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Living with chronic pain is life-altering, to say the least. Chronic pain can interrupt daily life activities, our ability to connect with our loved ones, and even the way we think and feel about our lives and ourselves. Even day-to-day pain that is low grade can be incredibly impactful and put a negative stain on what once were pleasurable events and interactions. In many cases, modern medicine's approach to pain is quite limited, usually including pain medication that might be helpful but not without sometimes serious side effects and risk for addiction. Acupuncture, bodywork, physical therapy, and other body-based modalities can usually be quite powerful to reduce pain and improve quality of life. The issue, however, is that you often can’t ‘take the treatment home with you’ and need to continue to receive treatments to continue to benefit. Some patients benefit from talk therapy to help improve their quality of life while living with pain or illness. This can help us shift and change how we interact with our experience and find meaning when it might feel like there is none. But again, the results from therapy might be minimal at first, taking time and effort to attain. What about a treatment that produces impactful, noticeable results usually instantly? One that also teaches you tools and practices you can take home with you so that you eventually won’t even need the practitioner at all? Enter: Hypnotherapy for chronic pain and illness. 
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Tinnitus, ringing in the ears, and hearing loss are all issues that can significantly impact your quality of life, let alone your ability to hear. Not only can these symptoms be detrimental to your ability to communicate and your day-to-day life, but they are also annoying and bothersome and can create other symptoms like insomnia or difficulty concentrating. Traditional treatments for tinnitus and ear-ringing often fall short of expectations. The common advice to drown out the noise with more noise seems ineffective. While hearing loss can be managed, the results are not always satisfactory, and some options, like surgery, are extreme. Some treatments fail to deliver the desired outcome or come with intolerable side effects. It’s always important to see your Doctor to rule out any underlying causes for new-onset hearing loss or tinnitus, and sometimes the cause might be as simple as earwax impaction, but after you’ve had a thorough exam from your Doctor or ENT specialist, you might consider trying a more unconventional approach to help! Acupuncture, a lesser-known but highly effective treatment, has shown some favorable results in addressing hearing and ear-related issues. From children with hearing loss to adults experiencing tinnitus and ear ringing due to various causes, acupuncture has been helpful for many of our patients. But how does this ancient practice work its magic on hearing loss and tinnitus?  The Transformative Role of East Asian Medicine & Acupuncture in Palliative and End of Life Care5/23/2023 Previously published in the 2022 issue of The Journal of Acupuncture and Integrative Medicine ABSTRACT:
An undeniable reality of working with cancer patients is that some patients will not survive their diagnosis. Chinese medicine and acupuncture has the ability to significantly improve the quality of life of terminal patients. Many barriers exist that block the use and acceptance of acupuncture as a tool for end of life care, including lack of awareness of the modality, funding and insurance coverage. In addition to the ability to treat side effects of medication and disease along with the pain associated with death, acupuncture helps reduce anxiety, stress and helps patients find peace in the dying process. As practitioners working with patients with potentially terminal diseases, it is critical to place focus on our ability to hold space for the healing process through death as it is for the healing process through the curing of disease. Chronic illness can be a challenging experience that affects every aspect of a person's life. It can cause physical, emotional, and spiritual distress, and can lead to feelings of hopelessness and despair. However, there is a growing body of evidence that suggests that Jungian depth psychology and shadow work life coaching can be effective tools for coping with chronic illness.  Every time something awful happens in the world, it makes its way into my clinic. This week Roe v Wade was overturned and it’s been the topic of every patient’s mind and heart. I often hear the words ‘you’re not my therapist but….’ while my patients explain to me their emotional or spiritual troubles. This happens so often that it’s now one of the main things I treat in my clinic - emotional pain, upset and trauma, and it’s also why I’ve become a transformational Jungian Life Coach, so that I can truly help you in the entire process of body, mind and spirit. You might think heading to an acupuncturist to deal with your break up doesn’t make a lot of sense, but the truth is, emotional pain goes far beyond just the mind, it affects our body and our spirit, and Chinese medicine is especially equipped to bridge between these three aspects of our lives: body - mind - spirit.  