Doctor who is passionate about acupuncture

Doctor who is passionate about acupuncture

Welcome to my blog

Leading acupuncture specialist for facial rejuvenation, pain relief, stress and anxiety relief, fertility and miscarriage, fatigue, acne and insomnia
Based in London Kensington, Chelsea and Richmond . Qualified as a medical doctor in Western medicine in China with a Medical degree from Beijing, China and a PhD degree from the UK. Many year research and clinical experiences. This blog is for information only.

Wednesday, 31 October 2018

Suffer from muscle pain? Acupuncture can help

Myofascial pain syndrome (MPS) refers to pain and presumed inflammation in the body's soft tissues or muscles. It is a condition of muscle pain. It is a chronic, painful condition that affects the fascia (connective tissue that covers the muscles). It could involve either a single muscle or a muscle group. The main complaint is muscle pain. The pain can be deep, aching pain in a muscle and it can persist or worsen with activity or stress. It can affect one’s sleep. Examination can find trigger points in related muscles and a tender knot in a muscle. The causes include a muscle injury, strain on a muscle, ligament or tendon, disks problem, chronic fatigue, repetitive movement, lack of activities, some medical conditions. Muscle tightness creates trigger points in the muscles. An acute muscle injury or continual muscle stress may lead to the development of trigger points. People who frequently experience stress and anxiety may be more likely to develop trigger points in their muscles.

There are four types of trigger points

An active trigger point is an area of extreme tenderness that usually lies within the skeletal muscle and which is associated with a local or regional pain.

A latent trigger point is a dormant (inactive) area that has the potential to act like a trigger point. It may cause muscle weakness or restriction of movement.

A secondary trigger point is a highly irritable spot in a muscle that can become active due to a trigger point and muscular overload in another muscle.

A satellite myofascial point is a highly irritable spot in a muscle that becomes inactive because the muscle is in the region of another trigger pain.

Acupuncture can reduce myofascial pain effectively by releasing muscle tension and removing trigger points in the muscles.

Tuesday, 30 October 2018

How to make the skin glowing naturally? Facial acupuncture can help

Your skin looks tired, dull, dry? How to make your skin glowing naturally? When you search on line, there are many tips, which one is useful? There are a simple and effective way to get healthy glowing skin. And you don’t have to try every tip that makes life much more easier.

Drink more water to keep the skin hydrated. Dehydration can damage skin cells. It will make the skin look dull, dry and lack of glow causing premature aging.

Eat more vegetables and fruits to get enough minerals, vitamins and antioxidants which are needed for healthy glowing skin.

Use moisturiser to protect the skin from losing water. Get a moisturiser that is suitable for your skin.

Facial acupuncture can help improve skin circulation, so that the skin can get enough oxygen and nutrients that needed and get rid of toxin that would damage the skin. As a result, it improves skin health to get glowing skin. Also, facial acupuncture can help get rid of pigmentation. This is the key step to make your skin glowing.

Friday, 26 October 2018

Having melasma, facial acupuncture can help

Melasma is a common skin condition of adults. It presents as brown or greyish patches of pigmentation, usually on the face. Most people get it on their cheeks, bridge of their nose, forehead, chin, and above their upper lip. It also can appear on other parts of the body that get lots of sun, such as the forearms and neck. It is more common in women, particularly during pregnancy (when up to 50% of women may be affected), so it is also called as pregnancy mask. Sometimes men may also be affected. The exact cause of melasma is unknown. For some reasons, the skin cells that produce melanin (which colours the skin) make more melanin that they should do, this causes pigmentation on the skin. Several factors can contribute to developing melasma: sun exposure, hormonal changes such as pregnancy, taking contraceptive pills, hormone replacement therapy etc. Skin affected by melasma darkens more than the surrounding skin when exposed to light. One of the most important things to prevent melasma worsening is protecting the skin from UV radiation.

Acupuncture can be used to treat melasma effectively. In a study, patients in the acupuncture treatment group received acupuncture needling on the Yangming meridians. Patients in the control group received oral administration of vitamin C and 3% hydroquinone topical cream. Hydroquinone is a cream used to lighten dark patches of skin. The acupuncture treatment group achieved a total efficacy rate of 82.22% and the drug control group achieved an efficacy rate of 62.50%. The acupuncture treatment did not have any serious adverse effects.

The effect of facial acupuncture on melasma was also studied. In this study, women suffering with melasma were randomly assigned into: 1) facial acupuncture (n = 20); or 2) facial/body acupuncture (n = 21). Each group was given 2 sessions per week for 8 weeks. Melasma area and darkness of its pigmentation were assessed using digital images.

