Turmeric as Pain Reliever : Natural Solution to Joint Pain
Turmeric as Pain Reliever: Natural Solution to Joint Pain
Turmeric as pain reliever for joint pain is becoming increasingly popular in the health and wellness industry. Joint pain affects millions of people around the world, causing discomfort, reduced mobility, and decreased quality of life. Although there are many pharmaceutical options available to manage joint pain, many people are turning to natural remedies like turmeric. What most people don't know is that turmeric has been used for centuries as a natural anti-inflammatory and pain-relieving agent, and scientific studies have confirmed its effectiveness in reducing joint pain and inflammation. In this article, we'll explore the benefits of turmeric for joint pain and the scientific evidence that supports it.
II. Understanding Joint PainTurmeric has been used for centuries as a natural remedy for various ailments, including joint pain. To fully understand the benefits of turmeric, it is important to first understand the types of joint pain, their causes and symptoms, and the conventional treatments available.
There are two main types of joint pain: acute and chronic. Acute joint pain is often caused by injury or trauma and typically lasts less than six weeks. Chronic joint pain, on the other hand, persists for more than three months and can be caused by a variety of factors including arthritis, autoimmune diseases, and wear and tear over time.
The causes of joint pain vary depending on the type and individual factors. Acute joint pain can be caused by a sudden injury, such as a sprain or strain, while chronic joint pain can be caused by inflammation or damage to the joint. Other factors that can contribute to joint pain include age, genetics, weight, and certain occupations or activities that put stress on the joints.
Conventional treatments for joint pain typically involve over-the-counter pain medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) or prescription medications such as opioids. Physical therapy and surgery are also options for some individuals. While these treatments can provide relief for joint pain, they also come with limitations and potential side effects.
Recent research has shown that turmeric, specifically its active ingredient curcumin, may have anti-inflammatory and analgesic properties that can provide relief for joint pain. A study published in the Journal of Medicinal Food found that curcumin was effective in reducing pain and improving physical function in individuals with knee osteoarthritis. Another study published in the Journal of Alternative and Complementary Medicine found that curcumin was as effective as ibuprofen in reducing knee pain in individuals with osteoarthritis.
In addition to its potential pain-relieving properties, turmeric may also have benefits for joint health. A study published in the Journal of Nutrition Health and Aging found that turmeric extract improved joint flexibility and reduced pain in individuals with knee osteoarthritis. Another study published in the Journal of Ethnopharmacology found that curcumin may have a protective effect on cartilage in the joints, potentially slowing the progression of arthritis.
While turmeric has shown promise in reducing joint pain and improving joint health, it is important to note that research in this area is still ongoing and more studies are needed to fully understand its effects. It is also important to talk to a healthcare provider before starting any new treatment, including turmeric or curcumin supplements, to ensure it is safe and effective for individual needs.
III. Turmeric and Joint Pain
Turmeric is a member of the ginger family and is commonly used in cooking as a spice. The active ingredient in turmeric is curcumin, which is responsible for its therapeutic benefits.
Recent scientific research has found that turmeric may be effective in treating joint pain, a common problem that affects millions of people worldwide. Studies have shown that curcumin can inhibit inflammatory pathways in the body and reduce pain and swelling in the joints.
One study published in the Journal of Medicinal Food found that turmeric extract was effective in reducing pain and stiffness in patients with osteoarthritis of the knee. The study participants took 1500 mg of turmeric extract daily for four weeks, and experienced significant improvements in joint pain and mobility.
Another study published in the journal Phytotherapy Research found that curcumin was effective in reducing pain and inflammation in patients with rheumatoid arthritis. The study participants took 500 mg of curcumin capsules twice daily for eight weeks, and reported significant improvements in joint pain, stiffness, and swelling.
Research has also found that turmeric may be beneficial in reducing the risk of developing joint pain in the first place. A study published in the journal Arthritis Care & Research found that women who consumed high levels of curcumin in their diet had a lower risk of developing rheumatoid arthritis.
How much turmeric to use for joint pain?
