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Cluneal Nerve Entrapments: An Often Overlooked Cause of Low Back Pain

 

 

We’re discussing actually some case studies in low back pain and how routinely it is so important to check for cluneal nerve entrapments that could be contributing to the patient’s low back pain, or even mimicking it being 100% of the low back pain.

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The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Hello everyone. And thank you very much for coming to the American Acupuncture Council, our sports acupuncture webinar. We’d like to thank the American Acupuncture Council for sponsoring us with this. I’m here with my friend, colleague and partner in the sports medicine acupuncture certification program. Brian Lau.

Hi, nice to be here again,

Brian and I were discussing just the other day about the upcoming module two low back hip and groin webinar that we’re having in the anatomy pop patient cadaver lab. We’re discussing actually some case studies in low back pain and how routinely it is so important to check for cluneal nerve entrapments that could be contributing to the patient’s low back pain, or even mimicking it being 100% of the low back pain. For example, the superior cluneal nerve entrapment can mimic yarn syndrome pain at the iliac crest, or it could be maybe 30% or 40% of that con contribution to the pain. So something just to routinely check in your cases of low back pain to see if an attraction is contributing to part of it. So I think we could probably just start bouncing right into it. So, Brian, do you want to go ahead and take it away and we’ll just go to the next slide.

Yeah, sure. So, uh, we’ll go, um, pass the title slide here. So into the next slide, and we’re going to start by, um, just giving a quick overview of the clinical nerves. So you have three circles that you see there. Uh, we have the superior cluneal nerve, so that’s that upper circle, uh, that I’m going to cover quite a bit in just a moment. So just for now, yeah. There’s the highlight, uh, showing the superior cluneal nerves now there’s multiple ones. Um, and we’ll, we’ll talk about that in just a moment, but then below that, in that middle circle, we have the middle cluneal nerves. Uh, those mats going to go into a little bit more, we’re both going to discuss some, but, um, he’s going to take that primarily. We’re not going to be discussing the inferior cluneal nerves, that bottom circle, uh, in this particular webinar, just because, um, this one is a little bit more on causes of low back pain and fluid inferior cluneal nerves, or are important.

Maybe another day we’ll cover those, but we’ll focus more superior and middle. Uh, so these nerves are cutaneous. Nerves are sensory nerves. Um, they, uh, then that means they’re going to be primarily innervating the skin. So they’re traveling in the subcutaneous tissue and innovating the skin. Uh, so let’s go ahead and move on and we’ll go right into superior cluneal nerves. So the superior cluneal nerves, uh, come from, they stem from [inaudible] the dorsal ramus. They travel posterior, uh, as they get more inferior penetrate through fibrous tunnels within the thoracolumbar fascia, uh, then they branch over the iliac crest to become subcutaneous where they, uh, innovate the skin and the subcutaneous tissue. Uh, so these are a common site of entrapment. Uh, so this, uh, superior cluneal nerves can becoming trapped in the superficial layer of the thoracolumbar fascia and can contribute to low back and leg pain.

Uh, just the note is that’s a little bit of a shorthand. So when it says that they, they, uh, stem from L one through L three travel posterior, there’s a whole lot of territory, you know, they’re not traveling through empty space at that time period. They’re actually traveling through structures like the, so as they’re traveling sometimes through the quadratus lumborum, but usually between the psoas and the QL, they travel through the para spinal muscles. So there’s a lot of territory, uh, in that region that we might be able to come back to later on in the, in the webinar to differentiate between various types of injuries. Our focus though is going to be on that, uh, area where they Pierce the thoracolumbar fascia, just at the iliac crest region, and then drape over the iliac crest. So maybe more on the other, other areas later, but let’s go with the entrapment site that we’re talking about in this webinar. So that’s the superior cluneal nerves and their site of entrapment.

So in, in terms of, uh, entrapment, there’s a, these are all the superior cluneal nerves, but there’s a middle or medial. Uh, one of those though, you know, the one that’s most medial, uh, then there is a middle or intermediate and then a lateral, uh, superior cluneal nerve. So these are all superior cleaning, the nerves that we’re talking about now, but we’re looking at the multiple nerves. So the medial most the middle and the lateral one, and it’s usually the medial branch that is commonly affected, uh, in terms of, um, becoming and trapped. So they all can be contributors, but this, this medial branch is the one that we’re really, um, gonna focus on, uh, in terms of where it’s, it’s going to become trapped. So, uh, these traveled through a fibrous tunnel, uh, then they go over the iliac crest so they can get in trapped in that fibrous trunk tunnel of the thoracolumbar fascia, or they can get trapped between that and kind of adhering to the iliac crest. So there’s a lot of research out there. You can look into it if you want it to, to check more information about it, but this image really kind of highlights that fibrous tunnel that you can see that those medial branches of the superior cluneal nerves travel through. So it’s just a, just a sort of a fibrous tunnel through the thoracolumbar fascia. All right, so let’s move on next one.

So in a cadaver studies, the researchers found that this medial branch of the superior cluneal nerve was frequently adhered between the fibers tunnel and the thoracolumbar fascia and where the medial branch travels over the iliac crest located just lateral to the PSIS. So there’s a lot of studies on this. Um, why it’s studied in Western literature, uh, is twofold. Uh, they study it of course, because it’s an entrapment site and it can be a pain generator. It’s considered not super common of a pain generator, but it is a pain generator and it’s worth knowing about, uh, that’s one reason that it’s a study. The other reason that it’s studied is when they harvest bone from the iliac crest to use for, um, fusion for lumbar fusions, uh, they want to know, you know, it’s really important that they know where these, uh, cluneal nerves are, so that they don’t damage the cluneal nerves in the process of process of harvesting bone from the iliac crest.

So because of that, there’s a lot of really good research that that kind of gives an average of where these cluneal nerves exit, um, both, you know, the, the medial ones, the intermediate and the lateral ones. So they have it all charted out on various different cadaver studies, measured from the PSIS are measured from the midline. And if we look at this, um, medial branch of the superior cluneal nerve, it’s approximately in the region of Yan, you know, of course they’re measuring it from different criteria. They’re usually usually measuring in millimeters, but the measurement kind of comes to about that same measurement, uh, as Yan, which is three and a half sun from the lower border of L four, just over the iliac crest. So this being a common site of entrapment means that it’s also a contributing factor, or sometimes the factor for Yan syndrome, which is pain at this particular region.

Um, again, we can come back and differentiate this type of pain that’s caused from an entrapment of the superior cluneal nerve versus other things that are in this region. Like the Leo Castelli’s lumborum, which attaches to the iliac crest in that region, or deeper to that, the quadratus lumborum, which attaches to the iliac crest in that region. So being able to differentiate what’s the, the pain generator is important, but in that process of determining what’s the pain generator, we want to make sure that we take into consideration the, uh, the superior cluneal nerves. So those cause pain Ayanna, that pain might radiate down into the buttock region, and you could follow those nerves and see how they drape over the glute medius. And even over the glute Maximus. Matt, do you want to add anything to that kind of just jumped in and covering it, but

That was great. Yeah, that was really good. So, uh, just to reiterate the, the, on, we just published a, an article as well on the sports medicine acupuncture website, and it’s talking about the superior superior cluneal nerve entrapment at the extra point Yon, and also in the Yon region, just something to, for practitioners to consider that there is a cadaver dissection that we did. And we were able to find one of the superior cluneal nerves, which is a difficult dissection to tease out these cutaneous nerves. Um, it’s not just us, that it’s actually in some of the articles, um, that are in the references. Um, they talk about the difficulty of actually trying to tease them out and try to be able to dissect them, to see if they are entrapped or not. Um, Yon syndrome that we call it is also in Western science called iliac crest syndrome is basically the, um, the strain of the soft tissues within that area like Brian was talking about, could be the thoracolumbar fashion, the illiocostalis or the thoracolumbar fascia and the quadratus lumborum.

And this has been treated for thousands of years by acupuncturist, but yet the entrapment side also could be a contributing factor to that. So the patient is complaining of that low back pain. They may also talk about a mild parasthesia you’ll have to dig that out of them. Most people are not going to consider that as a chief complaint. Um, it’s just more of the low back pain in that Yon region. So the entrapment side is something definitely to assess which we’re going to be talking about. The very simple assessment coming up in just a little bit, Brian, should I jump into the next entrapment? Uh, yeah. Yeah.

There’s some other things that we can come back to later on. That’ll be more differentiation. Um, but, uh, just to highlight one real quickly, what you said about why these are so difficult to dissect is that they live in the, at least the process that we’re the part of them that we’re looking for, uh, in terms of where they drape over the iliac crest, those live in the adipose tissue, and you know, this dissection, I mean, this, uh, this image from Netter, they they’re so clear looking. It’s so easy to see, but in dissection and it all looks alike, it’s all the same color. These are little over a millimeter in diameter, so they’re super thin. And just finding them in that adipose can be very challenging and take time to look for. But, um, one highlight from the video that Matt referenced on the blog, um, that in the processing of this video, it’s funny how you listen to things over and over, and you never noticed something. I just noticed today, actually, when I was listening to it, that I say superficial cluneal nerve over and over again, instead of superior cluneal nerve. Um, so, uh, if you listened to that video, if you go to the blog post and you look at that, that dissection video, don’t be confused. It is superficial because we’re looking at it, look, our we’re highlighting and showing it where it would be in the adipose tissue. But I meant to say superior cluneal nerve and not superficial clinical.

Yeah, that’s good. Brian, I think, I think it’s important for people to understand that this is really quite superficial. So if we have the low back, you’ve got the skin, then you’ve got your layer of your subcutaneous tissue. Then it’s just underneath that. So people have been treating the superior and middle cluneal nerve entrapment for a long, long time with techniques with cupping. And guash on with acupuncture. All of those actually have a strong effect on this superficial tissue, which we’ll talk little bit more about Sue

And Matt. It sounds like your chickens are laying eggs in case people are wondering.

Yeah. They just, they, they, they love to interrupt these webinars. They do. All right. I was wondering if you could hear it. All right. So let’s go to the next slide. Thank you. All right. So the middle cluneal nerves, so let’s separate, let’s differentiate this from what Brian was just talking about. The superior cluneal nerves are further broken down to medial, intermediate and lateral. You can see those three nerves as the superior, right? That’s not circled in this particular image. So now, now we’re going to be talking about the middle cluneal nerves that are branches from the [inaudible] dorsal. Ramiah now like the superior cluneal nerves. They also exit through the thoracolumbar fascia. And then the cutaneous area for them to innovate is going to be the lower part of the PSIS medial, buttock and OXA also the coccsyx region. So a patient may be complaining of pain in that area. It could, it could be planning of pain in the SSI joint that at first glance, you’re thinking that it could be a sake really actually problem. Um, but then you further differentiate that possibly the middle cluneal nerves are part of this. And we’ll talk about that. And just a little bit, when we get into our assessment and treatment, let’s just break down the anatomy of it for, for us right now. So let’s go ahead and go to the next slide.

So anatomically here’s an image from Grey’s anatomy, the course of the middle cluneal nerve stems from the sacral nerve roots. So we talked about S one through S3, then it travels posteriorly either under or through the long posterior sacroiliac ligament. Now there’s a number of different references for you guys to be able to check out and through the different anatomy from human to human, the course of the medial cluneal nerve, um, does vary. So sometimes it’s going to be underneath this long posterior sacral ligament, and other times it goes through it. And other times it goes above it with patients that have had the medial cluneal nerve entrapment with the surgeons. What they’re, what they’re saying. And their research is that when the long posterior sacral ligament becomes two tense in certain conditions, it will entrap the medial corneal nerve as it exits from the [inaudible] underneath that ligament, or in some humans, it’ll actually go through that ligament.

So that would be the entrapment site in the ligamentous tissue. However, like we saw in the slide before we saw that, that medial cluneal nerve, as it exits deep in this ligament and then comes superficial cause it’s a cutaneous nerve and it goes through thoracolumbar fascia. So in one of the articles that are in the references, they actually talk about that as being one of the entrapment sites it’s strong and Divya in 1957, they actually talk about how difficult it was to go to find the medial corneal nerves, but they felt that the entrapment side was through that thoracolumbar fascia. And then with further research, I think a decade later is when they actually started seeing the possible trap this side of the long posterior sacral ligament. So there’s two and Travis’ sites for us to be able to consider with the middle cluneal nerves that can mimic or contribute to pain in the SIB joint region. So let’s remember that one.

Hey Matt, can I add something to this, uh, later on, uh, when we talk a little bit more about treatment, it’s worth that noticing the connection between the, um, long posterior sacral, uh, sacroiliac ligament and the sacred tuberous, like a mint, cause that’s all kind of one chain of, of continuous tissue. So the sacred tuberous ligament ligament goes from the issue of tuberosity on the kind of bottom of that image as starting right there and then travels up at an angle towards the sacrum. Um, so we might come back and mention that later. So just, this is a good image to see that. All right, thank you. Um, next slide,

We talked about the neuro travels through the superficial fibers and exits a slightly lateral to you be 32 and 34. So that would be our landmarks. So the entrapment site couldn’t be through that long posterior sacral ligament. That’ll be deep to that region and also through the thoracolumbar fascia as a possibility. All right. So in this very interesting study from, uh, Kono and atta, the middle cluneal nerve is associated with pain involving lower back and buttocks. It can mimic sake, really act joint pain. It creates sciatica likes sensations, which is really quite fascinating. Now, according to our research, the trapping of the middle cluneal nerves is underdiagnosed cause of low back and or lakes symptoms. And if you refer to this research, uh, what they found was in 13% of the cadavers that they dissected, they found that the, uh, middle, middle cluneal nerve was adhered and trapped underneath the long poster sacral ligament.

In fact, they teased out the middle corneal nerves in the middle colonial nerves. If we look at this pin had normal density on one side normal density on the other side, when the attract it was, it was really, really very, very thin. So that patient most likely had low back pain, which was an attribute from the middle cluneal nerve as fascinating. So 13% of the population. So think about how many people are coming into your office with low back pain, like said it’s a good routine thing to check for superior cranial, nerve entrapment, and middle cluneal nerve entrapment on this image. You’ll see, there’s an a, and then there’s a B. And what they did is they measured from the lower border of the PSIS and the posterior, um, the long posterior sacral ligament, which is a mouthful to say where approximately where that attracted is from the lower border of the PSIS. And on average, it was about one centimeter. It was about one centimeter, so that you can see why that entrapment would mimic sacroiliac joint pain because you’re right next door to the lower aspect of the sacroiliac joint. [inaudible]

All right. So Brian, we’ll go ahead and jump into this one together. I’ll start it off. So the Cardinal symptom of chronic low back pain with, or without legs symptoms, you guys, so this remember that it doesn’t always have to be a chief complaint of parasthesia, but it’s a good thing to ask if somebody talks about a little bit of numbness or tingling and they may not even be aware of it because it can be so subtle, um, into the butt off region or maybe down the leg. I’ve of course, if it’s going down the leg, we have to rule out a disc problem with the many different nerve tension test for sciatica. Um, common aggravating activities are going to be walking rising from sitting, standing flection and extension. So a lot of functional examinations are going to be important with this. Uh, patients often find that pushing above the iliac crest with their hand relieves symptoms of the superior cluneal entrapment. So that kind of body language you want to watch for, you can ask the person if they find that if they put pressure on their low back and they push down a little bit, if that helps, that would be a sign as a possible nerve entrapment.

