Farewell to Iowa City!

To My Wonderful Patients,

It is with mixed emotions that I am announcing my departure from Health On Point in Iowa, effective May 17, 2014. I feel fortunate you trusted me with your healthcare needs, often including me in your lives and always encouraging involvement with our wonderful Iowa City community. This has been my home over the past seven years. Needless to say, it is not easy for me to give up.

Robert Weingeist LAc, an Iowa City native, will be taking over my practice. I am thrilled that you have the opportunity to have him as your acupuncturist.  Rob is a well-trained graduate of Pacific College of Oriental Medicine. Since his graduation in 2008, Rob moved to Cambrige, Massachusettes to practice Chinese medicine where he’s worked in a variety of clinical settings around the Boston area. While my departure is bitter sweet, I feel fortunate to leave you, my patients, in his capable hands.
Rob and I will begin working side by side this week. During this transition time, we will continue to offer you top care. Should you have any questions please don’t hesitate to contact Sarah or me.
I have greatly valued our relationship, and thank you for your loyalty and friendship over the years. Best wishes for your future health. If I can be of service in the upcoming weeks, please do not hesitate to contact me.

In Health and Wellness,

Rachel

Three Surprises About Acupuncture

As someone who’s an acupuncturist, updates her blog and talks to other acupuncturists on a daily basis, it’s easy to become convinced that everyone is an educated acupuncture junkie. The truth is, this this is not the case.
I find myself having more frequent conversations with people who have never had acupuncture. It’s been a great reminder of how foreign acupuncture—the experience of getting a treatment as well as the underlying theory—still is to the majority of Westerners.
Myths and misconceptions about acupuncture are rampant in a society whose medical culture is dominated by pharmaceuticals, surgeries, and other quick-fix interventions. In my recent encounters with the uninitiated, three themes come up again and again.

Here are the top three things that surprise people about acupuncture.

Acupuncture is not just for pain
Ask most people why other people get acupuncture and the majority will say pain. It’s true that acupuncture can work wonders on pain conditions—for everything from low back pain and shoulder pain to migraines and TMJ, acupuncture is on it.
However, acupuncture can alleviate a wide variety of ailments that have nothing to do with physical pain. Whether you have digestive issues, gynecological conditions, emotional concerns such as anxiety and depression, asthma, seasonal allergies, you name it, acupuncture can help address your symptoms.

Acupuncturists go to school for a LONG time
People tend to be unaware of the extent to which acupuncturists train to become licensed in their profession. Many assume becoming an acupuncturist is similar to becoming a massage therapist or Reiki practitioner or yoga instructor. Not so much.

At minimum, a licensed acupuncturist in the United States has been to three years of graduate school. Four years is more common. They hold masters degrees. Some acupuncturists with doctorates have studied at the graduate level for five-plus years. Upon graduating from an accredited school, all acupuncturists must pass multiple board exams to become licensed in their state.
In addition to the academic and state requirements for practicing acupuncture, many acupuncturists seek hands-on training and mentorship in the form of apprenticeships and continuing education seminars. When choosing your acupuncturist, please make sure they have received the appropriate schooling and passed board exams. A list of board certified acupuncturists in your area may be found here.

Acupuncture is relaxing
“So you lie still while someone sticks multiple needles into your body?”
“Yes.”
“And this not only doesn’t hurt but also relaxes you?”
“Yep!”
Weird, I know. But true.
Acupuncture needles are surprisingly thin. They do not bear any resemblance to needles that are used for injections or to draw blood. (I often compare them with a cat's whisker.) In most cases, the insertion of acupuncture needles does not hurt. It can produce a variety of sensations but frequent acupuncture goers will tell you it doesn’t hurt.

Once the needles are in, they start working their magic, which is where the relaxation part comes in. Acupuncture helps shift your body out of sympathetic mode (fight or flight) and into parasympathetic mode (rest and digest). It mellows out the nervous system, decreases muscular tension, and helps quiet internal chatter.
People who get acupuncture on a regular basis are familiar with the term “acu-land,” a magical place where many find themselves during and after acupuncture treatments. It’s a state of blissful relaxation in which you feel lighter, calmer, and better equipped to manage stress. You ought to check it out some time!

Call to schedule your appointment today.

