swallowing. Muscles can shorten and tighten (contractures), causing them to pull on tendons and cause joint problems.
Both conventional medical treatments and alternative treatments are aimed at helping to slow the progress of the disease, maintaining maximum motor control, and keeping organs as healthy as possible.
Symptoms of Muscular Dystrophy
The signs and symptoms of muscular dystrophy vary, depending on the type of genetic mutation, and therefore, the type of muscular dystrophy.
The most common signs of muscular dystrophy include:
- Difficulty getting up from sitting or lying down
- Trouble walking, walking on toes, or waddling gait
- Falling frequently, stumbling
- Muscle pain, stiff muscles
- Enlarged calf muscles
- Learning difficulties, delayed development, difficulty concentrating
- Breathing problems, shortness of breath
- Heart problems, myocardiopathy
- Trouble swallowing
- Curved spine, scoliosis
- Drooping eyelids, vision problems, cataracts
Big calf muscles are common among people with DMD and Becker type muscular dystrophy. This is known as pseudohypertrophy, or calf hypertrophy, and is an abnormal development of the lower legs that happens in conjunction with the wasting of other muscles in the pelvis and thighs. With muscular dystrophy, healthy muscle can go through a pattern of inflammation that replaces healthy muscle cells with fat and scar tissue.
As people with muscular dystrophy age, they may begin to have more problems with respiratory function and/or heart problems like cardiomyopathy (scar tissue damage to the heart muscles) or arrhythmia (irregular heartbeat). Because the lungs are weaker, a person may be more susceptible to serious respiratory infections, like pneumonia.
Some kinds of muscular dystrophy can cause digestive problems, infertility, and cataracts.
Even amongst people who have the same type of muscular dystrophy, the symptoms and complications can look very different in each individual.
Top 6 Types of Muscular Dystrophy
The different kinds of muscular dystrophy are caused by different genetic mutations that affect muscle development and function in different areas of the body. Some types show up early in life, and others may not develop until well into adulthood.
- Duchenne Muscular Dystrophy (DMD) – This is the most common type of muscular dystrophy, and occurs most often in boys, becoming apparent in early childhood. As a result, many young patients with DMD will show slow growth and motor development; they may walk late, tend to fall often, and have to use their hands more than usual to help them get up again.
- Becker Muscular Dystrophy – This type tends to begin the late teen or early adult years. Similar to DMD, a person will first notice weakness in the muscles, leading to more and more difficulty getting up and walking. Later, it can lead to heart problems.
- Myotonic Dystrophy – also known as DM (dystrophia myotonia). Categorized into 2 separate genetic disorders, DM1 (once known as Steinert disease) and DM2 (also known as Ricker syndrome, proximal myotonic dystrophy, or PROMM). DM develops in stages, and can affect the eyes, causing cataracts, and droopy eyelids. Uncontrollable muscle contractions (myotonia), muscle pain, and fatigue are other possible symptoms of myotonic dystrophy, as are hair loss, loss of facial expressions due to flaccid muscles in the face, and slurred speech.
- Facioscapulohumeral Dystrophy (FSHD) – a specific type of dystrophy that often develops slowly and can be difficult to diagnose. It can involve loss of muscle mass, starting in the face and spreading to the upper body, especially the shoulder blades, often affecting the body asymmetrically. People with FSHD may have trouble with small motor functions, like pursing their lips to drink, closing eyes all the way, weakness in the hands, difficulty picking up the feet when walking (foot drop).
- Congenital Muscular Dystrophy – CMD is a more general term referring to different kinds of muscular dystrophy that are apparent at birth, causing lack of muscle tone (hypotonia, or “floppy baby” syndrome), atrophy, contractures (shortening of muscles), scoliosis (curving of the spine), as well as respiratory problems.
- Limb-Girdle Muscular Dystrophy (LGMD) – a group of muscular dystrophies that primarily affect the muscles around the shoulders and hips.