Yeah. They’re kind of decompressing it themselves, right? Yeah,

Exactly, exactly. They’re decompressing and try to open up the, uh, Travis’ side. I mean, people can have this for years because it may be just low back pain of a two or a three, and then sometimes it gets really bad to a four or five. And how many people do you know that just don’t get treated with their low back pain thinking that it’s just an aging thing. So this is something for us to consider when that patient comes in. They’ve had it for chronic low back pain for years, definitely check for these nerve Travis’ sites. In addition to the other things that could be occurring, it could be sacroiliac joint problem. It could end up being a Yon syndrome where there’s a strain within that soft tissues. And we’ll talk about that a little bit more when we get into posture, which I think is in a few more slides, Brian, you want to take it from here?

Let me just, uh, dimension the, uh, leg pain aspects. And, and you can tell me if I’m correct on this map. And my understanding with that, first of all, the cluneal nerves, if you go back to those images, do travel through the gluteal region. Uh, they’re superficial at that point, but they’re traveling in the adipose to, in route to the skin, uh, over glute max glute medius, depending on which, uh, which ones we’re looking at. Um, but the leg symptoms, uh, from my understanding, I think is more of a sensitization and, and a common innervation for other nerves that are traveling peripheral nerves that are traveling down to the legs. So if it’s very, um, severe entrapment, then that can start to irritate the other, other structures in that same innovation zone and, and cause pain in the legs. That’s my understanding of it. Does that match, match your, your, um, understanding of that, the leg symptom, uh, component of it?

Yeah. Cause it makes sense. I mean, it shares the same sciatic nerve distribution of being L four down to S3. Yeah.

Yeah. And especially the middle cluneal nerves, which have a lot of, uh, innovation of the legs. Yeah. So, um, looking at, uh, uh, pelvic imbalances, if there’s an elevated ilium, uh, anterior tilt, uh, is, is often associated too with it because of the shortening that can happen in the thoracolumbar fascia with that, of course a posterior tilt is going to kind of overstretch that, um, that same structure. So it wouldn’t be unheard of to have a posterior tilt of the pelvis, but those are the things to really note and notice with, um, with, uh, uh, cluneal nerve entrapment, regardless if we’re talking about the superior or the middle colonial nerves, just because those, uh, postural imbalances and we’ll look at an image for this to kind of highlight it. Those are gonna put extra tension on, on the ligaments, the, the, uh, posterior, uh, sacred iliac ligament that we’re talking about, the long posterior sacral ligament, um, but also the thoracolumbar fascia and how that tension patterns are then going to relate to a propensity to entrap the nerve.

So when we get to an image on that, we can highlight some of those aspects. Uh, as we both mentioned, this could be the cause, you know, this could be what, uh, is the, the, the main pain generator for a patient. Um, it could be like number one, but you know, it also can be just a component of a series of things that are kind of coalescing in the same area, and that can cause pain. So it doesn’t have to be an all or none type of type of thing. Like Matt mentioned, I think 20 or 30% of it might be coming from the clinical nerve irritation and entrapment. So it’s worth checking for, uh, do you want to talk about assessment mat

With it? I think the next slide we can jump into and kind of get into a little bit more. Yeah, there we go.

Yeah. So here we have that image of somebody with an elevated ilium. So you can look at and see that the person has an elevation on the left. So sometimes we call it a left, elevated ilium. Sometimes we refer to that as a right tilt of the pelvis because the whole pelvic structure is tilting to the right. The top of it’s kind of pointing to the right, but the left side is high. And that’s the main thing to notice. So with that, there’s going to be a lot of shortening and things like the quadratus lumborum iliacus Talis lumborum, those are all, uh, kind of intimately associated with the thoracolumbar fascia. Um, so that’s gonna, uh, tend to, uh, correlate with more of a propensity for entrapment of the, um, cluneal nerves. I would tend to see it more often, see it on the side of the elevation, but again, just those changes are going to change the tension patterns on both sides. Really. So the fact that that, that the tension patterns are changed and disrupting the, uh, the, uh, uh, normal sort of, uh, even balance, uh, in the pelvic and low back region that, that elevation of the Lem could really be a big factor for, for people. Um, of course it’s not the only one.

Yeah. So at the takeaway with this, I believe is to make sure that you are addressing the pelvic imbalances, which will then help with the soft tissue imbalances that are in trapping the cluneal nerves, as well as causing a sick really act joint problems or Yon syndrome, or the other many other causes of low back pain, something of which that we spent a heck of a lot of time in module, two, trying to be able to teach people how to be able to balance these. Because when you think about it, you want to balance that dantien your center of gravity. And then by balancing that pelvic curdle that changes the balance above, and it changes the balance. Yeah.

Now this particular patient, uh, I can’t tell looking at them, especially from the back, uh, if there’s an anterior or posterior tilt, um, sometimes visually you can see that it’s a little easier to get in and palpate, uh, to, to, um, feel landmarks like the PSA. I S N a S I S and look, we have a particular protocol we teach to measure that that’s a little bit more accurate than just glancing. Same with pelvic rotation. That’s a somewhat of a visual assessment, but it’s all, it’s really more of a palpatory assessment, but this particular model, you can definitely see the elevation of the Lem. Cool.

All right. So then now the second to last bullet, did we cover? Yes. So, so the third to last bullet where it says cluneal nerve and trauma can be a contributing factor along with other causes of low back and leg pain. Absolutely. So when you’re diagnosing what is causing that person’s low back and leg pain simply, and this is the assessment. One of the assessments is simply taking your index finger or your middle finger, and just tap firmly, firmly, right over the area of Jalya where the superior cluneal nerves could be in tract. It’s like a tunnel sign. Alright, just tap very thoroughly all around that region, even onto the PSIS, where the traffic could happen, then move down level with you be 32 and you’d be 34, do the same type of tapping. What you’re looking for is the patient have any pain with that is a reproducing, the pain that they’re complaining about, is it reproducing any of the parasthesia that they know about, or maybe they don’t about it? Like if you’re, if you are tapping on there and it’s causing that, parasthesia consider that the nerves are entrapped and they are contributing to part of the clinical picture here. Brian was anything.

Yeah. Even before that, you might not have gotten to the point where you, you think about doing a tunnel sign there, but you’re just palpating. You’re kind of going through the process of figuring out where the cause of the low back pain is and trying to diagnose what the, what the condition is. And you go to palpate, maybe you think it’s an SSI joint, um, uh, it’s SSI, joint pain, and you go to palpate that PSIS region. And even with superficial pressure, you know, you barely, you’re definitely not pressing past the subcutaneous tissue into the deeper muscular structures, but when you start getting that superficial, uh, pain, that’s a little bit more pain than you’d expect at such a superficial level. That’s if I haven’t already been considering cluneal nerve entrapment, that’s a, that’s a point at which I’m definitely starting to think about it because it’s, uh, it’s, they’re, they’re cutaneous nerves. So you don’t have to press particularly hard to elicit pain if they’re irritated and then going from there to the tapping for a Tinel sign might be a consideration that’s, especially the case with the superior ones, you know, with the, the middle ones, the, the entrapment can be a little deeper if it’s at that, uh, ligaments. So that may or may not be quite the case, but if it’s irritated, uh, uh, at a periphery from that entrapment site, you still might get that elicit that, uh, very superficial pain.

All right. Should we go into a couple of needle techniques we could use? Yeah. So these are some images from the sports medicine acupuncture textbook on the left-hand side, you’ll see four arrows. Those are different vectors angles that we’ll use to palpate to affect the, um, iliac joint region. So the needle is going to actually be going into ligamentous tissue and the deep [inaudible], but let’s talk about the arrow that’s on the very bottom. Now that particular direction there, if you remember that direction is going to be very, very close to where the entrapment site of the middle cluneal nerve in the long post of your sacral ligament would be. So you could take your finger underneath that. PSIS approximately one centimeter go directly anterior, and then push upward toward that PSIS but deep angle it toward the sacroiliac joint. Now that’s really very, very tender and maybe even causes some parasthesia again.

Then you could be able to consider an entrapment site, and that would be a needle angle that we could choose. So going in with a three inch needle, or maybe a two-inch needle going into that Oscher point that we just diagnosed through palpation stimulating. Now, what you can do as well is to rotate the tissue around the needle. So turn the needle 180 degrees, 300 6720 degrees in one direction, as long as the patient’s. Okay. And then gently just pull up to loosen up that tissue with the idea, the intention of opening the area of the entrapment site. Of course, always to patient comfort. Uh, patients usually really liked that area because a deep, deep massage really doesn’t get to it, but that acupuncture needle can get to that region. So that’s one needle technique that you can use, but remember, that’s just one spot and this area is associated with the urinary bladder primary channel, and also the sinew channel.

So remember to link points that will address this region. So your adjacent and your distal points as well. Now you’ve got the images on the middle here on this slide and also in the lower right. That’s going to be looking at Yon. So the finger, you can see the middle fingers pointing right toward where that superior cluneal nerve can be entrapped. So that’s really quite tender. You can kneel that with your three inch needle. Um, the lower right-hand side is going to be kneeling in that level. And then as we discussed in the smack program, and this was Brian’s finding that this particular level is going to be more about the urinary bladder, send your channel, and if it would happen to be deeper, it’d be more about deliver channel Brian. You want to take it away? Uh,

Yeah. So this is another one that that needle technique by itself, uh, is great. And, um, I think what Matt was alluding to was if we’re at superficial, uh, pressing into Yon, we might, we’d be pressing into the iliacus Dallas, uh, muscle, which is also a potential, uh, site of pain in and of itself. But, uh, that could be putting excess tension into the thoracolumbar fascia. Um, and that would be more online with this new channel associated with the urinary bladder. So we might link it with, I don’t know, biceps, remoras, motor point, maybe beat channel points. We could try distal points and then go back and palpate that area and see if it reduces pain. If we go a little bit lateral sink in and go deep back to that same point. And we were at the quadratus lumborum attachment quadratus lumborum is on the myofascial plane that is continuous with the iliacus and into the abductors.

So it’s part of the liver send your channel. Uh, liver five would be my go-to point for that, but again, you can try different points and see if, uh, if that helps reduce pain at that site. Um, those, those are, those could potentially be vectors for the muscle pain, but those would also be associated with tension in that region. Um, when I, when I think that there’s, um, cluneal nerve entrapment, sometimes I do one vector like that, uh, just as being shown and I’ll do another vector above and trying to actually touch the iliac crest, kind of like two needles meeting at the same point and do it just what Matt mentioned with the middle Glendale nerve, where I’ll, I’ll, I’ll twist the needle to comfort to get the needle stuck purposely. You know, if you let it sit for awhile, it’ll, it’ll be able to come out, but you want to be able to get it a little bit, uh, wrapped around the tissue so that I can pull both of those needles in opposite directions. You know, one superior the other lateral to help decompress and open that area up. Maybe even a couple needles in, in that, uh, that region might be useful that way, but that would be by patient comfort. And you have to keep in communication with your patient.

Chinese needles are usually the best for that. Some of the, um, the Japanese or Korean Neil’s needles that are coded doesn’t wrap the tissue as well. So, um, our favorite needles for that is watchtowers. And you get the, watch us from LASA RMS. That’s good. Um, we’re about to show you. We’ll be,

Uh, Matt, since I let’s go back just for a second, since we’re mentioning, we both mentioned that, uh, usually you let the needle sit for 10 minutes or however long you’re going to have the treatment. They come right out after that time, but it’s always good to note which way you’re rotating the needle in case there is an issue and you have to D rotate it. Do you want to remember, oh, I did a clockwise. I needed to D rotate a counter-clockwise. So just, uh, to make a note of that is, is useful.

One more thing for me now is that after that needle technique, now this is not just an allopathic needle technique. This is going to be a needle technique for decompressing, that nerve entrapment in the region that you leave with that we’ll be communicating with all of the rest of the needles that you’re using during that treatment. So just to be clear, we’re not going in and doing the different needle techniques and then taking the needles out. That’s actually part of the treatment it’s going to be communicating with the channel systems. Just want to make sure that that was clear, uh, before we go to the next one. So we’re going to have two videos right now. These are some myofascial release techniques that are really very useful to use after the needle techniques. These techniques are going to be taught in the assessment of treatment of the channel sinews module two coming up in September. So these are just two of the, uh, mini techniques that we’re going to be teaching in that weekend class. Um, very useful for, uh, low back pain. And also in particular, these nerve entrapments. Brian, can we just go for it? Yeah, sure.

So this is a very simple technique just to spread and, and descend the tissue or the erector spinae as part of the urinary bladder sinew channel. A couple of considerations though, is as we’re spreading down the urinary bladder line, when we get to the iliac crest, we have a couple options. If the patient has an elevated ilium, may hike your Liam up. We might work a long, the iliac crest to be able to descend that tissue, but also to help, uh, push the helium down. In addition to that, a posterior tilt moving from medial to lateral will help sort of put the tissue back into a place. That’ll take them into an anterior tilt. So either posterior tilt or ilium elevation, I can take that tissue then to, from a medial to lateral position, they have an anterior tilt. I might gently come over the ilium, just being sure not to push into the bone and then descend down through the fascia over the sacrum. We’re going to find a good starting place somewhere around the inferior angle of the scapula. I want to be careful not to dig my elbow into the spine, but I’m going to be pretty close to the Lima, but the bulk of the pressure is going to be along the urinary bladder line sink in, and then slowly spreading downward [inaudible]

Patient movement. They can just gently take a nice deep breath and breathe in to the pressure

And exhale [inaudible].

And again, when I get closer to the OEM, that’s when I need to make a decision based on my assessment to either spread along the top of the iliac crest, going medial to lateral or in this case, I think I’m going to be careful not to dig my elbow into the bone. And I’m just going to continue downward to take the pelvis or influence the pelvis into a posterior tilt. Yeah. I can have the patients slowly talk to the pelvis under and relax one more time and track the glitch. Just try to slowly, just a little bit tuck under. Yeah, there you go. And that feels like a good place to exit.

