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Common Treatments - Family Medicine

WHAT IS ACUPUNCTURE?

HOW CAN ACUPUNCTURE HELP?

HOW DOES ACUPUNCTURE WORK?

HOW DOES ACUPUNCTURE FEEL?

WHAT CONDITIONS CAN ACUPUNCTURE TREAT?

HOW MANY TREATMENTS ARE USUAL?

WHAT IS ACUPUNCTURE?
Acupuncture is a health science, which is used to successfully treat both pain and dysfunction in the body.
Acupuncture has its roots deeply planted in China. Authorities agree the science is between 5,000 and 7,000 years old. Acupuncture did not become known throughout the US until 1971 when diplomatic relations between China and America were relaxed.

The basic theory of acupuncture is that we have a “life force” that energizes all of the body systems. This life force (“Qi") is always moving and flowing. When the flow of Qi is unimpeded, we are healthy. When Qi is blocked, we have pain and eventually disease. The strategy of the acupuncture practitioner is to find the areas of blocked energy remove those blocks and help the body return to its natural healthy state.

Early Chinese physicians discovered this energy network (“Qi") traversing just below the surface of the skin, which communicates, from the exterior to the internal organs and structures over 1,000 "Acupoints" on the body. This energy works in harmony with the body's circulatory, nervous, muscular, digestive, genitourinary and all other systems of the body. All of these pathways of Qi (meridians) flow through all organ systems in our bodies. Each organ system has a specific corresponding channel (i.e. Lungs, Heart, Liver, etc.). These pathways of Qi are comparable to complex networks of freeways, intersections and streams flowing together. When this vital energy becomes blocked or weakened, an effect in a body system or anatomic location becomes evident. Stimulation of one or a combination of key "Acupoints" on the body may restore harmony to the affected area.

Acupuncture adjusts the flow of Qi throughout these channels and networks. Each organ has a gate, which acupuncture can either “open” or “close” depending on the diagnosis and therapeutic principle of the treatment. Opening a gate of energy may allow vital energy and replenishment into a weakened organ, while closing a gate of energy may expel noxious substances from an organ that has been invaded by a pathogen.

These imbalances of yin and yang (the two elements that form the universe, and are present in every living thing, ideally existing in harmony.) may cause the rivers of energy in our body to become uneven, leading to a breakdown in the functioning of our body systems, producing illness or disease.

The goal of acupuncture is to restore the harmony of yin and yang, allowing our bodies and spirits to function at their optimal level. Through this process the causative factor behind the illness or disease can be adjusted, leading to restored health and balance.

Acupuncture encourages the body to promote healing, to improve its functioning and ultimately to bring about optimum health.

HOW CAN ACUPUNCTURE HELP?
Acupuncture is not a substitute for conventional medical advice, medication or treatment. As a complement to conventional medicine, acupuncture can treat both acute and chronic problems such as digestive and elimination problems, headaches, migraines, sleeping disorders, chronic pain, smoking and much more.

Acupuncture can help to reduce or eliminate the need for medications for many conditions including narcotics and other pain-relievers, but your family doctor must always be consulted in such instances.

When you enter our office, the doctor will meet with you and do a comprehensive intake. We are interested in all your symptoms and medical history, which in part helps us to determine our treatment strategy. The acupuncturist is often very effective in treating hard to diagnose problems since it does not rely on having to know the “medical” reasons for your condition, which is often unknown, particularly where blood tests and MRI's are normal. Even when blood tests show imbalances, it oftentimes is not known why this is happening.

This difference in perspective means that the acupuncturist can often make sense of illnesses that Western medicine has difficulty treating. In cases where Western medicine may be limited to prescribing medication for symptom management, acupuncture may be able to intervene and encourage the body in a self-healing process. Acupuncture is currently the fastest growing healing modality in the country.

MODERN ACUPUNCTURE DIAGNOSIS: ELECTRO-MERIDIAN IMAGING:
In 1951, Yoshio Nakatani MD, PhD developed a method of examining the meridian systems of the body through electronic measurements that altered the way acupuncture would be practiced throughout the world. Referred to as ryodoraku by Nakatani, its use would become international within 25 years of discovery.

Around 1957, a medical delegation from the People's Republic of China (PRC) visited Japan and became fascinated with Dr. Nakatani's discovery. The Chinese delegation visited Nakatani's clinic, making detailed observations into the procedure. They were amazed at both the theory and therapeutic effects. Following the delegation's return to the China, the newspapers published several articles concerning ryodoraku examination and treatment together with case studies of treatment. Requests were made of Dr. Nakatani to visit the PRC; however, due to political concerns, Nakatani declined all invitations. Ultimately, reports of ryodoraku and electronic evaluation of the meridian system would cease coming from China. It is agreed by authorities that needle/electronic analgesia developed in China was initiated by Nakatani's original work.