Medical Treatment for Muscular Dystrophy
Muscular dystrophy can sometimes be difficult to diagnose. Other diseases, like ALS, multiple sclerosis, may also cause muscle weakness and atrophy.
People with muscular dystrophy need continual monitoring, and treatment options aim to manage the various symptoms and complications. Physical therapy, speech therapy, and occupational therapy can help people maintain as much flexibility, strength, and functionality as possible.
Steroids are often used to help maintain muscle and respiratory function, but many people with muscular dystrophy will end up needing to use aids, such as a cane or wheelchair, or a ventilator to help with breathing. Patients may need to be on heart medications to control blood pressure or arrhythmia. In some cases, surgery may be needed to correct severe contractures or scoliosis.
Acupuncture and TCM can be used as an adjunct to conventional treatments, and may help to maintain muscle mobility, improve pulmonary function, nervous system function, cognitive function, and to reduce inflammation.
Can Acupuncture Help Muscular Dystrophy?
TCM offers a different way of looking at disease. The conventional medicine view of muscular dystrophy is that it is an incurable genetic disease, and the progressive worsening of symptoms and complications stems from that.
In the TCM view, we see patterns of symptoms that show up in different ways in different people, according to their constitution. Long before we had a modern understanding of genetics, TCM observed that some people are born with deficiencies of certain types of organ Qi.
So, the TCM practitioner is looking for a pattern of symptoms, and how that interplays with a person’s foundational health. In the case of muscular dystrophy, it is not just that problems in the organ systems occur because of the progressive muscle atrophy; the dysfunction in the organs is occurring due to an inherited deficiency, and contributing to muscle atrophy.
When we see weak muscles, diminished muscle mass, and even paralysis, this falls under the category of Wei Zheng conditions.
Other Wei Zheng illnesses include:
- Ataxia
- Myelitis
- Myasthenia gravis
- Multiple sclerosis
Although they may have similar symptoms, different Wei Zheng illnesses can arise from problems with varying organs, including the liver, spleen, stomach, or kidneys. So, according to TCM, different types of muscle diseases require differentiated treatments.
TCM views muscular dystrophy as being related to an innate deficiency of Yuan Qi, or kidney energy. In Western medicine, the kidneys are thought to mainly have to do with the urinary system, but in TCM, “Kidney Qi” is a much broader concept.
Kidney Qi is inherited from our parents; it governs the growth and strength of the body. Kidney deficiency is also considered to affect cognitive function and memory, infertility, and hair loss.
Kidney problems are common among adults with DMD, but in medical science, it is considered to be a long-term complication of muscular dystrophy, as opposed to being foundationally related to it.
So, TCM diagnosis and treatment for muscular dystrophy will aim to strengthen the kidneys, spleen, and other organs, while also stimulating and nourishing the muscles, tendons, and nervous system.
The acupuncturist will look at the specific range of symptoms presenting in each person, and plan a treatment course to include modalities such as acupuncture, tuina massage, herbal supplements, and nutrition.
Everything is also affected by the environment and lifestyle. Foods that nourish the Kidney Qi, a regimen of gentle exercises, and meditation can help maintain better overall functioning.
A case study involving a woman with FSHD showed a significant improvement in facial muscle coordination after a course of acupuncture treatment.
A research study showed that acupuncture helped to slow the loss of muscle mass.
Acupuncture Near Me for Muscular Dystrophy in Los Angeles, Westside
At Art of Wellness Acupuncture and TCM in West L.A., we have over 30 years of experience helping people manage musculoskeletal pain and weakness of all kinds. Acupuncture treatment can help prevent the worsening of degenerative disease and improve well-being for people suffering from many types of chronic 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 Treat Occipital Neuralgia With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. & Xiaomei Cai, L.Ac., Ph.D.
Throbbing headache and back of neck pain? Occipital Neuralgia, sometimes called “occipital migraine,” is a kind of chronic headache that causes stabbing neck pain and headache back of head. Acupuncture and TCM offer a way to help ease occipital nerve pain.