Okay. It’s a very nice technique, especially after Neely needling in that area and helps reduce any kind of needle soreness. And then we have another one coming up, which is in particular really great for the sacrum and middle cluneal nerve. Brian, do I say anything before we jump into it? Nope. I

Think it’s about to start anyways. Or maybe that’s that play? Yeah, I think the video will describe it pretty well.

So it will be well working on the attachments of the glute Maximus, especially the sacral attachments and just that spreading and moving kind of softening the attachments along the sacrum. Very nice technique. Uh, we can adapt the technique to somebody who has a posterior and anterior tilt. This model. We have an anterior tilt, but I’m an exaggerate. The anterior tilt. You can imagine with that, that it’s going to be much more effective if I move that tissue away from the sacrum. Yes. But also downward to help encourage more. Posteriority tip the pelvis. Conversely, if somebody has posterior telecon tuck your pelvis under. Yeah. And in that case, you know, if you were working in that same direction, it’s going to encourage them more into a posterior tilt in the RDR. So it would make more sense to come from a different angle and help lift the tissue to help encourage more anteriority to the pelvis.

So we can adapt that general direction. But in both cases, you’re moving the tissue away from the sacrum, either away and down kind of lateral and down or lateral and up. So we’ll start with lateral and downward. I’m going to set a little bit out at the edge of the table. My side is towards her, so I can gently let my body sink into the tissue, using the elbow. Also a little bit of the proximal, although I’m going to go right to the sacral attachments, think perpendicular and then spread slightly lateral just to distract the tissue away from the sacrum, an inferior. I might have the patient gently and slowly tuck the pelvis under just the small movements, adequate good and relax, move slightly downward, get another area of the tissue sink in, talk under and move. That movement that you’re doing is going to help them talk the pelvis under relax [inaudible] and slowly, gently talk under

[inaudible].

So in some instances you might, especially with an anterior tilt, you might add to the technique I put in the patient into sort of a crawl position. And you can see in this position, that’s going to encourage even more of a posterior tilt of the pelvis. So I can do similar technique here. Again, similar technique with them in this position. And the position itself is going to encourage more of a posterior tilt

[inaudible]

And I might hold a little longer in this particular position.

[inaudible]

Okay. That was great. So with that crawl position, you could see that the long posterior sacral ligament will then be slackened because the attachment sites were brought together closer. The PSIS went into a posterior tilt and his Brian’s elbow was right there. Pretty much level with S two S3 S four region. So what a great technique for sacred iliac joint problems, as well as if you are suspecting any kind of, of middle cluneal nerve entrapment, Brian, anything you want to say before we do our conclusions?

No, I think, uh, I think we’re, we’re good. Um, just the fall assessment really to differentiate what’s causing the pain. Is this a contributor or is this really a sacred iliac joint problem or is this a facet joint problem? Um, thoracolumbar junction syndrome for me is one that’s really tricky to differentiate between just because of those nerves can also be involved in thoracolumbar junction syndrome, but they’re involved, uh, not as they exit the thoracolumbar fascia, but they’re involved, uh, in route to, to that region. So those are, those are a little trickier to differentiate, but looking at all, differentiation for all of those really ruled out which one is, or, you know, figure out which one is really the pain generator is important.

Yeah. A thorough differential diagnosis. Yeah. With through sports medicine assessment, and also through TCM, which is something that we do in sports medicine, acupuncture certification program. So you guys, if you like our education, please come join us at www.sportsmedicineacupuncture.com. You can also reach out to Patricia, which is, uh, through email AQI sport info@gmail.com. Um, I believe that’s going to be wrapping it up for us. You guys thank you so much for staying the extra time. I know that these are only supposed to be a half an hour, so thanks for the extra time and also come back next week. Cause we have Chen Yen coming in. Who’s going to be discussing a lot of great things. So, uh, Brian, it’s always a pleasure. Thank you so much. We want to thank the American Acupuncture Council for having us. Thanks for much you guys. And we’ll see you again soon. Yeah. Have a great day, everyone. All right. Bye

Chiang-AACBrown07212021 Thumb

TCM Infertility, Pain and Overall Wellness Geek-Out Session

 

 

However, the focus really is going to be on clinical and why it’s important to just keep learning and how neuroanatomy can advance your practice.

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Again, thanks to the AAC, um, for inviting me to be part of their, uh, To The Point show. And my name is Lorne Brown. I’m a CPA, a charter accountant. I’m also a doctor of traditional Chinese medicine in Vancouver, BC, Canada, and I’m also trained in laser therapy and, uh, I run healthy seminars and today we’re going to have a special guest. Um, my colleague and friend Poney Chiang, um, Poney is an acupuncturist as well. Um, he’s a neuro Meridian and neuro anatomy expert. And so he’s been teaching on healthy seminars so we can understand the neuroanatomy and neuroscience of acupuncture, both the classical and mainstream. And we had a geek-out session. So Poney and I had a Geekout session a couple of weeks ago, and we decided to share this with you, and I’m going to tie this into practice management. However, the focus really is going to be on clinical and why it’s important to just keep learning and how neuroanatomy can advance your practice.

And so again, I want to thank Poney for joining me today. Um, and there he is great to have you here and we’re going to, we’re going to geek out again. What I want to share with you is low-level laser therapy for fertility, and I’m going to give you a very short version story, but this has been my focus. I think I’m one of their early adopters outside of Japan using laser for fertility. And I do combine it with acupuncture. Um, and the reason, um, I started doing this was I came across a paper, um, where a medical doctor, Dr sure. Out of Japan, um, he, he he’s a pain specialist and he would treat people for pain. And he had this technique, which is later, um, been dubbed the Oshiro technique or the proximal priority technique. And he did a lot of work around the neck area.

And, um, he would always treat this first, before he treated the local area where there was pain. And in the story, the true story that happened here is he was treating a woman who was 55 years of age with menopause for back pain. And so he would do this proximal treatment. Um, the purpose is to create blood flow everywhere because if you increase blood flow everywhere, it would go to the toe and you’d go to the back and this would help with the healing. And so he did this technique with her and lo and behold, not only did he resolve her vaccine, but her cycle returned, uh, she wasn’t happy about that. And he thought it was a, one-off go see your OB GYN, cause it could be something serious. Well, within the calendar year, he was treated another woman in menopause for back pain.

Her period came back. So what they decided to do in his, at the hospital is they did a very small pilot of about 74 women that were translating to English as severe infertility average age, 39, several years of infertility, um, many cycles of art assisted reproductive techniques. And about 23% of them became pregnant. And over 60% had a live birth rate. And this is from a very poor prognosis group. And then they expanded that study to 701 women and 23% got pregnant, 50% got it, had a live birth. And his thinking was the reason these women had an improvement in their fertility is when doing this technique around the neck. Um, it created a parasympathetic response, which they were able to measure using thermal photography and other lab tests. Um, it would increase blood flow everywhere, including blood flow to the ovaries and more blood and circulation to the ovaries, better follicular Genesis, and lo and behold.

This was the reasoning why they thought the improve the fertility in these women. So I had been working on my protocol and I’ve spoken to practitioners around the world that are experts in laser therapy and treating fertility. Some that are treating the endometriosis and they’re doing stuff around the neck. They’re doing stuff locally on the abdomen. There’s doing stuff on the sacrum as do I. And I wanted to know why for a couple of reasons, one is it’s important to communicate to the patients how this will benefit them. And also the, the, uh, IVF doctors I work with. They want to understand this from a Western perspective, it’s, they’re not going to learn Chinese medicine. And so it’s important for them to understand that from a Western perspective, here’s the small little practice management tip and then pointing is going to come in and I got some questions for him and we’re going to geek out.

The practice management to appear is because I became well known as an early adopter for laser, for fertility. And because I invested in these machines, just so you know, um, I have several machines machines, each one’s, um, about $25,000 or more. Um, and I invested in these and women before COVID, uh, were flying to my clinic to be treated by this. So it wasn’t something I was expecting, or it would happen, but because I separated or separate myself from the pack, in a sense, I was doing something different. I was doing acupuncture for fertility, but I was bringing in laser for fertility. And I was able to explain from a Western perspective, how this can benefit and become familiar with the papers and share this, this attracted both, um, Western doctors and the public to seek my clinic for these treatments. So here’s the Geeko part because it’s important to know you can’t just buy laser, start doing this.

You want to understand how to use it so you can keep using it better and patients have questions. And so we have doctors, you got to explain it. So if pony can come back on here, pony, I got some questions for you. They talk about this parasympathetic response and, um, for acupuncture. So I’m going share with you. They talk about the anatomical features, but what they did is they did points in the nuclear, the also pity area. So do 15 bladder, 10 gallbladder, 20 area. They did stuff to, to reach the vertebral artery. So gel 17, um, they did the carotid stomach nine, 10, and they wanted to hit a feature called this Dalai ganglia, stomach 11. And can you explain to us in pony, how is this? Cause this is something we could use on all of our patients. If it’s going to bring chief flow everywhere, um, specifically also for fertility, can you explain then why these points stomach 11, 9, 10 do 15. How is this going to engage a parasympathetic response and increased blood flow everywhere, including the reproductive system?

Sure. Uh, if we can have the slides, please would make it easier for us to explain. So when you’re doing points, um, on the occipital area, um, or looking at points at gallbladder 20 blurred, 10 points in this area are actually where, as you know, the cervical portion of the trapezius muscle goes there, you might not know about cervicogenic headache. Ty traps can give you headaches, right? But the attribute this muscle is interesting is that as the muscle innovated by a cranial nerve 11 spinal accessory nerve. And so when you put a needle in trapezius muscle, including points that Goldberg 20 bladder, 10, even Goldberg 21, um, you are stimulating the spinal accessory nerve. We used to think that spinal accessory nerve is truly a motor nerve, but now we know that it’s actually sensory and motor. So what that means is that as an African bring information back to the brainstem, back to the nucleus of this cranial nerve 11, and what’s interesting is that quite another 11th nucleus is right adjacent to the cranial nerve 10 nucleus, which is a Vegas nerve.

So it is known that there’s new Peters have interactions with each other. So this is why simply needing points that GABA are $20 21. Anything that is supplied by the spinal accessory nerve will have effect from the cranial 11 nerve nucleus to the or 10 biggest nucleus. And as you know, Vegas, 90% of the body’s parasympathetic response. So we can easily explain how points in the back of the neck can achieve this increase in parasympathetic state and therefore more profusion to all the glands and organs of the body. Now ask for points in the front. Um, uh, while you’re looking at here in the dissection picture, uh, it’s got the throw in the south big is all removed and D these long, um, cell tissues that the, um, the probes are supporting or raising, it’s called a, it’s called a cervical sympathetic ganglion. So, um, uh, if you look at the diagram on the, on the bottom, you’ll see there’s actually three cervical sympathetic ganglia superior, cervical, middle cervical, and thoracic also know as the Stella, as an a star.

So, interesting thing is that every single one is Ganga are actually an acupuncture point. That’s already been passed down to it by ancient acupuncture or ancient acupuncture anonymous. And when we stimulate these points, if we can look at the Sutton, the next slide, please, there are correspondence like given to us in terms of the point. And the exact ganglion does involve without going into way too much detail. Okay. But you should want to gangs are actually supplied nerves to the heart, the cardiac. So they each one of these gangs individually and collectively supply the cardiac nerve that controls the contraction. So if you are modulating this, you are improving cardiac output. Therefore it’s an increased blood flow to everywhere in the body. So this is likely how the Ashira protocol was able to, to, you know, inadvertently increased fertility, you know, even though the focus in our neck, but because it’s affecting the civic center Ganga, which is known to control the, the, um, the heart rate, it’s increasing cardiac output, which gives you blood everywhere, including reproductive organs.

Brilliant. And thank you for that. And this is, so this is why I think, because it’s on the parasympathetic, I think of cheapo like liver cheese stagnation would become tight and constricted and that’s authentic. And when you’re in parasympathetic that she’s flowing freely, which is probably why most of the research, the women 38 and under seem to be benefiting most from laser fertility, because they’re the cheese stagnation type. And once you get into the 38, plus we’re probably getting more into the kidney in, in young deficiency. And, um, maybe we’re not able to, um, with the laser therapy do enough for them. And so this is my working theory. I think a lot of the women we’re seeing that we’re helping have a form of stagnation in Stacy’s. The laser therapy has other benefits, too. It helps regulate inflammation. Doesn’t Al not only just increased blood flow and it does help improve the mitochondria functions.

So there’s all these benefits back to our neuroanatomy. So myself included, a lot of people started wanting to put the lasers closer to the ovaries, but in the laser world, um, red and infrared light, it’s really difficult to get that kind of light to the ovaries in the Oshiro group. They did the neck and they also did a point near when 12, they didn’t say why I was thinking, they’re trying to hit the ovarian artery because it kind of comes off the aortic arch near there. But you’re telling me from a neuro anatomy perspective, there’s a different level. And, um, can you tell me why there might’ve been benefit from then doing the, the red 12? Is there any reflex points or anything happening in the abdomen that we’d want to target and before you go, they’re pointing. I just want to share that where we’re at today is we want to do the approximal points.

We want to get the blood flow. We want to hit some lymph nodes that are feeding the abdominal area. And I want to talk about the lotto gene, a lot of non Chinese medicine, trained, um, laser therapists, um, always treat the nerve roots coming out that are innovating the area they want to effect. So this is kind of what I want to cover with you today from a neuro anatomy, neuro Murray and acupuncture specialty, what are we doing from a Chinese medicine and Western perspective? So is there any benefit doing something locally that’s going to help, um, with the ovarian function and uterine receptivity, keeping in mind when we talk about the needle or the laser, the laser is not going to reach therapeutic level. It’s unlikely. It’s going to reach the ovaries and you’re not going to put a needle in the ovaries, right? You don’t want to do that. So, so what is happening here? What are we doing when we do these lower abdominal points that can be impacting the reproductive system, or were they just having happy thoughts? And there is no real benefit from the run 12

Area. Uh, if we can have this slide with the sympathetic and parasympathetic, uh, innovations of the spine. Um, so while we get that ready, let me just explain that. Um, in Chinese medicine, we’re talking about ying and yang, visual, Oregon in Western medicine to have a similar and how we try to achieve healthy balance in Western medicine has similar notion of homeostasis where you’re trying to balance the parasympathetic and sympathetic nervous system. Yes, that’s the mind. And so it’s, to me, they’re very analogous concepts in Eastern medicine, and we’re trying to balance any, obviously Oregon in Western medicine, we’re trying to achieve sympathetic comparison, like balancing short and, and, and the other student is that each organ has both sympathetic and Paris, the next innovation. And they both do their job to encourage ensure optimal function of each Oregon. So if I can draw your attention to the left side of this diagram, what you’re seeing here is the spinal cord. And those little dots are horizontal lines that are coming out from the blue dots. And the blue lines represent parts of the sympathetic chain, which is, as you may recall from square thoracic or lumbar. So it’s [inaudible].