Nakatani first developed the procedure of electronic evaluation of the meridian system by measuring skin conductance at the yuan (source) points of the wrist and ankle. By doing so, he created one of the most significant acupuncture diagnostic methods ever created in the history of acupuncture. When one compares the findings of learned Asian masters of acupuncture using pulse and tongue diagnosis with the findings of ryodoraku, the meridians shown to be involved are identical. Masters of acupuncture are known to palpate the 12 pulse positions for as long as 15-30 minutes per wrist. Electronic evaluation of the 12 yuan points takes less than five minutes regardless of the complications of the case.

When one finds an elevated or deficient meridian on ryodoraku, the treatment approaches are tailored to specifically tonifiy or sedate the acupuncture points that are known to replenish or deplete biomagnetic energy. By doing so, this action will balance the meridians. Electronic measurements are ascertained by examining the 24 specific yuan points of the wrist and ankles for three seconds per point.

An Acupuncturist that measures the source points with an instrument designed specifically for this purpose practices ryodoraku. The practitioner develops a base average. The status of the meridians may be determined by being too high or too low in relation to this base average. In the 1980s, the art of electronic evaluation for diagnostic purposes in acupuncture entered into high technology by incorporating computer enhanced evaluation.
One of the most significant discoveries of ryodoraku was the discovery of split meridians, which had never before been seen or described in the history of acupuncture.

Because ryodoraku evaluation utilizes measurements of the yuan points bilaterally, it often reveals especially in severe cases, the meridians exhibiting a split in numerical value between left and right sides of the body. As ryodoraku measures the yuan points of both sides of the body, it is able to detect a diagnostic situation that was virtually unknown until ryodoraku's invention. By utilizing the luo point of the split meridian, a correction can be made in a split (left-to-right) meridian. Luo points classically and traditionally are used to link coupled meridians, such as Lung/Large Intestine.

Evaluation of the musculotendinous meridians seen in orthopedic conditions is ascertained by the same procedure but using the tsing (jing-well) points. Yuan and tsing point evaluation are two entirely different examinations of two different meridian systems.

The system of ryodoraku was renamed electro-meridian imaging (EMI) by Dr. John A. Amaro in 1982. Internationally it has changed the way acupuncture is being used both diagnostically and therapeutically.

EMI has become “state-of-the-art” allowing the trained acupuncturist to conduct this evaluation in less than five minutes. EMI allows the patient to take home printed copies of their graphic interpretation, diagnostic criteria, specific Acupoints and involved meridians. The patient may use this information at home to accelerate the clinical response.

HOW DOES ACUPUNCTURE WORK?
The human body's energy flow courses over twelve meridians (channels) that are normally balanced. If a disruption of energy flow exists, it can alter the entire system, producing pain or symptoms in the body. Correction of the balance corrects the problem. This is the acupuncturist goal - to restore normalcy to the body's energy balance by utilizing a combination of Acupoints located on the twelve meridians. This maybe accomplished by a variety of means including Laser, Teishein and/or needles.

In this country and many others, medical research continues to attempt to explain in western scientific terms what the ancient Chinese described seventy centuries earlier. Today, many theories have been postulated as to why Acupuncture is so effective in pain control. However, as more discoveries are made, more research is indicated.

THE ACUPUNCTURE TREATMENT:
The treatment, at our office, consists of an initial consultation, which includes a comprehensive evaluation. After the consultation, an electro-meridian imaging (EMI) test is performed. Then an architectural blueprint, or treatment plan, is created by the doctor, which will determine the acupuncture points & methods to be utilized.

It is best to wear shorts or loose clothing so that the arms and legs below the elbows and knees, as well as the abdomen are accessible. It is also best not to eat a heavy meal or engage in strenuous activity just before or after your treatment. It is important, however, that you have eaten something the day of your treatment so that your body has energy to work with.

To support the individual patient’s specific needs, follow-up visits are usually recommended.

Consistent acupuncture treatments given over a period of time provide a cumulative and prolonged healing to the body’s own fundamental essences and life force. This ultimately builds and regenerates an abundant storehouse of reserve of our most precious three treasures, shen (spirit), jing (essence), and Qi (life force).

The intention is to support the “righteous Qi” of the individual, and create a state of serenity and balance in the body. Disease simply cannot thrive in a state of bliss.