When it comes to dosages for turmeric treatment of joint pain, the research is still ongoing. However, some studies have suggested that doses of 500-2000 mg of curcumin per day may be effective in reducing joint pain and inflammation. It is important to note that turmeric can interact with certain medications, and it is always best to consult with a healthcare provider before starting any new supplement regimen.
In conclusion, turmeric has a long history of traditional use for its anti-inflammatory properties, and recent scientific research has supported its potential use in treating joint pain. The active ingredient curcumin has been found to reduce pain and inflammation in patients with osteoarthritis and rheumatoid arthritis, and may even reduce the risk of developing joint pain in the first place.
While research is still ongoing, doses of 500-2000 mg of curcumin per day have shown promise in reducing joint pain and inflammation. As with any new supplement regimen, it is important to consult with a healthcare provider before starting treatment with turmeric.
VI. How Turmeric Can Help with Joint Pain
Turmeric contains a bioactive compound called curcumin, which has been shown to have strong anti-inflammatory effects. Inflammation is a common cause of joint pain, and curcumin's ability to reduce inflammation has been found to be beneficial for those suffering from joint pain.
In addition to reducing inflammation, turmeric has been shown to provide relief from pain and stiffness associated with joint pain. A study published in the Journal of Medicinal Food found that a turmeric extract reduced knee pain and improved knee function in patients with osteoarthritis, a common form of joint pain.
The curcumin in turmeric has been found to have a similar effect to nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin and ibuprofen, but without the potential side effects.
Moreover, turmeric has been found to improve mobility and function in those with joint pain. In a randomized controlled trial published in the journal Phytotherapy Research, participants with knee osteoarthritis who took a turmeric supplement for eight weeks experienced significant improvements in their ability to walk, climb stairs, and perform daily activities compared to those who took a placebo.
Overall, the anti-inflammatory and pain-relieving properties of turmeric make it a promising natural remedy for joint pain. Its ability to reduce inflammation, relieve pain and stiffness, and improve mobility and function makes it an attractive alternative to conventional treatments for joint pain.
However, it is important to note that the dosage and form of turmeric used in studies may vary, and consulting with a healthcare professional is recommended before starting any supplement regimen.
V. How to Incorporate Turmeric into Your Diet
Incorporating turmeric into your diet can be a great way to help reduce joint pain and improve overall health. There are several ways to consume turmeric, but the effectiveness of each method can vary.
A. Turmeric supplements: standardized extract vs raw turmeric powder which is more effective?
While raw turmeric powder and standardized turmeric extracts both contain curcumin, the active ingredient responsible for its potential health benefits, the amount of curcumin in each can vary significantly. Standardized extracts are made to contain a specific amount of curcumin, typically 95% or more, while the curcumin content of raw turmeric powder can vary from 2-7%.
This means that in order to get the same amount of curcumin from raw turmeric powder as you would from a standardized extract, you would need to consume significantly more. For example, to get the equivalent of 500mg of curcumin, which is a common dose used in studies, you would need to consume anywhere from 7 to 25 grams of raw turmeric powder, depending on the concentration of curcumin in the powder.
This would correspond to about ½ -1.5 tablespoon of turmeric per day. If you decide to use raw turmeric in its powdered form, then taking about 1 tablespoon a day either in a single dose or split to two doses mixed with yogurt is a good way to add to add turmeric to your diet.
This is important to consider because consuming large amounts of turmeric powder may not be practical or feasible for some people. Additionally, consuming high amounts of raw turmeric powder may also cause gastrointestinal side effects, such as nausea or diarrhea.
On the other hand, standardized extracts can provide a more convenient and reliable way to consume a specific amount of curcumin. However, it is important to note that not all standardized extracts are created equal, and the quality and potency of the extract can vary depending on the manufacturer and processing methods used.
Overall, while both raw turmeric powder and standardized extracts can provide health benefits, a standardized extract may be a more effective and practical way to consume curcumin in the optimal amounts.
B. Cooking with turmeric: when to add to cooking to preserve effectiveness
Cooking with turmeric is another way to consume this herb. However, it is important to note that cooking can destroy some of the beneficial compounds in turmeric. To preserve the benefits of turmeric when cooking, it is recommended to add it towards the end of the cooking process, or use low-heat cooking methods like steaming or sautéing.
