Self Help - Natural ways to relieve pain

Pain is an interesting phenomena of the human body.

Firstly, you need to know why you have the pain. Pain is a signal of something wrong and shouldn’t just be ignored or self-medicated without knowing it’s cause. In Chinese medicine, practitioners are all about getting to the root cause of the problem. We don’t just treat the symptoms but the Root as well (In TCM, this theory is called the Ben and Biao).

 

This post is really for people in chronic pain, when you know the cause and may need to manage it. There are lots of natural remedies on this earth which can alleviate pain. Please don’t take this advice as a replacement for seeing your health care professional or Western medical doctor.

Pain in the muscles or joints is a common one where we may easily know the cause. A simple over-working at the gym or sleeping incorrectly can cause us to wake up with muscular pain. If pain continues or gets worse, its advisable to seek professional advice and treatment. 

Natural ways to relieve pain:

• Warming

Heat makes blood vessels expand, which increases the blood supply to the heated area. If there is infection, then heat should NOT be applied. In Chinese medicine we usually suggest using heat at a hot but tolerable level (not a lukewarm hotpack) applied to the area for 20 minutes at a time.

Heat gets Blood flow to the area, while massage or movement can move some of the stagnation and assist repair and healing.  Heat shouldn’t be continuously applied without any movement or massage in-between each dose.

• Acupressure

Thousands of years people have been rubbing where it hurts, as an instinctive reaction to pain. Acupressure and Tuina-Chinese massage has been born out of this instinctive touching where pain occurs to relieve it. Knowing which channels and points are good for different areas of pain is the key to successful self-acupressure.

Here are some of my favourite self-acupressure points which may be useful for pain relief:

 Houxi SI 3 – Neck pain

Make a fist and look at your pinky finger. This point is just above where your pinky finger sits in the fist – under the knuckle bone of the 5^th metacarpal bone. The pressure should be directed towards the thumb under the bones, Use on the same side as the neck pain. For a stiff neck press it for about 2-3 minutes until a dull-achy sore feeling  is in the hand, continue pressing it and slowly rotate the neck from side to side according to it’s natural position.

  Hegu LI4 – Head pain, neck pain, shoulder and arm pain.

This point strongly stimulates release of the bodies natural pain killers. It is commonly called the “headache point” although in my 10+ years of practice I rarely find it a cure-all for headaches, sometimes it can make a strong headache worse. It is a very strong point for treating pain along it’s channel (the Large Intestine Channel) which goes from the index finger to the elbow and up onto the face. Press it the with your thumb or the back of a pen to get the right pressure

Diji Sp8 – Period pain

This point is the number one point for treating abdominal and period pain. It will be very sensitive during the period so the best way to use it with acupressure is to press it in with the back (not sharp) end of a pen. It is 3 cun measurements from the crease of the popliteal crease of the inside of the leg – Easy way to find it is the width of the four fingers, below the crease of the knee. See the picture that will make more sense! The point is right next to the bone.

Press this one for about 5 minutes until the pain starts to subside. When the pain is coming back you can press it again as many times as needed. 

• Plants

Plants have pain relieving properties – ranging from the opium poppy to essential oils, many of our pharmaceutical pain relieving drugs have natural plant origins.

• Essential Oils

Essential oils that can relieve muscular pain or menstrual pain (period pain) are CLARY SAGE and FRANKINSENCE oil. These are not the fragrance oils but the essential oils.

Frankinsense is a Chinese herb called Ru Xiang. It’s main function is to “move Blood” or as some author’s say it “quickens the Blood to dispel stasis”. Stasis or stagnation of Blood causes sharp and stabbing pain which is fixed in location.

These oils would normally be applied externally to the affected area. Don’t apply any oils to an open or healing scar site. It’s always appropriate to seek professional advice about whether it’s ok to use Essential oils in your specific health /sickness circumstances or in cases such as in pregnancy.

• Moxibustion

Heat is used in the treatment for pain in Chinese medicine, going back thousands of years. Heat was used in the form of Moxa, or Moxibustion well before there were microwaves to make wheat-bag hot packs.

If youre not familiar with moxa or moxibustion, you can click here for the post: Whats that Moxa smell all about?

The moxa box is a great invention of Chinese medicine which essentially houses the moxa stick and makes it easy to apply to the self.

MARIE HOPKINSON - Practice Details at www.metrohealth.com.au

What's that Moxa smell all about?

Moxibustion, or moxa as it’s commonly know is a herbal therapy used in Chinese medicine, often alongside acupuncture, where the herb is burned to warm acupuncture points.

