Tags: surgery

Acupuncture Effective for Post-Surgical pain

While I love it when I can help patients avoid surgery (really, it happens all the time, and it’s awesome!) sometimes they can’t. Surgery is sometimes very necessary and when that’s the case, I support patients with acupuncture, bodywork, internal and external herbs so they can enter and recover from surgery as smoothly as possible.

Acupuncture and Chinese Medicine can be extremely useful tools both pre and post surgery.  Beforehand we can ready the body by helping manage pain, promote normal sleep and digestive cycles and prepare the tissue for the upcoming surgery.  After surgery we can work to reduce swelling and pain and often decrease or discontinue pain medications that have unwanted side-effects – all of this helps the surgical trauma heal quickly and appropriately.

A recent study in Regional Analgesia and Pain Medicine found that acupuncture after a total knee replacement reduced the amount of pain patients were in as well as reducing the need for and amount of pain medications required.  Those in the acupuncture group also had fewer adverse reactions (nausea and vomiting) due to anesthesia.
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acupuncture for post-op TKRResults: This study comprised 60 patients (30 in the study group and 30 in the control group). The fentanyl requirement via patient-controlled analgesia in the study group was lower [mean (SD), 620.7 (258.2) vs 868.6 (319.3) [mu]g; P = 0.002). The time to first request for fentanyl was longer in the study group. Pain intensity on a 100-mm visual analog scale was lower in the study group in the first 24 hours after the operation. The incidence of analgesia-related adverse effects of nausea and vomiting was lower in the study group. The success of blinding was not significantly different between the 2 groups (P = 0.731).

Conclusions: The data obtained from this clinical trial demonstrate the potential advantages of using acupuncture for postoperative pain control after total knee arthroplasty.
–Acupuncture for Pain Relief After Total Knee Arthroplasty: A Randomized Controlled Trial. Regional Anesthesia and Pain Medicine.

If you or someone you know is preparing for or recently underwent surgery – we’d love to help – Give us a call or book an appointment online!  What questions do you have about pre or post-op acupuncture?

Anatomy Riot: a review

You’re a dancer, a teacher, a yoga and pilates instructor…needless to say your body is your life; so what happens when it starts working against you and major surgery (and lengthy recovery) becomes your most viable option? 

Emily Running, a professional dancer, aerialist and yoga teacher  faces this very life altering question.  In this memoir about a pivotal point in her life, Emily explores not only the physical after-effects of injury and recovery as an athlete who has built her professional life around her body and it’s abilities, but also the financial, emotional and social implications of these events.   An engaging story of confrontation with self and identity, vulnerability and strength.  A must-read for anyone who has ever experienced chronic pain or injury – Emily reminds you that you’re not alone and what you feel is real and that the struggle can open up new perspectives.

What happens when your reality comes to an abrupt edge? What if you determine that your best option is to jump? What do you focus on when in the middle of the free-fall? Twelve years into her career as a professional dancer, aerialist, and yoga teacher, a critical diagnosis forces Emily to make a life-altering decision: should she go through with a surgery that could end her struggle with chronic pain, but could also destroy her life as she knows it? With her career, her health, and her identity at risk, her future seems precarious at best. Journal entries, emails, text conversations, and notes from doctors appointments guide the reader through her story. Captured with unique insight, Emily reveals the powerful connection of our minds and our bodies, the tangle of mental and emotional turmoil associated with giving up that which defines us, and the vital influence of the people that surround us. Anatomy Riot is a bravely honest and strikingly vulnerable depiction of withstanding adversity with commitment and grace. (Anatomy Riot by Emily Running)

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Of note: Emily is a dear friend of mine and I have watched her throughout this experience only to be consistently amazed at the heights to which she has spectacularly recovered and grown.  She is truly an inspiration, and it has been an absolute honor to take but a small part in this journey with her as her acupuncturist (read about some of her experience with me in the book!).  Having just finished reading Anatomy Riot, I am struck by how Emily has been able to translate her personal circumstances in a way that speaks to the broader struggles that so many of my patients face when confronted with pain, injury, surgery and/or recovery: the exasperation of not being able to do what you could before, the depression, the patience required (and frustration experienced) to recover (possibly incompletely) and the sense of identity loss and subsequent reflection and re-finding of self.