- Art of Wellness Acupuncture & Traditional Chinese Medicine (TCM)11704 Wilshire Blvd, Suite 295, Los Angeles, CA, 90025
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What We Treat
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 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 Claustrophobia Anxiety Disorder With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. & Qineng Tan, L.Ac., Ph.D.
Claustrophobia is a specific kind of anxiety disorder in which fear of being in an enclosed space can bring on symptoms similar to those of panic attacks. Claustrophobic feelings like being anxious, hyperventilating, sweating, shaking, and rapid heartbeat can be eased with acupuncture and TCM.
Claustrophobia is actually quite common; at least 10% of people report experiencing some claustrophobic feelings. Women report having a fear of confined spaces more often than men do. Phobias are sometimes rooted in a childhood experience, but they can arise in anyone, at any age, and are considered mental health issues or psychiatric disorders.
Phobias are distinct from regular fears because of their intensity and, to some extent, irrational nature. Phobias are unreasonable fears; feeling very afraid, to the point of physical and emotional distress, of something that isn’t really happening. Claustrophobia becomes a serious mental health problem if it interferes with a person’s daily life or relationships.
Sometimes claustrophobia can get in the way of a person getting help for other health problems. For example, it may cause them to avoid undergoing an MRI. Some people might fear visiting a doctor’s office, which often means facing elevators, public restrooms, and other small rooms without windows. Some women report feeling claustrophobic during pregnancy, as if they are “trapped” inside their own bodies.
Other common triggers of claustrophobia include: airplanes, trains, tunnels, small cars, revolving doors, or amusement park rides with restraints. Even thoughts of having to be trapped in one of these situations can be enough to bring on symptoms of claustrophobia. Signs of claustrophobia can be similar to those of a panic attack.
Top 10 Symptoms of Claustrophobia:
- Sweating
- Shaking or trembling
- Trouble breathing
- Rapid heartbeat, fast heart rate, high blood pressure
- Tight feeling in chest, chest pain
- Flushed face, feeling hot
- Dizziness, feeling lightheaded or faint
- Ringing in ears, tinnitus
- Butterflies in stomach feeling, nausea, queasy feeling
- Numbness or tingling in parts of the body
Other signs of anxiety due to claustrophobia could include: dry mouth, difficulty swallowing, choking, chills, confusion, or disorientation. In addition to physical symptoms of panic, claustrophobia may cause a person to cry, yell, or to be overwhelmed by a desire to get out of a situation because they feel that they are in serious danger, even if it seems irrational.
Cleithrophobia is another type of anxiety disorder that is sometimes confused with claustrophobia. Cleithrophobia specifically refers to the fear of being trapped or confined with no way to escape. Claustrophobia is a fear of the small space itself. These two phobias can exist together. Either one could cause serious anticipatory anxiety, for example, if a person has to have an MRI.
Cleithrophobia is related to other “winter phobias,” which may include “cabin fever,” which is a sense that one is stuck inside, or a fear of being literally trapped in the ice or snow. Many people feel an extra sense of sadness or dread during the winter months; this kind of depression is known as SAD (seasonal affective disorder).
Over time, repeated panic attacks or bouts of intense anxiety brought on by claustrophobia can create long-term stress that is harmful to overall physical and mental health. Acupuncture and TCM offer an adjunct or alternative treatment for claustrophobia which can help reduce symptoms and offset the effects of stress.
What Causes Claustrophobia?
Phobias can be triggered by some event or experience in which a person felt endangered and was traumatized, similar to PTSD (post-traumatic stress disorder). Like other mental health conditions, claustrophobia is influenced by brain chemistry. Imbalances in the neurotransmitters in the brain can cause some people to experience symptoms of anxiety or panic attacks even if nothing scary is really happening. Then, they may associate those physical and emotional feelings with a specific place or situation, which causes the anxiety to be triggered whenever they approach that place or even think of that situation.
People can perceive things differently. One research study suggested that people with claustrophobia may have a different perception of how near something, like a wall, is to them. In other words, they underestimate distances, or their sense of “personal space” is different from other people’s.