And so when you look at where those nerves go to, they go to various types of, of, uh, uh, plexus in gangland then, which then subsequently control the blood flow to various organs. So, um, as you know, a lot of the, the, um, uh, fertility related points, um, um, uh, they took on shirt for on the actual point, um, stomach 29, which was supposed to mean gray line is returning the period, right? So these points are located in the lower pelvic area. So where, um, so how can we account for this based on this, um, understanding of the sympathetic person and never system, if I can draw your attention. And if we really hone in to the very, very bottom blue nerve on the left side, it’s called a lumbar spine secondary. And, and, uh, so if you have a laser there, right there, perfect.

And you can see that, uh, from there there’s one more pink, red color that comes out, it’s called a hypogastric plexus, right? And then if you look at the very, very bottom word in the gray box, it says reproductive organs. So that means that if we can trace the report organs, blood flow to the hypogastric plexus, which by tracing one level up to the lumbar spine CIC nerve, and then back to level L one L two. So if we look at the points that are in that area, it’s going to share in stomach 29th. And, and it’s only Tanya that if you look at the indication though, I have to do with, with fertility, with men seas, with reproduction. So we can explain that because those points in that area are exactly Lyn 12 region of the, of the, of the dermatome. So by, by putting nerves there, we are having what’s called reflexive effect.

The needle stimulate T 12 L one nerves, which travels back to the spine. Does these nerves wrap around from the spine around to the interior as aspect of the body, does the Afrin sensation and back to the spine and reaches is corresponding T 12 L one segment. Now each second, each second response has sensory motor, as well as sympathetic, um, uh, types of innovation. So we call this reflex effect. Once the Afrin reaches a segment, it was sent information to the corresponding autonomic levels, which in this case are digs, precise, autonomic levels of the, of the body that controls the, uh, cemetery output or the blood flow to these reproductive organs. So it is by, it seems that we’re affecting and locally, we are, we are in tenders that were needing over the ovaries for example, but the information is going back to the spine and then the spine, um, passes it through the sympathy, Oregon, which then sends it back into the Oregon. It’s effecting it’s instantaneous, but it has undergone a complete full stroke. It, but it happens so fast that it’s, it seems as if there’s an immediate effect. And

So, um, when you’re the, whether this spinal segment segments that are innervating the ovaries and cause, um, I’ve heard also in some of the literature I looked at, they were talking about like T nine T 10 and T 11 innovate, the old reason, S one S two more for the uterus. When you mentioned stomach 29 and Z gong, you’re saying that’s more like T 12 L one. And we, when we did get go, you did say there’s like a Christmas tree effect. So when you’re needing below, you’re still getting a lot of these or lasering. You’re getting those above, but can you just clarify what you’re seeing there? What’s from this diagram, what’s innovating the old reason what’s innovating the uterus from the spinal second.

Okay. So if you were to, to, uh, look at the Y to Jaggi points or the, uh, the back shoe points along the spine, um, re recall what we were about the sympathetic chain is [inaudible] right. So all two of bring us to 2023 level and our be 20, 22 levels. I say bladder 2023 level is two. And then bladder 22 is our one. So, um, now we’re talking about what’s called the dorsal Ramiah of the spinal nerve, as opposed to the veterinary. And I, when we were talking about needing the pelvic area, those are the parts of the spine of that came forward. They call the interior Mr. Ventura, but there are ones that go back to integrate the muscles around the spine. And those fellow doors are in mind. So if you needle L one L two, which happens to be bladder bladder 22, 20 23, and these are the points that we would use anyway, because there can use reproduction in Chinese medicine, right? Actually, probably that you need to read it by KMS, but if you need, at that level, you are still at L one and L two. So the same simplest reflux applies. It’s just that now it’s happening through the posterior branch as opposed to the ventral branch, but at the same permission will ultimately go back to the same segment, L one L two and then cross into the sympathetic, uh, aspect of the, of our body. So

Again, beautiful Chinese medicine that we have, the front middle and the back shoes. If somebody is facing, we can treat anterior, we can do the Z gong and stomach 28 are still make 29 points and have that reproductive effect at the point say, or if we’re treating them face down, we can do the back Shu point, like we know for a kidney for reproduction. Um, and again, same segments so we can dress it, both sides. So the Chinese medicine approach understood this 2000 years ago. And now with neuroanatomy, we can explain why you can do it face up or face down, and you’re still having that effect. Am I, if I’m understanding

You correctly? Absolutely. And there’s this one tiny, tiny bit I can add to that is that we’ve been talking a lot about what’s going on to lifestyle as a slide today. Let’s take a look at the right side of the slide, which is a parasympathetic. So it, um, ultimately when we need all yes. If, if we can just focus on the sacrum area on the, on the bottom where the black two black lines coming out. Yeah. Or that area right there. So oftentimes I get asked, um, you know, if you’re stimulating a SIM and say, isn’t it that gonna reduce blood flow and, um, and, uh, uh, we only want to stimulate the parasympathetic that that is correct. But what we do know from a lot of studies in acupuncture is that, um, uh, the ultimate net gain effect that acupuncture is parasympathetic. It, even though it’s limit points are supposed to more sympathetic is a very short transient effect.

It’s almost like the body knows that, oh, I’m feeling more sympathetic. Now I can activate my own homeostatic mechanism to go towards parasympathetic. So the end result will always be parasympathetic. So you can think of it as using the young, to treat a year in Chinese medicine kind of concept. Okay. Obviously they are obviously see within each other. So inseparable concepts. Now let’s take a look about a, the Paris Stemmet idea. We would need a formula that directly. So those are your, your, your, um, your secret for MRR points, but our 31 32 33. So if you look at the bottom, uh, of the right side of the, this fixture, um, you’ll, you’ll see that these, um, these nerves also supply the reproductive organs, right? You see that there’s college coming up from there, from the black lines on there, right? It’s not just a red lines on the left.

That would mean that we put our origin as well. So just, if you want to be super finicky, theoretically speaking, or anatomically speaking, it’s only as two and three and onwards would have the effect. So that means [inaudible] or bladder 31 is not as important here. So if you have the ability to palpate the real for a minute and try to put the needle into that for, to affect those points, you want to target as to it onwards. So if we can have the very first slide, we can jump to the very beginning, we get it, we get a sort of inside out view. There it is. The inside our view of what happens in the sacred and the inside. And you see all those nerves and all the blood vessels over there, they actually communicate with each other. So when you put a needle into [inaudible], we are increasing the parasympathetic control of the pelvic organs and blood flow directly.

Now you may look at this and realize that, oh, this is kind of like the Sonic nerve, right? These nerves become the side nerve NSI. And it goes all the way down to the back of the thigh, into the lower leg, even down to the foot area. And what’s the point that’s most commonly associated gynecology in all the Chinese medicine, spleen six, right? As many as six lies exactly on the site, Agner trajectory. So even though you may not be needing the second directly by noodling spinning six, you are liking kneeling in the sacrum indirectly. What’s the message comes back to you because the sciatic nerve is, um, as, um, uh, alpha syn two segments. So crosses these these segments so that you will have a direct impact on the blood flow to of the, of the pelvic organs, reproductive organs, your genital organs, and so on and so forth.

So these things that we learned from, from traditional indications that passed down, there’s absolutely no reason to doubt they do what they say they do. It’s just that we don’t have the understanding to catch up with these information. But, but, uh, another thing is that if you understand this new anatomy, then you can actually create more points. So points like, can you four, can you, five are all derivatives the Stagner and, and, and you can see why they will also potentially be very effective for treating fertility issues and you can create your own protocol. So once you understand the new UNM, I remember

When we had our offline geek-out session, you’re sharing how spleen six, the nerves, a little bit deeper, but easier to reach it, like kidney three or kidney six, because of this reflex point. That’s what you’re talking about now.

Yes. So the, the, the, the part that say that reaches that immediate aspect, the ankle is called the posterior tibial nerve. So if you go through Spain stage, they actually got to pass through a muscle called the Fetzer digitorum muscle, you know, to get to the dinner. But if you go a little more distant with when the nerve becomes more superficial about, at the level of CUNY 3, 4, 5, 6, those points you can think of it as, like, can you say X four or more for year and aspect, right. Can you three for CI aspect, those points are still derivatives of the sagging there. So the message was still go back to the, to the S two S level two to improve circulation of that pelvic pelvic organs. So there’s no re ne no reason why you can, it cannot add another level of TCM on top of that heel. How do you decide within Spain six or seven spins three? You know, they are all Threadless. I never anatomic issue at work, but, you know, six might have more yin indications or is three might have other indications, you know, or you want to use a more of a, a low point. Like, can you afford, for example, so you can, how they’re actually not mutually exclusive. You can actually refine it further with, with a TCM lens on top of it.

And this is why, um, I like studying with pony and why I recommend pony. Um, I remember one of your course on healthy seminars, you’re talking about these nerve roots and having this discussion about the sympathetic and parasympathetic and how you mentioned you’re reaching the sympathetic, but it has this parasympathetic effect, because I think you were mentioning, there’s like three that were coming out from the dorsal root. Um, you reached the more superficial one, but when you reach that superficial one, they’re like their siblings, they’re all affected. And therefore you’re getting that parasympathetic as well. That’s right. And so, um, tying this together then, um, I just want to share with you that, uh, the Chinese medicine aspect of it, it just blows my mind still how brilliant it is because we’re choosing points based on a different paradigm. However, in modern times with this incredible technology, it is explaining it is validating these points.

And I know some of my colleagues are purists and they don’t want to know anything about the west. And I like to know as much as I can about both. Um, because as you’ve shared, it can help direct your treatment in choosing your points. And what’s really valuable in clinical practice is my patients and the doctors. I work with the medical doctors. Um, they’re not going to understand the back Shu point for the kidney, but they want to understand how this nerve root is going to innovate the old reason. If I do this, we know there’s a parasympathetic response, which brings more blood flow there or activates this organ. That’s important to them. And so this is why I highly recommend the integrative approach. It does not mean forget about what you’ve learned and forget it, what acupuncture. It really is going deep into the classical and going deep into neuroanatomy, but with a trained acupuncturist, like pony Chung, because you pay tribute to both medicines, you don’t dismiss one or the other, and you’re constantly the two which helps with clinic, you know, myself.

Um, I’ve invested, it’s almost embarrassing. I was looking, I have over $260,000 in lasers in my clinic now we’re, we have many practitioners, so patients want it. So we need to have these lasers. And I don’t know how many thousands of hours I’ve invested so I can keep, um, modifying how I do it. So I can be individualized and improve our, our approach. And as you can see, I’m talking to people like pony. We did this conversation, a version of this offline. And then I just said, you know what? This was so fantastic for me. I want to share this with everybody. And so this is why we came on and did a mini version of what we did already, because I think this is really beneficial. And so my message here is not to be scared of other things like laser therapy. It’s incredible how it’s transforming my practice.

I use both the acupuncture and the laser in my practice for fertility. Um, and so that’s been valuable. It’s made patients, um, want to, um, come to my practice for these treatments. And I keep learning and talking to people like pony, um, cause it gives you the confidence and the key is to be able to communicate why you’re doing what you’re doing. And so I’m not suggesting that you just violate her and start to do it. Um, just like you wouldn’t want somebody just to do a weekend acupuncture course and start doing acupuncture on people. You do want to under, you want to get good quality lasers and you really want to understand what you’re doing so you can play with your protocol. I have to give another big, thank you to pony again, for the cadaver work you’ve been doing. And just the deep dive you’re doing in neuro Meridian acupuncture. Um, and, and bringing this to the masses again, you can study with pony on healthy seminars.com, um, and a big thank you to the American acupuncture council for inviting me to host this show. I want to let you know that your speaker next week will be Poney, Poney Chiang also hosts a show on the AAC. So tune into the ACC and you can listen to Poney Chiang and hear what he’s going to talk about on his show. Uh, thank you all very much and Poney, Thank You. Have PTT anytime. All right, till next time

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How To Clarify Your Message So Your Practice Can Survive & Thrive

 

 

I want to help you get more people on your treatment table. And that’s what these talks are all about. To help you be seen, to help you be heard and to ultimately bring people into your practice so that you can make more money, change more lives, help more people, and kind of create the life and grow into the dreams that you imagined for yourself.

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Hi folks, Jeffrey Grossman here. Thank you for this opportunity to share some practice and marketing insights with you. For those of you that don’t know me. My name is Jeffrey Grossman and I’m the founder and owner of Acupuncture MediaWorks, Accu downloads, and Accurate, Perfect Websites. And I started my practice in 1998 and I had a lot of these trials and tribulations and so many struggles that I basically had no marketing savvy that I had to start from scratch like many of you listening today. And I noticed that I had a problem in knowing how to market my practice and properly communicate to my patients because all I wanted to do was to treat them and not to market to them. But this struggle took me down the path to create the companies that I run today. And it’s, it’s a longer story and best preserved for another time.

So what I want to remind you is, is, is that we as acupuncturists, you, as an acupuncturist are an incredible resource. You’re a natural healer. You now, how to help people get and feel balanced and healthy. You know how to help people get well using safe and natural methods and you change lives every single day. The thing is, people want your help. They’re looking for your help. They need your services, but unfortunately many people don’t even know that we exist and we’re gonna help you change that. Oh, I want to help you get more people on your treatment table. And that’s what these talks are all about. To help you be seen, to help you be heard and to ultimately bring people into your practice so that you can make more money, change more lives, help more people, and kind of create the life and grow into the dreams that you imagined for yourself.

So I also want to remind you is that you’re never alone, that I’m here for you. I’ve been where you are and I’ve struggled. I have one of the same issues and concerns. And if at the end of today’s talk that you feel like you need more help getting set up or becoming focused. Or if you just need a little motivation to move forward, please please reach out to me. The, there are so many opportunities than ever for you to help more people, but you have to understand what people are looking for now and how you can best present that to them. And because of that, because I feel like I want to support you in your practice growth on what you to have the latest updates, the latest research. So I created a detailed report for what is working now and recommendations on how you can make it work for your practice to get more people in your treatment table.

It’s a 15 page resource that you will find invaluable. And I’ll share that with you at the end of today’s talk. So you could use, today’s talk. You can use this ebook resource that I want to share with you, um, to help you grow your practice. And just one or two of these changes that you walk away from, from today’s talk and tap into from what we’re going to be sharing with you today, or from this ebook can make all the difference for you. Okay? So let’s go ahead and get started. I want to talk with you today about the three part framework to clarify your message so that your practice can not only survive but thrive. And today I want to talk with you about two marketing concepts that everyone on this call should consider adopting into their practice. And what I’ll be sharing with you today will separate you from your competition and allow you to deliver a more clarity and focus messaging to the community that you serve.