Occipital headache causes are usually due to compression of the occipital nerves, which start at the top of the spine where the neck is joined to the head and then run up into the scalp. A pinched nerve in the neck area, or tight muscles in the neck can lead to occipital pain, like a headache at base of skull.
Neck pain and back of head pain from an occipital migraine is often described as feeling like an electric shock or “zap,” or a sharp, shooting pain in the back of the head. The sensation may come on suddenly and last for only a few seconds, or it can go on throbbing for hours.
Occipital neuralgia pain is similar to that of Trigeminal Neuralgia, in which the intense nerve pain is on one side of the face, rather than the back part of the head. Occipital pain can also resemble that of chronic migraines and other kinds of headache disorders.
Occipital Neuralgia pain areas can include:
- Pain starts in the back of the neck and spreads upwards
- Back of head pain, behind the ears
- Pain on one side of the head
- Scalp pain, scalp tender to the touch
- Pain in the forehead
- Pain behind the eyes
- Eyes are sensitive to light
Occipital neuralgia pain can make the scalp feel so sensitive that even shampooing your hair or resting your head on a pillow feels unbearable. It can also feel like a burning sensation, or simply an aching neck.
Acupuncture can be used as an alternative or adjunct therapy for occipital neuralgia to bring headache and neck pain relief.
What Causes Occipital Neuralgia?
Occipital neuralgia occurs when the occipital nerves in the back of the head and neck are irritated or injured. There can be many different kinds of factors that trigger occipital neuralgia, such as:
- Pinched nerve in the neck
- Tension or tight muscles in the neck cause compression
- Compression of the nerves due to osteoarthritis in the spine, degenerative disc disease, or a herniated disk
- Trauma to the back of the head or the neck
- Tumor or other type of lesion in neck compresses the nerves
- Gout
- Diabetes
- Vasculitis (inflamed blood vessels)
Holding the head and neck in a position where it is tilted forward and down, such as when reading or looking at a screen for long periods of time can be associated with occipital neuralgia.
Often, though, the exact cause of the occipital pain in the head and neck is not discovered.
There is no clear test used to diagnose occipital neuralgia. The symptoms of occipital nerve pain are similar to other types of migraine headaches, and it is possible for a person to have both migraines and occipital neuralgia, so it can be challenging for doctors to determine exactly what is going on.
Conventional Treatment for Occipital Neuralgia
One of the ways that medical doctors will try to confirm a diagnosis of Occipital Neuralgia is by injecting a combination of anesthetic and steroids (occipital nerve block) into the affected area, to see if it deadens the pain. Botox injections can also be used to produce this effect. The hope is that the irritated nerve will heal over time.
If neck tension seems to be the issue, muscle relaxants may be prescribed. Massage therapy can sometimes be helpful in these cases.
Occipital neuralgia treatment at home might involve alternating ice packs and heating pads to help relieve pain at the back of the neck. Exercises like yoga may also be helpful for relieving neck tension that triggers the nerve pain.
If none of these treatments provides relief, then surgical options might include occipital nerve stimulation, in which electrodes are implanted to block nerve signals.
Acupuncture and TCM can be sought as an alternative way to deal with occipital neuralgia, and many other types of nerve pain.
Can Acupuncture Help Occipital Neuralgia?
From the TCM point of view, pain conditions that come and go, or cause periodic pain and stiffness, fall under a category called “Bi Syndromes.” “Bi” means “obstruction.” Bi Syndromes occur when an external pathogenic force like wind, cold, or dampness gets into an area of the body and causes blockages in the flow of Qi. Then, the muscles and joints may be tender, swollen, or sore, or numb and tingling, or have limited range of movement. Most types of arthritis, for example, are Bi Syndromes, according to TCM theory.
Occipital neuralgia is considered a Bi Syndrome, where tightness in the neck and base of the skull causes the stabbing nerve pain to flare up. The goals of acupuncture treatment for occipital headache and neck pain are to reduce tension, stress, and inflammation, to clear blockages in the Qi at the organ system level, and to provide natural analgesic relief from nerve pain signals.