There are several types of moxa, and two main uses known as direct and indirect Moxa. Although Moxa smells similar to marijuana when it’s burning, there is no similarity in its effects or properties of the herbs! Lots of people have made comment over the years entering our clinic and shopfront that "oh someone is toking up back there" as I'm sure many other TCM practitioners would have been confronted with these comments too.

The most common types of moxa used are the needle-head moxa, Japanese moxa cones (stick-on moxa) and Moxa sticks.

When Moxa is in it’s natural state, it looks like a pile of green herbal fluff – known as “moxa punk”. The punk can be condensed into sticks, cones or the rougher grades of moxa punkare used in baths or externally applied.

Moxa sticks are most commonly used by practitioners – holding them over points, or the sticks can be put into a moxa box and applied to the acupuncture points.  Parts of the sticks can be used on the needles, known as needle-head moxa.

Moxa can be used as the whole or part of the treatment in many conditions. It’s particularly useful when cold has invaded into the body. A common example is cold-obstruction type arthritis. Moxibustion is used routinely in China for knee pain. Several studies on osteoarthritis of the knee have been done, although small sample sizes and other inconsistencies make it hard to draw definitive conclusions using a western medical research model¹.

In my clinic, treatment of knee pain is one of the most common uses of moxa. Usually four points around the knee are used with needle-head moxa. This can expel cold and stimulate local blood flow, and stop pain.

Moxa works by the application of heat to acupuncture points. Actually it causes a very minor burn on the skin (First degree burn, which is simply redness), which stimulates the bodies inflammatory response. This inflammatory response is a complex process where blood vessels change to allow cells to exit into the inflamed area, and increased blood supply in general. While inflammation is normally considered a negative or unwanted thing, it is perhaps the “short burst” /localized activation of this response that is involved in the Moxibustion treatment of pain.

Breech Presentation is another routine use of moxa. The moxa cones or moxa stick is applied to the points at the end of the toes, which can cause the breech baby to turn into the correct position. The point used is BL 67 – it is known as the point which turns Yin into Yang. 

When the yin (Growth, nourishment, sedintary) reaches it’s maximum , it will transform into Yang (activity, birth, moving). In treating breech presentation, this is best applied sooner rather than later, around 34 weeks is good to start. Usually a course of treatment over 10 days is given, the practitioner can instruct the patient how to appy the moxibusion themselves (usually a partner can help do it at home), with 2 or 3 treatments of moxibustion, usually combined with acupuncture given in the clinic over this 10 day period. Increasing numbers of midwives and clinicians in hospital environments are using moxibustion for breech presentation. As recently suggested in letters to the editor of Acupuncture in Medicine Journal of Brittish Medical Acupuncture Society², many hospitals could save money on cesareans and obstetric procedures if moxibustion was used as a protocol.  

Next time you visit your acupuncturist, ask if moxibustion is appropriate for your case.

References:

1. Choi, T, Kim, T, Kang, J, Lee, M, & Ernst, E 2011, 'Moxibustion for rheumatic conditions: a systematic review and meta-analysis', Clinical Rheumatology, 30, 7, pp. 937-945, MEDLINE Complete, EBSCOhost, viewed 19 November 2013.
2. Michael, W 2013, 'Letter to the editor on obstetric acupressure and acupuncture', Acupuncture In Medicine: Journal Of The British Medical Acupuncture Society, 31, 2, pp. 257-258, MEDLINE Complete, EBSCOhost, viewed 19 November 2013.

Stories from China... Inside the Chinese Medicine Hospital

My three months in Hangzhou as an intern at the Hangzhou Shi Zhong Yi Yuan was one of my most memorable life experiences.

As a teacher in TCM, I am constantly urging my students to "go to China". There is no substitute for this experience. I can't even articluate all the reasons eloquently why this is so imperative, but in this post I hope to shed some light on it.

Imagine a room, around 45m2, with about 6 desks in there. About half the size of a standard office desk. Around each desk are 3 or 4 typical Chinese wooden stools - the kind a size 14 westerner could fit half of their butt on!


The outpatients clinic is a room just like this, except it is filled with people. Each doctor has their own desk, alonside them are their intern(s) - the more they have the more popular that doctor probably is.

Walking in at 8am when the hospital is just opening, it's buzzing full of people. The doctors havent even arrived but there are people everywhere. Down the hallways and crowding around the desks. Each patient is often are accompanied by an entourage - family support for their sick mother, father or even grown up child. Often the patients would have several relatives or close friends with them.
It's apparent that when a person is sick their community is mobilised.

The system in the hospitals at that time (ten years ago) - and still is the way in many hospitals- is a no appointment, first come, first served basis. The patients would register at the administration of the hospital, recieve a ticket then go and wait at the doctors desk to be seen. They place their patient record book on the table and before long a queue of patient record books piles up. When the doctor walks in and sees the normal 15 or so books lined up on their desk they can see today is just another ordinary, incredibly busy day.