The amygdala is the part of the brain that processes incoming sensory information from the environment and signals the autonomous nervous system if it detects danger. This is essentially the neurological pathway of fear. Some research has suggested that people who experience panic disorders are more likely to have a smaller-than-average amygdala.
Treatment for Claustrophobia
To be diagnosed with claustrophobia, a person will need to explain to their doctor that they have been having these intense feelings for a while and that they are having a negative impact on their lives. This could mean that they go out of their way to avoid certain places or situations. A mental health professional will try to determine whether these fears are normal, or could be attributed to some other condition.
Some doctors may prescribe SSRIs like Zoloft or Lexapro, which influence serotonin levels in the brain, to help patients who are suffering from claustrophobia or anxiety. Often therapy is recommended to help patients learn to cope with their feelings. Cognitive behavioral therapy (CBT) and/or exposure therapy aim to retrain the mind and may help people learn to get used to being in a small space without feeling so anxious.
Psychiatric medications can have unwanted side effects and may create a sense of dependence. Some people will avoid therapy because it can be very confronting and become another source of fear.
Acupuncture and other TCM modalities, including herbs and movement techniques like Tai Chi, may offer an alternative solution for panic attacks due to claustrophobia, without side effects or having to work through the problem with uncomfortable talk therapy sessions.
Can Acupuncture Help Claustrophobia?
According to TCM, the organ systems closely associated with fear are those of the kidneys, liver, and heart. Kidney deficiency, in particular, can cause fear and mental disturbances. These types of mental disorders can also be related to imbalances in Yin and Yang energies, and blood deficiencies. An acupuncture practitioner’s approach to treatment for claustrophobia may, therefore, focus on strengthening and nourishing the kidneys, while soothing the liver and heart.
One study compared patients who knew they had claustrophobic feelings going into an MRI; some were treated with acupuncture based on TCM acupoints. Control groups patients were given sham acupuncture (not really the points that would correspond with TCM theory). They concluded that the real acupuncture treatment did offer a therapeutic effect for claustrophobia, with a 92% rate of effectiveness; meaning, the patients were able to remain calm during the MRI.
A case study of a woman who had experienced bouts of claustrophobic symptoms since her teenage years, including shortness of breath, trembling, sweating, and loss of motor control in her hands and feet. After six acupuncture treatment sessions, she reported much improvement: feeling calmer, no headaches, palpitations, or anxiety. Chinese herbs can also be used, in conjunction with acupuncture treatment, help a person overcome claustrophobia.
Acupressure Points for Claustrophobia
In between acupuncture sessions, you can use self-care acupressure to relieve claustrophobia.
Shen Men is a Master point, located in the valley of the upper part of the ear. This is a classic point to help feelings of anxiety.
Shoujie, which is located on the palm of the hand between the metacarpals of the fourth and fifth fingers, along the topmost crease, helps relieve palpitations and dizziness.
Acupuncture for Claustrophobia Near Me in Los Angeles Area
TCM is an excellent way for people to find relief from mental health issues of all kinds, including depression, anxiety, panic attacks, and phobias. We will do all we can to make sure that you are comfortable in one of our larger treatment rooms with a window, and to make your acupuncture treatment experience relaxing and pain-free. If you or someone you know is finding that the thought of enclosed spaces is creating anxiety in day-to-day life, please do not hesitate to try acupuncture for claustrophobia.
*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 Ataxia With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. & Xiaomei Cai, L.Ac., Ph.D.
Ataxia is a general term that covers many conditions involving muscle weakness or lack of coordination. Ataxia causes can include: infections, neurological disorders, degenerative brain disease or tumors, some autoimmune disorders, stroke, or alcohol addiction. Acupuncture can help with the muscular weakness and balance problems of cerebellar ataxia and sensory ataxia.
Ataxia can affect the limbs, leading to difficulty with balance and walking. It can also affect the muscles involved in speech, chewing and swallowing, and eye movements.