Results have shown that

95.2% and 90% of participants in facial/body and facial acupuncture, respectively, had decreased melasma areas. 66.7% (facial/body acupuncture) and 80.0% (facial acupuncture) of participants had lighter melasma pigmentation compared to their baselines. The conclusion is that facial acupuncture, with or without body acupuncture, was shown to be effective in decreasing the size of melasma areas.

References
https://www.healthcmi.com/Acupuncture-Continuing-Education-News/1869-acupuncture-beats-drug-for-melasma-treatment
https://www.sciencedirect.com/science/article/pii/S1744388115300128

Tuesday, 23 October 2018

Fascia thickening, back pain and acupuncture

Fascia is a band or sheet of connective tissue consisting of collagen lying under the skin that attaches, stabilizes, encloses, and separates muscles and other internal organs. Fascia is classified by layer, as superficial fascia, deep fascia, and visceral or parietal fascia, or by its function and anatomical location.

A recent study by Helen Langevin a researcher at the University of Vermont has suggested that people with chronic and recurrent low back pain had 25 percent greater fascial thickness than a low back pain-free group. She concluded that increased thickness and disorganization of connective tissue layers may be an important and so-far neglected factor in human LBP pathophysiology. Another study in Skeletal Radiology, 2005,2 found that pathological Achilles tendons showed increased thickness and 89 percent were painful.

Antonio Stecco, MD, recently completed an unpublished study3 using ultrasonography on chronic (longer than 3 months' duration) neck pain patients, evaluating fascial thickness in the distal third of the SCM and scalenus medius. The deep fascia in both muscles were thicker due to the increased amount of loose connective tissue between the layers of the deep fascia (usually three layers) and the loose connective tissue between the deep fascia and the muscle. Study has shown that there was a correlation between the intensity of the pain and the thickness of the fascia compared to the control patients. Besides the thickening of fascia beneath the deep fascia and muscle, there may be thickening between the superficial and deep fascia, and the intramuscular fascia surrounding perimysium and endomysium.

Acupuncture can help reduce chronic pain.

References
Warren Hammer Dynamic Chiropractic (2012) Vol. 30 Issue 11

Monday, 22 October 2018

How to get ready for pregnancy

Eat well.

To boost your fertility from food aspect, you don’t have to make a long list for what you eat. To make it simple, what you eat need to include a few resources:

1 proteins: Proteins come from fish, meat, bean, nuts, eggs and milk.

2, minerals and vitamins: They come from fruits and vegetables.

3 fibres: They come from whole grains, some fruits and vegetables.

4, unsaturated fat: they come from nuts and seeds, oliver oil,fish, yogurt.

Sleep well.

Poor sleep damages body function and potentially causes illness. Heart disease, diabetes, obesity and poor brain function are all linked to bad sleep. Disruption of hypothalamus-pituitary-gonadal (HPG) axis function by poor sleep can affect fertility in both in women and men. Getting good sleep will help to boost fertility.

Life style changes

Stop smoking, reduce caffeine and alcohol consumption.

About alcohol affecting. It became common knowledge that alcohol affects health. If a couple are trying to conceive, their fertility could be affected by alcohol. There are studies that show the link between alcohol and infertility. Alcohol has negative impact on men’s fertility, such as testicular atrophy, decreased libido, and decreased sperm count, sperm morphology, sperm motility and semen volume. Alcohol has also negative impact on women’s fertility. Though the amount of alcohol is linked to fertility is not clear yet. Study showed that amounts of alcohol ranging one drink a week to 5 units a day can have various effects on fertility, for example, anovulation, luteal phase dysfunction, increased time to pregnancy, decreased probability of conception rate by over 50% and decreased implantation rate, abnormal blastocyst development, increased both the risk of spontaneous abortion and of fetal death.

Exercise.

Is exercise good for your fertility?

In men moderate amount of exercise can be good for their fertility. Study has shown that all sperm parameters are higher in men who did an hour exercise three times a week compared with those who did more frequent and rigorous exercise. Riding bicycle for over five hours per week has negative impact on sperm. In women excessive exercise can have negative effect on their fertility too. Increased frequency, intensity and duration of exercise were significantly related with infertility in women who exercised every day.

