In Kiiko style acupuncture (a Japanese style of acupuncture handed down over generations), it teaches that ofttimes when acupuncture points that you feel should work but do not, there is a blockage in the body that is preventing the healing process.
I have been working on a patient recently who has some unusual medial knee pain. The pain started above the joint and extended a few inches up the leg. I am pretty sure it is not meniscus related but with some testing could not really differentiate between the gracilis or quad tendons in that area. The patient told me that they have using the leg press and leg adductor machines at the gym and that the pain is worse when moving the leg into a sitting-cross-legged position. The patient had first tried to self-treat by using moxa (herbal heat) and herbal patches but with little result. When I first saw this patient her chief complaint was actually back pain, but the knee issue came up and we began to treat them concurrently.
After several visits, the back pain was reduced significantly, but the knee pain was pretty stubborn and the pain reduction was insignificant.
In keeping with Kiiko's teachings, I re-checked the patient's basic constitution and found that the "adrenal" points (trigger points in a sense) were quite sensitive. So far, with several treatments behind us, I am finding that addressing the adrenals (calming the "fight or flight" response) has been thee most effective in reducing the patient's pain. Each visit has ended with the patient unable to replicate the pain. The pain comes back in a few days, but has been less with each visit. Stuff like this is what makes acupuncture so fascinating. Why would this work? It wouldn't surprise me in the least that with our stressful lifestyles, it is inhibiting our natural abilities to heal. A good reminder to find the time to slow down whether it be through qigong, meditation, tai qi, or as simple as taking the time to sit down with a good book.
My patient is still continuing to see me and I am excited to see how we progress in the next few weeks.
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