Different types of Ataxia include:
- Cerebellar ataxia – The most common types of ataxia are related to some sort of problem with the cerebellum, the part of the brain in the back of the head, which regulates muscle activity, balance, and equilibrium. Damage or dysfunction of the cerebellum can also cause tremors and difficulty in judging distance (dysmetria).
- Sensory ataxia – Ataxia may also happen due to issues with other parts of the brain and nervous system, such as damage to the somatosensory nerve, the brain stem, posterior lobe, cerebral cortex, the spinal cord, or the peripheral nerve. These kinds of ataxia can affect the gait and walking.
- Vestibular ataxia – Inner ear problems can cause ataxia that affects balance and can cause vertigo, dizziness, nausea.
- Hereditary ataxias – While they are rare, some people are born with hereditary forms of ataxia. These are classified as autosomal dominant or autosomal recessive, and they may begin to show up at any point in life. These types of ataxia are usually degenerative, meaning the symptoms are chronic and get worse over time. Autosomal dominant ataxias used to be called “Marie’s ataxia,“ and autosomal recessive ataxias used to be called “Friedrich’s ataxia.”
Ataxia may be acute or chronic, with symptoms that last for hours, days, weeks, or years, depending on the root cause. An infection, for example, could cause a temporary episode of ataxia. Ataxia can be triggered by an autoimmune flare-up.
Acupuncture and other TCM modalities are uniquely helpful for all kinds of neurological problems, including ataxia symptoms. Acupuncture can help to restore communications between parts of the nervous system and repair damaged nerve cells.
Top 10 Causes of Ataxia:
Ataxia can be caused by a wide variety of health issues that affect the brain and nervous system:
- Stroke, brain aneurysm
- Brain tumor or lesions on the spinal cord
- Alcohol abuse
- Some medications or chemotherapy
- Toxins, heavy metal poisoning
- Severe vitamin deficiency
- Hypothyroidism, hyperthyroidism, thyroid problems
- Multiple Sclerosis
- Celiac Disease
- Encephalomyelitis (Chronic fatigue syndrome, ME/CFS)
Ataxia can also result from serious infections like Lyme disease, Chickenpox, HIV, or COVID-19.
The severity and duration of ataxia symptoms can vary, depending on the cause of ataxia, and the type.
Medical Diagnosis and Treatment for Ataxia
It can be challenging to get a clear diagnosis when a person shows symptoms of Ataxia. Testing for Ataxia often involves performing the Romberg Test. This is a fairly simple, physical test, often used by both doctors to measure a person’s balance and coordination. It is sometimes used by police officers to determine if someone is under the influence of alcohol.
The patient undergoing examination stands in various positions, closing and opening the eyes, and shaking the head from side to side. The changes in their ability to balance and maintain their position can help a doctor quantify their equilibrium in order to diagnose sensory ataxia, or vestibular ataxia, for instance. It can also help determine if a patient suffers from vertigo.
Other physical testing involves studying a person’s gait, or mode of walking. A person with sensory ataxia, for example, often demonstrates a particularly heavy, high-stepping gait due to the lack of sensation of the bottoms of their feet when they touch the ground.
Blood tests, spinal tap testing, or MRI imaging may show if ataxia is due to some sort of damage to the brain or spinal cord, or if there are lesions, tumors, or possibly some sort of infection causing the problem.
For most ataxia symptoms, however, there is no specific medical treatment. Patients who are having trouble with walking or moving their hands and facial muscles, may be referred to physical therapy or occupational therapy. Some people will need walkers or other physical aids.
Acupuncture offers a way to help people with all kinds of ataxia to improve their muscle coordination, balance, and other problems.
Can Acupuncture Help Ataxia?
Acupuncture treatment and other TCM modalities are suited to helping patients with all kinds of neurological conditions, by enhancing connections between the brain and the nervous system, and helping to restore the healthy development of nerve and neural cells. For patients with ataxia, this means an improvement in muscle coordination and limb function. Similar to the way that acupuncture helps Bell’s Palsy,Trigeminal Neuralgia, Myasthenia Gravis, and Parkinson’s, it may be able to improve eye problems and problems with eating due to nerve damage.
