Posts Tagged ‘acupuncture knee arthritis’

Despite the physiological discrepancy, no condition is closer to my heart than knee pain. I found Eastern medicine by shredding the cartilage of my knee. I had surgery to repair the damage, but the physical therapy didn’t work out so well, and within a few weeks my knee was the size of a basketball. Months of crutching about led to yet more months wielding a cane. Add in the strain to my low back and hip muscles from the compensation, and at 25 I was rocking out the full old-timer, complete with cloudy disposition and an impressive ratio of grumps per day. After half a year of this, I found myself relocated to San Diego from Connecticut. It didn’t take long for me to find tai chi, which enabled the miracle of miracles by unlocking my body’s innate healing ability that modern physiological science had been unable to reach.

Two years of tai chi later, I found myself in school for acupuncture & Eastern herbs. At this point my knee had regained full functionality (it actually worked a bit better than before the surgery), but I still had some shooting, stabbing pain when especially active. Then there was the meteorologist that had moved into my knee, alerting me to barometric changes with dull aches. Long mornings in the cold ocean waiting for waves got that meteorologist humming, too. It was the perfect home experiment!

Every night after school I pulled out my books and notes and set to work on my knee. I wasn’t very skilled in the beginning, in fact I was rather dreadful. But I stuck with it, and gradually my needle technique grew less painful. However, my knee started to feel better right away. By the second semester, I hardly needed any needles in my knee at all.

I like to say that I specialize in anything interesting, but my first project was my knee, and as such, the aspect of Eastern medicine with which I am most familiar, is knee pain. It is then with great delight that I can share this study on osteoarthritis of the knee from the People’s Hospital of Peking University in Beijing.

The points used in the study on all 73 participants are almost exactly the same ones that I used on my knee. Of the 49 people who completed the four week study, all had improvement in their knees, and that improvement was sustained after the four week followup visit. There was no control arm. The study assumes acupuncture works, and is testing a particular protocol. Admittedly, a study in which every participant improves is a bit suspect, which is a reason why some meta-analysis studies regard acupuncture’s success as inconclusive. [Commence digression] However, the studies then go on to conclude that acupuncture doesn’t work, which is as intellectually irresponsible as designing a study that allows for 100% improvement. The world of acupuncture research and research on acupuncture is still in its fledgling stages, and these are the growing pains–ones that acupuncture can treat! [Digression concluded]

I still use the bulk of these points for my knee pain treatments, but I change up the other points to customize the treatment to the individual. A scientific study by nature has to use the same points from person to person, but our bodies are all different, and as such, the pain of the knee and surrounding structures changes from person to person. Acupuncture works best when it is customized, but it can still work when homogenized. The knee is especially suited to homogenization of treatment, given that the reason for the problem is essentially the same from person to person, and the location of pain changes only slightly. The source of knee pain is almost always within the knee and surrounding muscles, so needling the points around the knee works very well. Something like carpal tunnel syndrome on the other hand can stem from the neck, shoulder, and elbow, so it is more difficult to design a standardized treatment that effectively treats it equally in all cases.

Furthermore, from a point function perspective, two of the points used in the study are very commonly used by acupuncturists to improve metabolism and boost energy. Though the source for knee pain is usually within the knee joint, poor posture of the whole body and sloppy ergonomics will put more strain on the knee to exacerbate the pain. With this increase in energy, it is easier to maintain proper posture and gait. Another of the knee points used in the study is used by many acupuncturists for almost every condition involving tendons, which are a major component of any joint. These dual purposes reflect the local and systemic nature of acupuncture points. All points will benefit local problems, i.e. the point in the middle of the wrist crease benefits carpal tunnel syndrome. Then there are the systemic actions of the points, wonderfully illustrated in this study using brain imaging. In essence, acupuncture points stimulate parts of the brain that are associated with many of the problems the points are traditionally purported to treat. The People’s Hospital of Peking University study uses points that are local (on the knee) which also positively affect health of the body in a way that supports recovery from osteoarthritis of the knee. This is a study of a treatment strategy that is incredibly simple and elegant. It is no wonder that it garnered positive results.

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