Many people are helped by acupuncture every year.
A chemical-free, up-to-date and safe way is through western evidence-based acupuncture by a qualified health professional. The AACP, as the largest acupuncture organisation in the UK, represents Chartered Physiotherapists who are qualified to use acupuncture as part of their treatments. By managing a patient’s pain, acupuncture often enhances physiotherapy treatments, such as exercise, therefore aiding recovery.
Acupuncture is supported by scientific research and clinical evidence and may benefit a range of conditions, such as Low Back Pain, Osteoarthritis, Tension-type Headaches, Migraines, Anxiety and others.
What is acupuncture?
Acupuncture involves the insertion of very ﬁne stainless steel needles into the skin. It has been used in China for over 2,000 years and increasingly in Western medicine with a growing body of scientiﬁc evidence and clinical research supporting its effectiveness. Acupuncture may be used alongside physiotherapy treatment modalities to treat a wide range of common health problems and to reduce pain. For example in September 2012, NICE recognised acupuncture’s beneﬁts for migraines and tension-type headaches. It can also be used when other more conventional treatments have failed.
How does acupuncture work?
Acupuncture stimulates the body to produce endorphins and oxytocin, its own pain and stress-relieving chemicals. lt may promote sleep by stimulating the release of melatonin in the body and may encourage a sense of well-being by stimulating the release of serotonin. Acupuncture also stimulates nerve ﬁbres to block out pain signals and helps to reduce the sensitivity of tender points in the body. What happens when I see my physiotherapist for acupuncture? You should aim to have something to eat in the 2 hours before your treatment. This will help reduce the risk of you feeling faint during your session by keeping your sugar levels up. When you ﬁrst see your physiotherapist, he or she will take your full medical history and ask you about your current health problems. You may be asked to complete an "Acupuncture in Physiotherapy Consent Form”. The number of needles used will vary according to your condition and symptoms, but typically will range from 1 to 10 in your ﬁrst session.
The needles are inserted through the skin either at the sites where you feel pain, away from the pain or a combination of both. The needles are usually left in for as little as a few seconds or for up to 30 minutes. During the treatment, your physiotherapist may stimulate the needles by gently rotating them. The needles may also be stimulated using electrical impulses, this is called electro-acupuncture. The needles are removed at the end of the session. You will then be asked to rest for a few minutes before you leave. How many sessions will I have? Some people may require just one or two treatments and some a course of 6-10 treatments, whereas others may want to receive occasional treatments as and when required. The overall number of treatment sessions required will depend on you, your condition and your physiotherapist’s assessment. The frequency of treatments will be guided by how you respond to the treatment. It is generally clear after around 3 sessions whether or not acupuncture will beneﬁt you and if the treatment should be continued. How long until I see an improvement in my condition? Different people respond in different ways and at different rates. Some people may feel immediate relief of their symptoms whilst others may see a gradual improvement after a few treatments whereas some may see no beneﬁt. Some people may ﬁnd that their condition/symptoms ﬂare up for up to 24 hours after the treatment but then see a marked improvement. Although acupuncture can help reduce pain, particularly when other more conventional treatments have failed, it does not work for everyone.
Can anyone have acupuncture?
There are certain health conditions that may stop you receiving acupuncture or mean that the treatment should be used with caution. lt is important to let your physiotherapist know if you:
- have ever experienced a ﬁt, seizure, faint or if you have epilepsy
- have a pacemaker or any other electrical implant
- have a bleeding disorder e.g. haemophilia
- are taking anti-coagulants or any other medication
- have any heart valve problems
- have any risk of active infections
- are pregnant or trying to conceive
- have a known metal allergy — speciﬁcally to stainless steel
- have a needle phobia
- have a known infection or poor skin condition in the area to be treated
- have a deﬁcient or weakened immune system
- have diabetes
- have low blood pressure
- have been prescribed any medicine
- have cold/ﬂu symptoms or feel generally unwell
Does acupuncture hurt?
Acupuncture should not be painful. The needles used are approximately the width of human hair, so having acupuncture does not feel the same as having an injection. When needles are inserted, you may feel a temporary, sharp pricking sensation. During the treatment itself, you may have a feeling of warmth or ‘fullness’, heaviness, pins and needles, numbness, tension around the needle, or a mild ache or discomfort.
You may also feel a little light-headed or relaxed. It should not feel unpleasant. These are signs that your body is reacting to the acupuncture. Alternatively, you may not feel the needle at all.
Are there any side effects to acupuncture?
Any side effects tend to be mild and short-lived. They may include: mild bleeding, bruising, mild pain/aggravation of symptoms, drowsiness, dizziness and nausea. lf you continue to feel tired after a treatment, it is recommended
that you do not drive or operate machinery. If you have, or are concerned about any possible side effects, please speak to your physiotherapist.
ls acupuncture safe?
Acupuncture is a safe treatment when administered by a competent AACP-registered chartered physiotherapist. This is because of the strict safety and hygiene guidelines that AACP members adhere to and the initial training and continued professional development that is required in order to remain an AACP member. The more common side effects are exceptionally minor in nature and pose very little risk. More signiﬁcant side effects are exceptionally rare. Your AACP-registered acupuncture physiotherapist is also bound by a Code of Members’ Professional Values and Behaviour through the Chartered Society of Physiotherapy (CSP) and is regulated by the Health and Care Professions
Council (HCPC). The needles used by your physiotherapist are individually packaged, sterile and disposed of after one use. They may also be supplied in guide tubes for easy insertion which means that there is no risk of anything touching the needle during the process.