8 Things to Remember Before an Acupuncture Appointment

Acupuncture isn’t really into hard-and-fast rules. What works for one person may not necessarily work for another. This is the beauty of acupuncture—it meets us wherever we are.
However, there are some general rules of thumb when it comes to preparing for an acupuncture appointment. All are changeable based on your constitution and preferences, but in my experience, these guidelines tend to improve the treatment experience and outcome for most people.
Are you ready to get the most out of your next acupuncture treatment? Remember these eight things.

Schedule wisely
Avoid scheduling acupuncture before or after something really strenuous. You don’t need to be sedentary on either side of an appointment, but nor should you be going nuts at the gym or suffering through an extremely stressful meeting. Also avoid sandwiching—squeezing in acupuncture immediately between two other events—as this has a tendency to make you either late for or stressed out during your treatment.

Eat
This is an important one, and it’s something I get asked about a lot. Everyone metabolizes food at different rates, so adjust as you see fit, but a good guideline is to eat about two hours before an acupuncture appointment. You don’t want to show up really full, or after having eaten something heavy, fried or spicy, but do not go for acupuncture on an empty stomach. It can leave you feeling lightheaded or physically depleted. If you’re debating whether it’s too close to your appointment to eat, eat. Better to be a little full than distracted by hunger during your appointment.

Coffee is not your friend
That is not to say that coffee is never your friend, but coffee is not your friend immediately before acupuncture. If you have a morning appointment and can’t go without your morning cup, do what you have to do. But if you’re going for acupuncture later in the day, avoid coffee for at least two hours before.
Coffee is a stimulant. It has been shown to release norepinephrine and epinephrine, which kick your body into fight-or-flight mode. Acupuncture works to shift you away from that sympathetic (fight-or-flight) state and toward a parasympathetic (rest-and-digest) one, so coffee inhibits the process. It also makes it difficult for the acupuncturist to get accurate readings on your pulse and tongue, since coffee increases your heart rate and stains your tongue.

Neither is alcohol
One of acupuncture’s greatest gifts is its ability to help us see more clearly. Not literally, as in improved vision (although it has been known to do that too), but it helps us see situations and our symptoms with more clarity. Alcohol does the opposite. It numbs us, takes the edge off, which during acupuncture is not a good thing. One goal of acupuncture is to bring more awareness to how we feel. Impairing the senses with alcohol is not helpful.

Remember where you’ve been
Before acupuncture, spend some time thinking about—or even making a list, if that helps—any significant medical events in your life. For example, family disease history, car accidents, broken bones, other serious injuries, long-term illnesses, surgeries, etc. Also make note of any medications you are taking currently as well as any that you took long-term in the past (e.g., birth control pills).
We tend to forget these things, or assume they’re irrelevant, but from an acupuncture perspective they help contribute to your overall picture of health. Your acupuncturist will want to hear about them. When in doubt about whether to include something, it’s always better to mention it.

Wear loose clothing
This is so the acupuncturist can easily access the places where he or she wants to place needles. It’s especially important if you’re going for a community acupuncture appointment, because treatments are performed in a group setting with clothes on. However, even for private acupuncture appointments, loose clothing usually makes things easier for you and the practitioner.

Don’t rush
Even when we schedule wisely, there is still a tendency to leave at the last minute for appointments. This makes most appointments more stressful than they need to be, but especially with acupuncture, arriving at your appointment amped-up is counter productive. It’s similar to how coffee works against the process of calming the nervous system. When you rush into an appointment, your pulse is higher than normal, your mind is spinning, and you’re tense with worry about the prospect of being late.
Many of us already deal with these qualities during our regular stress-filled days—and they’re often the reasons for coming to acupuncture in the first place—so why make them worse by rushing? Regardless of when your appointment is, put it in your calendar as 15 minutes earlier. The worst than can happen is you sit for 15 minutes in a quiet waiting room. Finally, time and space to hear yourself think.

Turn off your cellphone
Last but not least, please turn off your phone. Not on vibrate. Off. Do it before your appointment actually starts, to avoid forgetting and/or getting distracted by a call or message immediately before you’re about to begin. This is your time and no one else’s. Make it count.

Some of these things are easy to forget. If you can remember even a few of them, I promise it will make a world of difference in your experience. We look forward to continuing to offer wonderful care and as always, encourage you to call with questions or to schedule an appointment.

