Effect of acupressure in postoperative pain

 
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Dr. Tatyana's Health and Wellness Blog

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Effect of acupressure in postoperative pain
Written By: Dr. Tatyana Johnson ~ 11/18/2019

Traditional Chinese medicine (TCM) describes acupressure (acupuncture) points located on meridians or channels in our body. The stimulation of these points leads to the activation of the life force energy, called qi (chi). In TCM, acupuncture meridians are connected to specific organs, the brain, and extremities, creating a web network. If any pathology occurs in the physical or mental level, the blockage of energy flow can happen, creating an imbalance throughout the body. After any type of surgery, the body experiences a “shock”; the response is pain, which is a protective physiological mechanism. TCM explains this as qi and blood stagnation. Pressing specific acupuncture points will stimulate the whole meridian and remove that blockage, thereby decreasing the pain. According to allopathic medicine, the stimulation of acupuncture points can lead to decreased muscle tension, which improves blood and lymphatic circulation and increases the production of endorphins, which are natural pain relievers.

BLOGPOST_EffectOfAcupressure1182019.jpgAcupressure can be applied using gentle pressure from the fingers or specific devices. For the best result, sessions must be provided in a series. Acupressure is a safe procedure, but some cautions must be considered, such as avoiding direct pressure on cancerous, injured, infected, or inflamed areas of the body. Other factors such as pregnancy and blood diseases should also be considered. The most common acupuncture points are LI4, LV3, PC6, SP6, and ST36. This technique should be performed by a certified acupuncturist, who can teach patents how to perform self-acupressure when pain occurs.

A few clinical trials have been conducted to prove the efficacy of acupressure in the postoperative period. For example, a controlled single-blind trial studied the analgesic effect of acupressure in 40 patients who underwent knee arthroscopy in a university-affiliated hospital. These patents were randomly divided into two groups: active stimulation (AS) and placebo stimulation (PS). The procedure was performed 30 minutes after participants awoke from general anesthesia. Fifteen classical points were stimulated on the contralateral side of the surgical area. In the control group, non-acupuncture points were stimulated. Pain was assessed with a visual analog scale (VAS) 30 minutes, 60 minutes, and 24 hours after stimulation. “Sixty minutes and 24 h after AS, VAS pain scores were lower than in the placebo group (p < 0.05 and 0.0001, respectively). There were no significant changes in the autonomic variables. The results indicate that pressure on acupoints can decrease postoperative pain” (1).

Another study supporting the effect of acupressure evaluated whether acupressure affected the postoperative comfort of gastric cancer patients following a subtotal gastrectomy. A randomized control trial was conducted with 60 patients in a general surgery department in Taiwan. Patients were randomly assigned to one of two groups: one receiving standard care and the other with additional acupressure points PC6 and ST36 for 3 days. “Following acupressure, significant differences were found in postoperative pain (P=.03)” (2).

Acupressure is an economical and safe procedure that can be used in a patient undergoing almost any type of surgery. However, more additional clinical research needs to be conducted in this field to prove the mechanism and demonstrate how acupressure can be beneficial and effective in postoperative outcomes.

References:
1. Felhendler, D., & Lisander, B. (1996). Pressure on acupoints decreases postoperative pain. The Clinical Journal of Pain, 12(4), 326–329. doi:10.1097/00002508-199612000-00012

2. Hsiung, W., Chang, Y., Yeh, M., & Chang, Y. (2015). Acupressure improves the postoperative comfort of gastric cancer patients: A randomised controlled trial. Complementary Therapies in Medicine, 23(3), 339–346. doi:10.1016/j.ctim.2015.03.010


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Salt Room Therapy - Indications & Benefits:
Written By: Dr. Tatyana Johnson ~ 11/4/2019

BLOGPOSTSaltRoom11042019_s.pngHalotherapy or salt room therapy is an exposure to kinetically activated dry salt where the micro sized particles are being inhaled while the large salt particles are spread on the top of the skin. Since dry salt is antibacterial and super absorbent it actively kills bacteria and reduces the inflammation in the respiratory system and widens the airways for better breathing. Regular Halotherapy 2-3 times a week, combined with yoga practice or any other fitness routine, provides deep relaxation and stress relief, a balanced nervous system and an improved sense of well-being. Halotherapy keeps the lungs and the skin clean, boosts oxygen circulation, energizes the whole body and enhances mental alertness. Our salt booth is not a sauna as it has normal room temperature. We have a comfortable reclining chair with a headphone where you can choose an audio guided meditation or short session of hypnotherapy or just relaxing music. Duration of each session is 30 min. One person per session.