So you may have heard of Donald Miller. He is a profound author and influencer in the business world and his teachings and ideas. They’re not new. He’s simply been able to articulate them and simplify them for the marketing newbie to understand and connect with the concepts that I want to share with you are from his book. Marketing made simple and also from his other book called developing your StoryBrand. And I want to talk with you briefly on how to tap into the idea of creating your story brand and how to craft your one liner. And I’m going to break these down for you, tell you what they are, how to create them for your own practice and share a couple of examples with you. So first, let me talk with you about the importance of StoryBrand today. We live in a fast paced, overly automated, digitally driven society and expressing our humanity and cultivating connection is becoming a new premium.

These days. We’re surrounded with convenience and instant gratification. Making personalized human connections are increasingly scarce and they’re coveted these days. And with this kind of environment, your practice can no longer to appear to be human lists or a faceless entity. And in order to survive these days, you need to connect and bridge that human gap with prospects, engaging on a deeper level than before. And this is where your StoryBrand comes in. StoryBrand is the cohesive narrative that weaves together the facts and the emotions that your brand or AKA your practice evokes. And this is where you give your prospects, the reasons they should choose you, your services over your competition. Story. Branding is no longer a nice to have. It is a need to have and what will ultimately maximize your practices, visibility its profit and its impact. So treat this, treat your story brand as a compass for your marketing strategies.

So I want to briefly review the seven step framework of creating your story brand. Okay? And it’s more detailed. It is book for you to get it if you want to. So the first part is the customer is the hero a K a your patient. So you need to identify and be clear about who you are attempting to help targeting everyone is like targeting no one. So you act, you need to strictly define who you are helping. This is where I feel a lot of my clients fall short when it comes to identifying their perfect ideal patient. Step number two is that a problem exists, external internal conflicts that a patient may have. And there’s a reason that your customers choose you over the next practitioner is because of the external problems that you solve or frustrating them in some way. And if you can identify that frustration, put it into words and offer to resolve it.

Something special happens. And this is the first step to helping, which is clarifying the problem, your hero, AKA, your patient is facing step three, meets a guide, which is you. You’re the practitioner. The customers are looking for help, AKA a guide to help them through, to solve. The problem is that they’re faced with and the guide, which is you offers advice or wisdom or experience. And you share with them what they, what, what, what they would have done differently. Had the, how, how, how do you known better at the time? And you offer positive way, excuse me, a positive way forward to overcome their problems. Step number four, there’s a plan which is a treatment plan or home care recommendations. So customers are going to trust a guide practitioner who has a plan. So make sure that you make the hero note that you have suggested that you know why you’re suggesting the path that you’re suggesting to them.

So what steps do they need to take to schedule with you? What steps do they need to take to enjoy maximum benefits from your care? So spell out those steps. And this is usually mapped out during your report of findings and step five, there are calls to action. So coming in for care and following care recommendations, customers are challenged now to take action and nothing is going to happen unless they act on a plan. So a guide will motivate them or motivate the hero to take action. And having Claire clear calls to action means customers. They’re not confused about what actions they need to take to do the work with you. Step six, help them avoid failure, right? And this is when patients aren’t achieving their healthcare goals. So everyone is trying to avoid a tragic ending. So knowing what could happen if no action is taken is required to motivate the hero, to act on a plan that you’ve collaboratively set up with them.

And step seven seven, which is, it ends in success, which means you’re solving their internal and external problems and helping them achieve their healthcare goals. This principle shows people how your services can positively influence their lives. People are drawn to transformation. And when they hear about and see about transformation in others, they want it for themselves. And the more you, you featured their transformative journey with your customers that have ever have experienced that the faster your practice will grow, the more referrals you’ll regret. So that’s basically the seven step framework that you should go through in order to create a story brand for your practice. And I’ll tell you how to use them in your marketing shortly. So now let’s get, um, get into the next step, which is the importance of creating your one-liner. And this is another area that Donald Miller suggested all businesses.

And in our cases, our practices have dialed in a one. Liner is a concise statement that clearly explains your offer. And it gives you a simple, clear, and memorable way to tell potential customers what you do and how, what you do, benefits them. And it outlines the problem that you help your customers solve in a simple, relevant, and repeatable way. And this is composed of three parts, the problem, your solution, and their reward. And it’s incredibly easy to create, but it can take some time to refine. And here’s how to begin the process of creating your winning one-liner part. One is to identify the problem and in this step, identify your customer, right? And the major problem that you help them eliminate, where is their life painful or uncomfortable, and what do they want to change? What’s not working for them. What keeps them up at night and you can get specific, but keep it concise.

And when someone asks you, what you do, your habit is probably to give them a direct, not very compelling answer. For example, if you’re in the house cleaning business, then the normal way that you’d likely answer this is by saying I clean people’s houses. Or if you’re really could, you might say I clean people’s houses so they don’t have to. And when you answer in the normal way, you’re cutting out the part of the equation where you have the most opportunity to connect with people. And that’s exactly what the problem section of your one-liner does. In other words, if you start with the solution, I E that I clean houses, then you have nowhere to go in the conversation, which is why it’s vitally important to start with the problem instead, because the problem opens up a story loop in your conversation. So instead of answering with I clean people’s houses, you start with this kind of response.

Instead, most people pay cleaning their houses. It’s a completely waste of their time and it robs them of their weekends every single week. And when you begin your answer with the problem, instead of a success response, you’re drawing the other person into a more, uh, into more than just a conversation. What you’re doing is you’re actually inviting them into a story. And since you’ve only provided one part of the story, which is AKA are the problem that you start mentioning, you’ve opened up what they call a story loop in copywriting lingo, and their brain wants to know, and it needs to know the rest, right? So once you tell them that most people cleaning their house. So they’ll immediately think to themselves, that’s totally right. I pay cleaning my house every single week, and now they’re waiting for the rest, right? And no, you know, you’re not being sleazy or salesy when you approach the conversation.

In this matter, you’re simply engaging people in a story and using a more effective approach to marketing and sales. And here’s an example of the problem that you may be familiar with. And I’ll be sharing the rest of this. This is a gamble as they go on in the next few steps. But for now, the problem in this example is people are tired of taking pills. Okay? So just keep that in mind. I’ll get back to that in a second. So now for part two, so the first part is identifying the problem. Second part is coming up and bleeding what your solution is. So now that you’ve opened up the story loop by starting your answer with the problem, it’s time to begin to close it, but not entirely. The solution is where you get to begin telling them what you do. So going back to the housekeeping example, you could continue by saying, so I have an entire team of professional cleaners who clean your house and make your home look like a million bucks.

Again, you don’t just say I clean houses, you spice things up a little bit. You had some, some juicy little details and you include emotional elements, right? And you leave people thinking, wow, that sounds incredible. How do I get my hands on that? So if there is something unique about what you do or what your practice provides or what services that you provide, especially, especially if you’re in a crowded market, the solution section is also where you can include those details. In that case, you don’t just say I clean houses is dead. You tell them. So I have an entire team of professional cleaners who clean your house using state-of-the-art vacuums and all organic cleansers. Okay. You started the conversation, whether it’s taking place in person or on your website, you’ve started this conversation with a problem and you’ve opened up the story loop and you started bringing people in and interested into what you’re saying.

Okay. And the solution is where you solve that problem. And so how do you write the solution section of your one-liner? Well, writing the solution section sounds pretty simple because it can often be the easiest portion of right. And that doesn’t mean you don’t still work at it and write it down. You should come up with like three or four variations before you land on the winner. So here’s part of my familiar example. So the problem was, people are tired of taking pills. That’s the problem. They’re tired of taking pills. Your solution would be. So we offer traditional Chinese medical treatments and state of the art therapies for the relief of chronic pain. That’s the solution you offer now on to putting all this together in part three, which is the reward to this point in the conversation, again, whether it’s in person or in your marketing materials, you’ve introduced a problem that potential customers are facing, and you presented your solution that you have to offer, right?

So now it’s time to aim high and hit a home run. And the reward section of your one-liner is where you get to brag a little bit. And this is where you get to tell people what your life, I’m sorry, what their life will look like after they’ve used your services. And this is where you share the transformation that can occur in their life. As a result of working with you again, that housekeeping example, people don’t want their houses cleaned, and they don’t just want it to look like a million bucks. They want their weekend back. They don’t just want to spend that time cleaning. And the reward section is where you remind them that that’s exactly what you provide. How do you write the reward section in one of, in your one-liner? Well, you want to focus on how your product makes a customer’s life better based on the transformation that you identified already.

And again, you likely won’t man, nail it on the first, try instead, write out four or five or more options or different variations and see which one that you liked best. So remember at this point in your one-liner, you need to make sure that each section is telling a consistent story and that they all flow well together. And to put my familiar examples together, here’s what your one liner should sound like. The problem people are tired of taking pills, your solution. So we offer traditional Chinese medical treatments and state-of-the-art therapies for the relief of chronic pain and their reward is we help people have less pain, more movement and a better life. How awesome is that? One liner, people are tired of taking pills. So we offer a traditional Chinese medical treatment as there are therapies for the relief of chronic pain, and we help people have less pain, more movement and a better life done.

Okay. So to recap, what’s the pain point you want your customer, your customer wants to resolve. Okay. What’s your unique solution to that pain point? And how does your customer’s life look after their pain is resolved? Well, now that you’ve made your one-liner it’s time to share it with the world and I suggest doing it the following way first practice it. Okay. Ask some brutally honest friends or strangers at a coffee shop to listen to your one-liner and tell you if it is clear, what you do and how you help second memorize it, and like actually memorize it. Right? And if you have a team, have them memorize it to other part, put it on your website. This statement should be the first chunk of copy that people see when they hit your website. And don’t forget, make sure that you use it. So next time someone asks you what you do, give them your one-liner and see what happens and add it to all of your marketing materials, your business cards, email signature, LinkedIn, Instagram, Facebook, Google, Twitter, okay, just put it out there in the world.

This is transformative. And if you dial it in will set you apart from your competition. Here’s a couple of examples I want to share with you too many people struggle with pain and injuries. We provide effective treatment that allows you to perform well in life sport and work without pills, surgery, and high costs. We offer unique and individualized evaluations and treat injuries with prenup, cupping, and acupuncture so that at our, so our practice members can go out when their next race and feel great. So now you can clearly communicate what your practice offers and why people should buy from you in one simple sentence. So now the great thing is that this is the one-liner that you’re going to repeat thousands of time to every single patient until they can repeat it as clearly as you can. And this is the single line that your front desk is going to be using.

And it’s also what you’re gonna be telling your accountant as also what your spouse will repeat and your kids will repeat, and you’ll even put it on t-shirts or even hats. And, and if you can create a clear and concise message for your practice members, they will reward you with sending friends, family, and everybody else to you. Okay? So I hope that you receive some answers and inspiration and insight for what you needed today. And I want to encourage you to reevaluate your plans, right? What are you going to be doing over the next 30 and 60 and 90 days in your practice? Do you want to put together a one-liner? So, hi, I’d love to help you and give you a fresh perspective. If you need help. I love to start a chat with you and I offer a free 15 minute mentoring and discovery calls.

What you could do is shoot me an email at Jeffrey, J E F F R E Y at acupuncture, immediate works.com. And I’ll get back to you as soon as possible in the subject line, say, I saw you at the AAC. So again, Jeffrey, J E F F R E Y at acupuncture, mediaworks.com. And I’ll get back to you as soon as possible. And remember that you are an incredible resource. You change lives day in and day out. You know, all about this amazing natural life, changing ways to support a person, um, to be healthy and to be strong and to be immune strengthened. So people are looking for you and they want your help and they need your help. So how are you going to show up? So if you’re looking for help, I encourage you to reach out to me, shoot me an email then for those of you that are sticking around here is the URL for the free resource that I put together, which is called resetting your practice for 20, 21.

How to get more patients on your table, you can go ahead to, uh, grab this URL at Accu media, a C U M E D I a dot U S slash reset, 2021. So Accu media.us/reset 2021. You can download that ebook and reach out. Let me know, be well, stay strong, continue to change lives. One person, one needle at a time, you are awesome and the world needs you. And again, reach out if you need some more support next week, Lauren Brown is going to be joining us on the AAC network here. So be there, take care, stay beautiful. Talk to you guys too.

 

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Supporting immunity with TCM – Yair Maimon

 

 

Today I will lecture about immunity or different aspects of immunity as you know, immunity or immune system is actually a Western term. So we need to do a lot of translational medicine to understand it from the Chinese medicine perspective.

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Hello everybody. This is Dr. Yair Maimon from yairmaimon.com. Uh, first of all, I would like to thank the American Acupuncture Council, put up this, uh, show in lecture. And, um, today I will lecture about immunity or different aspects of immunity as you know, immunity or immune system is actually a Western term. So we need to do a lot of translational medicine to understand it from the Chinese medicine perspective. It’s one of the most complex system in the body, and it encompasses, um, the root of many diseases we know from what immune to other. And obviously now during the pandemic, we know that the immune system plays a big part, both in, in protecting, but also a big part in the side effects of the COVID in recovery. Uh, so we’ll touch on few aspects of immunity and, um, later I’ll give kind of a small overview of the translation from Chinese medicine to Western medicine and immunity. So let’s start with some slides, please.

Okay. As the slides are coming up, um, uh, I would like to mention that it’s more, I’ll talk in this lecture about like few layers of immunity. One of them is to do with compromised immunity, like in cancer patients. And then the other one will, uh, I would like to discuss more the type of immune and immune response when the immune system is weak from both from how can we treat it from a horrible perspective and how can we treat it from acupuncture? I was very lucky to, um, do also research herbal research, uh, which proved the effect of acupuncture on immunity and especially on deep immunity or innate immunity, which is our, uh, um, the type of immunity that protects us also from viruses and protects us from, uh, all the different aspects of, uh, not acquire the immunity, which is the learning part of immunity.

So, as I say here, I’ll start with this general idea and move. And, um, also in the classics already, um, in so-and chapter 72, they mentioned if sanctuary and sanctuary is a kind of concept of all the upright chain, the body. So if Zen chief, the chief of the body remains strong shakuhachi, which is a general term for invasion of pathogens to the body cannot invade the body. Then she must be weak when invasion of Shechem take place. So already 2000 years ago, they were very aware that there is, let’s say constant war or a constant struggle between two aspects. And it’s important to understand that because when we treat, we are looking at this struggle on one hand, we want to strengthen immunity. On the other hand, if there is a pathogens we want to weaken the pathogen and there’s different ways to talk about immunity in Chinese medicine, and one of them, which I would like to start with, and I’ll try to evolve as, as we go on is to look at three different aspects of immunity Cenci and Shen is an important part of immunity Shen is our connection to self.

