For millions of people who live with pain, acupuncture is no longer an exotic curiosity. It's now widely accepted among the medical community. And it's pretty popular with patients as well. A recent survey found almost 3.5 million Americans said they'd had acupuncture in the previous year.
"Now, you're like, 'OK, well, if we're not using opioids, what should we use?'" says Houman Danesh, MD, director of integrative pain management at New York's Mount Sinai Hospital. That dilemma has many people giving acupuncture a second look when it comes to treating pain.
"If a lot of people recognize the value of acupuncture," Hui says, "it will be one of the components of addressing the prescription drug epidemic that we're talking about in our country right now."
"We have many patients come through with cancer," Hui says. He adds his department treats people in all phases of cancer treatment: from those who are newly diagnosed, to those dealing with the discomfort of cancer treatment, to those in the later stages.
Sciatic pain (sciatica) usually affects only one side of the body, with the pain extending from the lower back/buttocks down the leg. When asked to specify what they’re feeling, our patients with sciatic pain describe the following:
Pain in the buttocks or leg that worsens with sitting
Burning, tingling, or searing pain down the leg
Weakness, numbness or difficulty moving the leg or foot
Constant pain on one side of the buttocks
Shooting, sharp pain making it difficult to stand
Sciatic pain and its causes
Sciatic pain is a symptom of an underlying medical condition of the lower back area. The sciatic nerve originates in the lower back, runs through the buttocks, and down the back of each leg. Portions of the sciatic nerve branch to various areas of the leg, like the calf or toes. Sciatic pain occurs when there is a structural impingement or compression of the sciatic nerve in the lower back. This occurs when there is an acute injury to the lower back or can be the result of long-term degeneration of the lumbar area. The location of the painful symptoms in the leg depends on where in the lower back the sciatic nerve is being compressed.
Common causes of sciatic pain
Degenerative disc disease (the breakdown of the discs that provide cushion between the vertebrae)
Lumbar spinal stenosis (narrowing of the spinal canal)
Spondylolisthesis (a fracture in the wing-shaped portion of a vertebrae that causes it to slip forward over another vertebrae)
Pregnancy (increased pressure on the lumbar spine)
Herniated lumbar disc A.K.A. Slipped disc, Bulging disc, Pinched nerve (the cushion between vertebrae is pushed to the outer portion of the spine)
How does acupuncture work physiologically for pain relief?
By inserting small needles into specific sites on the body, the needles trigger a response from the nervous system. This response from the nervous system leads our brain to:
release a cascade of natural painkillers (endorphins and enkephalins),
How we treat sciatic pain at Transformational Acupuncture
The most common treatments for sciatic pain involve surgery to repair the underlying structural issues in the lower back, epidural steroid injections, pain killers, and hot/cold therapy. Regular acupuncture treatments offer a safe and gentle alternative for pain management. A large proportion of our patients with sciatica have responded quite well to acupuncture, both for acute pain relief, and also for help with managing and resolving their condition over time. While acupuncture cannot heal the structural issues of the lower back that cause sciatica, it is a useful, side-effect free treatment for the management of the pain.
Typically we treat sciatic pain by placing acupuncture needles along the inside of the lower calf/ankle and along the wrist/forearm area. We take a two-pronged approach. First, we target the lower back, to increase blood flow and muscle relaxation around the lumbar vertebrae. Then, we target the sciatic nerve to influence muscle relaxation and blood flow regulation along the pathway of the pain in the leg.
Sciatica case studies from our acupuncture clinic in Washington DC
Acupuncture points for treating sciatic pain vary, depending on the exact location and pathway of the pain. Below is a case study from our acupuncture clinic illustrating how we’ve helped patients to manage sciatic pain.
“AD”, 40 years old from Washington DC, with right-sided Sciatic Pain:
AD started having sciatic pain about 1 year before she came into the clinic. Like many people, the pain started suddenly, and didn’t have any obvious cause. It didn’t respond well to physical therapy or chiropractic work, and she didn’t want to continue relying on Advil long-term. The pain level was around 7/10 when waking up in the morning, getting better over the day, but worse again by the end of the day with so much sitting at the office. Due to the location of the sciatica, we chose acupuncture points on the hands and forearm, including Small Intestine 2, 3, and 4, and San Jiao 3, 4, 5 and 6. (Find out more information on how we select the acupuncture points). Her pain was reduced by 50% after the first session, which lasted for a few days. She then came in 2 times per week for 3 weeks, followed by once per week for 4 weeks. At that time her sciatica was reduced by 100% on some days, and by 75-80% on other days.
Research on the effectiveness of acupuncture for sciatic pain
Meta-analysis shows acupuncture a clinically relevant option for sciatica
This meta-analysis compared 122 different studies to determine the clinical effectiveness of various treatment strategies for sciatica. Researchers found a statistically significant improvement in patients who received acupuncture. This study shows us that there are a variety of options to consider when treating sciatic pain and that acupuncture can be of particular therapeutic value, especially when coupled with other pain-management techniques. More information here: http://www.ncbi.nlm.nih.gov/pubmed/24412033
Acupuncture shown to have pain-relieving effect on sciatica
This study compared 2 methods for treating sciatic pain using acupuncture. Method 1 used 1-2 needles in the gluteal area. Method 2 called for several needles at various points on the body along with 1-2 needles in the gluteal area. Researchers found both methods to be successful, with method 1 providing slightly more relief. This finding is an indication that very few needles can be used to treat sciatic pain, as long as proper point selection is maintained. More information here: http://www.ncbi.nlm.nih.gov/pubmed/21692291
Chinese herbal medicine for sciatic pain
With a full Chinese herbal pharmacy, our patients with sciatic pain can also reap the benefits of Chinese herbal medicine. We custom formulate every herbal preparation for the patient’s specific condition and constitution. To decide which herbs will make up the mixture, we use the following diagnostic techniques:
analyze the patient’s symptoms,
measure the pulse,
observe the tongue.
While each formula will vary depending on the needs of the individual, the herbs listed below are examples of ingredients commonly found in sciatic pain formulas. As a group, these herbs function to alleviate pain, reduce inflammation, and regulate blood flow.