Integrative medicine is an approach to healthcare that combines conventional medical treatments with evidence-based complementary therapies to provide comprehensive and personalized care for the whole person.[1] Acupuncture is one such complementary therapy that is increasingly being incorporated into integrative medicine practices due to its potential health benefits. This article explores the philosophy behind acupuncture and its role in integrative medicine.
What is Acupuncture?
Acupuncture originated in ancient China and is a key component of traditional Chinese medicine (TCM).[2] It involves the insertion of thin solid needles through the skin at specific points along invisible pathways, known as meridians, to stimulate and regulate the flow of qi (vital energy) and blood within the body.
The World Health Organization recognizes acupuncture’s effectiveness for over 40 ailments.[3] Some of the proposed mechanisms by which acupuncture may relieve pain and other conditions include stimulating the nervous system to release endogenous opioids and chemicals in the body, reducing inflammation, and promoting muscle relaxation.[2]
Integrative Medicine and Acupuncture
Integrative medicine bridges conventional and complementary approaches by combining lifestyle interventions, mind-body therapies, manual techniques (like massage and chiropractic), and plant- and nutrition-based therapies with mainstream medical treatments.[1] It strives to address the whole person—body, mind, and spirit—with an emphasis on prevention, wellness, and reducing risk factors for chronic diseases.[4] Integrative medical practices that offer acupuncture do so as a complement to mainstream care for a variety of conditions.
For example, Mayo Clinic provides acupuncture as part of its comprehensive integrative medicine services.[5] Studies show acupuncture can help reduce chronic pain, chemotherapy side effects, hot flashes, depression, and more when combined with standard care.[4][6] Practitioners take time to understand each patient’s goals and medical history to tailor acupuncture treatment plans accordingly. This personalized approach aims to promote natural healing through non-invasive means.
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- Dynamic Acupuncture: A Modern Take on an Ancient Practice
Conditions Acupuncture Can Help With
Some conditions for which acupuncture may provide relief either on its own or as an adjunct to conventional care include:
- Chronic pain (back pain, headaches, arthritis pain)[7]
- Muscle sprains and strains
- Carpal tunnel syndrome
- Tennis elbow
- Plantar fasciitis
- Migraines and headaches
- Insomnia
- Anxiety and depression
- Nausea (such as from chemotherapy)[8]
- High blood pressure
- Menopause symptoms
- Knee osteoarthritis
- Low back pain
- Shoulder pain
- Neck pain
- Fibromyalgia
Safety and Risks
When performed by a licensed acupuncturist, acupuncture is considered very safe. Minor side effects such as bruising, soreness, or tingling may occasionally occur but are temporary.[9] Infection is rare when sterile needles and proper hygiene are used.[10] As with any treatment, be sure to discuss risks and benefits with your practitioner. People with bleeding disorders or who take blood thinners should take extra precaution. While acupuncture is generally safe during pregnancy, be sure to seek guidance from a licensed acupuncturist experienced in prenatal care.
Finding a Practitioner
To ensure a licensed professional performs acupuncture, look for an acupuncturist certified by the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) or a state professional acupuncture board.[11] Integrative clinics and hospitals often offer on-site acupuncture services or can provide referrals to experienced practitioners. Ask about a practitioner’s background, training, and experience treating your condition. Insurance coverage for acupuncture varies—inquire about out-of-pocket costs during your initial consultation.
Bottom line
In conclusion, acupuncture and integrative medicine offer complementary, natural options either as standalone therapies or with conventional care for reducing pain and other symptoms. When used appropriately under medical guidance, acupuncture is considered very safe. Further research continues to explore its promising healing mechanisms and applications.
References:
[1] Mayo Clinic. “Integrative Medicine.” Accessed July 2, 2023. https://www.mayoclinic.org/tests-procedures/integrative-medicine/about/pac-20383790
[2] National Center for Complementary and Integrative Health. “Acupuncture: In Depth.” Last Modified June 2023. https://www.nccih.nih.gov/health/acupuncture-in-depth
[3] World Health Organization. “Acupuncture.” https://www.who.int/health-topics/acupuncture#tab=tab_1
[4] Cleveland Clinic. “Integrative Medicine.” Updated October 12, 2023. https://my.clevelandclinic.org/health/treatments/21683-integrative-medicine
[5] Mayo Clinic. “Acupuncture.” Accessed July 2, 2023. https://www.mayoclinic.org/tests-procedures/acupuncture/about/pac-20392763
[6] Natural Medicines. “Acupuncture.” Reviewed July 2022. https://naturalmedicines.therapeuticresearch.com/databases/entry.php?id=245
[7] Maciocia, G. (2014). The Practice of Chinese Medicine: The Treatment of Diseases with Acupuncture and Chinese Herbs. (2nd ed.). Churchill Livingstone.
[8] Healthline. “30 Conditions Acupuncture Can Help Treat.” January 23, 2018. https://www.healthline.com/health/acupuncture-points#1
[9] National Health Service (UK). “Acupuncture – Safety.” March 4, 2022. https://www.nhs.uk/conditions/acupuncture/safety/
[10] National Center for Complementary and Integrative Health. “Acupuncture: What You Need to Know.” June 2013. https://www.nccih.nih.gov/health/acupuncture-what-you-need-to-know
[11] National Certification Commission for Acupuncture and Oriental Medicine. “How to Find a Qualified Practitioner.” Accessed July 2, 2023. https://www.nccaom.org/find-a-practitioner/