And let’s say even our emotional life and spiritual life. So when one is balanced, the immune system is better when one is not balanced emotionally or in the Xena life, then the immune system will go low, we’ll go low and weak. And we have a lot of examples for this, for myriad part of disease, uh, that can come up when the emotion and the spiritual part of the person are disconnected. Then we have the way cheese, white cheese, the very common way to discuss immunity in Chinese medicine. But it’s very superficial. It’s the kind of immediate fight from external threats. And then we have the gene chain, which is like the deepest part of immunity. And really immunity comes from the steepest part of gene chia or interaction all the time of our constitution and our gene with, with life. So, and, and when we go, we have look at the immunity also from a different perspective and I’m proposing different way of how we translate here.

Again, I’m taking this model that we discussed before and enlarging it. So if we look at way cheaper in Chinese medicine, we’ll look at the lung, we’ll look at the way pathogens are invading. The lung is the upper inner organ. Yeah, that is all the time connected with the external. So external pathogens will enter the lung the same as we have now with COVID. And then we can treat the, uh, external pathogens with different, um, method. By the way, also, by treating with 10 Damascus, meridians was divergent Meridian. A lot of the complications of COVID can be explained by the Virgin Meridian. Uh, and then we have [inaudible] and it’s more related to the kidney and it deals with more with internal pathogen. And then sometimes we need to resolve and look at extra meridians, and then we have [inaudible], which causes more collects to the heart and it relates to traumas.

And then we have different special points that can help the person to unlock trauma and deals better with trauma in Western medicine, we also differentiate between adaptive and innate immunity. Most of the lecture now will be on this innate immunity and also most of the, our herbal research. So we are kind of focusing on this aspect. When we look at the class practical example of a weakening of gene as a result, there is a weakened immune system, and you can see in one sentence, I’m talking Western medicine and Chinese medicine, Jenkins, Chinese medicine chemotherapy, which has given to cancer patient for example, is Western medicine. So that’s a classic example of chemotherapy will weaken immune system. And we can explain it from a Chinese point of view. So, um, you feel looking at this, the side effects, for example of chemotherapy, we’re looking at weakening of bone marrow and which causes reduce white and red blood cells.

That’s why I said medicine, Chinese medicine is weak Miro. We have general compromise the immunity and we have lots of hair and no Chili’s medicine Herod belongs to the kidney and to the gene, we have reduced in cognitive and memory functioning, more related to the gene, uh, reduced fertility, eh, aging people will age sometimes very fast when they’re exposed to chemotherapy and deep fatigue. So all this stuff I kind of explained in Chinese medicine, the weakening, this very deep substance, which is called gene. And that means also that when we applied therapy, we’ll use points or herbs to treat the, uh, this aspect of gene. I’ll give a simple example. Well, Herb’s like, uh, the best example is maybe to look at Wrenchen again, very special gene saying very special, a herb, which tonifies the gene and the UNG. So we have the normal [inaudible] that works mainly on the cheese.

We have the prepared, the red, eh, hungry tension. So it most tonifies the young, if there is more young and coldness, we have Xi and Chen, which is like the American ginseng. Um, tonifies the UN and also the superior engine St. Which is not exactly gene thing. See what ya, that actually strengthening the, not just the immune system, but also its ability to cope in stress and difficult times. So all of this herbs are very adaptogenic and this is actually the key strengths for herbal medicine in immunity. It helps to balance the immunity. If it’s overactive, it reduces it. If it’s underactive it, tonifies it. And this is the strength of, uh, looking at Chinese medicine. We hardly ever use single herbs in Chinese medicine. So we use formulas and the classic formula for immunities, you being [inaudible], um, Jane screen made of three herbs, one, she buys you think thing.

It’s amazing classical formula for general general tonifying of immunity. And obviously with the inspiration of this [inaudible] formula, we, we change it. I changed it to one formula, uh, which I’ve researched for many years in Altria, which is the result of research of just one research of almost five years when we tested this formula on different individual, both healthy and eh, cancer patients and immunities suppressed patient. So this is the LCS, eh, one or two in our research on tonics are called now. And then I did another research on the formula, which are let’s discuss here, which also affects immunity, they’ll say is 1 0 1 or protectable. So this formulas have been studied deeply. This is one of our, uh, um, published research on the effect of the botanical compounds, the LCS one-to-one and innate immunity. And I specifically mentioned the native immunity because this is the part of the immune system that both responds immediately to threads like viruses, but also has a very strong component of, uh, checking the body all the way, surveilling the body and killing cancer cells.

So this is the importance of this research. If you see, one of the conclusions was this, this research, uh, works, um, on the net immunity, but we also tested it with different types of chemotherapy and others just to see also that there is no drug in herb interaction. And that’s one of the key components of my work. And I had a very extensive, a biological lab where we can test things on different levels, not just test them on the, uh, immune system, but also see interactions with different drugs and see how different patients they’re responding to it. So this is how we ran the research. We take usually blood, uh, from, uh, patients and, uh, but also from, uh, volunteers, we isolate if you see in blue, the neutral fields from their blood. So we isolate the active, one of the active components of innate immunity.

And then in the next Quare, you can see that we are examining the neutrophil activity. So what we’re actually doing is looking at activity. When you have a normal blood tests, you just have quantity. How many you have, we are looking at how active it is after we are adding the LCS. Uh, one or two, the tonics are to the protectable, to the, uh, cells. So this is a example of, um, uh, in like four patients you can see in blue is their bladder that control Blab. And when we are adding the formula, it’s sometimes active three or four times more, both in healthy patients and in sick patients. So you can see the, how the neutrophil activity has been elevated in Chinese medicine. We also see tonifies cheese. So people are less tired, which is the classical effect of chemotherapy. So like you produce study, but I also think this formula just to sometimes when I’m fatigued I to, to tonify because it tonifies deeply, uh, the chair of the body and not a thing that we are checking, not just the neutrophil activity, but also the activity of natural killer cells.

This is the subtype of the, uh, white blood cells. And this actually are the cells that are both, uh, very active in killing viruses, but also killing cancer cells. So having a strong natural killer cell activity is something which is important to maintain health in all the levels. So here also, you see the difference between the control, uh, the component of the formula are quite interesting. There is three, um, mushrooms. It takes quite a lot of time to make the formula, to establish it, to concentrate. It, it’s always a process of testing it and testing on in, in the lab testing in different ways. And if you look at the three mushrooms put together, they also, uh, have a significant effect on immunity. In other studies, they improve the ability to cope with tress. They activate, um, and their, their active ingredient also being found and being isolated.

So on some of the mushrooms, we can really follow the active ingredient. And a lot of time is the polysaccharide like a big sugar component, which are very good in activating immunity and also balancing immunity, the other herd like a stragglers attracted. And lygus true. Also demonstrate a lot of immunomodulation function and they’re good for fatigue for mental function and stabilizing blood sugar level and even enhancing liver and kidney function. So if formula overhaul is, we know has allistic effect not much wider than just on the immunity, and this is the beauty of it. So when we are designing formula, we are looking at something that works on three different levels of immunity or Nietzsche, which is it’s actually designed Fuji that protects the Sandpoint. And [inaudible], so we’re looking at this different Herb’s and their component and how they work, not just on allowing the body to fight better with external pathogens, but also keep a better immunity inside.

And, um, I would like to know we’ll demonstrate it in a case so you can see how it is applied. A practically, as I say, I see a lot of patients in different stages and, um, this is, uh, a cancer patient. I am patient of mine. She’s 62 she’s after a lung cancer, that the main part of a treatment was removal of her left lung. She didn’t have any further treatment, just the removal of the lung, where the tumor, uh, was found. And she came immediately after the operation. So she was extremely lacking of energy. You can even see a she’s extremely vivid person. I knew her also, I used to see her in the past before she had the lung cancer. So series very active, but suddenly she was white. As we know what happened when you have achieved the efficiency. If you look in their eyes and I put the eyes, she was very depressed and detached and very sad, deeply sad.

I mean, her husband brought her in and, and really like, bang me know, do something for her. She, she really like, you know, she came before the operation. She was herself enough to shoot that. Like she lost it. You know, he feels like she’s, he’s losing her. I’ll not just on a physically, but mostly on this emotional product. So the points that I did was a combination of stomach 36 and large intestine, 10 to lead points since suddenly on the Lange and the lead point on the hand, which you combine it together as strongly tonifying the, and the chief, but again, on a deeper level, because they’re on the young meat and kidney nine, which will, tonify more the gene part of, uh, the, um, the immunity, especially working on the, on the sheet cliff points and the way my suite works deeply on terrifying immunity.

And on the back, this is one of the key points, bladder 42, the poo hall, the door of DePaul, uh, which will both work on her, Shen on the sadness. It’s quite amazing point it’s on the level of bladder, a 13.4, the lung, because it has few function. One, it treats severe immunity of the lung. It works on DePaul, the spiritual or deeper aspect of the land that is when you’re detached from it, there is deep sadness, but it also helps to reduce heat from the lungs. So it’s one of the key points to treat patients with COVID because it will achieve this dual thing that we want. In one hand, it will come this heat in the lung, which is part of the cytokine storm or excessive inflammatory reaction of immunity, but will also strengthen the land that has been weakened by the COVID.

Then by fighting the disease. And I gave her this botanical LCS one or two, the tonics are. So, by the way, if you want to read all the research, you can look away. We have just a research plant website, it’s for data formula with, for both the LCS. One, one that comes with just some pure research website and you have access to the research and also all the herds. So if you are interested, you can always read there more and, uh, to look at this, a prescription for this patient. So you can see again, I’m trying to, I have this kind of whole picture of the face. So for like, for the Shan part to do bladder 40 to DePaul who the tour of DePaul, so it will address not just the physical part, but also the shell is spirit part. This detachment is deep depression that she felt after the operation and then treating the way and the itchy by combining points on the young mean the stomach and large intestine combination and kidney nine, working on the gene.

So you’re seeing Chinese medicine. We kind of very much go from theory to practice and gave her the LCS one or two in the same times, again, to work on the way change, changing. So we are kind of having a complete, um, cover of, of immunity. And that’s the beauty of acupuncture to me that we can think in three dimension and, and treat them three dimension. And the results were amazing. I mean, a week later she was like a different person, you know, it’s like this patient tell you, wow, it’s a magic. So this is a, I think a good example of how it works. And, um, I did, there’s a lot in explaining, uh, especially during the coffin in explaining immunity. And, uh, I put it into one large teaching package it’s called to serve and protect where it has different components. So it doesn’t just look on the, uh, it looks on the foundation of immune system, like focuses also on allergies, inflammation, the way the body responds to external pathogen.

Then it goes deep into in Nathan adaptive immunity and talks about how the immune system works. And how can we it, and also talking about what we look like also deeply in this, uh, or started to look deeply in this teaching about, uh, internal causes and deeper aspects of immunity. And one of the interesting thing from a Western point of view, and it helps us to understand Chinese medicine actually goes deeper into it is when we talk about auto-immunity we talking about distinguishing self from non-self and in Chinese medicine, it has a lot of meanings. So if you will, wherever interested to look at it any further, you can look at the TCM academy website and are able to look at some of these lectures. I think they can kind of give you a wider range of appreciation of how immunity can be treated, especially with acupuncture, because it’s a vast subject.

And to me, one of the key in the clinic, so this is serving protect actually like the idea, cause immunity is a bit like, you know, it has all this aspects of having, uh, when you look in guarding, you know, society, so you have the placements, that’s how he took this name from, and then you have the, um, soldiers on the borders and you have the intelligence, et cetera, et cetera, all of them working to keep society safe and the same works in immunity. So, um, I think this kind of, uh, gives you some insight and some ideas of how we treat them to treat the immunity in Chinese medicine. So, uh, again, I would like to thank the American acupuncture council and, uh, thank you very much for watching wishing you the best of health and healing your ear. So all the very best, and you can watch also next week on the, on this channel and Matt Callison and, uh, Brian Lau talking about, uh, uh, the treatment of sports medicine. So you get another aspect of Chinese medicine and the scope of this medicine and how it treats the variety of problems. And, uh, so I hope now you’ll get more insights about immunity and then hope it was inspired and helpful. So thank you very much again for watching. Thank you.

 

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Chinese Medicine and Vision Conditions

 

 

“I believe that knowledge is power and we’re all trying to be have our patients and society become educated consumers. So as much as we can share knowledge, as much as we can share what we know with each other, the better.”

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Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Hi, I’m Virginia Doran of luminousbeauty.com. And I want to welcome you to another edition of the point to the point. A show, very generously produced by the American Acupuncture Council today. I’m extra delighted to have as my guest, Dr. Mark Grossman. Uh, when I met Mark in 1992, we were both going to acupuncture school in, uh, New York and Connecticut. Uh, but Mark is very unusual in that he holds the licenses in both acupuncture and is a doctor of optometry and, uh, to fulfill his dream of practicing holistic and integrative eyecare, he’s fully trained in acupuncture. Uh, even though he, he didn’t need to be to, uh, to be practicing. Um, and he’s also trained in nutrition and visual vision therapy, and he saw this significant void in holistic eye care, um, and not only, you know, filled in to practice that way himself, but he trains practitioners internationally online and in-person, and, uh, he’s published many books.

Um, the four ones that, um, are probably most notable and, and, uh, appropriate for this audience is Nash, natural eye care, a comprehensive manual for practitioners of Oriental medicine, where he goes into both, um, acupuncture and herbal prescriptions. And then he has a book, natural eye care, your guide to healthy vision. They sound similar or different book. It’s an 800 page texts, and it covers about every eye condition from both the Western and Eastern perspective, plus nutrition and supplements, herbs, clinical tips. It’s really a must have for every practitioners library. He’s also written a book, very interesting book, very unusual, greater vision, a comprehensive program for physical, emotional, and spiritual clarity. Uh, another thing that he teaches about and the international bestseller magic eyes beyond 3d your vision. Um, so you can find more information about his books. Trainings has specifically done products, but also about many, many different eye conditions.

His website is full of information. He’s very generous with his knowledge as he shares it to people and that’s natural eye care.com. So after that, um, uh, I, I asked you to, to, um, you know, speak on this because I think it’s so necessary and there’s not much draining or, um, awareness of this in our field. And also, um, I think that, uh, you know, if you could give some examples of like, say glaucoma, for instance, you know, a common condition that, uh, to give an idea how you work, the in-depth, uh, approach, you have to things. So thank you so much for being out. Cause I know you were in the middle of her work day. Uh, so, you know, if you can tell us how you got into this, that’d be very briefly. And then, uh, you know, what you want to impart.