Adding black pepper to your turmeric dish can also enhance the absorption of curcumin. Additionally, turmeric is fat-soluble, so adding it to dishes that contain healthy fats like coconut oil, avocado, or nuts can help improve its absorption.
C. Turmeric drinks and teas: how much to use for a single serving
Turmeric drinks and teas have gained popularity in recent years, and there are many recipes available online. A study published in the journal Nutrients found that a daily intake of 1-3 grams of turmeric per day can provide health benefits. This amount can be easily incorporated into a daily routine through a turmeric tea or golden milk recipe. When making a turmeric drink, it is important to use fresh or ground turmeric.
D. What other herbs can enhance the benefit of turmeric?
Several herbs have been found to enhance the benefits of turmeric. Ginger, for example, is another anti-inflammatory herb that can work synergistically with turmeric to reduce inflammation and pain. A study published in the journal Pain Medicine found that a combination of ginger and turmeric was effective in reducing knee pain in patients with osteoarthritis. Other herbs that can enhance the benefits of turmeric include black pepper, cinnamon, and cayenne pepper.
Incorporating turmeric into your diet can be a great way to improve joint health and overall wellbeing. By using a standardized extract of turmeric, cooking with turmeric towards the end of the cooking process, drinking turmeric teas, and incorporating other beneficial herbs like ginger, you can maximize the benefits of this powerful anti-inflammatory herb. However, it is important to consult with a healthcare provider before starting any new supplement or dietary routine, especially if you are currently taking any medications or have any underlying health conditions.
VI. Precautions and Side Effects
Turmeric like any natural supplement or medication, has potential side effects and drug interactions that should be taken into consideration.
A. Possible drug interactions
Turmeric may interact with certain medications, including blood thinners like warfarin and aspirin. Turmeric can also interact with diabetes medications, so it is important to consult a healthcare provider before taking turmeric supplements or consuming large amounts of turmeric in the diet.
B. Side effects of high turmeric intake
While turmeric is generally safe when taken in recommended amounts, consuming high amounts of turmeric can lead to side effects. These can include upset stomach, nausea, diarrhea, and dizziness. High doses of turmeric may also cause an increased risk of bleeding, so it is important to consult a healthcare provider before taking turmeric supplements if you have a bleeding disorder or are taking blood-thinning medications.
In addition, turmeric may also cause allergic reactions in some people. Signs of an allergic reaction may include rash, hives, itching, and difficulty breathing. If you experience any of these symptoms after consuming turmeric, stop using it immediately and seek medical attention.
It is also important to note that some turmeric supplements may contain harmful additives or contaminants. When choosing a turmeric supplement, be sure to choose a reputable brand and read the label carefully to ensure that it does not contain any harmful ingredients.
VII. Conclusion
In conclusion, turmeric has been shown to be a highly effective natural remedy for joint pain. The anti-inflammatory and analgesic properties of turmeric make it an ideal supplement for those suffering from joint pain and stiffness. Not only does turmeric reduce inflammation, but it also provides relief from pain and stiffness, leading to an improvement in mobility and function.
When incorporating turmeric into your diet, it's important to choose the most effective form of the supplement. Recent research has found that standardized turmeric extracts in supplement form are more effective than raw turmeric powder. Additionally, cooking with turmeric requires adding it to cooking at the right time to preserve the benefits. It's also important to note that turmeric drinks and teas can be beneficial, but the proper amount must be used to achieve the desired effect.
While turmeric has numerous benefits, it's important to be aware of possible drug interactions and side effects of high turmeric intake. For instance, turmeric can interfere with blood clotting and can increase the risk of bleeding when taken with certain medications. Additionally, high turmeric intake can cause digestive issues such as nausea and diarrhea.
Despite these precautions, turmeric remains a safe and effective natural remedy for joint pain. If you're looking for a natural alternative to traditional joint pain medication, turmeric is an excellent option. It's easy to incorporate into your daily routine and can provide significant relief from joint pain and stiffness. Don't let joint pain control your life any longer - give turmeric a try today and experience the benefits for yourself!