While my clinic is not seeing active COVID-19 patients in person, one demographic we’ve been seeing and having a lot of success with have been COVID long haulers. A ‘COVID long hauler’, ‘long COVID’ or ‘chronic COVID’ is when symptoms persist beyond the active infection time, these symptoms can persist for weeks to months and risk for long term permanent effects seems to be likely. This presentation has been likened to Lyme’s Disease in that the precipitating factor is a viral infection followed by a chronic presentation of symptoms that range in severity from mild to severely disabling. Long COVID patients are typically burdened with shortness of breath, difficulty with exertion, dizziness, fatigue that can be extreme, continuation of loss of smell and taste, brain fog and much more. It’s a disheartening condition to watch, because of so many unknown factors there isn’t a lot of help from modern medicine and many patients are simply told to wait it out. Patients go from active healthy individuals to barely being able to get out of bed, this type of condition takes its toll not only on the body but particularly the mind, emotions and spirit. Our work with Long Haulers is to help encourage healing in the body, benefit the Qi - the vital life force of the patient and help patients find their center again in the midst of sometimes devastating circumstances. By helping bring peace and hope back into the healing process we have seen many patients make great strides in their healing.  Acupuncture Effectively Treats Overactive Bladder without Surgery, Medication or Side Effects2/17/2020 I hear it often from my patients: ‘sometimes I pee a little when I laugh,’ ‘I wouldn’t dare try to do jumping jacks or it would be a mess,’ and ‘I just know that I have to use the bathroom before I leave to go anywhere or I might pee my pants.’ Overactive bladder, leakage and incontinence aren’t anything new, but in my practice I’ve gotten the impression that patients think that having these conditions is just a part of getting older, from giving birth or prostate enlargement and it’s something you just have to live with. Treatments for overactive bladder (OAB) leave a lot to be desired, patients don’t want to undergo invasive surgery, but medications have high rates of undesirable side effects which leaves most patients thinking there isn’t a viable treatment option and that urinary leakage is just something they’ll tolerate. While kegel exercises may provide some relief and help for many patients, not everyone notices a difference with doing them, pressing the point home again that OAB is just something we live with, untreated. Overactive bladder (OAB) is a condition that affects adults and children worldwide and can be caused by numerous underlying factors or traumas like childbirth, prostate enlargement, poor pelvic floor muscle control, bladder prolapse and more. It goes without saying that this condition can create a significant psychological burden on patients and symptoms range from urinary urgency to incontinence, while this condition can be incredibly bothersome, surgery often seems a drastic approach and medications may have limited effect and side effects (de Wall, L. L., & Heesakkers, J. P. (2017.) So what’s the good news? Acupuncture is actually an incredibly effective treatment for OAB, working better than most medications with fewer side effects, it is so effective in fact, that medical doctors use acupuncture and electrostimulation in order to address the tibial nerve and improve its functionality which addresses the innervation of the bladder and helps with OAB, they call it Percutaneous Tibial Nerve Stimulation (PTNS). Studies on PTNS have shown improvement in bladder symptoms of over 50% improvement and up to 80% improvement in quality of life studies, this therapy is also minimally invasive and does not pose traditional risks or side effects associated with medications and surgeries (de Wall, L. L., & Heesakkers, J. P., 2017). In my acupuncture practice in San Rafael, California I provide patients PTNS treatments with acupuncture for with overactive bladder it is a simple adjusted acupuncture treatment to address the innervation of the bladder and improve the regulation of information from the brain to the bladder called Percutaneous Tibial Nerve Stimulation and Sacral Nerve Stimulation. While for some patients, the cause of OAB lies in the musculature of the pelvic floor, for many it can be an issue with the nerves that bring information from the bladder to the brain and vice versa, and no amount of kegel exercises will provide relief, for most it’s a combination of both! In addition to treating the issues of the bladder directly, as an Acupuncturist my aim is to always get to the root of an issue, and that doesn’t mean just what’s going on in the body as a cause of an issue, it also means the bigger picture in the body - mind - spirit connection. Acupuncture treatments for OAB will consist of a direct treatment to address the symptoms of overactive bladder and leakage, but also addressing the patient as a unique individual and their constitution so that they can embody more strength and health throughout all aspects of their life, not just the symptoms at hand.  