In Portland, we have some of the finest practitioners of natural healing along along with some of the most advanced western medicine available in the U.S. For example, Japanese style acupuncture and shiatsu are readily available in Portland and are often used side-by-side with conventional western modalities. From this perspective, Portland is really where East meets West and represents the best of both worlds.

In an article titled, “Acupuncture, a Powerful Integrative Oncology Tool“, researcher Jack Bleeker shows how acupuncture and other natural healing modalities are becoming mainstream as complimentary treatments along with conventional western medicine in the treatment of cancer. Below is a segment of his article.

“Integrative Oncology is the combination of “mainstream” care and evidenced-based complimentary therapies to control cancer-related pain and symptoms [source: Memorial Sloan-Kettering Cancer Center Integrative Medicine]. Complementary therapies, while not given the attention that more traditional cancer therapies may receive, are perhaps equally important while undergoing treatment for certain types of cancer. Patients diagnosed with difficult to treat malignancies will often use these types of therapies in conjunction with traditional treatment options, which include surgery, chemotherapy, or radiology, to form a more comprehensive and effective treatment regimen. Among the most effective alternative therapies utilized by those diagnosed with cancer is acupuncture.

Acupuncture has long been utilized as a general pain reduction method for thousands of years, originating in the Far East and gradually being utilized throughout the world. Effective cancer treatment often depends on the patient’s ability to not only defeat the cancer through various methods but to also maintain their health and mental spirit throughout the course of treatment.

Often, the symptoms and effects of the cancer itself on the body are insignificant compared to the pain and other side effects of chemotherapy and radiation. Patients undergoing chemotherapy and radiation are often fatigued, experience a lack of appetite and weight loss, and may become depressed.  For cancer patients experiencing these and other side effects, acupuncture is extremely beneficial. According to the ancient theories of Chinese medicine, “qi,” or “life energy,” flows through energy channels within the body known as meridians. These channels connect the body’s internal organs, and if these meridians become “blocked,” or an individual’s qi cannot flow properly, disease will set in. Acupuncture is said to relieve blockages and restore the natural flow of qi, and ultimately restoring one’s health.

Cancers such as mesothelioma, which are often unable to be removed by surgical means, are often treated with some combination of chemotherapy and radiation [the combination of chemo drug Alimta® and anti-cancer drug Cisplatin® is a popular treatment for cancer patients with mesothelioma]. While these potent drugs can be effective in eliminating some of the tumor mass and growth, they also profoundly affect the health of the surrounding tissue. Symptoms experienced by those undergoing mainstream cancer treatments include fever, nausea, and debilitating pain.

Patients who undergo acupuncture in conjunction with mainstream cancer therapies have experienced dramatic reductions in pain and feel that their energy and mental wellbeing was restored. Cancer patients who feel energized, are pain-free and have a solid state of mind are more likely to withstand traditional methods of cancer treatment and have an increased survival rate. Acupuncture is said to be so effective, in fact, that the World Health Organization [WHO] has recognized acupuncture as a successful intervention for adverse reactions to radiation and chemotherapy. The National Institute of Health [NIH] also agreed that acupuncture may relieve nausea and pain experienced by cancer sufferers, and the organization supports acupuncture clinical trials.”

Jack Bleeker, Research Coordinator
June 17, 2009

Japanese Acupuncture and Shiatsu in Portland, OR

As an acupuncture and shiatsu practitioner in Portland, people often ask if acupuncture and shiatsu will help with this or that particular problem. The answer is usually “yes…but”. The “but” is that while acupuncture and shiatsu are excellent treatments for a wide range of specific health issues, they are also extremely beneficial for overall health maintenance.

Medical studies in Japan have shown that acupuncture and shiatsu help to balance the autonomic nervous system because they specifically calm the sympathetic nerves.  During acupuncture and shiatsu, the entire autonomic system relaxes, allowing the peripheral blood vessels to expand and nourish the body on a deep cellular level. At the same time, toxins are released and flushed from the cells throughout the body. This effect alone allows the body to release stress and make hundreds of corrections on a chemical and cellular level.