Oh, thank you so much, Virginia. And I’m very, very grateful to you, Dr. Alan Weinstein. Who’s a master of putting this out the American acupuncture council, because I believe that knowledge is power and we’re all trying to be have our patients and society become educated consumers. So as much as we can share knowledge, as much as we can share what we know with each other, the better. And it’s very interesting. I was meditating this morning and I was saying, oh, I think I know what I have to start with saying, and you said it beautifully. How did I get into this acupuncturist? Usually have a drive. It’s like, oh my God, this is my calling. This is my calling of what I want to do in life. And my story was, I was already an eye doctor for, uh, 16 years had just finished paying off my student loans.

And then I went to a friend’s house. And in the middle of her living room was one of the first books in the Western hemisphere, an acupuncture called the web that has no Weaver. And I felt that I could remember it. Like it was yesterday. The book looked at me, I looked at the book. I said, I can’t believe I got to go to acupuncture school. Now I thought I had a way out because acupuncture wasn’t licensed in New York state yet. And as you know, as one of my, uh, classmates, we had to go to school in Connecticut first. So we went to school in Connecticut for a year. And then we spent the next two to three years in new York’s New York city. So I said, well, I guess I got to go. I don’t know why I’m going. Uh, I just know I have the calling and we’re going to talk about the call and we can talk about those moments in our life that we get those signals of what we need to do and how our vision, how not only our outer vision, but our inner vision affects how we are in life and how it affects eye conditions.

And we are in an epidemic. That’s an epidemic in society right now. Do you know that over 90% of young adults from 14 years and younger in China and Japan are near-sighted, if you don’t consider 90% epidemic, then the thing is, you know, and with the advent of computers and being online. So we need to take care of our eyes. And as we know in Chinese medicine, if you can go to the first slide Allen, we know that all the meridians go to the eyes, all the meridians go through the heart. So when we are working with people with high conditions, acupuncture, Chinese medicine, I believe is an integral part of the integrative medicine team that needs to be to help these conditions. I, um, about a month or two ago, I lectured at the east west integrative medicine department that UCLA that’s been going on for over 25 years.

Oh my God. And we did an international conference, which I was part of the panel on Chinese medicine and vision. So the need is there, there were some amazing acupuncturist, like one of my colleagues and co-teachers Dr. Andy Rosenfarb who specializes in vision and Chinese medicine. So what I want to really put out today is how important and how Chinese medicine can be part of that team and myself. And I’ve been practicing for over 40 years as an optometrist. And what are we up to now, Virginia 26, 28 years, 26 years as an acupuncturist. And I didn’t even know when I was in a, I doctor school, optometry school. And I would say, excuse me, why did they get a cataract in the left eye and not the right eye? And they go, you mean, you want to know why I said, yeah, I’d like to know why.

And Ted Kaptchuk said it beautifully. He said in Western medicine, in which I was trained, we look had, how does X cause Y but in Chinese medicine, what do we look at? What is the relationship between X and X and Y? And I believe that all disease dis ease in the body mind has to do with relationships, relationships, to our environment, to the trees, to the oceans, to our, uh, families, to our friends. And what are, what is the goal of every acupuncture or Chinese medicine treatment, balance and harmony. And when we have balance and harmony and Chinese medicine speaks about it beautifully, we have no stuck energy. And I believe in my experience that almost all eye conditions, uh, due to stagnant energy. So let’s go to the next slide. Allen integrative medicine envision, we need an integrative approach. You know, I lectured at the integrative healthcare symposium and there were acupuncturists in the audience, functional medicine doctors, natural paths. Yes. I always tell people who I see, I’m just a little part of your team. We want to do integrative medicine. Next slide.

Can I interrupt a second? I went recently to an eye doctor to, you know, just have a checkup and tests. And I don’t think I’ve actually ever done that as an adult. And, um, you know, they dilated my eyes for something. They put some other drops in. I mean, for three weeks, I could barely see, and, and my eyes didn’t adjust back, you know, the dilation, but they were cloudy from the second. They put the first drops in and, um, you know, all they could suggest was a drug. And they said, oh yeah, it’s not, it’s not, it’s no problems with it. But I looked up the side effects of the drugs. It was every organ, every organ. And it was going to change. It could change the color of your skin, your eyes, but they thought, oh, no, this is totally benign. So there’s such a need for what you do, you know?

And for some and others to know about it, really, we all should be trained in this specialty because it’s, you know, what’s going on is kind of barbaric really anyway, sorry to interrupt, but you’re never interrupted. And yet at the same time, I talked to you about it and you were like, oh, we have, you know, we have technology and ways to do it, that you don’t have to be dilated. Oh, there’s different versions of these different medications without the preservatives. That cause a lot of the effects side of it, you know, why don’t other doctors know this?

So as somebody in both professions with both hats on I, doctors are really, really nice people. They really try hard. But as we know with most Western medicine, we have limited things in our toolkit. We have medication, we have surgery and that’s it. We are looking at the eye as an isolated organ. I had a patient I’m going to see later at my last patient today because he was told she has eyelid cancer, but I started talking to her. And what are the lids related to in Chinese medicine, the stomach and the spleen. Is she having problems with her microbiome? Is she having issues? Is she seeing a functional medicine doctor? Yes. But the eye doctor said, oh, you’ve got bumps on your eyelid. You know, it’s maybe it’s eye cancer, but I’m just saying, we need to look at the relationships. And remember when I just said before, um, well, why did you get a cataract in your left eye before the right Chinese medicine in most people?

Right. I father I male, I yang. I left, I feminine yen receptive. So when I really look in, I mean into why somebody develops macular degeneration, glaucoma cataracts, and why they may get an in one eye versus the others, I’m going to talk to them. What’s going on in their relationships with their father, with their husband. I mean, I’ve got stories, I’ve got stories, you know, after 40 years. So let’s keep going because this is just a preview because I really want acupuncture is to, to, to get the power that they have for this kinds of treatments. My website, natural eye care started about 20 years ago. My business partner in that is, uh, Michael Edson. And Michael is an acupuncturist also. So we refer to acupuncturist all the time because it’s both are bent. Uh, you see a pho a phone number there, (845) 255-8222.

The direct number for Michael, which is the new number on our website is 8 4 5 4 7 5 4 1 5 8. But you can go to the website and Michael loves talking to acupuncturists and we are there as a service to help you work with your patients. Next slide, Allen. These are some of my books beyond 3d magic eyes. Those of you who are old enough know about these 3d pictures that you relax your eyes and then a hidden picture comes out. Uh, it was published. We, uh, they sold over 30 million of those books. I wrote two of them. I’m the medical consultant to them. Uh, I got there, but after they sold the 30 million, so I didn’t really profit from it. Um, but those magic eye pictures, uh, one of the tools I use not only to help people’s eyesight, but to help reduce liver stagnation through the eyes, the greater vision book was written because I do believe in the Mati body, mind and spirit of all eye conditions, natural eye care that I wrote with about twenty-five years ago, which was the book before it’s time with a good friend of mine, Dr. Glenn sweat out is in Hawaii. Um, and then we can go to the next slide where we expanded on it to that 800 page, 2000 peer review references book, uh, on natural eyecare. And that book is also available on Amazon and then on Kendall. And we also divided it into about five or six smaller books because that’s a very heavy book, but it is, it is. I have had the 10 different doctors help me with it. So it is, uh, a really good resource. Um, next down, next slide.

So let’s talk just a little bit. The only thing worse than being blind is to have sight, but no vision. Where does vision happen? It happens in the mind. That was a quote from Helen Keller. Next slide, Dalai Lama, in order to carry a positive action, we must develop here a positive vision. One of the real keys in Chinese medicine is the person has to have it in their belief system that the, this kind of thing can help. You know, we’re not there to convince people. We want people to feel positive and if they can conceive, if they believe it, they can conceive it. Next slide. This is, uh, something which my magic eye books are based on vision is the art of seeing what is invisible to others. You know, we need to see the bigger picture and what does Chinese medicine do? It sees the bigger picture next, and this is how I sign all my emails.

And I’m going to give you all my personal email, um, today, because you’ll see if you have any questions that come up, because the question is not what you look at, but what you really really see next slide. Okay. And here we go. No, no, that’s good. We got to go to Shakespeare. The eyes are the windows to your soul. We know about that. People, the Shen the spirit, the pilot light our eyes tell us how much our spirit is connected with our soul. And I believe that through the eyes we can help people, uh, go through their soul’s journey next and Benjamin Franklin, an ounce of prevention is worth a pound of cure. So nutritionally Chinese medicine wise, if we can get people on good visual hygiene, the dentists talk about dental hygiene, plus your teeth, brush your teeth, brush your teeth, but we’re on computers. Yeah, because 11 hours a day on digital devices, we need to do visual hygiene. We need to take care of our bodies and our mind next.

And this is the integrative medicine approach, which is, I think the Chinese medicine approach imagine a oriented towards healing rather than disease, where physicians believe in the natural killing capacity of human beings and emphasize prevention above treatment in such a world, doctors and patients would be partners towards the same ends. And that’s why the minimum I’ll see patients or clients is I say, I want you to come in after we’ve worked for awhile, once a season, as the seasons change, as you are going to be relating to your environment different than, uh, we need to do a tune-up. So on all my clients, I say the minimum I’m going to see you is once we get everything balanced and in harmony is once a season. Next slide. So these are some of the allied complementary practitioners I might refer to for different eye conditions. Um, and acupuncturist is right there.

And even though it’s, it’s not on top, let me tell you, uh, my partners in my practice, my PA one partner is a chiropractor and the other partners, and as an acupuncturist. So, uh, acupuncture and chiropractic are some of the biggest referrals that I make in my, um, uh, integrative team approach, along with natural paths and functional medicine practitioners. But at different times, I may use any of these different complimentary practitioners. Next, this is the office I rent space in. This is the outside next slide. The reason I’m showing this is the waiting room before COVID where now we have people six feet apart. Next next one, contact lenses next, because contact lenses from an acupuncture standpoint, what they do is they put people who are very near-sighted. They create a larger retinal image size. So actually just switching people from an eye as an eye doctor from glasses to contact lenses may open up a whole way of Le less liver tree stagnation.

These are some of the, this is some of the high end technology that’s available today because, and I can help you as acupuncturists, uh, read the reports on this and, uh, talk to you about the findings on some of these tests, in terms of Chinese medicine. These are pictures underneath the retina. They take pictures underneath the macula, underneath the optic nerve. They take a 3d picture of the eye. And as, um, Virginia said some many times we don’t have to even dilate the eyes. Do you know, as we said, the eye Embrya logically physiologically and neurologically, what is it? It’s brain tissue. If you continue to mind, you can change your eyes. We all know about the neuroplasticity of the brain. Therefore we have neuroplasticity of the eye and you know, that you can diagnose, uh, Alzheimer’s disease early through retinal photos. Yes. This thing is out there. So the technology today in the eye will give good insight to people’s eyesight. Next slide. Okay, let’s go to slide 23. [inaudible].

So, as I said, the hi is brain tissue. Do you know that there are studies that in multiple personality disorders, they all had different prescriptions. Oh, very interesting. Mind, body spirit, next slide and trigger points. Uh, both me and Virginia. We had the pleasure and the utter gratitude that we were able to learn from. Uh, one of the, the pioneer of trigger points, Janet Trevell who wrote these two giant giant books, even bigger than my book on trigger points. And when I learned that it’s the neck, the shoulder, the upper trapezius, going to the sternocleidomastoid up to the suboccipitals that many vision problems come from, because why not that that happened? Because people have poor posture when they’re on devices and things tension. Exactly. Next slide Allen, the spleen is surveys is the neck muscle. So when we’re doing trigger point therapy, we can help with pain in the eyes.

We can help with glaucoma, which, um, I’ll talk about very briefly after, but I really wanted you to know that trigger points, uh, whether you do it through deep tissue or you do it through acupuncture could be very, very helpful in, uh, treating, uh, eye problems. Next slide again, the SCM, a biggie player, especially with musicians, especially like violin and Viola players. Ah, because those people I’ve got studies on how that affects a stigmatism. So yeah, the eye and the body and posture are very related. Next slide. The psoas muscle. If you have a tight psoas muscle, sometimes it relates to a vertical imbalance between the two eyes. So again, we have to look at the whole body next.

Okay. That’s it for the slides on. Thank you. So I’ve got about six minutes. I’m going to give you an overview of glaucoma because glaucoma is so we can do so many things because glaucoma is a disease, this ease of the optic nerve. But the only thing that I doctors having a toolkit of glaucoma is medication with lots of side effects and surgery, and they even have people. And then what they say is, oh, oh, we just have to lower the pressure. But look at that. Here’s the, here’s the optic nerve. Yes. According to physics, if you lower the pressure in the eye pressure hitting the optic nerve, that’ll be helpful because the higher the pressure, the more it could possibly break down the optic nerve, normal pressure and glucometers between 10 and 22. But wouldn’t it make sense to also build up the ocular blood flow to the optic nerve?

Wouldn’t it make sense to work on neurodegenerative neuro uh, uh, neurodegeneration? I mean, that’s what, uh, the eye research is showing. We want to have, um, things that are helpful for the nerves. So nutrition very helpful for that alpha-lipoic acid N-acetylcysteine, um, sublingual, vitamin B12, the B vitamins. So nutrition, very helpful acupuncture super-duper for, uh, helping with ocular blood flow and circulation because circulation, that’s why studies show that as little as aerobic exercise, four times a week can help with, uh, lowering the pressure. But what is one of the, some of the main things in Chinese medicine? You know, we all say liver, liver, liver, nice, but in Chinese medicine and glaucoma liver is a big player because it’s the stagnant liver cheat that can add to, to, uh, CA um, Livia, hyperactive, liver, young, that can cause a high eye pressure. So I’m always trying to bring the pressure down, bring it down.

I want to deal things with the earth element. I may have them stand in dirt, rub a, a ball on kidney. One, bring the energy down. So liver three, liver aids for blood, uh, gallbladder 20 to release the tension in the occipital. Uh suboccipitals so liver kidney very, very important. Especially sometimes the pattern is a kidney yin and Liberty in deficiency. So there’s basically, this is where it gets a little tricky. There’s like six different kinds of glaucoma. Some glaucoma is due to more due to inflammation, such as pseudoexfoliation glaucoma. Some glaucoma has normal tension, normal eye pressure, but has what we call large cupping in the optic nerve. And therefore, you know, we can lower the pressure, but it’s more about getting more blood flow to the optic nerve and, uh, helping the nerves. And then there’s the eye, the glaucoma that has high eye pressure.

