by Last updated on February 10th, 2024 at 10:43 am
Introduction
The quick answer is yes to the question, does neuropathy respond to acupuncture? There is some evidence to suggest that peripheral neuropathy responds positively to acupuncture. Peripheral neuropathy, a condition characterized by nerve damage, often leads to chronic foot pain, significantly impacting an individual’s quality of life. As a podiatrist, exploring effective pain management strategies is crucial. Acupuncture, a key component of Traditional Chinese Medicine (TCM), has emerged as a promising alternative treatment for this condition. It is important to note that when we speak of acupuncture, we speak of it in the broadest sense. This includes classical acupuncture, western medical acupuncture, dry needling and their variations.
Understanding Peripheral Neuropathy
Peripheral neuropathy involves damage to the peripheral nerves, often causing weakness, numbness, tingling, burning and shooting pain, typically in the hands and feet. It is important to note that symptoms vary from individual to individual. My patients often describe the feeling as weird or something crawling up their legs. Various factors, including diabetes, infections, alcoholism and exposure to toxins, can cause this condition. Conventional treatments in podiatry typically focus on managing symptoms and underlying conditions, often through medication, physical therapy, supplementation and counselling to deal with the effects of the pain.
Acupuncture: An Overview
Acupuncture, dating back at least 2000 years, is a practice where practitioners insert thin needles into the body at specific points. This process is believed to rebalance the body’s energy flow or Qi, thereby promoting healing and pain relief. It is for this reason many believe that neuropathy respond to acupuncture. To date though, there has yet to be a concept of Qi (Pronounced Chi) in Western science or medicine. In some countries, particularly in Asia, acupuncture is one of the primary forms of therapeutic intervention. In countries like China, it is used alongside Western allopathic medicine, and patients have the choice of which treatment route to go down.
How Acupuncture Works
Acupuncture in Traditional Chinese medicine is believed to unblock Qi, life’s vital force or energy. The body is believed to have meridian channels through which Qi flows, and inserting a needle can unblock this Qi, leading to healing. It may sound like woo-woo, but that is because we may be looking at it through the lens of Western medical science, which has difficulty or does not have the scope or is limited in its tool to accurately research and assess the integrity of this ancient medical healing art form.
Who Recommends Acupuncture
Interestingly, the ongoing use of acupuncture is one of the most extended research being carried out right before our eyes. A treatment modality can only last that long with some effectiveness or merit, so it is, at least in my humble opinion, worth considering as a treatment modality. For this reason, NICE (2021) recommends acupuncture as an adjunct for treating chronic pain. Moreover, the World Health Organization (WHO) recommends the use of acupuncture for a multitube of conditions and stipulates the number of hours of training one should have in order to practice safely.
Acupuncture and Peripheral Neuropathy
Acupuncture’s effectiveness in managing peripheral neuropathy-related foot pain lies in its ability to stimulate nerves, muscles, and connective tissue. This stimulation boosts the body’s natural painkillers and increases blood flow, Which is essential in healing nerve damage. The Bafeng points have been studied and have been used with some effectiveness to treat nerve-related foot pain, but they are not limited to just treating foot pain. The points are located on the top of the foot in the web spaces between the toes.
Depending on the clinician you see, they may opt for different points based on their clinical judgement and assessments. Nevertheless, some benefits should still be derived regardless of the points chosen so long as the practitioner is experienced, has a good rationale, and has accurate diagnostic skills.
Scientific Evidence
Research has begun to shed light on acupuncture’s efficacy in neuropathy treatment. A study by Dimitrova et al. (2017) found significant pain reduction and improved life quality in neuropathy patients following acupuncture. Furthermore, Cho (2019) highlighted positive outcomes in diabetic peripheral neuropathy cases. However, it is crucial to acknowledge the limitations and the need for further research in this field.
Acupuncture Treatment Process
During an acupuncture session for foot pain, fine needles are inserted at specific points on the body. Patients may feel a slight tingling sensation, but the procedure is generally painless. For those with needle phobia, discuss it with your practitioner, and they will help to alleviate or ease your fear or have someone with you for support. Sessions typically last between 30 to 60 minutes, and the number of sessions varies depending on the individual’s response to the treatment.
Patient Considerations
Acupuncture is suitable for most individuals suffering from peripheral neuropathy-related foot pain. However, it is not recommended for those with specific contraindications like bleeding disorders or those on blood thinners. Further, patients with peripheral arterial disease may contraindicated. Patients should consult with their healthcare provider before starting acupuncture.
Integrating Acupuncture with Conventional Podiatry Practices
Acupuncture can complement traditional podiatric treatments, offering a holistic approach to managing foot pain associated with peripheral neuropathy. A multidisciplinary approach often yields the best outcomes for patients.
Conclusion
Acupuncture presents a viable option for managing peripheral neuropathy-related foot pain. Patients experiencing this condition should consider consulting their podiatrist about incorporating acupuncture into their treatment plan. I hope this article answered your question as to whether neuropathy respond to acupuncture. Good luck! You may be interested in the cause of tingling in the toes at nights.
References
- Dimitrova, A., et al. (2017). Acupuncture for the Relief of Chronic Pain: A Synthesis of Systematic Reviews.
- Cho, E. and Kim, Woo. (2017). Effect of Acupuncture on Diabetic Neuropathy: A Narrative Review.