In this country, people understand the benefits of having their car serviced on a routine basis, even if there are no particular problems. It’s called routine maintenance. But what most people don’t understand is that the body too needs routine maintenance in order to reduce stress, eliminate toxins and correct imbalances in the circulation of qi energy and blood. And these benefits are cumulative with regular treatment.

So, yes, acupuncture and shiatsu are very effective for specific disorders such as headache, anxiety, depression, acute or chronic pain, insomnia, stomach or intestinal problems, fatigue and fibromyalgia, just to name a few. But in my opinion, the most important benefit of acupuncture and shiatsu is the overall relaxation and balancing of the autonomic nervous system. This is why I recommend regular acupuncture and shiatsu as part of everyone’s routine health care program.

Acupuncture is rapidly becoming a common alternative therapy for various physical disorders. But most people may not realize is that acupuncture has been used for centuries as a method to calm the spirit, balance the emotions.

According to one ancient Chinese medical text, there are three classes of acupuncture. The first and most basic class of pertains to earth and deals with the removal of painful symptoms. The second class pertains to humankind and deals with balancing the patient’s constitution and preventing future disease. The third and highest class pertains to heaven and deals with nourishing the individual’s destiny in order to prolong life in alignment with Divine Will.

The basic premise of Japanese acupuncture is that we are all born with a specific set of constitutional tendencies which include certain inherent weaknesses and strengths that manifest in all areas of life - the body, mind and personality. As physicians, our first job is to examine the patient and try to make a determination of his or her inherent weakness. We call this weakness the “sho” or the inherent pattern of imbalance. It may seem somewhat negative to just look for the weakness and ignore the strengths, but actually this makes perfect sense. In order to make a chain strong and lasting, we need to find and strengthen the weakest links. We don’t need to worry about the strong ones. Likewise, in dealing with the health of the person, if we can identify and strengthen the person’s weakest energy meridian, a whole array of symptoms will automatically be resolved and many future diseases will be avoided.

We find the “sho”, or pattern of imbalance, not so much by listening to the complaints of the patient but by listening to the body. Our tools for listening are our senses. We touch the abdomen, listen to the quality of the voice, feel the texture, moisture and temperature of the skin, look at the colors of the skin, nails and hair, palpate the pulses and even smell the skin. From these examinations, we can determine the underlying imbalance and proceed to treat it.

Often, the pattern of imbalance is hidden or complicated by overlying imbalances which obscure the core issue. This is where the experienced physician can look through all the confusing signs and symptoms and zero in on the underlying pattern of imbalance. And then, it is a simple procedure to strengthen the particular meridian that is weak and disperse the excess energy in any meridian that might be too strong. This is called the root treatment. A skilled physician will make the diagnosis and perform the root treatment in about 10 minutes.

After balancing the meridians, we are then ready to listen more closely to the patient’s complaints. This is the second phase of the treatment in which we address the branch of the imbalance, or the patient’s symptoms. If the patient is experiencing fatigue, depression, insomnia, or any other symptoms of spiritual imbalance, there are specific techniques to remove the symptoms quickly. Sometimes, several treatments are needed. But for the most part, these methods will give the patient some relief until the root treatments can begin to take effect. Both the root and the branch treatment are important in order to maximize the overall effect of the treatment.

Having strengthened the person at his or her foundation, the body and mind will respond, the spirit will again shine and destiny will be fulfilled.

Insomnia is becoming a major health problem in our modern society. And here in the Portland, the problem is particularly pervasive in the summer when daylight arrives as early as 5:00 A.M.

There are many possible reasons for insomnia. But in all these cases, the common factor is too much activity in the brain at night, during sleep time. In traditional acupuncture terms, the heat in the body is not grounded and is rising to the head at night. In western medical terms, there is an over stimulation of the sympathetic nerves leading to an imbalance in the autonomic nervous system.