One case study of a patient who had been suffering from occipital headaches for over a year found that her pain resolved after five acupuncture treatments.
A systematic review of evidence related to TCM treatment for occipital neuralgia in China showed that acupuncture was effective both as an alternative to medical treatment, and as an adjunct to medicine.
Acupuncture Near Me for Occipital Neuralgia in Los Angeles
At Art of Wellness Acupuncture near Santa Monica and Brentwood, we have over 30 years of experience helping people heal from all kinds of neurological conditions and nerve pain. Conditions related to nerve compression, such as Carpal Tunnel syndrome (wrist pain), Morton’s Neuroma (ball of foot pain), Sciatica (hip pain), Plantar Fasciitis (heel pain), and even dental pain (toothaches) can all be relieved with acupuncture and TCM treatment. If you or someone you know is suffering with recurring headaches, migraines, or neck pain, please consider giving acupuncture a try.
*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 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 Chronic Fatigue Syndrome With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. & Qineng Tan, L.Ac., Ph.D.
Chronic fatigue syndrome (CFS), also known as myalgic encephalitis (ME/CFS), is a condition marked by extreme fatigue that doesn’t get better, even with rest, and gets worse with physical and mental exertion. Chronic fatigue is not well understood by medical science, but acupuncture and Chinese medicine for chronic fatigue syndrome symptoms can be an effective treatment option.
People with chronic fatigue syndrome are always tired, even after getting a normal amount of sleep, and the condition persists for weeks, months, or years. Other chronic fatigue symptoms include body aches, cognitive problems, vision problems, and emotional or mental health problems, like depression and anxiety.
If a person feels tired all the time, with no medical explanation, for six months or more, and has several other chronic fatigue syndrome symptoms like dizziness, difficulty concentrating, headaches, or sensitivity to light, then they might be diagnosed with CFS, or myalgic encephalitis (ME CFS).
By definition, a syndrome is a collection of symptoms that often appear together in combination, for which the exact explanation is unknown. Chronic fatigue has been considered a syndrome for some time, but has more recently been given the designation of a “disease;” hence, the newer term “myalgic encephalitis,” which refers to muscle pain and inflammation of the brain and spinal cord.
Chronic fatigue syndrome symptoms can be very similar to those of fibromyalgia. People with fibromyalgia also experience severe fatigue, but the primary symptoms of fibromyalgia are musculoskeletal pain that comes and goes all over, especially in “tender points” around the major muscles and joints, along with swelling and inflammation. It is possible to have both ME/CFS and fibromyalgia.
Women are much more likely to have chronic fatigue than men. MECFS can begin to appear at any stage of life, but most usually develops in adulthood. It is estimated that up to 90% of people who have chronic fatigue go undiagnosed.
ME/CFS is a serious and disabling condition that can interfere with even the most basic daily activities. People with chronic fatigue may be able to participate in some events where they exert themselves mentally and/or physically, but afterwards, they will feel completely wiped out and have to take time to recover, often confined to bed. This is called post-exertional malaise (PEM).
Top 10 Chronic Fatigue Syndrome Symptoms
The most common ME/CFS symptoms include:
- Fatigue, tired all the time, weakness
- Sensitivity to light
- Trouble concentrating, hard to focus, memory problems, confusion
- Dizziness, especially when getting up from lying down
- Headaches
- Muscle aches, body ache, muscle weakness, joint pain
- Enlarged lymph nodes in neck or armpit area, sore throat
- Tired after exercise or mental exertion (post-exertional malaise)
- Depression, mood swings, moodiness
- Insomnia, sleep problems
Other signs of chronic fatigue syndrome may include: fever, abdominal pain, weight loss or weight gain, allergies, rash, rapid heart beat, and night sweats/hot flashes.
What Causes Chronic Fatigue?
The cause of ME/CFS is not known. Immune system dysfunction, the aftereffects of having a virus, and psychological factors have all been associated with the development of chronic fatigue.