One case study followed a man who had suffered a stroke and was experiencing sensory ataxia. After regular rehab, he regained some of his muscular strength, but still had trouble with balance and perception. Acupuncture helped him regain his sense of spatial awareness and coordination of his lower limbs.
Another study found that acupuncture treatment helped increase connectivity between different parts of the brain and motor function in patients who were recovering from a stroke.
Formulations of traditional Chinese herbs are also a key part of TCM treatment for ataxia.
Tai Chi movement practice can also benefit people with ataxia, promoting better dynamic balance.
Acupuncture Near Me for Ataxia in West Los Angeles
Conditions like ataxia can be difficult to treat with conventional medicine. Neurological disorders, autoimmune disorders, stroke recovery, the long-term effects of a serious infection; these are all situations in which a person may be helped by trying acupuncture and TCM as an alternative or adjunct to traditional treatment. Drs. Tan and Cai at Art of Wellness in Los Angeles, CA have over 30 years of experience helping people regain muscular strength and motor function.
*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.
How to Treat Myasthenia Gravis With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. & Xiaomei Cai, L.Ac., Ph.D.
Muscle weakness around the eyes, drooping eyelids (ptosis), double vision, blurred vision (diplopia), impaired speech? These are potential signs of Myasthenia Gravis, an autoimmune disorder that affects the voluntary neuromuscular system, especially around the eyes, mouth, and throat, and the limbs. Acupuncture and TCM offer an adjunct treatment for Myasthenia Gravis symptoms.
As with some other autoimmune diseases, Myasthenia Gravis causes antibodies produced by the body’s own immune system to attack healthy cells instead of pathogens. In the case of Myasthenia Gravis, the immune cells attack receptors on certain groups of muscles, which blocks chemicals required to stimulate voluntary muscular contractions.
A person can develop Myasthenia Gravis at any age, but the disorder is twice as prevalent among women between 20 and 40. Myasthenia is a chronic condition that cannot be completely cured. However, the symptoms can often be controlled with medications and/or other types of treatment for myasthenia gravis.
Many people with Myasthenia Gravis are able to improve their muscular strength with the right combination of treatments and maintain their normal activities. Acupuncture and other TCM modalities can be used as an adjunct therapy to improve quality of life and keep functionality strong, helping to control this autoimmune disorder.
What Causes Myasthenia Gravis?
Our voluntary muscular movements rely on the ability of our muscles to receive communications through the nervous system. There are various neurotransmitters that interact with receptors on the muscles and the proteins that make up the chemical connections between nerves and muscles. Some people with Myasthenia Gravis seem to have antibodies that are damaging or destroying these key receptors and/or proteins. Other people with Myasthenia Gravis, however, do not show unusual antibody activity (seronegative myasthenia gravis or antibody-negative myasthenia gravis), but doctors believe they must still be experiencing some form of autoimmune dysfunction affecting the nerves and muscles.
The thymus gland plays a part in immune function and is believed to play a role in the production of these antibodies that block receptors. Some people with Myasthenia Gravis had an enlarged thymus gland, or a tumor or tumors on the thymus gland.
In rare cases, a baby may be born with a form of congenital Myasthenia gravis; this is called congenital myasthenic syndrome.
People with Myasthenia Gravis may also have problems with their thyroid gland, and may be more likely to show signs of other autoimmune disorders, like rheumatoid arthritis, or lupus.
Symptoms of Myasthenia Gravis
More than half of people who end up discovering that they have Myasthenia Gravis first present with eye problems, such as double vision, blurry vision, or droopy eyelids. But the signs can also show up in the throat, with trouble swallowing, or in the mouth area, with trouble forming words, chewing food, or even breathing.
Signs of myasthenia gravis include:
- Weakness of the muscles around the eyes (ocular myasthenia)
- Drooping eyelids (ptosis)
- Double vision or blurred vision (diplopia)
- Speech problems, impaired speech (dysarthria), trouble pronouncing words
- Shortness of breath
- Change in facial expressions
- Muscular weakness in the neck, arms, hands, or legs
- Difficulty holding up the head, neck problems
- Fatigue, especially muscle fatigue
Symptoms of Myasthenia Gravis often seem to abate in the early part of the day, after a night’s rest, and then worse as the day goes on, and a person has been more active. In other words, the muscle weakness tends to improve with rest, and get worse with exertion.