Acupuncture and shiatsu work well together to balance and ground the body’s energy and often this is enough to restore a normal sleep pattern. But sometimes, a client will come to me after years of sleep disturbance and several other therapies. In cases like this, insomnia is usually more stubborn and in addition to acupuncture and shiatsu treatments, I will suggest diet and lifestyle changes and possibly herbal supplements for a brief period, to help correct the imbalance.

If you have difficulty getting a restful night’s sleep, here are a few home remedies that can be helpful.

1) Diet - For many people it’s important to avoid all stimulants, particularly after the noon meal. Aside from the obvious stimulants such as coffee, tea, chocolate and soft drinks, certain spices stimulate the nerves or create heat in the body, which can disturb our sleep. Try to avoid spicy foods or at least try to eat them in the middle of the day, so that by bedtime, their effect has diminished. In the evening, eat a lighter meal and avoid fried, broiled or greasy foods, alcohol, black pepper, cayenne, ginger, cloves and garlic. Also, try to keep salt to a minimum.

2) Supplements - People with insomnia often have a calcium and/or magnesium imbalance. First, I suggest magnesium citrate (200 mg in the morning and 200 mg before bed). If magnesium alone does not help after a few days, add 200 to 400 mg calcium at bedtime, either in the form of coral calcium or calcium citrate.

3) Exercise - Of all the self-help advice, nothing is more effective than daily exercise in order to balance the body’s energy, improve the circulation and assist in the elimination of toxins.  If you have a serious health condition, it is important to exercise carefully and not over do it.  Discuss exercise with your health care professional in order to design a program that is best suited for your particular body type and condition. But for sleep problems, avoid exercise after 6:00 P.M.

4) Hot Footbath - Soak the feet and ankles in a bucket or tub of hot water for 20 minutes before bed.

5) Foot Rubbing - Before bed, sit cross-legged, or in a chair, and stroke one foot at a time (with the opposite hand) lengthwise and with medium to strong pressure, at least 200 strokes.  Use two drops of sesame oil on each foot during this process.  Then put on some old socks and go to bed.

6) Avoid napping during the day, avoid eating after 7:00 P.M., avoid exercise after 6:00 P.M. and avoid hot baths. (Warm baths are fine but hot baths are counter productive)

7) Above all, if you can’t sleep for a few nights, don’t worry. No one ever died from insomnia. Even if you just lay quietly in a dark room for 6 to 8 hours, you are getting more rest than you might imagine. And the next day, you’ll probably function better than you think.

If you have tried these suggestions and still can’t sleep, a series of acupuncture and/or shiatsu treatments can be very helpful. Or consult with an Ayurvedic or Chinese herbalist.

Indirect Moxibustion

Although not well known in the west, the art of moxibustion plays an important role in traditional medicine of Japan. Moxibustion is a form of heat therapy in which the dried herb “mugwort” (artemisia vulgaris) is burned near the surface of the skin in order to stimulate specific acupuncture points and to trigger natural healing responses in the body. The use of moxibustion is at least as old as acupuncture, with records of the practice dating back many centuries B.C. In China and Japan, the word (or characters) for acupuncture actually includes the word for moxibustion, thus illustrating how closely linked are these two modalities.  According to the classical texts, moxibustion and acupuncture are complimentary, each one enhancing the effects of the other.

The mugwort plant grows wild here in the Northwest and is often seen as an ornamental plant in front yards. The herb is considered “Yang” in Chinese medicine and as such, it is both warming and moving.  When the dried leaves are ground and sifted, a fine wool is produced (commonly referred to as “moxa”) which can easily be rolled into various shapes for burning.  The most common shapes are cones and sticks.

In Japan, scientists have studied moxibustion under laboratory conditions and have found that the infrared radiation from burning moxibustion is almost exactly the same wavelength as the infrared radiation in the human body.  And, the warming qualities of the dried mugwort itself enhances the warming effects of the combustion.  The result is that the heat from moxibustion penetrates deeply into the body, giving both an immediate warming effect and a continuing warming effect, which lasts for several days after the treatment.

From a western medical perspective, we know that when we sustain a significant burn, all the biological systems of the body join together in a defensive response to protect the body from further damage and begin production of new blood and tissues.  Over two thousand years ago, the physician sages of China discovered that many of these profound healing reactions will occur even if the body sustains only a very small burn.