(originally authored by Sara Calabro)

New Research: The Plantar Fasciitis Cure

Debilitating foot or heal pain limits many of us - regardless of age or activity level. One thing is for certain, while there are numerous regimens for this (read more below), our experience at Health On Point demonstrates that acupuncture is an incredibly successful option for treatment. With the warming weather, many of us are increasing our activity. Should you or someone you know suffer from food or heal pain, please call our clinic to schedule an appointment!
Recent research indicates acupuncture is an effective and safe treatment for heel pain. Heel pain is a common foot condition often characterized by intense pain, especially when placing weight onto the foot. Pain on the back of the heel often indicates achilles tendinitis and pain on the underside of the heel often indicates plantar fasciitis.
One of the most common causes of heel pain, plantar fasciitis involves pain and inflammation of the band of tissue running across the bottom of the foot. New research indicates that acupuncture is effective for plantar fasciitis, achilles tendinitis and many other forms of heel pain.
Biomedical approaches to heel pain treatment include behavioral therapy, nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroid injections, small needle knife therapy, block therapy, shockwave therapy and surgery. Traditional Chinese Medicine (TCM) historical records document success in the treatment of heel pain using acupuncture. This new scientific investigation confirms the historical data.
The researchers from Guangzhou Dongsheng Hospital and Guangzhou Social Welfare House examined 19 separate clinical investigations and discovered that 16 of the 19 studies made extensive use of ahshi ("trigger point") acupuncture points to achieve optimal patient outcomes. In one investigation carried out by Xu Xuemeng et al., 66 patients were randomly divided into an acupuncture group and a control group. The acupuncture group received filiform acupuncture needle method treatment and the control group received injections and local blocking therapy. The results were assessed six months following the treatment. The acupuncture group achieved an effective rate of 97% and the drug therapy group had only a 76% effective rate.
Based on the 19 reviewed studies that were performed in the past five years, the researchers conclude that acupuncture is safer, easier to apply, and more effective than conventional treatments for heel pain.

Your Seasonal Acupuncture Session

Spring is officially here!  And that means change right?  Longer days, warmer weather, flowers blooming…just to name a few, but what about us?  With all these changes going on around us, our bodies are naturally bound to react, and to prevent flu-like symptoms or other negative effects this spring, we recommend getting your dose of seasonal acupuncture.

Whenever there is a season change, according to traditional Chinese medicine (TCM) beliefs, the energy frequency of the body or a person’s “qi,” may not be in harmony with the season’s frequency. A person’s may be blocked, leading to negative side effects from bodily sickness to mood swings. Acupuncture move you so that you may easily align yourself with the season's shift.

Why is now the perfect he time to get acupuncture? According to TCM, transitions like season changes are times of turmoil.  People by nature are imbalanced and so these transitions exacerbate the imbalances in a person that are already there.

People may argue, why receive a treatment for something if I’m not sick?  The answer is this: prevention.  Here are the top three reasons why you should come in for an acupuncture treatment at the beginning of Spring and every season:

1. Prevention – Help your body avoid illness during a seasonal transition.
2. If you have had issues in the past like chronic illness or allergies, this is the time to get a tune-up!
3. Acupuncture strength is that it works beautifully at prevention.

Call Health On Point today to schedule your Seasonal Session!

Acupuncture Emergency Room Hospital Care Gets A Yes

Acupuncture integrates into hospital emergency room care and helps relieve pain and nausea.

A new study conducted at the Northern Hospital in Melbourne, Australia demonstrates that acupuncture is safe and effective for the treatment of pain and nausea in the emergency room setting. The research reveals that adding acupuncture to conventional biomedical care results in better patient medical outcomes.
The study was conducted between January and August of 2010. A total of 200 patients presenting to emergency room triage with pain and/or nausea were treated with both acupuncture and biomedical care. This integrative medicine group was compared with another group receiving only biomedical ‘western medicine’ care. The acupuncture group responded with an 84.8% response rate that they would consider repeating acupuncture care. Of that 84.8%, a total of 53.5% noted “definitely yes” to repeating acupuncture care in the emergency room setting.

The most common conditions treated with acupuncture were musculoskeletal concerns. Abdominal and flank pain were the second most common condition. Reviewing all conditions, the integrative medicine acupuncture group demonstrated significant gains over the biomedicine group in significant decreases in both pain and nausea.

The researchers conclude that acupuncture is both safe and effective. They also note that acupuncture is “acceptable” to patients in the emergency room setting. As a result, the researchers have called for a study to understand the cost-effectiveness of implementing acupuncture into the emergency medicine department.