Some people begin to have symptoms of chronic fatigue after having a viral infection, such as Epstein Barr, mononucleosis, or herpes. Postural orthostatic tachycardia syndrome (POTS) is also strongly associated with chronic fatigue.
While it does seem that some people who suffer from CFS also have immune system problems, chronic fatigue is not considered to be an autoimmune disorder in and of itself. As with other conditions like lupus or fibromyalgia, CFS sometimes appears after a person has gone through some sort of emotional trauma or physical injury.
Some people with chronic fatigue have hormone imbalances related to pituitary hormone, adrenal hormone, or hypothalamus hormones, but it is not understood how these might be related to their condition. Diabetes, anemia, or hypothyroidism can also create hormonal imbalances that can contribute to chronic fatigue.
In some cases, chronic fatigue could be due to a sleep disorder, such as sleep apnea or chronic insomnia. Long-standing mental health issues like depression, anxiety, or PTSD can interfere with sleep and hormone responses, contributing to the chronic fatigue syndrome symptoms.
Treatment for Chronic Fatigue Syndrome Symptoms
There is no clear treatment protocol within conventional Western medicine for ME/CFS. A doctor may diagnose myalgic encephalitis if they have ruled out other possibilities and then try to recommend medications or various types of therapy to help people deal with the symptoms of chronic fatigue.
Pain relievers or NSAIDs will often be the standard recommendation for handling ME/CFS related pain like headaches or muscles aches.
Doctors may prescribe antidepressants as a way of helping patients cope with depression and anxiety related to chronic fatigue. However, these medications can sometimes cause side effects that will exacerbate the chronic fatigue rather than helping it.
Some doctors have tried treating CFS with antiviral medications, corticosteroids, or thyroid hormone medications. None of the pharmacological interventions that have been used to treat chronic fatigue syndrome have proved to be very effective.
Thus, many patients with ME/CFS consider turning to alternative medicine or complementary therapies to relieve CFS symptoms. Acupuncture is now widely recognized as an alternative therapy for chronic fatigue.
Can Acupuncture and Chinese Medicine Help Chronic Fatigue Syndrome?
Traditional Chinese medicine is well suited to treatment for ME/CFS. Overall, TCM philosophy pays close attention to the subtle balance of energy, known as Qi, within the body as a whole, as well as within the various organ systems. By observing the specific symptoms each person experiences as part of chronic fatigue syndrome, we can pinpoint which organ systems are deficient and need strengthening.
Classic TCM patterns related to chronic fatigue diagnosis include:
- Spleen Qi deficiency
- Liver Qi stagnation
- Kidney deficiency
- Yin deficiency
- Heat toxicity
- Phlegm obstruction/dampness
Latent heat and dampness are sometimes the long-term effects of a viral infection or other illness, or a long period of emotional stress. These conditions originate from an external pathogenic factor, but then cause a series of imbalances which weaken the kidneys and other organs over time. Acupuncture treatment and herbs can help reduce inflammation and strengthen Qi.
A TCM doctor will choose acupuncture points and a combination of herbs that will help harmonize the affected systems. With herbs, we are able to get nutrients into the body beyond what you can do with foods alone. A balanced diet that cools heat and tonifies the organs will also be important for recovering strength and energy.
One controlled trial found that four weeks of acupuncture treatment led to improvements in CFS symptoms.
A systematic review of studies regarding acupuncture treatment for ME CFS showed a reduction in the severity of fatigue.
A study using acupuncture and moxibustion treatment for CFS showed a 90% effective rate, with half of the patients feeling that their CFS was “cured.”
Another study involving acupuncture and moxibustion found that the moxa treatment in particular became more and more effective as treatment sessions continued past the 10th treatment. Moxibustion was shown to have an effect on the vagus nerve, which controls the parasympathetic nervous system.
How long it takes to get results from acupuncture treatment for chronic fatigue will vary from person to person, depending on how long the person has been experiencing CFS, and how deeply the organ systems are affected. TCM treatment has a cumulative effect which strengthens over time and several sessions.