Very often, the process of Acupuncture serves as a catalyst, which can awaken the spirit, and lead to growth and fulfillment in all facets of one’s life.

HOW DOES ACUPUNCTURE FEEL?
One would assume inserting a needle into the skin would be painful since most of us can relate to being stuck with a pin or having a hypodermic injection. However, four or five acupuncture needles can easily be inserted into the hollow tube of a hypodermic needle. Because of the extreme slenderness of the needle, most people compare the sensations to "less than a mosquito bite." A phenomenon referred to as "TEHCHI" occurs when the energy is contacted. This sensation is felt as a mild to moderate heaviness or tingling.

The process of inserting the acupuncture needles goes completely unnoticed to some patients. And to others, it may feel like a mild pinch, sometimes followed by numbness, tingling, ache, warmth, and/or movement traveling adjacent to the area of the needle. This may endure throughout the treatment, or it may subside within seconds or minutes after the insertion of the needles.

Every needle used in our clinics is a STERILE, SINGLE USE NEEDLE. Each needle is used ONE TIME and then immediately placed in a biohazard container. WE DO NOT REUSE NEEDLES.

Needles obviously have their place in clinical practice. However, due to the fact that many people simply are terrified of needles, we also employ electronic and laser stimulation to the Acupoints with equal effectiveness as the needle. Both of these procedures are painless and are quickly becoming standard worldwide.

Another procedure that we frequently utilize is a tapping needle called a "teishein”. The teishein is not really a needle, as it does not pierce the skin. It produces only a mild to moderate sensation. It is often said to feel like a ballpoint pen taping on the skin. This form of stimulation has been used successfully for centuries. Thumb pressure is also often used and not painful.

The experience of acupuncture varies from patient to patient, but the majorities of patients look forward to their acupuncture visits, and often feel a deep sense of relaxation and calmness throughout the treatment.

Sometimes the effect is immediate and instantaneous; the patient may feel a noticeable improvement in the condition being treated immediately after the needle is inserted. Sometimes, this positive improvement may be felt during and even after the treatment. The patient may feel subtle to noticeable changes occurring even days following the Acupuncture visit.

As Acupuncture provides a cumulative effect, follow-up treatments will accelerate the healing and overall improvement of the condition.

WHAT CONDITIONS CAN ACUPUNCTURE TREAT?
Acupuncture treats disorders related to the disharmony of yin and yang energy throughout the body. Imbalances related to either deficiencies or excess of the major organ systems: lung, large intestine, stomach, spleen, heart, small intestine, kidney, urinary bladder, pericardium, triple energizer, liver and gall bladder all may be treated through acupuncture.

THE WORLD HEALTH ORGANIZATION:
In the hands of a well-trained acupuncturist, acupuncture has had significant success with pain relief and pain management. However, acupuncture has much broader applications beyond pain. The World Health Organization (WHO) recognizes the use of acupuncture in the treatment of a wide range of common illnesses including:

  • Upper Respiratory Tract

o Acute sinusitis
o Acute rhinitis
o Common Cold and Flu
o Acute tonsillitis

  • Respiratory System

o Acute bronchitis
o Bronchial asthma (Most effective in children and uncomplicated conditions.)

  • Eye Disorders

o Acute conjunctivitis
o Central Retinitis Myopia (in children)
o Cataracts (without complications)

  • Mouth Disorders

o Toothache
o Post Extraction Pain
o Gingivitis
o Acute and Chronic Pharyngitis

  • Gastrointestinal Disorders

o Spasms of esophagus
o Hiccough
o Gastroptosis
o Acute and Chronic Gastritis
o Gastric Hyperacidity
o Chronic Duodenal Ulcer (pain relief)
o Acute Duodenal Ulcer (without complications)
o Acute and Chronic Colitis
o Acute Bacillary Dysentery
o Constipation
o Diarrhea
o Paralytic Ileus

  • Neurologic and Musculoskeletal Disorders

o Headache and Migraine
o Trigeminal Neuralgias
o Facial Palsy (early stage, i.e., within 3-6 months)
o Pareses Following a Stroke
o Peripheral Neuropathies
o Sequelae of Poliomyelitis (early stage, i.e., within 6 months)
o Menieres Disease
o Neurogenic Bladder Dysfunction
o Nocturnal Enuresis (bedwetting)
o Intercostal Neuralgia
o Cervicobrachial Syndrome
o Frozen Shoulder
o Tennis Elbow
o Sciatica
o Low Back Pain
o Osteoarthritis
o Carpal Tunnel Syndrome
o Back and Knee Pain
o Fibromyalgia
o Chronic Fatigue
o Sports Injuries and Pains

