A Beginner’s Guide to Acupuncture: How It Works and What to Expect

Guide to Acupuncture

The idea of having needles inserted into your body for healing might sound unconventional, but acupuncture, a time-honored practice of traditional Chinese medicine (TCM), is gaining widespread popularity. Every year, more than 10 million acupuncture sessions are performed across the United States. Why the growing interest? For many, acupuncture offers a safe and potentially effective way to address a range of health issues.

In this guide, we’ll explore the benefits of acupuncture, what to expect during your first session, and tips for getting started.

A Brief History of Acupuncture in the U.S.

Acupuncture has deep roots in China, with its origins dating back thousands of years. The practice of acupuncture was first recorded in writing from 100 B.C.

It wasn’t until 1972 that acupuncture began to capture attention in the United States. During a trip to China, President Nixon’s physician wrote an article about observing acupuncture, which sparked interest in this ancient practice.

By 1997, the National Institutes of Health (NIH) officially recognized acupuncture for its effectiveness in alleviating pain and nausea, particularly after surgery or chemotherapy. This acknowledgment led to increased research, clearer licensure guidelines, insurance coverage reforms, and even the integration of acupuncture concepts into medical school curricula.

Today, the National Center for Complementary and Alternative Medicine states that acupuncture is predominantly used as a pain management technique, particularly for illnesses including migraines and lower back and neck discomfort. Integrative Health (NCCIH). Surveys suggest that between 1% and 10% of U.S. adults have tried acupuncture.

How Acupuncture Works

A licensed acupuncturist will place thin, stainless steel needles into certain body sites called acupoints. Traditional Chinese Medicine posits that these points are connected by pathways, or meridians, through which energy, or qi, flows. Maintaining a balanced flow of qi is believed to be crucial for good health, while disruptions are thought to lead to illness.

The goal of acupoint stimulation is to improve general health and bring the body’s energy flow back into equilibrium. Over the years, scientific research has provided more insights into how acupuncture works. Acupoints, for example, have unique anatomical characteristics, including a high density of nerve endings and immune-regulating cells, according to studies.

Acupuncture affects the fascia, a connective tissue surrounding muscles and organs. When needles are inserted, they stimulate the fascia, sending signals that promote healing through increased blood flow and other responses.

Safety and Choosing a Practitioner

Acupuncture is generally safe, but it’s important to see a qualified practitioner. Safety standards and licensure requirements for acupuncturists vary by state, so check their credentials before scheduling an appointment. In many states, practitioners must have a diploma from the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) and, ideally, training from the American Academy of Medical Acupuncture (AAMA).

Types of Acupuncture

Acupuncture isn’t a one-size-fits-all approach. Here are a few different types:

  • Electroacupuncture: This method involves applying a mild electrical current to the needles, providing additional stimulation to acupoints.
  • Dry Needling: Often confused with acupuncture, dry needling targets specific trigger points in the muscles to relieve pain and improve function.
  • Moxibustion: This technique uses burned mugwort (a small herb) to warm the meridians and improve energy flow.
  • Acupressure: Similar to acupuncture but without needles, acupressure involves applying pressure to acupoints with fingers.
  • Ear Seeding: A form of acupressure on the ear, ear seeding uses small seeds to stimulate points that correspond to different parts of the body.

Potential Benefits of Acupuncture

Research suggests that acupuncture may offer relief for various health concerns, including:

  • Chronic Pain: Acupuncture is well-documented for reducing chronic musculoskeletal pain, often outperforming standard care approaches.
  • Insomnia: Studies show that acupuncture can improve sleep and reduce anxiety, making it a potential remedy for insomnia.
  • Nausea from Chemotherapy: It’s been found effective in alleviating nausea and vomiting related to chemotherapy.
  • Migraines: Acupuncture may help reduce the frequency of migraines, sometimes matching or surpassing the effectiveness of preventive medications.
  • Menstrual Cramps: It may offer relief from menstrual pain, often proving more effective than nonsteroidal anti-inflammatory drugs (NSAIDs).

Acupuncture Safety and Side Effects

While generally safe, acupuncture can have side effects such as mild discomfort during needle insertion, minor bleeding, or light-headedness. Serious complications are rare but can occur if needles are improperly handled or if the practitioner is not well-trained. To minimize risks, ensure you choose a licensed and experienced acupuncturist.

Who Should Consider or Avoid Acupuncture

Acupuncture is generally safe for many, including those on blood thinners, though it’s wise to consult with a practitioner. However, it may not be suitable for people with certain conditions like severe dementia, or those with a phobia of needles. Pregnant women should consult with a practitioner experienced in acupuncture during pregnancy.

Getting Started with Acupuncture

Before starting acupuncture, it’s a good idea to:

  • Consult Your Healthcare Provider: Discuss the possibility of acupuncture with your doctor to ensure it’s appropriate for your condition.
  • Find a Qualified Practitioner: Use directories from the NCCAOM and AAMA to find certified acupuncturists. Look for someone with experience in treating your specific health concern.
  • Set Realistic Expectations: Acupuncture often requires multiple sessions to see significant results. Be prepared for a commitment, especially for chronic issues.
  • Prepare for Your Appointment: Arrive well-hydrated and avoid stimulants like caffeine before your session.

What to anticipate both in and out of your session

During an acupuncture session, you’ll lie on a treatment table while needles are inserted into specific points. The process is generally painless, though you might feel a mild ache or pressure. Usually, a session lasts 45 to 60 minutes. Afterward, you might feel relaxed, energized, or slightly drowsy.

Cost and Insurance

Acupuncture costs vary widely, ranging from $15 to $400 for a first-time visit, depending on location and practitioner. Find out if your insurance covers acupuncture treatments by contacting your provider.

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