The self-ownership of the health care record was the first amazing, unique thing that stood out to me in my first weeks of studying in China. This system seemed so simple and sensical that I wondered why we don't do it in Australia? The answer to that one probably lies in the bureaucratic and popous traditions of western medicine (which developed in ways that take the power away from the patient and make the doctor look important and all-knowing)...but perhaps also in the underlying ownership of health that native Chinese inheritently have. This is a deep part of Chinese Medicine and it seemed that the Chinese have taken this into their management of their health care system at the root of it.

Basically each person is issued with a booklet, which added to that a swipe card around the mid 2000's. The card and the booklet contain all their records with doctors - both western and TCM, the card could be swiped at the computer station or doctors desk and all their MRI's, CT's etc would come up on the screen.

This is an amazing system when you consider "doctor shopping" - one doctor can see what the others have done thus far. It almost creates a bit of professional accountablity amoung herbalists - they can see what herbs and drugs have been prescribed, tests ordered and anything else inbetween.

Marie and Dermatology Doctor Luo Wei Dan

I digress from the main point but I really want to paint the picture that China is such an amazingly different place to any western country and it's health care system is definatley a unique one. I can't think of one western country that dosen't have issues with it's government issued medical services (the NHS in the UK, HMO's in the USA and Medicare etc in Australia).
Waiting lists for routine procedures, possibly unecessary health complications created by the waiting time to simply recieve a diagnosis (not even treatment), and the cost burden to patients are all common complaints.

I'm not saying that China is perfect by any means, but it was common to see a patient present with a health problem for the first time at 8am, see the doctor, have tests ordered and completed and return with MRI or CT test results by the afternoon of that same day. These weren't rich people - just normal everyday people. And this is with the enormous population (1.351 billion at last count - by the way there are 0.3 billion in the USA).

In China, low wages paid to health care workers certainly plays a part. But shouldn't health care be our greatest service to people? High population always lowers costs - supply and demand.

When you go to China as a TCM intern you have the privillage to observe so much. It's not just the hundreds of Chinese medicine (herbal), acupuncture or Tuina cases you see. I found I observed much more because of the language barrier. Your senses are awakened to what you see and feel more than what you can hear and understand in terms of language.

This amazing health care system was a massive stand out to me on my first visit to China as an intern. It's just something different. It has it's faults and flaws just as any other system but it's totally different to what we experience as "hospital medicine" in Australia.

Pregnant? The Chinese medicine and Acupuncture experience.

Pregnancy can be one of life's most amazing experiences, certainly each pregnancy is different and can have it's own different health problems as well as health benefits. 

From a Chinese medicine perspective, pregnancy is a "yin time"...yin and yang are two opposites in our body.

Yin is best described by  words like sedentary, building, solid, dense, rich, cold or cool
Yang is best described by - active, doing, dynamic, hot or warm

Processes in our body usually require yang and yin but there are times where we are more one or the other - Sleep is a time where it should be mostly yin. A disharmony of yin and yang here would be when there is an over activity of the mind or body at night when one should be quiet and resting.

In pregnancy, as the foetus is being "built" there is a greater consumption of yin (which is Blood and nutrients) in Chinese medicine. Eating more Yin foods is often necessary.  These yin tonic foods tend to be the more richer, heavier things like meats, grains and root vegetables. 

Acupuncture, Chinese Herbs and Diet Therapy are used for many discomforting symptoms which can occur in pregnancy including:
Morning Sickness, Swelling and fluid retention, pain - especially common is lower back pain and sciatica, promoting labor, overdue labor and foetus position correcting - Breech position is commonly treated with acupuncture and moxibustion.

In the coming weeks I will outline how Chinese medicine approaches some of these ailments and symptoms.

Many acupuncturists are in favour of doing a course of treatment from 36 weeks onwards to promote labour and smooth flow of Energy and Blood, which is intended to promote a normal labour. This type of treatment is called PRE BIRTH ACUPUNCTURE. In my practice, Metro Health and Medicine, I offer this treatment at once a week for 4 weeks up to the due date.

A recent study of patients who sought acupuncture during their pregnancy were asked by survey about their experiences of the birth and what benefits they reported from having acupuncture during their pregnancy.¹

Of 133 participants who gave qualitative data, there were five main reported outcomes (some gave more than one outcome). Effectively treated their chief concern (37,2%) Holistic benefit (22.9%), no benefit (20.61%), achieved desired birth (13.74%) and assisted in childbirth (5.73%)

A copy of this interesting study is available in our clinic's waiting area at Metro Health and Medicine.


