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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 ALS With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. & Xiaomei Cai, L.Ac., Ph.D.
Muscle fatigue, muscle twitching, muscle cramps, slurred speech? These are some of the early signs of ALS, Amyotrophic lateral sclerosis, which is also commonly known as Lou Gehrig’s disease (or Lou Gherig’s disease). ALS is a rare progressive neurological disorder. Acupuncture and TCM can help to manage the symptoms of ALS and slow the progress of this degenerative motor neuron disease.
ALS is a neurological disease that affects the motor neurons (or nerve cells) in the brain and spinal cord that control voluntary movements. Over time, people with ALS develop muscular problems that make it hard for them to walk, talk, eat, drive, and perform all kinds of daily activities. As more neurons break down, the muscles can begin to waste away. ALS can also lead to speech problems and changes in personality. Some patients with ALS will develop respiratory problems that make it very difficult to breathe.
In the early stage of ALS, people may have muscle spasms, fatigue, and only some of the body is affected. As the disease progresses to the middle stage, they may begin to have more muscle twitches (fasciculations) or contractures, which is when the joints become painfully stiff and rigid. This can eventually lead to paralysis, and a person having to use a wheelchair.
Eventually, ALS can affect breathing and eating to the point that a person is not getting sufficient oxygen or nutrition, which can cause headaches and an inability to concentrate.
Unfortunately, ALS often leads to other serious illnesses that are fatal. People with ALS may develop severe respiratory problems or pneumonia. Some patients may have cardiac arrhythmias, or pulmonary embolism. Medical treatments for ALS can, in some cases, help slow down the degeneration of the nerve cells and prolong life.
Acupuncture and TCM offer an effective adjunct to standard treatment for ALS that may help to improve motor ability, speech, and breathing. Acupuncture has been used successfully to manage ALS and many other neurodegenerative diseases, including: essential tremor, Alzheimer’s disease, Parkinson’s disease, seizures, Bell’s palsy, multiple sclerosis (MS), and recovery from stroke.
What Causes ALS?
While only 5-10% of people with ALS seem to have inherited it, genetics are considered likely to be a factor. As with other conditions, like CF, one parent may not show any signs of the disease, but may have the genetic mutation that causes ALS in their DNA. Having a genetic mutation that affects the way a protein functions or doesn’t function may be what causes cell degeneration like that of ALS.
Medical science has not determined the exact cause of ALS, but it may also have to do with some environmental or behavioral factors. For example, because rates of ALS are higher amongst athletes and members of the military, it has been posited that there may be some correlation to high levels of exertion and the breakdown of motor neurons.
Top 10 Symptoms of ALS
Signs of ALS may be slow to develop, and are sometimes misinterpreted as symptoms of other neurological disorders, like MS. Both ALS and MS can start off with seemingly minor symptoms like muscle twitching, or weakness in the legs. But over time, ALS will begin affect speech and swallowing, while MS is more likely to cause numbness or tingling in the hands and feet, and vision problems. MS symptoms may come and go, while ALS is usually marked by a steady decline as the disease progresses. Muscular dystrophy can also have similar symptoms.
The most common symptoms of Lou Gehrig’s disease/ALS include:
- Having trouble grasping items or lifting things
- Muscle weakness, muscle cramps, muscle twitches, charley horse
- Arms and legs become fatigued easily, trouble walking, trip easily
- Voice sounds higher, more nasal when speaking
- Slurred speech
- Difficulty chewing and swallowing, choking on liquids
- Eyes or mouth don’t close all the way
- Bouts of uncontrolled laughing, crying, or yawning
- Easily frustrated or confused
- Feelings of anxiety or suspicion
As ALS progresses, secondary problems like malnutrition due to difficulty eating, trouble breathing, or emotional symptoms may become more prominent. ALS may also lead to problems with incontinence and control of the bowels.
Diagnosis and Treatment for ALS
ALS is not considered an autoimmune disease, although recent research suggests that some people with ALS are more prone to developing autoimmune disorders because they have a particular genetic mutation that affects the production of virus-sensing immune cells. As with autoimmune disorders like lupus, Addison’s disease, fibromyalgia, ME/CFS (chronic fatigue syndrome, Myasthenia Gravis, and rheumatoid arthritis (RA), it can be difficult to get a diagnosis for ALS.
If ALS is suspected, a doctor will first do an examination looking at motor and nerve function. Next, they will do an EMG, a test to check the electrical signals between the nervous system and the muscles. An MRI may show whether there is damage to the spinal cord. Blood tests can rule out other diseases that cause similar symptoms, such as muscular dystrophy, or myasthenia gravis.