Related research finds acupuncture cost-effective for the treatment of pain. 
Researchers from the University of York, UK, investigated the economic value of acupuncture for the treatment of lower back pain, neck pain, dysmenorrhea, migraines, arthritis and headaches. The researchers documented correlations between the clinical benefits of acupuncture and medical cost savings. The researchers concluded, “Acupuncture appears to be a cost-effective intervention for some chronic pain conditions.”

Research: Acupuncture Reduces Pain

Acupuncture effectively reduces pain according to research published in The Journal of the American Medical Association (JAMA).

Acupuncture groups had significantly greater reductions of pain than both non-treatment control groups and sham (imitation/placebo) control acupuncture groups in multiple high quality studies. Specifically, acupuncture was found effective for reducing pain associated with osteoarthritis, chronic headache, shoulder pain, nonspecific musculoskeletal pain, neck pain and back pain.
Researchers from Memorial Sloan-Kettering Cancer Center, New York and Technical University, Munich underscored the importance of this latest research. They note that prior meta-analyses and systematic reviews of acupuncture for the treatment of pain included research of “variable quality.” In this new study, the scope was “restricted to high-quality trials.”
The researchers started with 31 eligible studies with a total of 19,827 patients. Studies were accepted only from the United States of America, United Kingdom, Germany, Spain and Sweden. Only studies with controls were included. Controls included no-acupuncture and sham/placebo acupuncture. All studies were conducted between 1996 and 2008. The researchers refined the studies down to 29 from the original 31 to preserve the highest quality evidence profile.
The clinical results demonstrated acupuncture to provide a “good response” to pain reduction in 50% of all cases. Sham/placebo acupuncture groups demonstrated the ability to reduce pain in 42.5% of cases and no-acupuncture controls demonstrated pain reduction in 30% of all cases. Some concern was expressed by the researchers that the sham/placebo acupuncture groups received active true acupuncture because some of the sham/placebo techniques “involved skin penetration.” They note that the sham/placebo acupuncture may not be “physiologically inactive.” As a result, some of the successes with sham/placebo acupuncture may reflect true acupuncture results. The researchers note “trials that include sham acupuncture as a comparison may underestimate the effects of acupuncture on pain reduction.” Another consideration is that these controlled studies involve blinding and standardization. As a result, the benefits of acupuncture may be underestimated because a true clinical setting involves customization of acupuncture procedures according to an individual patient’s differential diagnosis.
The researchers note that many established guidelines recommend acupuncture. They cite, for example, that the American College of Physicians’ guidelines recommend acupuncture for the treatment of back pain. Also, the UK National Institute for Health and Care Excellence (NICE) guidelines officially recommend acupuncture treatments for both chronic headaches and migraines when unresponsive to pharmaceutical medications.
This level of meticulous review establishes acupuncture as a standard and effective tool for the treatment of pain. This research has been published just after a recent discovery by investigators at Rutgers University Medical School, New Jersey that acupuncture reduces inflammation. The surgery department researchers proved that electroacupuncture fights infections including polymicrobial peritonitis and reduces severe systemic inflammation due to infections, sepsis. The researchers documented that the anti-inflammatory effects of electroacupuncture “are voltage dependent.” Non-acupuncture points (sham points) did not exert anti-inflammatory responses and “electroacupuncture with a wooden toothpick” did not reduce inflammation. Only true acupuncture was effective in regulating both dopamine and cytokine levels and produced anti-inflammatory effects that prevented death.
The researchers note that the anti-inflammatory mechanism of electroacupuncture is “mediated by the sciatic and vagus nerves that modulates the production of catecholamines in the adrenal glands.” The researchers documented that electroacupuncture reduced lipopolysaccharide-induced serum levels of cytokines, reduced inflammation and prevented death due to sepsis.
There is a powerful take away from the latest research. Not only is acupuncture effective but it is irresponsible and uninformed to dismiss it. The data is in and acupuncture is a valuable treatment modality. There is a great need in modern clinical settings to provide enhanced relief from pain to alleviate suffering. Moreover, acupuncture’s anti-inflammatory actions demonstrate that it saves lives by preventing sepsis.
If you are curious about acupuncture and would love to experience the benefits for treatment firsthand, call Health On Point to schedule a consultation today.