REFERENCES:

1. Soliday E, Hapke P. Patient-reported benefits of acupuncture in pregnancy. Comp Therapies in Clinical Practice 2013;19(1): 109-113

USEFUL LINKS:

Debra Betts Website - A midwife and acupuncturist from New Zealand who has made an abundant amount of resource available:  http://acupuncture.rhizome.net.nz/ 

Download the PDF booklet about pain relief in Labor:  http://acupuncture.rhizome.net.nz/acupressure/download.aspx

Ever woken up with a stiff neck in summer?

A common problem seen around this time of the year is invasion of wind. Wind is considered an "External Pathogenic Factor" in Chinese medicine. Wind can be created by fans, air conditioners or just be a normal part of the environment. No matter it's source Wind can cause a number of problems when it invades the body.

Wind carries other pathogens into the body - heat, cold, dampness - these are common causes of joint pain, aches and arthritic conditions.

Wind causes things to contract and stiffen up...a common scenario in Perth at this time of year is the typical waking up with a stiff neck after a hot summers night...This happens because during the hot weather, it's common to be lying in bed under the fan or with the window open so the wind is directly blowing onto a persons uncovered skin. Of course it's hot so the person either lies in bed with little covering or because of the heat can be sweating. The pores are open and the wind can easily invade the body through the open pores.

When you wake up with a stiff neck, or a neck pain which is pulling your head to one side, in Chinese medicine the cause is Pathogenic wind invading the Bladder and/or Gall Bladder channels(these are the channels located on the neck).

The Solution?

The good news is that Chinese medicine is all about prevention...try to sleep with a thin sheet or t-shirt on so if the weather does cool down and wind starts to invade you have this level of protection. Try to face so it's not directly on your body and make sure air conditioning vents are not directly blowing onto you. If you do have stiffness, pain and particularity severe pain with restricted movement try to use a hot pack for about 10-20 mins and then try to free up the movement with slow normal movements.

A moxa stick applied to an acupuncture point

Chinese medicine practitioners can use acupuncture, cupping, moxibustion (or called Moxa) and herbs to expel wind from the channels and restore the normal function and stop pain.

Marie is available for treatments and can be contacted at the Metro Health clinic on 089371 8077 or email info@metrohealth.com.au.

Healing Heels

From acute injuries and sport or activity over strain, and chronic pain experienced on a daily basis, acupuncture is often sought for heel pain relief.

Heel pain can have many causes, one common one is known as Plantar Fascitis. It’s an inflammation of the band of tendon that runs from the ball to the heel of the foot (the Plantar Fascia). (see picture right)

Poor foot mechanics are often blamed for the cause of the problem. If the foot moves incorrectly, the plantar fascia is overstretched and can tear, becoming weak and inflamed. The pain is usually sharp, severe pain on the ball of the foot.

The good news is that acupuncturists treat this kind of pain all the time. We call it Qi (Chi) Stagnation or Blood Stagnation type pain. Stagnation pain is always more noticeable after lack of movement (i.e. Sleeping). Upon rising the pain is usually intense, then after walking around a little the pain gets less.

Once you get moving, the circulation increases and the pain eases. Acupuncture works to increase the circulation of blood and energy, activating your bodies own healing response to come to the local area. Pain can be eased by the release of your bodies natural pain-killers - endorphins which are often released by acupuncture.

What about the cause of the problem? Inflammation can be treated with acupuncture, simply by “speeding up” the bodies own healing response. By relaxing the local muscles, reliving swelling and getting more blood and energy flow to the injured site, acupuncture can reduce the inflammation and encourage the speedy repair of the plantar fascia.

Not all heel pain is due to Plantar Fascitis. Some heel pain can be from too many ankle injuries and poor local area circulation, or an "unknown" cause. However, Chinese medicine practitioners always make their own Chinese medicine Diagnosis. In treating foot pain, it’s not necessary to have the Western Medicine diagnosis to commence acupuncture treatment.

In my practice, I have found heel pain to be a bit more stubborn and slower to respond, however after 6-8 treatments most patients find a great relief of pain. I have found many heel pain patients experience little or no change in symptoms until the third or fourth treatment. This is not the case in treating pain in other areas where the pain relief is often instantaneous.

If you have heel pain, its worth approaching your acupuncturist with a 6-8 treatment plan in mind. Treatments can be done 2x or 1x a week. Don't leave it longer than one week in between treatments, or effectiveness is diminished. Secondly, points on the heel itself are sometimes used but they can be more sensitive than other points. The overall treatment is not meant to be painful, and you should experience a pleasantly relaxing effect.