Acupuncture Benefits : How it can Improve Your Health
Acupuncture Benefits : How it can Improve Your Health
Acupuncture is a treatment modality in which thin needles are inserted into the various parts of the body. Acupuncture is a key component of Traditional Chinese Medicine. The roots of acupuncture reach deep into ancient China as far back as 2,500 years ago. There are many styles of acupuncture, each one of them based on slightly different philosophies and techniques, depending on the country's origin. In the United States, Traditional Chinese Acupuncture is probably the most widely practiced system. Although Acupuncture is most often used for pain relief, it is also used for a wide range of other conditions since it is a complete medical system focused on correcting imbalances of energy flow in the body.
What is Acupuncture used for?
Acupuncture has been used traditionally to prevent, diagnose and treat disease, as well as to improve overall health. The benefits of acupuncture can extend to a wide variety of conditions.
It has been used for the treatment of emotional disorders such as anxiety and depression, as well as digestive complaints including nausea, vomiting, and irritable bowel syndrome. Acupuncture has been used effectively for pain syndromes due to an injury or associated with chronic degenerative diseases such as rheumatoid arthritis.
Research has supported the use of acupuncture in the treatment of neurological problems like migraines or Parkinson’s disease, but also as a rehabilitation strategy for individuals who suffered a stroke. Many patients also find relief from conditions such as sinusitis, seasonal allergies or a variety of gynecologic disorders.
Acupuncture as part of an overall treatment protocol, has also proved beneficial for reducing fatigue and for promoting overall well-being. Despite all of these potential benefits of acupuncture, in US acupuncture has been used most extensively for the treatment of skeletomuscular disorders and pain management.
How does acupuncture work?
The traditional explanation for acupuncture’s effectiveness lies in harmonizing the flow of energy throughout the body. This energy is also known as Qi.
According to the ancient Chinese philosophy, for the body to be healthy and to function at its full potential, the Qi has to flow unobstructed. When obstructions in the body form as a result of poor lifestyle choices, improper diet or myriad of other conditions, the flow of Qi becomes obstructed.
One can imagine a mountain stream being obstructed by debris. New paths to the flow of the stream have to be created. This leaves, however, everything in the immediate vicinity behind the blockage deprived of the water.
Removing the debris restores the flow and supply of the water. Likewise, inserting needles into specific predetermined acupuncture points around the body is said to restore the natural flow of Qi and health in the affected parts of the body.
To this day, however, there is no scientific consensus that this is actually how acupuncture works. In the United States and many other western countries, acupuncture has been used primarily for pain relief, rather than its traditional role of balancing energy flow to address a wide range of disorders. Much of the research has been therefore focused on explaining the analgesic effect of acupuncture.
The rise of acupuncture popularity in the US
The first time that Acupuncture gained the attention of the mainstream media was when a senior reporter for The New York Times James Reston reported on his experience with acupuncture while visiting China in preparation for President Nixon’s visit.
He experienced the benefit of acupuncture at first hand as part of the recovery process from developing paralytic ileus post appendectomy. Teams of US physicians set for China in hopes of exploring its potential for surgical analgesia.
While they eventually concluded that acupuncture was not reliable as a sole analgesic, their reports stimulated a number of research studies, particularly in treating pain. Acupuncture finally gained a certain amount of respectability in the USA after the positive conclusions of an NIH consensus conference (NIH Consensus Development Panel 1998).
Dry needling or acupuncture ?
Many patients undergoing physical therapy may be familiar with Dry needling which is also known as "trigger point dry needling". Dry needling uses the same needles that are used for acupuncture, however dry needling is used mainly to treat myofascial trigger points.
There is ongoing argument among Acupuncturists and other medical professionals using dry needling whether dry needling is adapted from acupuncture or if dry needling is a variation of trigger point injections. While both therapies can be very beneficial for the right patient, it is important to understand that Dry needling is not the same as Acupuncture. For more information on dry needling please click the tab “dry Needling".