Blood flow is reduced in your reproductive system when you exercise

Blood flow (BF) increases with increasing exercise intensity in skeletal, respiratory, and cardiac muscle. In humans during maximal exercise intensities, 85% to 90% of total cardiac output is distributed to skeletal and cardiac muscle. During exercise BF increases modestly and heterogeneously to brain and decreases in gastrointestinal, reproductive, and renal tissues and shows little to no change in skin. If the duration of exercise is sufficient to increase body/core temperature, skin BF is also increased in humans. Because blood pressure changes little during exercise, changes in distribution of BF with incremental exercise are essential approach the body used to supply adequate oxygen to the active skeletal muscles.

Recognise anything unusual related to fertility

In women, if you have irregular cycles, spotting, shorter or longer cycles, chronic abdominal pain, chronic low back pain, severe period pain, these could potentially be a problem of fertility.

In men, sperm checking could identify any problems from sperm.

Acupuncture

Blood supply to the reproductive system is key for eggs and sperm to get nutrients and oxygen. Acupuncture increases blood flow to reproductive system and boosts fertility for both women and men. Acupuncture can reduce inflammation and balance hormone to improve eggs and sperm quality.


Saturday, 20 October 2018

Acupuncture is effective for pelvic floor dysfunction

Pelvic floor consists of muscles and ligaments. These muscles can contract and relax and coordinate with abdominal muscles to assist pelvic organ function. If the pelvic floor muscles and ligaments are impaired and are not be able to contract or relax, this will affect pelvic organ’s function causing pelvic floor dysfunction. For example,50 percent of people with chronic constipation have pelvic floor dysfunction (PFD). The symptoms of pelvic floor dysfunction include urinary problems such as feeling urgent to urinate or painful urination, constipation, low back pain, pain or pressure in the pelvic region, genitals or rectum, discomfort during intercourse, muscle spasms in the pelvis. The common causes of pelvic floor dysfunction are childbirth, pelvic trama, obesity, pelvic surgery, nerve damage. Recent research has shown that acupuncture is an effective treatment for pelvic floor disorders, particularly with respect to pelvic pain.

References
Arnouk A et al Curr Urol Rep. 2017 Jun;18(6):47. doi: 10.1007/s11934-017-0694-7.

Friday, 19 October 2018

What is pelvic floor?

Pelvic floor is the area underneath the pelvis and it comprises muscles and connective tissue such as ligaments and fascia. It separates the pelvic cavity above from the perineal region below. It provides support to the bladder, intestines and uterus (in females). It assists with continence through control of the urinary and anal sphincters. It facilitates birth. it helps to maintain optimal intra-abdominal pressure.

Ligaments of the Pelvis

Iliolumbar ligament - from tip of transverse process of L5 to posterior aspect of inner lip of iliac crest; strengthens the lumbo-sacral joint.

Lateral lumbosacral ligament

Sacrotuberous ligament- from sacrum to tuberosity of the ischium

Sacrospinous ligament - from ischial spine to lateral margins of the sacrum

Sacroiliac Ligaments

Ventral/Anterior sacroiliac ligament- from antero-lateral aspect of sacrum to auricular surface of the ilium

Dorsal/Posterior sacroiliac ligament

Upper portion (short posterior sacroiliac ligament) - from 1st and 2nd transverse tubercles of sacrum to tuberosity of ilium

Lower portion (long posterior sacroiliac ligament) - from 3rd transverse tubercle of sacrum to posterior superior iliac spine (PSIS)

Interosseous sacroiliac ligament- lies deep to posterior SI ligament and runs between the tuberosities of the sacrum and ilium

Sacrococcygeal Ligaments

Ventral/Anterio sacrococcygeal ligament -from anterior surface of sacrum to the front of the coccyx; continuation of the anterior longitudinal ligament of the spine

Dorsal sacrococcygeal ligament

Deep portion - from inside sacral canal at the 5th sacral segment to the dorsal surface of the coccyx; continuation of the psoterior longitudinal ligament of the spine

Superficial portion - from free margin of sacral hiatus to dorsal surface of the coccyx; corresponds with the ligamentum flavum of the spine

Lateral sacrococcygeal ligament - from inferior lateral angle of the sacrum to the transverse process of the 1st coccygeal vertebra

Pubic Symphysis Ligaments

Superior pubic ligament - runs between pubic tubercles

Inferior pubic ligament (aka arcuate public ligament) - runs between inferior pubic rami and blends with fibrocartilagnous disc of pubic symphysis

Anterior pubic ligament

Posterior pubic ligament - membranous structure which blends with periosteum

Endopelvic Fascia - Ligaments

Female: Pubovesical ligaments - attach bladder to pubic symphysis

Male: Puboprostatic ligaments - attach bladder to pubic symphysis

Sacrogenital - these are thickenings of the fascia, not specific ligaments

Uterosacral ligaments - attach upper vagina, upper portion of cervix and uterus to the 3rd sacral vertebra