The very idea of burning the skin to produce a beneficial effect seems primitive and outrageous to most people in the West. But let’s put the concept into perspective. First, we are talking about a very mild burn, about as severe as a sunburn. Second, we are talking about very small areas of the skin, no larger than 2 - 4 millimeters in diameter. Japanese scientists have found that a small and mild burn from moxibustion, at specific points, can dramatically boost the body’s immunity and trigger a cascade of profound healing effects. These effects include a significant increase in white blood cell production, an increase in platelet count, a reduction in blood coagulation time, increased activity of the adrenal glands and many other biochemical reactions that assist the body in healing.

In traditional Asian medicine, moxibustion is indicated for any condition of pain, low energy or obstruction, where coldness or stagnation is a primary causative factor. Likewise, moxibustion is used for cases of blood deficiency or blood stagnation, since it is considered to move blood and stimulate blood production.

As an acupuncturist in Portland, I have found that moxibustion lifts the spirits and is very effective for many types of mild depression or fatigue. And for stiff or painful muscles and joints, acupuncture combined with moxibustion is one of the best treatments available.

Moxibustion is a powerful form of therapy which, when applied correctly, can stimulate the body’s own healing potential. If you are interested in the ancient medicine of Asia, you may want to receive a treatment in order to experience for yourself the wonderful healing effects of moxibustion. Moxibustion is also an effective and inexpensive home therapy, which is easy to learn from any licensed acupuncturist who has studied Japanese moxibustion therapy.

As an acupuncturist in Portland, I am often asked what kinds of disorders respond well to acupuncture and shiatsu. I am usually forced to answer this question in a few words, which leaves many important points unaddressed. So I’d like to take this opportunity to answer this question more thoroughly and explain some of the finer points of the benefits of acupuncture.

As in most cities, there are many styles of acupuncture in Portland. All styles of acupuncture are based on the classical Chinese theory that the body and spirit are made up of different forms of Life-energy, or “qi”, combined with the five elements. This “qi” energy nourishes the body and maintains proper health through a complex network of channels or meridians. In addition, we know from empirical observation that “qi” energy follows the blood. If the “qi” energy becomes stagnant, the blood will become stagnant and vice versa. When the “qi” energy and blood circulate freely through the meridians, we enjoy good health and a positive attitude. Disease occurs when the circulation of “qi” and blood are impaired due to stress, negative emotions, improper diet, insufficient rest, environmental toxins or seasonal changes.

Acupuncture evolved over the course of many centuries as a method to stimulate and regulate the circulation of “qi” and blood in the body. From this standpoint, it can be argued that acupuncture will help the body to resolve any imbalance or disorder. If we can improve the circulation of “qi” and blood, it stands to reason that the body will respond favorably. I have been continuously amazed to see how well people respond to acupuncture for a wide range of disorders from pain syndromes to infertility to digestive disorders.

From another perspective, it has been documented that acupuncture is effective in calming the sympathetic nervous system and improving the function of the endocrine glands and internal organs.

The autonomic nervous system consists of the sympathetic and the parasympathetic functions. These two systems are designed to work together like two sides of a balance. The sympathetic system helps the body to function in states of stress or excitation. When the sympathetic system is dominant, the body’s attention is focused on the peripheral muscles and nerves in order to react appropriately in a “fight or flight” situation. When the parasympathetic system is dominant, the body’s attention shifts to the internal organs and in general, the body prepares to relax and replenish its energy. At any given point in time, either the sympathetic or parasympathetic mode is dominant. Our nervous systems are designed to shift back and forth between these two modes of functioning, several times a day.

Problems arise when we become stuck in one mode for too long. And in the stress of our modern society, the overwhelming tendency is to become stuck in the “fight or flight” or sympathetic mode. Over time, this chronic over stimulation of the sympathetic nerves can lead to problems such as hypertension, headaches, dizziness, irritable bowel syndrome, muscular or skeletal pain, insomnia, nausea, diarrhea and other gastro-intestinal disorders. Because of its profound calming effect on the sympathetic nerves, acupuncture is particularly effective in treating these kinds of disorders.