The drug most often used to treat ALS is riluzole, which acts on the brain chemicals that affect nervous system signals. Specifically, riluzole prevents excess production of glutamate, which seems to occur in some people with ALS, and is believed to contribute to dysfunction in the brain and spinal cord. Riluzole seems to have some protective capabilities, staving off the progression of ALS symptoms and further degeneration of nerve cells. Riluzole is not very effective for everyone with ALS, though, and it can cause side effects like dizziness and gastrointestinal problems.
Acupuncture and TCM offer a safe alternative or integrative treatment plan for ALS which can help to reduce symptoms like muscle twitches, muscle weakness, and trouble swallowing. TCM treatments can also reduce the side effects of medications for ALS like riluzole, alleviating digestive symptoms and dizziness. Acupuncture works holistically to address the stress and emotional impact of having a chronic illness, helping to relieve depression and anxiety.
Acupuncture for ALS
One of the foundational concepts of TCM is the idea that both blood and Qi (life force energy) flow through the body along channels. In Western medicine, these channels are recognized as the nerves of the nervous system, and the blood vessels of the cardiovascular system. In the TCM system of medicine, blood flow and energy flow can be stimulated, and fine-tuned, by acupuncture treatment.
Acupuncture has been shown to help get the electrical impulses that carry messages from the brain to the spinal cord, the nerves, and the muscles working again when they are dysfunctioning. In this way, TCM and acupuncture are understood to be helpful for the treatment of many neurological disorders and progressive degenerative diseases. Neurological problems can be caused by blockage due to varying factors, but the framework of TCM allows us to treat all kinds of blockages with acupuncture.
With acupuncture and herbs, we can also work against muscle atrophy by nourishing the spleen. TCM works to help patients with ALS on many levels.
One case study reported a reduction in ALS symptoms like spasms and muscle cramps, fatigue, low back pain, and dry eyes.
Another case study of a patient with ALS showed distinct improvements in speech, mobility, and breathing ability.
A case study of a patient who, after being treated with riluzole for a period of time, began taking Chinese herbs, showed that she was able to manage her ALS, with less muscle twitching and better ability to tolerate swallowing without choking, over a 12 year period.
Studies have also shown that acupuncture treatment for ALS can help reduce inflammation in the respiratory tract and help improve breathing capability.
Acupuncture Near Me for ALS/Lou Gehrig’s Disease, Los Angeles Area
ALS is a serious chronic illness that can quickly rob people of their mobility, self-reliance, and quality of life. While there is no cure for ALS, it is possible to slow down the progression of the disease and manage symptoms. The doctors at Art of Wellness have over 35 years of experience helping patients manage degenerative neurological conditions so they can live their best possible life.
*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 Glaucoma With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. & Xiaomei Cai, L.Ac., Ph.D.
Dry eyes, blurred vision, or a headache behind eyes? Eye pain, redness, or pressure behind eye should not be ignored, as these symptoms may be a sign of deeper issues. Acupuncture and TCM offer an effective and holistic way to treat glaucoma, eye pain and headache, dry eye syndrome, and blurry vision in one eye or both eyes.
As a delicate organ that holds itself together in an orb shape, the eye requires the right amount of fluid to maintain tension and to keep its surface moist. Many eye problems are related to the balance, or imbalance, of fluids in and around the eyeball. Tears keep the eyeball lubricated, while a liquid called aqueous humor keeps the eyeball inflated. When there is not enough fluid, or when the fluid doesn’t drain properly and builds up in the eye, it can lead to eye disorders like dry eye and glaucoma.
TCM treatment for eye disorders work well as an alternative or adjunct to standard treatments for glaucoma or dry eye disease, as they focus on addressing the internal, root causes of these common eye issues.
What Causes Dry Eyes?
One of the most common eye problems is dry eye disease, which happens when you don’t produce enough tears, or if the tears you do produce don’t lubricate the eyes enough. Tears are made up of water, oil, and mucus. If the glands that produce tears are not functioning correctly, and/or the balance of water, oil, and mucus is not right, the tears may not protect the surface of the eyeball the way they’re supposed to.
The symptoms of dry eye syndrome include:
- Burning eyes, stinging eyes
- Thick, stringy mucus in the eyes or around the eye
- Extra sensitivity to light
- Red eyes, eye redness
- Watery eyes, watering eyes as reaction to dryness
- Eyes itching, rubbing eyes, feeling like there is something gritty or sand in your eye
- Blurred vision, blurry eyes, blurry vision in one eye, sudden blurry vision
- Eye fatigue, eyes tired when reading or looking at screens, eyelids feel heavy
- Difficulty driving at night
- Difficulty wearing contacts
Dry eyes can be caused by many different factors, from weather, environment, or humidity levels in your home or office, to allergies, hormones, medications like antihistamines, decongestants, birth control pills, antidepressants, and medications prescribed for high blood pressure and Parkinson’s disease. Some people may have dry eye after having LASIK eye surgery, or because of wearing contacts, or staring too long at their computer. Some health conditions that put you at higher risk for dry eye syndrome include: rheumatoid arthritis, ALS, lupus, and hyperthyroidism. Dry eyes can become inflamed, and make you more susceptible to infections. Over time, dry eye syndrome can lead to scarring of the cornea, which can permanently affect vision.