Myofascial Trigger Points: Hidden Culprit Behind Back Pain
Myofascial Trigger Points: Hidden Culprit Behind Back Pain
Back pain is a prevalent disorder, and more frequently than not, we tend to blame a pinched nerve, herniated disc or arthritis as the cause of the pain. Clinically, however, the majority of back pain is a result of muscle dysfunction and imbalance. A large proportion of back pain is, therefore, the result of the presence of myofascial trigger points (MTrPs). When MTrPs are the cause of muscle pain, we refer to this type of pain as myofascial pain syndrome. In rare cases, the pain may be a result of the problem in the spine itself. However, even in this scenario, the presence of myofascial trigger points in the surrounding musculature is seen as one of the significant contributors to worsening back pain.
Clinical experience and research suggest that the presence of trigger points leads to muscle shortening. When muscles shorten, they become less flexible and less responsive to daily demands during physical activities. The affected individual becomes stiffer, and tension begins to build up in the muscles of the back. The pressure will eventually transfer to the discs in the spine. Maintaining muscle tension over the spinal discs may ultimately result in the rupturing of the disc or disc herniation. The presence of trigger points in the shortened muscles can, therefore, be the very root cause of the spinal problems. Additionally, muscles that become short and tight can displace vertebrae and cause compression of nerves.
Buttock and hip painIndividuals experiencing pain in the buttock and hip muscles are usually concerned only with the muscles in the buttock and the hip joint itself. Knowing that the referral pattern of the trigger points in the back muscles includes the buttock and the hips may help to identify the real source of the pain in the buttock or the hip joint.
Many patients present to the clinic with lower back pain pointing to the base of their spine. Pain in the sacrum or tail bone is another joint presentation of back pain. While the pain can originate in the tail bone, frequently, the source may originate from muscles located much higher. Quadratus Lumborum, superficial spinal muscles as well as the gluteal muscles are frequent harbingers of trigger points which tend to refer pain to the area of the sacrum. The trigger points in these muscles can be very tender to palpation. If the pressure over these trigger points further aggravates the pain in the sacrum, it is yet another reason for considering them as the main culprit. Massaging these trigger points can, therefore, bring significant pain relief in the sacral area. When massaging trigger points in these muscles do not completely resolve the pain or the pain tends to reoccur, chiropractic adjustment of the sacrum may be needed. In this case, massaging the trigger points in the Quadratus Lumborum, Superficial Spinal Muscles and the Gluteal Muscles before the chiropractic adjustment will make the chiropractic adjustment more effective.
The basic approach to self-acupressureSelf-acupressure targeting trigger points is a non-invasive, free of side effects, and straightforward treatment method. It can be adopted and used by every person suffering from back pain. Self-acupressure can be applied to affected muscles several times a day at home or in the workplace. Carrying a lacrosse ball, tennis ball or baseball ball along with you can, therefore, allow for short and frequent treatments throughout the day to ease the pain and promote faster recovery. Targeting the most painful trigger points several times a day with short self-treatment sessions is the most effective way to treat trigger points. Successful management of back pain should, therefore, include the regular application of self-acupressure.
You can find more information about acupressure , other treatment modalities and learn the complete home treatment protocol for the management of myofascial pain in the section Treatment Options.
To learn more about complementary therapies. Visit National Center for Complementary and Integrative Health
The information provided on these pages is not intended to treat or diagnose any condition and should be viewed solely for education purposes. By no means is this information replacing evaluation by a qualified health care provider. For full Terms and Conditions, as well the use of cookies by this website, please see the sections “Terms and Conditions” and “Privacy.”
Back Strain: Symptoms, Causes and Treatment Strategies
Back Strain: Symptoms, Causes and Treatment Strategies
Back strain is probably the most common form of acute back pain. It affects the muscles and their tendons which attach them to various structures in the back. In general, muscle strain refers to a small tear in the muscle or its tendon. Most muscle strains tend to develop in the lower back area where the muscle changes into the tendon, but they can develop anywhere.
SymptomsA strain of the back muscles mostly causes localized pain in the area of the muscle/tendon injury accompanied by stiffness, limited range of motion and difficulties maintaining straight posture. Timing is very important when it comes to muscle strain.