Finally, there are a few disorders that respond particularly well and very quickly to acupuncture. In this category, I would list liver/gallbladder imbalances, headaches, digestive disorders, hemorrhoids, stress, mild to moderate anxiety or depression and food or substance cravings.

A migraine headache is defined is a severe, pulsating, one-sided headache, lasting from 4 to 72 hours and which is aggravated by routine physical activity. Migraines are often accompanied by nausea, vomiting and/or sensitivity to light and sound. In addition, visual disturbances (auras) lasting from 4 to 60 minutes, may occur either before or during a migraine headache.

Migraines are sometimes called vascular headaches because they involve a restriction in blood flow to the brain. Stress, or some other trigger, causes muscle tension and spasm at the base of the skull, restricting the blood supply to the brain. In response, blood vessels in and around the brain dilate in order to compensate for the reduced oxygen. The pressure of these dilating arteries on cranial nerves causes the severe throbbing pain associated with migraine headaches.

One of the best alternative therapies for a migraine headache is Japanese style acupuncture combined with the ancient practice or “cupping”. Cups are round vessels, 1″ to 3″ in diameter, which are applied to the body with vacuum suction. The vacuum is created either by means of heating the air inside the cup or by a mechanical pump. The local area of low pressure causes the blood to gather under the cup near the surface of the body, creating an immediate improvement in circulation. In particular, cupping helps to reset or regulate the tension in the arteries… helping to relax overly tense arteries and tighten those that are too lax. Cupping certain areas on the back can produce this regulating effect throughout the entire body.

In addition to acupuncture and cupping, dietary and lifestyle changes can often help to reduce the frequency and severity of headaches. In this regard, the following suggestions may be helpful.

1) Experiment avoiding foods that are known to trigger migraines for some people. The most common problem foods, in order of importance, are:

• tannins in tea, red wine and apple cider
• chocolate
• aged cheese
• other dairy products
• peanuts
• poultry, including eggs
• caffeine in coffee, tea and cola drinks
• sulfites in processed meats and seafood
• beef
• wheat
• food additives such as MSG, artificial sweeteners (especially those containing Aspartame) and food colorings
• heavily processed or packaged foods

To find out if any of these foods are a trigger for you, experiment by eliminating one at a time for a couple of weeks and observe any change in the frequency or severity of your headaches. In addition, a number of prescription medications can cause migraine headaches in some people. Read the information sheet which comes with your medication and if headaches are a possible side effect, consult with your doctor to see if an alternative medication can be prescribed.

2) Feverfew herbal capsules - 125 mg. per day and containing at least 0.2% parthenolide. Check the label to make sure it contains standardized 0.2% parthenolide. This herb works best as a preventative and may be taken every day in the above dose. If a migraine occurs, take 500 mg. in one dose and do not take any more Feverfew that day.

3) Magnesium (Citrate or Amino Acid Chelate) - begin with 200 to 250 mg per day and gradually increase your dose up to 400 mg. If your stools become loose, back down the dosage to a comfortable level.

4) Exercise moderately, but every day. Exercise helps to regulate blood chemistry as well as vascular tension. It’s best to alternate with different exercises which move the major muscle groups of the body. Bicycling, rowing and swimming are excellent “non-impact” exercises.

5) Drink plenty of water. Your body weight divided by 2.5 equates to the minimum number of ounces of pure water (including juice) you should drink every day. It’s best to drink water mostly between meals.

6) Take flaxseed + borage oil complex - 1 to 2 tablespoons per day.

7) Two or three times each week, drink celery juice alone or combined with carrot, cucumber, spinach and/or parsley. Or, two 8-ounce glasses of this juice per day can be taken as a preventative, instead of Feverfew capsules.

Precautionary Note
Persistent headaches can be a sign of a serious health problem. If you have frequent or persistent headaches, it is recommended that you consult with your health care professional.