Like some other autoimmune disorders, Myasthenia Gravis symptoms can come and go, sometimes flaring up and at other times going into remission. Some issues that can exacerbate symptoms might be:
- Infection or illness
- stress
- Fatigue, overwork, not enough sleep
- Surgery
- Menstrual period
- Pregnancy
- Certain medications, including some antibiotics, anesthetics, or beta blockers
The most serious form of Myasthenia Gravis occurs if the muscles that control the breathing apparatus become so weak and fatigued that a person cannot breathe; this is a medical emergency called a “myasthenia crisis,” and requires immediate medical intervention.
Myasthenia Gravis Treatment
It can be a difficult process being definitely diagnosed with Myasthenia Gravis. Problems with balance, coordination, reflexes, and muscle strength may show up in a neurological exam, but they do not prove definitively what is going on. When the eyelids are drooping, doctors will often perform a test where they ice the area for two minutes to see if this improves the problem. A blood test may show a higher than normal level of antibodies of the type that affect the muscle receptors or proteins. A CT or MRI may reveal a tumor on the thymus.
Other conditions that may appear similar to Myasthenia Gravis include ALS and botulism.
Doctors will prescribe different medications to treat Myasthenia Gravis, either alone, or in combination, depending on the severity and type of symptoms. Corticosteroids and immunosuppressants can reduce the production of antibodies. Plasmapheresis can remove some of the overload of antibodies already in the system. Intravenous immunoglobulin introduces healthy antibodies that can cancel out the malfunctioning ones. Cholinesterase inhibitors can help boost the communication between the nervous system and the muscles. Unfortunately, all of these medications can come with side effects.
Surgical removal of the thymus gland if there is a tumor, or even in some cases when there is no tumor but the gland is believed to be a contributing factor, may help relieve the condition.
Acupuncture and TCM, when used as an adjunct, can help alleviate symptoms of the disorder itself, and help mitigate the side effects of other treatments.
Can TCM Herbs and Acupuncture Help Myasthenia Gravis?
Myasthenia Gravis causes miscommunications between the nervous system and the muscles. Acupuncture treatment can be beneficial for many different types of neurological, musculoskeletal, and autoimmune disorders because it has a positive impact on the communications between the various systems of the body.
TCM treatment with an experienced acupuncturist can be very helpful for patients with Myasthenia Gravis, as we take all aspects of your health into consideration while also focusing on the symptoms related specifically to this autoimmune condition. For example, acupuncture can help with sleep, feelings of anxiety and depression, problems with appetite and digestion, as well as with the muscular weakness associated with Myasthenia Gravis.
One study tested the effects of acupuncture treatment on ocular myasthenia, or eye-related symptoms. Over 90% of the patients treated experience significant improvement in their symptoms.
Chinese herb preparations used in addition to Western conventional medicines can help patients with Myasthenia Gravis. A study compared two groups of patients: one treated with corticosteroids (Prednisone), and one treated with both Prednisone and Chinese herbs. After three months, the patients given herbs showed more improvement, and were able to reduce the amount of corticosteroids needed.
A review of several studies done in China of acupuncture treatment used as complementary treatment for Myasthenia Gravis concluded that patients who had acupuncture reported better clinical outcomes than people who only received the standard pharmaceutical treatments.
While it may be challenging, it is good to include physical activity and even muscular strength training, as it is possible for patients to help overcome muscle weakness with regular exercise. Your TCM practitioner can help you follow an appropriate nutrition and movement program.
Acupuncture Near Me for Myasthenia Gravis in West Los Angeles
TCM is well-suited to help patients who suffer from both autoimmune disorders and neurological and muscular problems of all kinds because it works on multiple levels to help quiet pain signals while boosting communication signals between the different systems of the body. Dr. Tan and Dr. Cai have over 30 years of experience helping people recover from chronic illnesses like Myasthenia Gravis.
*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.