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How to Treat Ataxia With Acupuncture and TCM


By Qineng Tan, L.Ac., Ph.D. & Xiaomei Cai, L.Ac., Ph.D.

ataxia muscle weakness
Ataxia causes muscle weakness.

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:

  1. 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).
  2. 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.
  3. Vestibular ataxia – Inner ear problems can cause ataxia that affects balance and can cause vertigo, dizziness, nausea.
  4. 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 muscle weakness
Ataxia can impair motor function and spatial awareness.

Ataxia can be caused by a wide variety of health issues that affect the brain and nervous system:

  1. Stroke, brain aneurysm
  2. Brain tumor or lesions on the spinal cord
  3. Alcohol abuse
  4. Some medications or chemotherapy
  5. Toxins, heavy metal poisoning
  6. Severe vitamin deficiency
  7. Hypothyroidism, hyperthyroidism, thyroid problems
  8. Multiple Sclerosis
  9. Celiac Disease
  10. 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?

ataxia balance
Acupuncture treatment can help improve balance.

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.

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