Most muscle strains usually happen while lifting something very heavy or doing a sudden movement. Many individuals experiencing back pain due to muscle strain may feel a popping sensation at the moment of the injury which usually prompts them to seek medical attention.
They may have difficulties straightening their back up after the onset of the pain and usually maintain a semi bent position to avoid severe pain. That is not to say that muscle strain cannot come gradually. Even in this case, however, the individual can usually remember the moment when he felt sudden uncomfortable pain in the back which became progressively worse with activities.
Most individuals will also complain of muscle cramps in the area of their lower back. Additionally, coughing and sneezing usually brings on bouts of severe pain during acute back strain. The back muscles which tend to be the most affected by muscle strain are those right next to the spine.
Frequently, however, the pain can also be felt around the base of the spine and in the buttock area. Occasionally, pain may radiate into the buttocks. Under normal circumstances, pain due to back strain does not radiate down to the legs.
Pain radiating down to the legs is usually associated with nerve compression, but it is also frequently seen as a result of trigger points in the gluteal (buttock) muscles. Back strain is not a serious condition and most individuals with acute back strain recover spontaneously within 1 to 2 weeks.
CausesWhen muscle strain is caused by a sudden movement, it is generally a result of preexisting tightness in the back muscles which has developed over a period of time. Tight muscles are less flexible. Decreased flexibility results in limited ability to respond to sudden demands for muscle extension beyond the normal daily activity.
Therefore when the muscle is required to suddenly extend beyond its limits, such as when catching a falling object or catching ourselves from falling down, a strain can develop in the muscle or the tendon. To prevent further injury, the body triggers protective mechanism which manifests as muscle spasm.
The final outcome is stiffness and significantly limited range of motion with great amount of pain when trying to move in any direction.
Back strain can, however, develop also due to muscle overuse. In this case, the muscles and/or their tendons become strained due to repetitive movements in absence of sufficient time for recovery and repair.
Activities involving excessive forward bending of the spine constitute one of the most common misuses of the back leading to increased vulnerability to a variety of injuries. The forward bend position stretches the muscles and tendons of the back to a point where very little control can be exercised over the spine’s position.
Therefore lifting objects in forward bend positions can easily strain these muscles and their tendons. Additionally, forward bend position creates an uneven pressure on the spinal discs making them significantly more prone to injury.
Poor posture
Poor posture is one of the main underlying causes for the development of back strain. It generally refers to either too large or too small curvature in the area of the lower back. Over a period of time, poor posture leads to muscle imbalance and strain of the muscles/tendons in the back.
Spending extensive period of time in uneven position such as being twisted sideways or bent forward, also puts great stress on the spinal discs predisposing them to injury.
Poor physical fitness
poor physical fitness, excessive weight, sedentary lifestyle and lack of flexibility are also among the leading factors predisposing individuals to back strain. The result is poorly conditioned back muscles that lack sufficient strength and endurance to respond to increased physical demand when called upon.
This is why sudden unexpected movement, or performance of new repetitive task requiring the use of back muscles, easily result in back strain.
More information is available on this page.
Summary
Main SymptomsSudden onset
Localized pain & stiffness
Limited range of motion
Difficulties maintaining straight posture
Muscle cramp in the area of the lower back
CausesSudden movement
Tight muscles and lack of flexibility
Muscle overuse
Activities involving excessive forward bending of the spine
Lifting objects in forward bend position
Poor posture
Working in uneven position - twisted sideways or bent forward
Poor physical fitness,
Excessive weight
Sedentary lifestyle
Acute Pain Management: A Guide to Complementary Therapies
Acute Pain Management: A Guide to Complementary Therapies
Increasing number of patients do not wish to take any pain medication when they develop acute pain from fear of side effect. There is an ongoing battle and numerous initiatives to fight the opioid crisis around the world. It is also true that every medication carries a risk of side effects.
Complementary medicine such as acupuncture, massage, yoga and meditation has been used to ease the pain and treat acute and chronic injuries long before contemporary medicine became the standard of care. The question arises, should we shy away from conventional pain medication for controlling acute pain and focus primarily on complementary modalities, because they are generally safer and mostly free of side effects?
In this post I will try to present unbiased view of both sides and attempt to come up with the answer that I have found in my practice most successful.