Cardinal ligaments (aka Mackenrodt's) - attach upper vagina, cervix and uterus to the side walls of the pelvis

Round ligaments - attach uterus to mons pubis

Broad ligaments - attach uterus to medial aspect of the ilium

Uracus ligament - attaches bladder to umbilicus (formed from the remnants of the umbilican vein)

Penile Suspensory Ligaments

Penile Suspensory ligament - attaches to anterior aspect of interpubic disc and divides in two to sling around the penis

Fundiform ligament - extends from inferior linea alba and divides to wrap around the penis

Parietal pelvic fascia - lines the internal surface of the muscles of the pelvic floor and walls

Visceral pelvic fascia - invests each pelvic organ

The parietal and visceral fascia are continuous where organs penetrate the pelvic floor. They thicken to form the arcus tendineus, arches of fascia running adjacent to the viscera from the pubis to the sacrum.

Endopelvic fascia* - meshwork of smooth muscle, ligaments, blood vessels and connective tissue lying between the parietal and visceral fascia, sometimes condensing to form fibrous fascial septa which separate and suspend the organs.

Anatomists use the name subserous fascia whereas surgeons refer to this layer of retroperitoneal fascia as endopelvic fascia.

Hypogastric sheath - separates retropubic space from presacral space; conduit for vessels and nerves

Transverse cerical (cardinal) ligaments - part of hypogastric sheath; runs from lateral pelvic wall to uterine cervix and vagina; transmits uterine artery and provides passive support for the uterus

Vesicovaginal septum

Rectovesical septum

Rectovaginal septum

References

https://www.physio-pedia.com/Pelvic_Floor_Anatomy

Thursday, 18 October 2018

What are pelvic floor muscles

Pelvic floor muscles are the skeletal muscles spread on the bottom of the pelvis. They stretch from front at pubic bone to the back at the tailbone and from one side of the sitting bone to the other side of the sitting bone. They support the pelvic organs including bladder and bowel in men and bladder, bowel and uterus in women. These organs lie on the pelvic floor muscle layer. The pelvic floor muscle layer has holes for passages to pass through. There are two passages in men (the urethra and anus) and three passages in women (the urethra, vagina and anus). The pelvic floor muscles normally wrap quite firmly around these holes to help keep the passages shut. There is also an extra circular muscle around the anus (the anal sphincter) and around the urethra (the urethral sphincter). The sphincters help conscious control over the bladder and bowel so that the release of urine, faeces (poo) and flatus (wind) can be controlled until it is convenient. Pelvic floor muscles are also important for sexual function in both men and women. The pelvic floor muscles in women also provide support for the baby during pregnancy and assist in the birthing process. The muscles of the pelvic floor work with the abdominal and back muscles to stabilise and support the spine.

Friday, 12 October 2018

Acupuncture possible treatment for dental anxiety

Dental anxiety affects up to an estimated 30% of the adult population in countries world-wide. Patients can experience nausea, difficulty breathing and dizziness at the thought of going to the dentist, during an examination, and following treatment.

Acupuncture possible treatment for dental anxiety

A review of six trials with 800 patients studied this subject. A points scale was used to measure anxiety and studies and the result has shown that anxiety reduced by eight points when dental patients were given acupuncture as a treatment. This suggests that acupuncture could be a possibility for tackling dental anxiety.

references

https://www.york.ac.uk/news-and-events/news/2018/research/acupuncture-possible-treatment-for-dental-anxiety/

Thursday, 4 October 2018

What is cosmetic acupuncture?

If you’re looking for wrinkle prevention or wrinkle reduction and you don’t want to go under the knife, cosmetic acupuncture may be just what you’re looking for.

What is a cosmetic acupuncture?

Cosmetic acupuncture is also known as facial acupuncture that you are having needles inserted in the facial skin. The focus is on rejuvenating the facial skin and reducing wrinkles for anti-ageing and skin health and acne. Is facial acupuncture safe? Well, you need to find good practitioners who know what they are doing.

How does face acupuncture work?

Acupuncture needles are put into the particular points on the face, it creates a ‘micro injury’ that triggers an increase in blood flow in the skin and promotes collagen production; it also relaxes facial muscles to reduce wrinkles and improve skin circulation and skin dryness.

You can expect to see an improvement in all of the following: reduction of fine lines and wrinkles, lifting and toning facial muscle, reducing acne spots and scarring, improving sagging and drooping skin and skin dryness, flakiness and evening skin tone and texture.