Most common indications for Halotherapy

  • Adults and children with respiratory conditions (asthma, allergies, sinusitis, bronchitis, COPD, emphysema, etc.) or interested in natural respiratory hygiene.
  • Weight loss, Detox
  • Skin problems: dermatitis, psoriasis, eczema, acne, rosacea etc.
  • Decrease chronic inflammationBoost Immune System
  • People seeking skin rejuvenation (anti-aging, wrinkles, etc.)
  • Stress, Anxiety, Depression, Insomnia
  • Perimenopausal symptoms
  • Athletes and Fitness enthusiasts looking to increase stamina and reduce the likelihood of getting sick
  • People concerned about air pollution
  • People who travel often
  • EVERYONE WHO BREATHES!

Contraindications

During the acute phase of any illness, including the following:

  • infections accompanied by fever
  • uncontrolled hypertension
  • acute active tuberculosis
  • cardiac insufficiency, COPD in the third stage
  • bleeding, spitting of blood
  • contagious ailments
  • use of an oxygen tank to aid breathing
  • alcohol or drug intoxication

Breathing techniques are very important while you are receiving a halotherapy. Here is an example of the most common breathing exercises you can do during a halotherapy session:

  1. “Equal Breathing” How it’s done: Balance can do a body good, beginning with a breath. To start, inhale for a count of four, then exhale for a count of four — all through the nose, which adds natural resistance to the breath. Want to take it up a notch? For a more advanced breathing technique you can aim for six to eight counts per breath with the same goal in mind: calm the nervous system, increase focus and reduce stress. When it works best: Anytime, anyplace — this breath can help take your mind off the racing thoughts, or whatever might be distracting you from relaxing. Level of difficulty: Beginner
     
  2. ”Abdominal Breathing Technique” How it’s done: With one hand on the chest and the other on the belly, take a deep breath in through the nose, ensuring the diaphragm (not the chest) inflates with enough air to create a stretch in the lungs. The goal: Six to 10 deep, slow breaths per minute for 10 minutes to experience immediate reductions in heart rate and blood pressure. When it works best: Before an exam, or any stressful event. Controlling the breath might be a little hard for some to master so to help train the breath, consider using biofeedback tools such as a breathing app. Level of difficulty: Beginner 

Schedule your appointment today for the salt room therapy.


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Benefits of Acupuncture Point Injection Therapy
Written By: Dr. Tatyana Johnson ~ 10/22/2019

BLOGPOST_Injection10222019_s.jpgPoint injection therapy (PIT), also known as biopuncture, is a modality in which acupuncture points or trigger points are stimulated with a small amount of sterile and FDA-approved medicinal-botanical substances. In addition to acupoint stimulation, pharmacological effects are achieved as well. The most common substances used are normal saline, sodium bicarbonate, sterile water, nutritional substances, procaine, sarapin, vitamins and combinations, glutathione, homeopathic medicinals (Heel, Guna, Hevert Pharmaceuticals), herbal medicinals, and dextrose.

Since incorporating injections into my practice, I’ve witnessed the accelerated effects of rehabilitation after trauma, acute and chronic pain, and the inflammation of joints and soft tissue. As much as natural substances work for the musculoskeletal system, some substances such as a combination of Calmavera and vitamin B12 can be beneficial for conditions like anxiety, depression, insomnia, and the ability to manage stress.

Main benefits of PIT:

  • Faster results
  • Longer-lasting results
  • Directs medication to targeted area
  • Enhanced clinical outcomes

PIT is mainly used to:

  • Alleviate acute and chronic pain
  • Reduce inflammation and support tissue regeneration
  • Relieve muscle spasms
  • Carry out a systemic detoxification
  • Lose weightRejuvenate facial skin to reduce wrinkles and sagging skin as well as improve elasticity and quality of skin

The most common substance used for pain and inflammation is Traumeel, a fixed combination of biological and mineral extracts in a homeopathic form. “Studies suggest the drug modifies the action of neutrophils and the release of inflammatory mediators. Injected locally, its analgesic effect is comparable to steroids but without the risks of tendon rupture or skin depigmentation. A relatively old drug (available for eighty years), Traumeel is licensed for frequent use, with the only contraindication being adverse allergic reaction. Among elite athletes its use is common and anecdotally it attracts very favorable reports. There is data to suggest comparable efficacy of both topical and injected Traumeel when compared with NSAID therapy, with fewer side effects and greater patient satisfaction” (1).

The combination of acupuncture and injections integrate the advantages of different therapies whose effects can be enhanced and/or supplemented. In my practice, this method has achieved superior effects in clinical treatment. Approximately 80 percent of my patients use PIT in combination with manual or electroacupuncture treatments. The PIT accelerates the healing process and helps the body get to a healthy stage.

Please do not hesitate to contact our office for more details at 425-953-9559 to make an appointment.

1. 1 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3085232/ 


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