As a practitioner of acupuncture in Portland, I see that acupuncture is well known to be an effective treatment for a wide range of physical problems. But most people don’t realize that acupuncture also has a long history in the treatment of mental and emotional disorders. For depression, Bi-polar Disorder, Seasonal Affective Disorder (SAD) or Attention Deficit Hyperactivity Disorder (ADHD), acupuncture combined with nutritional supplements can be very effective, either as an alternative to drug treatment or as a supporting therapy.

The ancient physicians of China and Japan considered depression to be a form of Qi deficiency or Qi stagnation. The Qi, or Life-energy is either deficient or not flowing evenly throughout the body. The result is a subjective experience of weakness, fatigue, lack of motivation, sadness or even despair. In this ancient system of medicine, the lungs and the organs of digestion are considered the most important organs involved in the generation and distribution of Qi. Therefore, in treating depression, we focus attention on the Qi meridians associated with these two organ systems.

It’s interesting to compare this ancient perspective with western science which views depression as a deficiency or imbalance in brain chemistry…with particular emphasis on the neuro-transmitter serotonin. The importance of serotonin is underscored by the fact that almost every anti-depression drug is designed to increase serotonin levels in the brain. But if we ask how serotonin is produced in the body, we get a surprising answer…one which points back to the ancient physicians of China. Researchers have found that as much as 80% of our serotonin is produced in the gastrointestinal tract, as a by-product of digestion.

In Japanese style acupuncture, we use specific points and acupuncture techniques that lift the spirits and re-establish a normal flow of Qi in the body. In addition, there are a number of dietary and lifestyle changes that can help to increase energy and elevate the mood. If you suffer from mild to moderate depression, here are a few suggestions that can make a significant difference within a few weeks.

1.    Take a concentrated fish oil supplement which provides at least 5 to 1 ratio of  Docosahexanoic acid (DHA) to Eicosapentanoic acid (EPA). DHA is a major building block of brain tissue and has a proven track record as a safe and effective treatment for depression and ADHD. In Great Britain and Europe, many doctors are using DHA supplementation to replace conventional drug therapy for mild to moderate depression.

2.    Aerobic exercise for 20 minutes, at least 5 days per week, is extremely valuable to help balance blood chemistry and remove toxins. If regular exercise is not part of your daily routine, it is important to begin carefully and build up to 20 minutes gradually over 2 or 3 months. Discuss exercise with your health care professional in order to design a program that is best suited to your condition.

3.    Certain prescription and OTC drugs can contribute to depression. If you are taking a pharmaceutical drug, find out if depression is one of the possible side effects and discuss with your doctor.

4.    Likewise, recreational drugs are major causes of depression for many people. Marijuana, tranquilizers, sleeping pills, narcotics, cocaine, amphetamines and alcohol, can all disrupt normal brain chemistry and deplete serotonin levels.

5.    A diet for depression has to be specifically designed to fit each individual. But in general, it would be helpful to eat more fruit and vegetables and reduce sugar, fried foods, junk foods and highly processed foods.

Precautionary Note: Severe clinical depression is a serious disorder. If you believe that you may be severely depressed or have difficulty working and maintaining your daily routine, consult with a medical doctor who is trained in the diagnosis and treatment of depression.

As a practitioner of acupuncture in Portland, I am seeing a renewed interest in one of the most ancient are of cupping; the application of suction cups to the body.  We really don’t know where cupping originated. Some say the practice began in China where archaeologists have found evidence of cupping dating back to 1000 B.C.  However, the Ebers Papyrus, one of the oldest medical textbooks in the world, describes the systematic use of cupping by the early Egyptians, as far back as 1550 B.C.  In both of these ancient societies, cupping was highly respected as a treatment for disease and as a method of routine health maintenance.

In the early days, cups were made of animal horns or bamboo.  Later, they began to be made out of pottery and today, cups are usually made of glass or plastic.  Typically, cups are round vessels, 1″ to 3″ in diameter, and are applied to the body with vacuum suction.  The vacuum is created either by means of heating the air inside the cup or by a mechanical pump.  The result is that the cup sticks to the body and creates a local area of low pressure, which causes the blood to gather under the cup near the surface of the body.

