Joint Pain in a Nutshell

Joint Pain in a Nutshell

joint pain

Most people think of muscles when they think of being flexible, but our bones equally give us mobility. Without our bones, our muscles would enable us to move like worms, but with our bones we become erect and perform a myriad of functional activities. Our joints are the articulations between bones, and vary depending on what kind of movement is required.

Types of Joints

Joint structures allow range of motion and accentuate a specific movement. There are three basic types of articulations: fibrous, cartilaginous, and synovial joints.

1. Fibrous joints have no joint cavity so the two bones must form a tight fit, and this achieved with fibrous connective tissue, that holds the bones together. This type of joint allows for very little movement. Sutures that connect the cranial bones and allow enough movement for the pulsing of the cerebral spinal fluid is an example of a fibrous joint.

2. Cartilaginous joints don’t have a joint cavity either, and the bones are held together by cartilage. The vertebrae of the spinal column and the pubic symphysis are examples of cartilaginous joints.

3. The synovial joint has a joint cavity, which allows for greater movement. Protective tissue surrounds the bone to cushion it for a lifetime of wear-and-tear: hyaline cartilage, a wrapping of ligaments, bursa sacs, and synovial fluid inside the joint reduce friction and maintain proper range of motion. Synovial joints are in the major articulations of the body: the knee, elbow, hip, and shoulders.

Directions of Synovial Joint

The synovial joint can move in many directions.

Gliding back-and-forth (ankles, wrists)

Rotation turns bone along its axis (flip hand palm up palm down)

Circumduction (rotate whole arm)

Angular increases (i) or decreases (d) between the two bones involved:

Flexion- bends  (d)

Extension- straightens (i)

Abduction- away from midline (i)

Adduction- towards and crossing midline (d)

The Injury and Healing of Joints

High-quality nutrition and regular exercise are the key ingredients for healthy joints. Our joints are susceptible to normal wear-and-tear, with age and gravity adding further stress on the tissue. The ligaments, tendons, and cartilage in the joint spaces get little or no blood supply, and it is for this reason that injuries seem to linger.

Studies have shown that acupuncture can speed healing in a wide variety of joint problems, both chronic and acute. From a Chinese medicine perspective, joints are places where things can get stuck, creating the sensation of tightness and pain. Acupuncture and its modalities facilitate local activity at the site of injury.

It is our recommendation that to keep your joints healthy and pliable, eat the best possible nutrition, keep moving by including stretch  and strengthening qi gong exercises in your routine, and when needed, decompress the joints when possible, and finally get some acupuncture to correct the problem before it gets worse.

Joint Pain in a Nutshell

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At Mountaintop Acupuncture, we have a combined 34 years of experience. To read more, please click here.

If you have questions and concerns about acupuncture treatment, we offer a free 20-minute phone session: click here for contact information to call or e-mail us. We practice in two New York City locations: Flatiron & Greenwich Village.

Insurance is welcome and accepted.

 

 

Auricular Acupuncture and the NADA Protocol

image courtesy of ACT: Shanghai College of Traditional Medicine

Recently, a new patient came in, wanting to quit smoking. After the initial intake conversation, the first treatment centered around the NADA protocol.

The NADA protocol is a set of 5 points that work together to soothe the nervous system and detoxify the body. This combination  make withdrawal symptoms easier to deal with. The NADA protocol may as likely be used if someone came in feeling “over-the-top”emotionally.

The NADA (National Acupuncture Detoxification Association) protocol is specifically used to help addictions and issues related to mental health, including disaster and emotional trauma disorders. It was developed in 1985 by Michael Smith, an acupuncturist and MD at Lincoln Hospital in the Bronx, and has spread world wide as an acupuncture system. NADA gives immediate relief that has a lasting effect and is further strengthened with subsequent treatments.

There is a larger system of auricular acupuncture that can be used for everything from physical injuries to endocrine disorders. Auricular acupuncture was developed by Paul Nogier in the 1950’s, and is based upon clinical research. Nogier drew a map of points on the surface of the ear locating muscles, joints, and organs. Subsequent practitioners have built upon his work, creating new maps that specify functions of the nervous, endocrine, and inflammatory and immune systems, as well as regions of the brain.

We use auricular acupuncture with body points, to complement the treatment on the body, or vice versa. We also use seeds and beads, applied at the end of the acupuncture session, to provide a low level of stimulation at the point site. These can be worn for days after the treatment.