Published in Acupuncture Today February 2020 Vol 21, Issue 2 What do we think of when we hear the word ‘healing’? For many, the first conclusion is that healing means to get better, or to heal from a disease. But what if this belief and concept about healing isn’t the whole picture? If healing doesn’t just mean to get better, then what does it mean? And how can this help us help our patients? Merriam Webster’s dictionary defines healing as: heal - transitive verb 1a: to make free from injury or disease : to make sound or whole // heal a wound B: to make well again : to restore to health // heal the sick 2a: to cause (an undesirable condition) to be overcome // MEND the troubles … had not been forgotten, but they had been healed — William Power b: to patch up or correct (a breach or division) // heal a breach between friends 3: to restore to original purity or integrity // healed of sin Our approach in healthcare focuses on the first 3-4 aspects of this definition - to heal a wound, the sick or overcome an undesirable situation. While it is important to help our patients find recovery from the ailments that bring them into our office, in some cases, this isn’t always possible. Chronic disease, terminal illness or life situations that are permanent are not so simply overcome in the sense that we can erase them from reality entirely. It’s in this case where we have to focus on the last definition of the world healing - to restore to original purity or integrity. And while the sample of being ‘healed of sin’ takes on a different tone, what I believe this definition to point to is simply: to return to our original intention.  Bath bombs have become all the rage, from glittery explosions of sweet scents to ones with goodies stashed inside, we love a good and fun bath time! The obsession with these bath time treats has always perplexed me, while I love to take some time out to chill and treat myself, it seemed to me like we had a real missed opportunity on our hands. A fun colored bath is one thing, but as a trained herbalist I am also aware of the power of the herbal bath, that by using herbs we can treat hundreds of conditions and have been for thousands of years. I wanted to take this self care ritual of a decadent bath to the next level, with quality ingredients in an amount that could actually produce a therapeutic effect. In Chinese Medicine we have been using the herbal bath for thousands of years, but in our modern day sourcing these herbs - in the right amounts, is time consuming and can cause some gunking up of the tub, in short it’s not very convenient at all. This is where my Chinese Medicinal Herbal Fizzing Bath Salts come into play!  Original publication on Acupuncture Today May 2019 Watch the video presentation HERE “Qigong and acupuncture will not only make you smarter, but also make you sexier and get better dates” touted the late Dr. Daju Suzanne Friedman to her students. They always laughed at this joke, but also knew there was definitely some merit to it, because after practicing qigong or receiving an acupuncture treatment the results were obvious; feeling better, a clarity of mind and an improved overall appearance. When a person completes a meditation retreat it’s not uncommon for their peers to see them as not just looking more clear and relaxed, but also looking more youthful and more present. Mindfulness works, it helps us to relax, let go of stress and actually takes the body into a regenerative brainwave state, and doing this has an incredible anti-aging effect throughout the entire body, from improved clarity of mind, to preserving telomeres and visible improvements in the skin and appearance. In the same way meditation helps to take the brain and body to a restorative state, acupuncture does so as well; it’s part of the reason why patients get off the table feeling great, looking relaxed and talking about how incredibly relaxing the treatment was. There are different types of brainwaves the human body experiences, they affect different levels of consciousness and serve different purposes - all relevant and important. In today’s society, the stressed out sympathetic nervous system is ever dominant, so taking time to wind down and drop in to a regenerative state is incredibly important, although it can often be difficult for some to get into that relaxed state. Acupuncture can help almost anyone drop in to a relaxed state without the effort, making acupuncture a great tool, like mindfulness meditation to help people experience renewal and healthy aging.  |
AuthorDr. Kim Peirano, DACM, LAc is the Owner and Acupuncturist at Lion's Heart Wellness, the San Francisco Bay Area's #1 Cosmetic Acupuncturist and #1 Holistic Healer. Archives
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