From a western scientific perspective, cupping creates pressure in the local tissues by drawing blood to the surface from areas underneath.  Through this process, fresh blood moves into the areas below the surface.  The result is an immediate improvement of circulation in the affected area.  It has been found that cupping affects the circulation 4 inches below the surface of the skin where the cups are applied.  As a result, cupping can directly influence the health of the underlying tissues and internal organs.

The general benefits of cupping are improved circulation, purification of blood, regulation of the autonomic nervous system and an overall cooling effect.  In addition, cupping reduces pain and swelling and speeds the natural healing process in the specific areas of application.  Cupping therapy is effective in the treatment of painful joints and muscles, digestive disorders, headaches, respiratory disorders, some skin conditions such as boils, eczema, etc., facial paralysis, weakness of the muscles, high blood pressure and common colds.

One of the side benefits of cupping is that it feels great.  The mild pulling sensation helps to release the muscles and calm the sympathetic nervous system, thus allowing a deep relaxation to move through the whole body.  It is not unusual for a patient to fall asleep while the cups are on, waking up afterward feeling relaxed and refreshed.  Cupping therapy is available from most acupuncturists as well as some massage and shiatsu practitioners.

Precautionary Note: Cupping therapy should be preformed by a trained practitioner. Cupping should not be performed on the abdomen or low back during pregnancy or near surgical incisions within one year of surgery.  Cupping is contraindicated in cases of allergic skin disorders, burns, severe edema, extreme fatigue, low blood pressure or bleeding disorders of any kind.  Also, cancer patients with an active tumor or patients who are taking blood thinning medication should avoid cupping therapy.

I recently lifted a large bucket of water incorrectly and felt a painless “pop” in my lower back. I assumed that I had pulled a muscle. Over the next 3 weeks, I tried to stretch it out and applied several healing techniques but my symptoms progressively got worse. Finally, I had severe pain in my right leg, a symptom known as sciatica. Then, I knew that I had herniated a disc.

A herniated, or bulging disc is when the soft tissue between the vertebra becomes injured and swollen and begins to exert pressure on one of the spinal nerves. In some cases, the tough outer surface of the disc can tear or break, allowing the soft inner nucleus to be extruded out of the disc and into the vertebral recess and the spinal canal. It’s a very painful condition but in 90% of the cases, a herniated disc will heal on it’s own, over 6 to 8 weeks of conservative treatment. During that period, the body’s natural healing energy goes to work, dissolving the herniated tissue and repairing the disc that remains in tact, a process called resorption.

To help reduce pain and buy time while the body heals, a steroidal epidural injection can be very helpful. This is a process of injecting a small amount of steroidal anti-inflammatory into the injured area to reduce inflammation and swelling and make the healing process considerably more comfortable.

Acupuncture can also help to speed the process of resorption. In the case of an acute injury like this, I recommend treatments every 3 or 4 days. When applied correctly, acupuncture will ease the pain and help to direct the body’s healing energy to the affected area in the back. In Japanese style acupuncture, after an injury like this, we treat the Kidney and Liver channels as well as local points along the lumbar spine.

Other important healing techniques are cold packs to reduce inflammation, and complete bed rest for the first 2 or 3 days. After about 3 days, it’s best to resume a reduced schedule and try to stay vertical as much as possible. Walking is the exercise of choice (lots of it) and sitting is to be kept to a minimum. After 2 or 3 weeks, a gentle stretching program is recommended. After 6 to 8 weeks, it’s important to begin a strengthening program to prevent recurrance. In most cases, injury to the spinal discs is due to weak back muscles.

For a health care practitioner, an injury like this is very humbling. It reminds us that we really don’t know as much as we thought. And it helps to make us more compassionate with the suffering of others. Pain is a great teacher and helps to bring us down to earth and come face to face with our mortality and the frailness of the human condition. At times, we all have illness or injury which serve as an important “reality check” for us all.