Acupuncture Near Me for Chronic Fatigue Syndrome (ME/CFS) in the Los Angeles Area
ME CFS is far more common than statistics show, because many people suffer in silence and invisibility. Now, many people are struggling with chronic fatigue after having COVID-19. TCM modalities like acupuncture, Chinese herbs, and moxibustion, can help relieve fatigue, depression, mental fogginess, poor sleep, and other symptoms of CFS. If you or someone you love has been feeling exhausted for months without improvement, it may be time to consider trying acupuncture for chronic fatigue.
*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.
How to Treat Colic and Infant Reflux With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. & Qineng Tan, L.Ac., Ph.D.
Colic and infant reflux are conditions that can cause excessive crying in babies and a lot of worry for new parents. Newborn reflux is when a baby spits up a lot, which is sometimes treated as GERD in infants. Infant reflux, also called baby reflux, and colicky pain can both be soothed with acupuncture and TCM treatment for babies.
Colic or Baby Reflux Can Be Treated With Chinese Medicine and Acupuncture
What is colic? Infantile colic is a well-known yet little understood syndrome, with crying being the primary symptom. Signs of colic include fussiness and crying inconsolably for hours. The crying, which can be more like screaming, often occurs at about the same time every day, usually in the later afternoon or evening. A colicky baby may also have a red face and display motor behaviors like clenched fists and drawing their legs up to their tummy.
What causes colic is not known, but it is sometimes attributed to gassiness and the movement of the undeveloped digestive system, which the colic newborn experiences with intense discomfort. It has been suggested that it may be related to food allergies in some infants, or to gut health. Some people also link colic to birth trauma. Babies with colic may have sensitivities related to the nervous system and have more trouble adapting to their environment, both externally and internally.
Colic is fairly common, affecting about 10-35% of infants. Most babies outgrow colicky abdominal pain within a matter of months. Those few months can be very stressful for the whole family, though. Colic is considered to be a factor in some mothers developing postpartum depression, so finding colic remedies is important for everyone’s mental health.
The symptoms of colic can sometimes look similar to those of infant reflux. Baby reflux also leads to fussy crying, wiggling and arching the body, and having trouble settling down to sleep.
Infant reflux refers specifically to a baby spitting up undigested milk from the stomach. This is also called GER (gastroesophageal reflux) and is actually a normal thing that happens with most babies.
Reflux happens because there is not a firm seal created by the esophageal sphincter muscle, which is still developing in a young infant. Sometimes premature infants are especially susceptible to having infant reflux.
Babies’ stomachs are designed to take in just a little bit of milk at a time. If the baby is getting too much milk, or swallowing air, it can cause leaking from the stomach up into the esophagus, especially when lying down.
Sometimes just working out the right feeding schedule, burping, and sleeping positions helps. In other cases, nothing seems to help. If spitting up or vomiting is interfering with the baby getting enough nutrients, then failure to thrive can become a real concern.
Acid reflux in newborns that is on the level of a disorder is rare (less than 1%). Sometimes, though, a baby may actually have GERD, where the spitting up happens very frequently and is causing the baby to feel sensations that we think of as “heartburn.” This can also lead to respiratory problems like coughing or choking due to breathing in the stomach acids.
You might find it hard to imagine acupuncture treatment being used for a tiny baby, but infants respond very positively to treatment. Sometimes auricular acupuncture (acupuncture on ear), where seeds are used instead of needles, is an option. Acupuncture can help baby reflux and colic on many levels: relieving pain, reducing bloating and inflammation in the digestive tract, while calming anxiety and restlessness and improving sleep.