But again, the tool dry doctors is just lower the pressure. So we can see very easily how Chinese medicine can have an effect. And going back to the muddy bind spirit stress, oh my God, they have studies that show that stress can increase the eye pressure. So even in the regular literature on Western medicine, so we want to relax. That’s why my favorite formula that I created with my, uh, acupuncture partner, Jason Elias, and we called revision. And what is it based on B Florim and Pini combination. Why, because what is that called relaxed wander? And I added some bilberry and some Ginko, and I added a little Licey and chrysanthemum to bring energy to the eyes. So we really want to do Western Chinese herbs coleus and air vinegar. That’s very good to lower eye pressure. So I really, what I really want to share with you and hope you get a, and if you want to learn more, I am totally available.

My personal email is D R Grossman 20 twenty@gmail.com. I really want to let you know that the ability for Chinese medicine to help with chronic eye conditions and basically all eye conditions, is there that Nick, that place that you, if you really into it, that you want to add to your practice is there. And you will, you will have patients. My friend and colleague, Andy Rosenfarb is busy, busy, busy, and he trains, uh, acupuncturists in a special kind of acupuncture called micro acupuncture. So again, thank you so much for your attention and your time. And hopefully listening to this, uh, again, knowledge is power, and I hope that you become part of an integrative medicine team to help people in the world keep their precious gift of sight. Thank you so much.

Thank you so much, mark. And thanks again to the American acupuncture council, um, Virginia Doran signing off from luminousbeauty.com and yeah, Yair Maimon is next week. So, so he’s always got something interesting. I hope you’ll check that out too. All right. Goodbye. Bye.

 

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What Modifiers Are Necessary On An Acupuncture Claim?

 

 

We’re going to give you always some updates on coding, billing, documentation, things to help enhance your practice.

Click here to download the transcript.

Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Well, good day, everyone. This is Sam Collins, your coding and billing expert for acupuncture, the American Acupuncture Council and the American acupuncture council network. Welcome you to another program. We’re going to give you always some updates on coding, billing, documentation, things to help enhance your practice. Remember, our goal is the American Acupuncture Council is to always enhance you. We’re symbiotic. We obviously offer malpractice insurance, which I’m sure many of you have, but we also offer our network service, which gives you some up-to-date information. And this is partly what we do here is to make sure that your practice does well. So let’s get to the point. Let’s start to understand what’s happening in currently going on with modifiers. Let’s go to the slides. If they’re not up. Those modifiers that we run into often are very confusing for many acupuncturists. And there’s been some recent changes that you may not be aware of, that you probably have gotten some denials.

So let’s talk today about what is necessary for modifiers on an acupuncture claim. What do we really need? And believe me, I think there’s a lot of misinformation, unfortunately, and does not get you paid without the right information. So what are modifiers? What modifiers of course are referred to as what we say, a level one modifier and it’s to supplement information about the claim itself. There are usually two digits or two characters in line, and they tell us something specific about the service. By example, modifier 25 to indicate it’s a separate, distinct service things of that nature. So the modifier is there to tell us something more about it. In many ways, the lack of a modifier will cause a denial. In fact, I bet many of you didn’t learn about using a modifier 25 until you got up in practice and you were like, why do I never get paid for an exam is because we’re not using the right modifier.

Remember a modifier does not alter payment. It just indicates a specific specificity about the code so that it can be paid. And so where do modifiers go? This is a portion of a course of a 1500 claim form. You’d put the data service and notice here. There’s a section that says modifier and notice there’s four spaces, 1, 2, 3, 4. So is it possible that you might have to use more than one modifier? It certainly could be. It would be unusual in an acupuncture setting, but possible just bear in mind that you can always add up to four now, what is the most common modifier for acupuncturists? And this is the one I will say. Every acupuncture is going to use at some point and it’s modifier 25. And what modifier 25 indicates it says modifier 25 is defined as a significant separately, identifiable evaluation management service by the same physician or other healthcare, other qualified healthcare professional on the same date of service of another procedure.

So all that gobbly goop means that the modifier is required when you’re doing an ENM evaluation management or exam code the same day as acupuncture or any treatment to indicate that the exam was separate or above and beyond what we note as the pre and post service evaluation. So by example, when you see someone on a first visit, you’ve never seen them before. It is clear, you’re going to do a significant examination. You can’t just say, Hey, I don’t care. What’s wrong with you. Put them on a table and hit them with needles. But what you’re going to do is take their history, do a full evaluation. So that is clearly an exam above and beyond normally what you do. So that’s why on a first visit, when you build an exam, you always will put a 25 modifier. However, let me make a clarification.

Some acupuncturists have the misinformation that they’re going to do an evaluation management or an office visit on every single visit. And that is actually incorrect. And here’s why the acupuncture code includes a pre-service and post-service evaluation. So by example, I just noted the first visit. The first visit. Clearly you have the history of the injury. When did it happen? What did you do? All those things, but on a follow-up visit, yes, you are going to do a small evaluation. What are you going to do on a follow-up visit? Like if I were your patient on the second visit, you would say, Hey Sam, how are you feeling today? Is that better? Last time when you left, the pain was much less. So in other words, it’s going to do a review of the chief complaint that is called the pre-service. So the reason you can’t bill an exam every day is because the acupuncture code or actually any treatment code includes a small evaluation.

So the reason you’re putting a 25 modifier on the first exam is your notification to the insurance that this exam is above and beyond the exam associated with treatment beyond the normal day to day, how are you feeling better, worse tongue pulse and so forth. So again, an exam can’t be done every day, but there is an evaluation every day. That’s part of it. So for billing purposes, take a look how it goes. The modifier goes right next to the code and the mid-level exam, 9 9 2 0 3 and a 25. If you forget to put the 25, it is an automatic denial, just a hundred percent will not be paid. The 25 is there to indicate that it’s a separate and distinct service and payable. Doesn’t alter the price, but does indicate that it is a payable exam because it’s above and beyond the one you do day to day.

Now this, I will say every acupuncturist does no question, the first visit. And re-exams probably about every 30 days. Be careful do not build one each and every visit and also be mindful. Some carriers that you belong to, and that can include some of the blues as well as, um, some of the, uh, uh, United health care policies. Depending if you have a membership through like Ash, they may pay only one exam a year. So it’s not an issue that you didn’t use the right code or modifier check your contract. But assuming non contracted one should be paid. One done so long as you include the 25. Now you’ll notice I did put here a new patient exam, but it could be an established patient 9 9 2 1 3. So that again, most common one. Now here’s one you may not be familiar with, obviously, regardless of that, COVID seems to be tailing off.

Might there still be a use for telemedicine visits for an acupuncturist, particularly for a patient on their first visit. Maybe they don’t have the time to come in for an hour visit. So maybe you do the first half of the visit telemedicine meaning the non-treatment part. So how do you identify telemedicine? Well, there’s a unique modifier for telemedicine. It’s modifier 95. Now you’ll notice I have it right next to an ENM code because a telemedicine visit is an evaluation it’s counseling. So you would use an ENM code, but to identify it as telemedicine put a 95. Now, remember telemedicine does mean audio, video and live. It cannot be recorded as not a phone call. It must be live interactive, audio video. Now the one of a unique difference for this one is not just the modifier. You’ll notice. The place of service says zero to the zero to places.

Service indicates also a telemedicine setting. So it not only needs the 95 modifier, but the zero two, if it’s a telemedicine visit, now remember telemedicine. Obviously we can’t treat, but could there be places where there’s counseling for a patient where they can’t come in or let’s face it? What if they can’t come in timely or don’t have the time to spend an hour an hour and a half, which may be the history, might it be more convenient? Would it make more sense to maybe do a telemedicine, at least that part, and then follow up with a half hour visit where you actually do treatment. So a viable one they’re 25 on exams with treatment, but telemedicine 95. Now there’s another modifier. And this is the one I’m sure many of you have missed out on it’s modifier GP. I’m sure if you’ve billed the VA, you’re aware of it.

But what this modifier is called is called an always therapy modifier. It’s what’s called a HICPAC modifier, HCPCS healthcare, common procedure coding system. And it’s a letter one, and it’s always therapy because every time you build a therapy to some payers, they need to identify who’s providing it, meaning a therapy provider. So for acupuncture purposes, you’re going to use modifier GP. Now you’re going to think, well, GP indicates physical therapy. That’s true, but that’s within your scope. So you’re going to put a GP, not a geo or a GM, just understand geo means services by an occupational therapist, G N by a speech therapist. So for our purposes under scope of practice, it would be a GP. Now, what does this add on to literally every physical medicine rehabilitation code? So when you think of what is that, that’s going to be every therapy code, right?

We all the way from hot packs all the way through the unlisted service. So common services, massage, gosh, manual therapy, infrared heat exercise. In fact, what I will say is any therapy code that begins with the nine seven, not including acupuncture will require the GP and who requires it well United healthcare as of April last year, that includes Optum health. It also includes anyone going to the VA, which you’re probably already aware of, but here’s the newest beginning April 1st of this year. And I’m sure you’ve noticed it on a lot of claims going to Anthem. And this includes blue cross blue shield of Michigan notice blue cross of California. Now let me be clarified here for anyone from California in California, blue cross and blue shield are separate companies. So it includes blue cross in California, but not blue shield. So do be aware of that nuance and most other states they’re combined.

And that includes all of these states, including Indiana, Kentucky, Missouri, New Jersey, New York, Ohio, Vermont, and Wisconsin. And I think others as well. So check your EOB is if it comes back and it says this service is missing a modifier and it’s a therapy, chances are it’s the GP. Now that means all physical medicine codes. The question you may have though, is any other payers? Well, Medicare is one of them, but remember Medicare, we’re not billing directly, but technically if you’re looking for a denial for Medicare, you would put that on there, but again, not common. And so how does the code look like? Well, take a look here. You’ll notice I did an exam, same thing, but notice 9 7 0 2 6 GP. The GP does not change the price. It’s just a requirement for payment. So you may think, well, Hey Sam, can I add the GP to every client?

Why not just add it to everything? Well, that could be partially problematic. And I wouldn’t blanket it because there are carriers that may not recognize it and may deny it. So for now, I’m going to say Anthem policies, United healthcare and their affiliates and the VA a hundred percent. And if you ever get a dial back that says this claim for physical medicine services or physical therapy is missing a modifier, it’s likely a GP, but again, don’t Blake. It, it, because here’s what I’ve also found. If you put a modifier on something, they’re assuming you’re trying to tell them something unique and chances are, they may deny it. So for now stick with just those payers, if you’re wondering, well, how would I know this? One of the things you can do, the American acupuncture council is your partner and our website for our education division.

The network has a new section go to AAC info network, click on the new section, and you’ll see all these updates. It’s one of the ways we try to keep you up to date. So if you’ve never gone to the network website, please take a look, AAC info, network.com, click on news. And in fact, just sign up for our email subscription. And what we’ll do is send you once something has changed, because here’s the difficult part I come to you probably once a month or every other month, but what happens in between us, something has changed. So it’s our way of updating. So again, GP on all physical medicine codes, and we want to give you a portal where you can start to use it. Now here’s an area that I think is often very confusing and a lot of acupuncturists have bad information. They will say, Sam, do I need to use modifier 59?

Well, what does a 59? It says a distinct procedural service. And it says under certain circumstances, it may be necessary to indicate that a procedure service was distinct or independent from other services, not including an ENM. So a lot of acupuncturists have made this assumption that, oh, I put that on my second set. You absolutely do not. A second set is already distinct. There’s also another other modifier. That’s common. It’s more or less the same. And it says a separate structure. And it’s excess. Now I’m bringing this up to make sure you understand what these modifiers are and why you wouldn’t use them, because you do not have to indicate that the acupuncture is to a separate area. We don’t have that type of rule or protocol where I think this comes from is people not understanding chiropractic claims. And part of the unfortunate thing is often people who teach you are not teaching you specific things about acupuncture, but that’s something that may be related to what a physical therapist does or what a chiropractor does.

So let’s talk about specifically a chiropractic claim versus an acupuncture claim. Chiropractors have to use modifier 59 when they’re using massage or manual therapy. And it’s because the rule is a chiropractor is not separately reimbursed for massage or manual therapy. If it’s done in the same area as manipulation, hence why that modifier is there to show, oh, it’s distinct. It’s a separate area. Now this edit doesn’t apply to acupuncture. There’s nothing about acupuncture and manual therapy that will require a 59. So if you’re putting a 59 with it, there’s no absolute necessity for it. In fact, it may cause the claim to be denied. So as a general rule, the modifiers you’re going to use as an acupuncturist are going to be 25 on exam codes in GP. For those, those companies that I mentioned now, would you ever use a 59 will never for acupuncture, but I’ll give a scenario.

Some of you, you may be doing a little bit more of a rehab style with a patient. Maybe they have back pain and you’re doing some exercises and therapeutic activities. Particularly this could apply with a VA patient. If you were combining exercise 9 7 1 1 0 with therapeutic activities and 9, 7, 5, 3 0, you would put a 59 or one or the other codes to distinguish them as separate. And the reason why is those two services are very, very similar in fact, to be the exact same thing, but the outcome being different. So you want to distinguish that part of the service was, you know, exercise and part was a therapeutic activity. So that would be about the only place I would ever see the use of 59. So don’t get caught up that, oh, I have to use it. Trust me, it’s innocuous information and just incorrect. So again, 25 in GP, but not a 59.

And the reason I’m bringing up news, I’ve done a program with you before where I talked about Cigna at American specialty health, I’m going to let you know no, this doesn’t apply to California, Oregon, Washington, but to other states, if you’ve not seen it, they’ve delayed the change to September and they’ve upped the ante to 89, a visit from 55. So that’s a nice change. You should have received some information on it, but if you have not, how do you find out go to AAC info, network.com, click on the news tab. And you’ll see, I’ve written an article piece on that. Our job at the American Acupuncture Council, keeping you up to date, keeping you paid keeping to make sure your practice survives. So if you’ve not been to our site, this is the site. Notice here, the new section, click on that. You’re right in.

But let’s talk about what are you doing to really make your office do well. Have you ever thought of where do I get my answers? Who do I get them from? Hire an expert. We offer a service called the network where for a small fee per year, you get complete access to me where I become part of your staff. You can ask me questions on coding, billing, documentation, medical necessity. Hey, Sam, a claim got denied. Get to a place where we’re making sure your claims getting paid. Here’s what I guarantee you. Join our network. I’ll get your money back within a month because all I have to do is answer one or two questions and it’s always related to money. You’ve gotten paid back and it’s going to be triple fold because guess who gets notified? First people who are in the network, we send out an email chain to everyone.

That’s a network member when something’s changing. Anytime there’s an update. You’re notified first. So let’s help you get your claims paid, go to our site. Here’s a QR code you can go to, but simply go to our site. AACinfonetwork.com. We’re here to help as always the American Acupuncture Council is your policy holder or your policy holders, but we’re also your advocates. Now next week’s program will be Virginia Doran. I look forward to seeing you all next time. Take a look at the site. Let’s get you paid and best wishes to everyone. Thank you very much.