The typical treatment most people try for dry eye syndrome is the use of over the counter eye drops or artificial tears. There are various types of prescription medications that also aim to replace or increase the production of tears. Some doctors may recommend antibiotics to help reduce inflammation around the tear ducts, or special contact lenses that are designed to keep moisture on the surface of the eye. But none of these solutions treats the underlying cause of dry eyes.
Acupuncture has been shown to boost the efficacy of standard treatment for dry eyes by helping promote more tear secretion and improving the makeup of the tears themselves, so that they don’t evaporate so easily.
What Is Glaucoma?
Glaucoma is an umbrella term for vision loss related to damage to the optic nerve. This often happens because of a buildup of too much fluid in the eye, which creates pressure. Often, a person has already had glaucoma for a long time before they begin to notice changes in their vision. The most common types of glaucoma do not cause eye pain but can cause loss of vision, usually beginning with peripheral vision.
Glaucoma is one of the top causes of blindness worldwide, and can begin at any time in life. African Americans have a much higher risk of developing glaucoma. Other people at higher risk for glaucoma include people over 60, people who have diabetes, and people who are already very near-sighted.
The most common type of glaucoma is primary open-angle glaucoma (POAG), which is diagnosed when an eye examination finds damage to the optic nerve or retinal nerves. Most people with POAG demonstrate some level of elevated intraocular pressure, but some do not. Most types of treatment for glaucoma are focused on reducing this eye pressure, as it is one known factor. However, medical science is still unclear about exactly what causes glaucoma.
Medications to treat glaucoma try to remove the excess pressure built up in the eye by either increasing the flow of fluid out of the eye, or by decreasing the production of fluid within the eye. Combination medications do both. These medications may or may not be helpful for individual patients. For some people, they cause irritation or dry eyes (see above). They require frequent usage and can be expensive. Laser surgery is another alternative, but many patients begin having problems with eye pressure again after some time has passed.
Acupuncture treatment can improve blood flow to the eye and to the optic nerve, which can in turn help to reduce pressure behind the eye.
Acupuncture: A Natural Treatment for Dry Eye and Glaucoma
According to TCM, many eye disorders reflect other problems going on internally, dimming the life force energy that lights up the eyes. From the TCM point of view, eye problems like glaucoma and dry eye syndrome are due to lack of proper flow of energy, blood, and nourishment to the eyes.
In TCM, the liver is considered the storehouse and distributor of blood and other bodily fluids. If there is inadequate production of tears in the eyes, that is considered to be a reflection of some weakness or blockage coming from the liver system. The liver also contains the “spark of life” that shines out through the eyes. So, when there is not enough blood and Qi flowing from the liver to the eyes, there may be dryness and blurred vision. When there is too much fire energy coming from the liver, it can cause swelling that leads to pressure. This is what can cause the eye pressure of glaucoma, and also eye pain, or headache behind the eye.
Research has shown that acupuncture treatment can be effective for helping both glaucoma and dry eye syndrome:
- One study of patients treated for glaucoma showed reduced intraocular pressure both an hour after the treatment, and more generally, after having completed four treatment sessions.
- An analysis of studies showed that patients treated with acupuncture for glaucoma showed improved vision over those who did not.
- Another study showed that acupuncture treatment for glaucoma improved blood flow to the eye.
- A study done at the University of Pittsburgh compared patients treated with acupuncture for dry eye to those given “sham” acupuncture treatments over a six month period. Participants who had acupuncture reported improvement in symptoms of dry eye, such as less scratchiness and less redness. The results were still improved months after the treatment.
- A study that compared patients who received acupuncture treatment and used artificial tears to those who only used artificial tears found that the acupuncture recipients produced more natural tears of good quality, and experienced fewer symptoms of dryness.
Acupuncture Near Me for Glaucoma and Other Eye Disorders – Los Angeles Area
TCM has recognized and treated eye disorders for many centuries. Symptoms of dryness, itching, eye fatigue, pressure or headache behind eyes, and sore eyes can all be treated with acupuncture and herbs. Some changes in habits and nutrition will go even further to help people with glaucoma or dry eyes find relief. The doctors at Art of Wellness have over 35 years of experience in helping people get relief from dry eyes, restoring clearer vision, and bringing back the vibrant Qi that lights up your eyes.
*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.