Top 10 Signs of Infant Reflux
Newborn reflux symptoms can look similar to the symptoms of colic, but if there is frequent regurgitation of milk, or respiratory symptoms like coughing and wheezing, that may indicate baby reflux as opposed to colicky symptoms. Symptoms of infant reflux include:
- Frequent spitting up or vomiting
- Fussiness, irritability
- Crying a lot, screaming inconsolably
- Arching back, tensing the body, wiggling
- Hiccups
- Coughing or wheezing while feeding
- Excessive drooling
- Poor sleep
- Doesn’t want to feed
- Spit up is green or bright yellow
New parents may be easily overwhelmed when it appears that their baby is in pain and isn’t digesting their food properly. If dietary changes and adjustments to the feeding schedule aren’t helping, then parents may seek medical advice.
Treatment for Infant Reflux
Generally, if your doctor just sees colicky symptoms, there is not a whole lot they can do other than offer suggestions for changing the dietary routine and making your baby as comfortable as possible.
In recent years, it seems that doctors are more and more likely to make a diagnosis of infant reflux when a baby is spitting up and crying, and to recommend medication as a treatment.
In the last few decades, GERD medications for reducing stomach acids, known as PPIs, (proton pump inhibitors), like Prilosec and Prevacid, have been deemed safe for adults and infants. However, evidence has also pointed to various problems and side effects with using these medications for more than a short period of time.
Changing the production of stomach acids in a young baby can affect how they are absorbing nutrients, like calcium and Vitamin B12. Use of PPIs has also been observed to cause kidney problems and affect bone density in adults. Less stomach acid can lead to more bacteria and more respiratory infections.
The majority of babies who experience infant reflux and/or colic will get over it naturally, usually within a few months. Anything that can be done to help understand the child’s constitution and promote good health during this time should certainly be considered. However, many people will not feel that resorting to medications is the best or only option.
Acupuncture and TCM offer a way to help acid reflux in babies and adults, without side effects. TCM treatment can help strengthen an infant’s digestive system, nervous system, and immune system, all at the same time.
Can Acupuncture Help Infant Reflux and Colic?
An acupuncturist will look carefully at the baby for symptoms of reflux and colic so as to differentiate, according to TCM principles, where there is an imbalance. For example, if a baby is crying, has a red face, and is feverish, we might see the pattern of “hot colic,” which happens when there is too much warmth in the stomach Qi. Babies with “cold colic” may be more listless and have chilly hands and feet. When treating Colic and infant reflux, the TCM practitioner will work on balancing and regulating the stomach Qi and clearing stagnation.
Many acupuncture points can be stimulated in order to help make the baby more comfortable and calm. The Yin Tang point can be helpful for reducing restlessness. Shen Men is the classic point to regulate the nervous system and help banish anxiety. Stomach points can help to reduce nausea and help stimulate the appetite.
Case studies have shown that small infants who are vomiting or spitting up can respond to acupuncture quickly, even after just one treatment. A larger study showed that acupuncture was effective at relieving colicky symptoms, shortening the duration of episodes of fussy crying.
Studies with adults have shown that acupuncture and herbs are more effective for long term reduction of acid reflux than PPIs. Acupuncture treatment can also help strengthen the lower esophageal sphincter (LES).
In many cases, new parents need individualized support for making feeding and dietary changes. A qualified acupuncture provider is also highly trained in nutrition and can help determine if there are certain foods that need to be eliminated from the nursing parent’s diet or from the formula of choice. Finding positions and practices that help the baby relax before and during feeding, burp appropriately, and be settled to sleep when a feeding has come to a satisfactory close can be life-changing. These will be easier to implement when acupuncture treatment has helped even out the infant’s nervous system and soothed the stomach.
Acupuncture Near Me for Infant Reflux and Colic in Los Angeles
Parenting is a hard job, especially when the baby is not eating or sleeping well. TCM treatment can help with all kinds of postpartum issues for both mother and child, including problems with breastfeeding, postpartum depression, an infant’s weight loss or failure to thrive, as well as colic and infant reflux. Please, if your baby is crying and seems to be in pain, or is having trouble feeding, do not hesitate to call us at Art of Wellness. Drs. Cai and Tan have over 30 years of experience treating mothers and children with gentle acupuncture, herbs, and good advice.
*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.