Conventional medicine and acute painConventional pain medication maintains a bad rap in minds of many people. This is especially true for those who are more in tuned with their body and look for complementary medicine as the primary treatment option for their daily maladies.
While managing daily aches and pains with stretching, massage, yoga or acupuncture is definitely very reasonable and preferred option, situation slightly changes in case of intense acute pain.
It is important to understand that there is a role for pain medication when it comes to severe pain. Getting your pain under control as soon as possible will prevent altering the way your brain deals with pain.
Any uncontrolled pain lasting longer than several days can sensitize your brain to pain and lower your pain threshold. This ultimately translates to experiencing pain from similar injury in the future at much lower level than before.
Complementary medicine and acute pain Complementary medical modalities have been used successfully for management of pain and injuries for hundreds of years. Many of them have been extensively studied and their effectiveness proven in rigorous trials.
Despite their popularity, however, their primary role is generally seen in management of chronic conditions. This is largely because their main mechanism of action, by which they help to promote recovery, is through stimulating body’s own healing processes and pain control.
In other words, their primary role is to restore the body homeostasis. The subtle changes they produce over time are sufficient to create a noticeable difference when treating chronic pain or injuries.
It is, however, usually not enough to promote lasting pain relief in severe acute pain. But that doesn’t mean these modalities cannot be used successfully even in cases of significantly severe pain.
There are many practitioners who are quite skillful and capable to accomplish “miraculous” results. This author has treated successfully many patients with significant amount of acute pain in his own private practice with acupuncture and herbal medicine.
The problem with using modalities such as acupuncture for treatment of severe acute pain, becomes with the access to these skillful practitioners and the associated cost. In case of acupuncture, it takes years of experience, and additional training in treatment of musculoskeletal injuries to treat patients with severe acute pain, to achieve reliable results.
When seeing an acupuncturist for treatment of chronic conditions, weekly sessions are generally sufficient to achieve great results. This is, however, not true in case of significant acute pain.
To successfully treat an acute pain, the practitioner will need to see the patient generally up to three times a week for the first two weeks and usually will also prescribe an herbal formula. At the average cost of $70 -$100 per office visit, this can easily add up to $300 - $400 a week x 2.
This also does not account for the travel time to and from the office and lost work. Compared to a small co-pay for an office visit with a primary care provider and pain medication if the patient has a medical insurance, this becomes a significant financial burden that majority of patients cannot afford. Just because it is possible, doesn’t therefore mean that it is always feasible and the right thing to do.
Eclectic Approach An eclectic approach to pain management is in this author’s opinion the best. In the eclectic approach, the patient uses combination of several modalities which complement each other to achieve the best result.
Combining one or several complementary modalities such as acupuncture, acupressure, massage, yoga, breathing exercises and meditation along with pain medication, will have much greater effectiveness than using any of them as a standalone modality.
This combined approach takes the best from both worlds so to speak. The complementary medical modalities slowly work on helping the body recover faster, while pain medication helps to control the acute pain and allows the patient to focus on the recovery process.
Getting sufficient amount of sleep, staying physically active and following an anti-inflammatory diet will further maximize the healing. For more details on how to optimize your recovery process follow this link.
To learn more about complementary therapies, visit National Center for Complementary and Integrative Health
Chronic Back Pain: Treatment Options for Chronic Back Pain
Chronic back pain continues to be one of the most common musculoskeletal complains seen in primary care. It is estimated that the incidents of chronic back pain will continue to rise given our increasingly more sedentary lifestyle. While research in the areas of pain management and safer surgical procedures continues, both should be viewed as the last resort.
Self-AcupressureSelf-acupressure can be applied to the specific trigger points in the affected musculature by the patient at home on daily bases. It can be used as a sole treatment for the management of mild to moderate back pain. Self-acupressure can be also used along with any other modality to reinforce the treatment effect and promote faster recovery. More information about acupressure can be found by clicking on the tab on the left-hand side of this page.