Wednesday, 3 October 2018

How the body get its energy?

Food provide energy to the body. How does it work? Digestive system is the first line to turn food to nutrients and then turn it into energy for body use. Digestive system includes mouth, throat, esophagus (food pipe), stomach, small intestine, large intestine, rectum and anus. They are different sections of a long pipe where food pass through. In addition to this pipe, there are three organs pancreas, liver and gallbladder which are helping food digestion. Digestion starts from as soon as the food are put into mouth. Chewing breaks down the food into small pieces that are easily digested; stomach store the food and grinder them for short time; small intestines continues the breaking down process intensively and absorb them into blood stream. The unwanted food (waste) was moved to the large intestines and store them waiting to excrete. Pancreas produces enzymes to break down the food, gallbladder produce liquid to help food absoption and liver clean the blood from intestine with absorbed food.

Stomach contains acid to digest the food. This acid can burn the lining of the stomach causing inflammation and it can also go backward to the esophagus and causing damage to the esophagus lining. Large intestines also easily get inflamed causing irritable bowel syndrome (IBS). If these happened, abdominal pain, tenderness can be seen. Fatigue is a common symptom for these conditions. Acupuncture can help reduce inflammation and reduce, fatigue, abdominal pain and tenderness.

Spotting to get pregnant? Acupuncture can help

Women have menstrual cycles which start from bleeding from the vagina for a few days. A typical cycle is 28 days and period last about 5 days. The blood is red on the heaviest days and it is pink, brown on the lighter days. There should be no bleeding between the periods. Some women have light bleeding between the periods or socalled spotting. There are many causes leading to spotting. Some of them can be serious; the cause of some spotting can not be found. Hormone imbalance is a common cause for spotting. Estrogen and progesterone are two hormones that regulate the menstrual cycles. If these hormones are out of balance, spotting may occur. These two hormones are produced in ovaries, this could indicate that the ovaries are not functioning properly. Thyroid gland problem could be one of the causes. Of course, starting or stopping birth control pills can cause spotting. If you want to get pregnant, and you have spotting, this could be a problem. If you have spotting between periods, the egg quality is not good enough, because it does not produce enough hormones to sustain the uterine lining; the uterine lining is not good enough either because the lining is breaking down during spotting and it causes inflammation in the uterus. These affect fertilization and implantation. As a result, you would have difficulty to conceive or have miscarriage. Acupuncture can help regulate hormones and reduce inflammation to help to get pregnant.

Tuesday, 2 October 2018

Acupuncture for chronic pain

Acupuncture is widely used to manage chronic pain, but the effectiveness is still debating. Recent research analysed the data from previous research using large amount of induvial patient data from high quality control trials of acupuncture for chronic pain and. The research studied the effectiveness of acupuncture and the cause of the factors that affects the effects. The available individual patient data set included 29 trials and 17,922 patients. The chronic pain conditions included musculoskeletal pain (low back, neck, and shoulder), osteoarthritis of the knee, and headache/migraine. The result has shown that acupuncture is effective to treat these chronic pain condition and reduce the pain significantly. Also the effect of acupuncture lasts over 12 months as far as the research goes. The update to the research has shown that acupuncture was superior to sham as well as no acupuncture control for each pain condition including randomized trials of acupuncture needling versus either sham acupuncture or no acupuncture control for nonspecific musculoskeletal pain, osteoarthritis, chronicheadache, or shoulder pain. There is clear evidence that the effects of acupuncture persist over time with only a small decrease, approximately 15%, in treatment effect at 1 year. There is no obvious association between trial outcome and characteristics of acupuncture treatment, but effect sizes of acupuncture were associated with the type of control group, with smaller effects sizes for sham controlled trials that used a penetrating needle for sham, and for trials that had high intensity of intervention in the control arm. Of course, the specific effects of needling at correct acupuncture point locations are most important to the treatment effect. The conclusion is that acupuncture is effective for the treatment of chronic pain, with treatment effects persisting over time. Although factors in addition to, decreases in pain after acupuncture cannot be explained solely in terms of placebo effects. Variations in the effect size of acupuncture in different trials are driven predominantly by differences in treatments received by the control group rather than by differences in the characteristics of acupuncture treatment.

References

Vickers AJ et al J Pain. 2018 May;19(5):455-474. doi: 10.1016/j.jpain.2017.11.005. Epub 2017 Dec 2.

MacPherson H et al Pain. 2017 May;158(5):784-793. doi: 10.1097/j.pain.0000000000000747.

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