  • Reproductive & Gynecological Conditions

o Premenstrual Syndrome
o Dysmenorrhea (menstrual cramps)
o Spotting and Excessive Bleeding
o Amenorrhea (Loss of Menstrual Period)
o Impotence
o Infertility
o Incontinence
o Prostatitis

  • Mental Emotional Problems

o Stress
o Anxiety
o Depression
o Insomnia

The World Health Organization Interregional Seminar compiled the above list of illnesses that may benefit from acupuncture treatment. The list is only a partial list and is based on clinical experience, and not necessarily on controlled clinical research. The inclusion of specific diseases is not meant to indicate the extent of acupuncture's efficacy in treatment, since all conditions may vary in severity and response.2,3

HOW MANY TREATMENTS ARE USUAL?
The numbers of treatments vary with different conditions and individuals. Chronic (long standing) problems generally require more treatment than acute (recent) ones. Some patients notice an immediate improvement after the first treatment, whereas others many not notice any effect until the seventh or eighth visit. It's been my experience that a majority of patients receive maximum benefit up to three months following a course of therapy.

A small number of patients will receive a temporary increase of symptoms; this is due to the body's energies returning to normal. This is normal and no need for alarm. It is followed by improvement. Researchers internationally agree the usual number of treatments is between eight and sixteen. The usual frequency of the treatments is between two and four times a week.


Patients are urged not to enter an acupuncture program with the thought of "taking a few treatments" to see what will happen. Even though it is possible to achieve quick success, a program of eight to ten visits would have a better chance for success. Patients are encouraged to be tolerant with the healing process. If the treatments are recommended and results occur in less than the recommended number of visits, the doctor may elect to discontinue treatments or continue their use to stabilize the condition.

THE NIH CONSENSUS STATEMENT ON ACUPUNCTURE
In 1997 the U.S. National Institutes of Health published a Consensus Statement on the use and effectiveness of acupuncture for a variety of conditions.

Acupuncture as a therapeutic intervention is widely practiced in the United States. While there have been many studies of its potential usefulness, many of these studies provide equivocal results because of design, sample size, and other factors. The issue is further complicated by inherent difficulties in the use of appropriate controls, such as placebos and sham acupuncture groups. However, there are other situations such as addiction, headache, menstrual cramps, tennis elbow, fibromyalgia, osteoarthritis, low back pain, carpal tunnel syndrome, and asthma where acupuncture may be useful as an adjunct treatment or an acceptable alternative or be included in a comprehensive management program. Further research is likely to uncover additional areas where acupuncture interventions will be useful.

View the full Consensus.
http://consensus.nih.gov/1997/1997Acupuncture107html.htm

John A. Amaro D.C., FIAMA, Dipl.Ac., L.Ac. Carefree, Arizona http://www.iama.edu/

2,3 NIH, Acupuncture, Nov. 3-5, 1997, Vol. 15, No. 5 2. World Health Organization. Viewpoint on Acupuncture. Geneva, Switzerland: World Health Organization, 1979.World Health Organization Interregional Seminar on Acupuncture, Moxibustion and Acupuncture Anesthesia was held in Beijing (Peking) in June 1979.

 

Dr. John Heiligenthal
Dr. John Heiligenthal

Dr. John F. Heiligenthal Jr. was born in 1962 in Illinois at Lake Forest Hospital, and graduated from Waukegan West High School in Waukegan, Illinois. He attended Western Illinois University and received a Bachelors of Science Degree in Anatomy and a Doctor of Chiropractic Degree from Palmer College of Chiropractic in Davenport, Iowa in 1992. He graduated summa cum laude, was an honorary member of the Pi Tau Delta Fraternity and was selected to Who's Who in American Colleges and Universities.

He has been practicing in Eustis at Lake Health Care Center for greater than 14 years and has successfully nurtured thousands in the community back to optimal health. In 2003 he received a Master of Science in Human Nutrition from The University of Bridgeport in Connecticut. In 2005 he received a prestigious fellowship in acupuncture through the International Academy of Medical Acupuncture.

Dr. Heiligenthal and his wife Cindi live in Eustis and have four children. Brent, Kelly, Kiley and Joey. "Dr. John" is an avid sports fan, enjoys exercising and listening to music.

Lake Health Care Center, Inc.
910 Mount Homer Road, Eustis, FL 32726-6398
Phone: 352-357-8615 ~ Fax: 352-357-5873

 

 

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