For the patient who came in for help quitting smoking, we prescribed Chinese herbs and used other modalities, addressing the general constitution, health status, and emotional tendencies as well.

Most of us have tried to break a habit at one time or other. It’s a solitary journey that sometimes benefits from outside influences. Taking time and being patient with oneself make it possible to cross the threshold from having a habit to letting it go. It is said that nature abhors a vacuum, so be on the lookout for something engendering to take its place during the transition.

http://mountaintopacupuncture.com/auricular-acupuncture-and-the-nada-protocol

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At Mountaintop Acupuncture, we have a combined 34 years of experience. To read more, please click here.

If you have questions and concerns about acupuncture treatment, we offer a free 20-minute phone session: click here for contact information to call or e-mail us. We practice in two New York City locations: Flatiron & Greenwich Village.

Insurance is welcome and accepted.

 

The Limbic System and Acupuncture

fMRI of Limbic System sections, courtesy of the NIH

Last month we published an article on the Limbic System, describing its function and positing acupuncture’s effects on it. This month, we found a study that supports this idea: Effects of Electroacupuncture versus Manual Acupuncture on the Human Brain as Measured by fMRI, published in the academic journal Human Brain Mapping in 2005.

This study was funded by the NIH and conducted by Harvard University at Massachusetts General Hospital. Researchers used fMRI’s on 13 healthy participants. Brain activity was measured at just one acupuncture point, ST 36, using four mechanisms:
1. manual acupuncture
2. electrical stimulation at 2 Hz
3. electrical stimulation at 100 Hz
4. placebo acupuncture creating a tactile sensation as a control

Please note: electrical stimulation utilizes a machine that attaches to the needles to amplify their effect. ST 36 is a major, commonly-used point for its many functions supporting overall health. For those of you who receive acupuncture treatment, it is located below the knee, on the outer side of the leg.

While the researchers found that electrical stimulation increased desirable effects in specific regions of the brain, overall their study supported the “…hypothesis that the limbic system is central to acupuncture effect regardless of specific acupuncture modality.”

To read this study is humbling, for it requires advanced knowledge of the brain’s anatomy and physiology. In a nutshell, it found the first three mechanisms listed above had a regulating effect on the limbic system, while the placebo of tactile control had little or no change. That is, where it is beneficial for activity to increase (a biological call to action) or to decrease (a biological call to calm), real acupuncture, with the help of the electrical stimulation machine or alone, affected this part of the nervous system in the manner intended.

http://mountaintopacupuncture.com/the-limbic-system-and-acupuncture

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At Mountaintop Acupuncture, we have a combined 34 years of experience. To read more, please click here.

If you have questions and concerns about acupuncture treatment, we offer a free 20-minute phone session: click here for contact information to call or e-mail us. We practice in two New York City locations: Flatiron & Greenwich Village.

Insurance is welcome and accepted.

 

Cytochrome P450: One Tablet or Two?

cyp450_imageJust as we all don’t wear the same sized sweater, so too are medication dosages not meant to be one-size-fits-all proposition. Physiologically, a 100-pound woman and a 200-pound man process the same dosage differently, so it’s important to follow medication directions, for both over-the-counter and prescription drugs.

The liver takes in raw materials and produces all sorts of products we need to live. It is also a purification plant that takes in toxic waste for elimination while cleaning some substances and sending them out for further use. This article is about the medications we take and the toxic components built into them by science, knowing that a particular enzyme system in the liver, cytochrome P450 (CYP450), will clear them in the liver.

Pharmacology is the study of the actions of drugs on biological systems. These drugs either activate (agonists) or inhibit (antagonists) normal physiological processes. For example, selective serotonin reuptake inhibitors (SSRI’s), one kind of anti-depressant drugs, are designed to affect biological activity through inhibition.

When developing a drug, scientists ascertain its therapeutic use measuring pharmacokinetics-dosage and the absorption, distribution, metabolism, and excretion in and through the body, and pharmacodynamics- how the drug acts on the body.

By the time a drug makes it to the market, it has been well-tested to make it safe for public consumption. Very basically, the measure known as the Area Under the Curve (AUC), measures the movement of a substance into and through the body, depicting the time of its greatest concentration.