Physical Therapy
Physical therapy is frequently used as a part of an overall treatment protocol to treat acute or chronic back pain. The goal of physical therapy is to relieve pain, help the body in the healing process, and restore normal functional pain-free movement. A physical therapist can prescribe specific rehabilitation exercises alone or in combination with dry needling, TENS, heat application, soft tissue release or gentle manipulations. Physical therapy is generally initiated if the injury is not spontaneously recovering with conservative treatments within 2-6 weeks. In case of severe acute back pain, however, a referral to physical therapy can be initiated right away. For more information click on the tab on the left-hand side.
Acupuncture and Dry NeedlingAcupuncture and dry needling are both very safe therapeutic modalities. Dry needling is mostly available to the patients through the department of physical therapy. The carefully selected patients which may benefit from dry needling usually receive a series of dry needling sessions as part of their physical therapy treatment plan. There are some primary care providers who have been trained in dry needling. They may offer this treatment modality to their patients on limited bases given their busy schedule. Acupuncture is available to patients only from licensed acupuncturists or physicians with training in medical acupuncture. For more information about Acupuncture and Dry Needling please click on the tabs on the left-hand side of this page.
Pharmacologic management
Pain medications play an important role in the management of chronic back pain for many patients. Some patients rely on a daily dose of pain medication to control their pain and there is a definite role for pain medication in the management of chronic pain. It is important to point out, however, that the medication should not be relied on as the sole long term strategy to keep chronic pain under control. This passive approach generally leads to further deconditioning, the need for increasing the dosages of medication and inherently to more side effects associated with their daily use. Appropriate use of pain medication can be, however, an integral part of a comprehensive treatment plan when used under the guidance of a qualified health care provider. In general, the pain medication should be used at the minimal effective dose and for the shortest amount of time, unless directed otherwise by the health care provider.
Surgical procedureNo surgical procedure is risks free. Formation of scar tissue and the need for subsequent surgery are known complications. Surgery should be therefore reserved only for rare cases. These generally include instances where all other treatment options have been exhausted. In these cases either the pain cannot be successfully controlled by any other intervention or there is a significant functional deficit that can be improved by the surgical procedure.
The information provided on these pages is not intended to treat or diagnose any condition and should be viewed solely for the purpose of education. By no means is this information replacing evaluation by a qualified health care provider. For detailed Terms and Conditions, as well the use of cookies by this website, please see the sections “Terms and Conditions” and “Privacy.”
For more information on Acupuncture and other complementary therapies visit Alternative, Complementary & Integrative Therapies: Acupuncture/Acupressure
Back Pain and Physical Therapy
Physical therapy is frequently used as a part of an overall treatment protocol to treat acute or chronic back pain. The goal of physical therapy is to relieve pain, help the body in the healing process, and restore normal functional pain-free movement. A physical therapist can prescribe specific rehabilitation exercises alone or in combination with dry needling, TENS, heat application, soft tissue release or gentle manipulations. Physical therapy is generally initiated if an injury is not spontaneously recovering with conservative treatments within 2-6 weeks. In case of severe acute back pain, however, a referral to physical therapy can be initiated right away.
Individualized treatment and workout plansPhysical therapists can review with patients their daily routine and help them identify the major aggravating factors that continue to flare up their back pain or prevent the maximal recovery. They will thoroughly asses the patient’s condition and create an individual exercise treatment plan. Physical therapists can help the patient tailor a specific work out routine that will help them achieve their personal fitness goals without aggravating their back pain. Additionally, physical therapists are the top authority to teach patients the correct execution of individual exercises to prevent future injuries. Incorrectly performed exercises continue to be the leading cause of many exercise-related injuries. Incorrectly performed exercises can lead to permanent joint or back injury.
Summary
Physical therapy is an integral part of any comprehensive treatment approach to chronic back pain. In some cases, physical therapy can be, however, beneficial also in acute cases of back pain. Physical therapists often incorporate variety of techniques and tools when designing their individual treatment plan. Imaging is usually not needed in most cases of uncomplicated chronic and acute back pain but imaging studies can be ordered by the physical therapist if it is indicated. Physical therapists are top experts in designing individual workout routines that will help patients achieve their fitness goals without risking further injuries. Lastly, physical therapy only works if patients become active participants.