This copious testing takes into account how long it takes for the body to eliminate one-half life of the drug from the body and then how much is left in the body after five half-lives. For example, if 100 mg has a half-life of 50 mg, then its subsequent half-lives will be 25 mg, 12.5 mg, 6.25 mg, and 3.125 mg, respectively. This is why some drugs you may take require several weeks of regular dosage before achieving correct concentration in the blood, body fluids, or tissue for a therapeutic effect, and others go directly to the targeted area and have an immediate effect.

Cytochrome P450 is the generic name for a group of enzymes clustered in the liver and small intestines that breaks down anything the body doesn’t want hanging around in active form, including things eaten such as food and herbs. Two major points to remember regarding the CYP450 enzyme system are:

1) More is NOT better- CYP450 can process only so much at a time, and
2) Herbs and prescription drug should be taken two hours apart to minimize interaction

Here’s why:
As mentioned above, certain drugs are designed to increase the activity of CYP450 and others inhibit it so that the drug can stay in the body longer.
1) Some chemical reactions in the body are additive: for example, substance A combines with substance B, or 2 + 2 = 4.
2) Some chemical reactions in the body are synergistic: for example, substance A combines with substance B to produce a stronger effect by staying in the body longer, so that 2 + 2 = 10.
3) And, some chemical reactions in the body inhibit each other or cancel each other out: for example, substance A combines with substance B, or 2 + 2 = .05 or 2 + 2 =. These include certain foods and herbs, which can interact with certain drugs and get in the way of CYP450 either additively, synergistically, or by inhibiting ts functions.

Therefore, it is important to take follow dosage recommendations, and to not overtax the liver by asking it to process too many medically-intended substances at once: think twice next time you reach for something, asking yourself if you really need it. If you say “yes,” remember what else you ate or  in the past hour, and maybe wait a bit, or take a lesser dosage and see how that works.

http://mountaintopacupuncture.com/cytochrome-p450-one-tablet-or-two

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At Mountaintop Acupuncture, we have a combined 34 years of experience. To read more, please click here.

If you have questions and concerns about acupuncture treatment, we offer a free 20-minute phone session: click here for contact information to call or e-mail us. We practice in two New York City locations: Flatiron & Greenwich Village.

Insurance is welcome and accepted.

 

Functions of the Liver

your liver is a tireless marathoner

your liver is a tireless marathoner

The liver is a multi-tasker: it produces, purifies, and converts many substances essential to life. It plays a role in the digestion, hematology (blood), immune and inflammatory response, and endocrine systems.

1) The liver’s digestive function is simple: it manufactures bile, which is stored in the gallbladder. The gallbladder then secretes the bile as needed into the small and large intestines to emulsify and absorb the fats we eat.

2) The liver also transforms excess simple sugars and converts them into glycogen or fats for storage. When you need that extra boost of energy, the liver can take that stored fat and glycogen and converts it into the energy you need. It can also transform proteins into energy as a last resort.

3) The liver stores fat-soluble vitamins and minerals and distributes them where and when they are needed.

4) The liver is also an organ of detoxification: it takes toxins and poisons from medications, alcohol, and metabolic waste and transforms them into less harmful substances. It also stores toxins that can’t be broken down and eliminated, including some chemicals and other poisons.

5) The liver synthesizes the proteins that regulate blood clotting and molecule transporters in the blood.

6) The liver makes the cholesterol that is used in hormone production.

7) The liver produces proteins that affect the inflammatory response and manufactures some antigens for immunity.

8) The liver has cells that specifically destroy bacteria and breakdown old worn-out red blood cells.

With so much activity to accomplish, you can imagine the liver is prone to diseases such as viral infections, inflammatory diseases, toxicity, vascular disorders, metabolic diseases, and cancers.

In order to keep your liver healthy, choose pesticide-free foods and wash your vegetables, consume plenty of antioxidants , avoid taking medications you don’t really need, and limit alcohol consumption. Ways to nourish your liver include having lemon juice regularly, and engaging in some form(s) of exercise.

http://mountaintopacupuncture.com/functions-of-the-liver

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At Mountaintop Acupuncture, we have a combined 34 years of experience. To read more, please click here.

If you have questions and concerns about acupuncture treatment, we offer a free 20-minute phone session: click here for contact information to call or e-mail us. We practice in two New York City locations: Flatiron & Greenwich Village.

Insurance is welcome and accepted.