gentle

Avoiding Bruising During IVF Injections: Tips from an Acupuncturist

Avoiding Bruising During IVF Injections: Tips from an Acupuncturist

I’m an acupuncturist who has been supporting fertility patients for the last several years and I recently finished my own first round of IVF. Having gone through the onslaught of multiple daily injections, I realized I may have an approach to injections that the average fertility patient may not know could help them. So here’s how I avoided bruising during my treatment and you can too.

The basics? Palpate, ice, alcohol swab, let the alcohol dry, distract, inject, sustained pressure, ice again.

Let’s go over this in more detail including why these steps are helpful:

Self Care Tips for Menstrual Cramps

Self Care Tips for Menstrual Cramps

Cramps are the worst. Among the common symptoms we complain about when we bleed, this one ranks among the highest. But just because painful periods are common doesn't mean we have to accept them.

Patients sometimes ask me about the most surprising thing I learned in acupuncture school. I was definitely the most blown away by learning that you don’t have to be in pain during your period. You don’t need to have any symptoms, in fact. Just bleed, stop bleeding. That’s it. “WHAT?!” I thought. “Why doesn’t everyone know that? What do I need to do? Sign me up!”

While I was in grad school I had acupuncture treatments every week and took a formula daily for a year. My periods shifted dramatically and my pelvic pain (pain with intercourse or what’s medically referred to as dyspareunia) disappeared. I was in awe. I felt I had been given a key and I wanted to share it SO badly.

Spring Energy

Spring Energy

Happy First Day of Spring! Spring is when new green shoots rise, tendrils reach out for the next hold, and the world gets a bit warmer and brighter. I hope holding that image in your mind helps you find what the majority of my patients said their goal was for this year: more energy.

I think we're so tired in part because we're expected to come out of the gate of the New Year bursting with energy for new projects and self improvement. I've never been one to make New Year's Resolutions, but this year it felt especially off, setting us all up for failure. It's just not the right time. Winter is when we want to curl up in front of a fire with a good book, a blanket, and a hot beverage. No wonder we fail so routinely at most of our resolution setting and everyone coming in in January was so incredibly fatigued!

Can Acupuncture Treat ...?

Can Acupuncture Treat ...?

It's a very common question: "Does acupuncture treat …?" The short answer is YES!, no matter the condition, because acupuncture is a complete medical system.

While it’s tempting to hear that as equivalent to a specific drug being touted as a panacea, it’s really like saying all of medicine can address a wide variety of ailments. We’re much more comfortable with that concept. Western or allopathic medicine can help with lots of things to varying degrees. It’s much the same with acupuncture. That’s one of the reasons it’s more accurately referred to as a complementary medicine, rather than alternative medicine.

Need a Massage? Introducing Tyler

Need a Massage? Introducing Tyler

Update: July 2019 – Note that Tyler is now seeing patients on Tuesdays only in this space.

I’m pleased to announce that Tyler Chamberlain, Certified Massage Therapist is now sharing our San Francisco clinic space at the Sutter Healing Arts Building. He’s seeing clients on Saturdays, Sundays, and Tuesdays.

Tyler’s style is in harmony with my approach to gentle, personalized treatments. He offers time-based appointments that are then tailored to your needs on a given day using his massage skillsets including Swedish, Deep Tissue, Ortho-bionomy, Energy, and Lymphatic/Detox. Having experienced his work myself, I highly recommend his thoughtful, effective, and deeply relaxing care.

His introduction to you in his own words:

Treating Stress, Anxiety, and Depression with Acupuncture

Treating Stress, Anxiety, and Depression with Acupuncture

Positive Vibes Only? Definitely not. Negative emotions are natural and can signal a need to change our relationships, environment, or behavior. It’s when negative emotions become chronic and feel like they arise without cause, that you turn to guiding practitioners like therapists and acupuncturists who can help you figure out what forest of feelings you've wandered into and how you can find your way back out again.

Whether your depression, anxiety, and stress are chronic or not, tamping down negative feelings or denying them in favor of only positive feelings is neither realistic nor helpful. What is helpful and what acupuncture helps facilitate is giving all your feelings a space and distance from yourself to be acknowledged, fully felt, and then allowed to pass. That can be an extended grieving period and or as short as a few minutes to recognize that you're getting frustrated and need to breathe deeper and take a walk.

Understanding what you're feeling, giving that feeling space, and then letting it go is essential in our modern world. With these skills, you can begin to move past the thicket of a bad stretch. And when you have one bad day, you'll realize that's part of being human, not a sign that you're broken.

Japanese Meridian Therapy and Traditional Chinese Medicine: A Classical and Clinical Comparison

Japanese Meridian Therapy and Traditional Chinese Medicine: A Classical and Clinical Comparison

A Note From Shawna

This paper was originally titled, "Classic Texts: The Foundation of Japanese Meridian Therapy Assessed Clinically in Comparison to Traditional Chinese Medicine." I wrote it during the final years of my masters program in acupuncture at AIMC Berkeley for a course on classical texts.

This paper presumes knowledge of the medicine so is most appropriate for other practitioners, but as patients often ask about Japanese vs Chinese medicine, a general audience might find it interesting to skim. I'm happy to discuss any questions you may have after reading.

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How can Japanese Meridian Therapy and Traditional Chinese Medicine have come from the same classic texts and yet come to such different conclusions for diagnosis and treatment? This is the question I chose to consider by delving into Chapters Sixty-Nine and Seventy-Five of the Nan Jing, considered the foundation of Japanese Meridian Therapy.

Meridian Therapy was founded in the 1930s out of a desire to “reexamine the classics and to clinically test the knowledge gained therein in order to extract the truth” (Kuwahara, xvii). The principle methods of Japanese Meridian Therapy (JMT or MT) are to palpate and assess the meridians, using the pulse for both diagnosis and continual assessment of the progress of treatment, and to use the meridians in this way to understand the balance of deficiency and excess caused by pathogens, the seven emotions, and the fundamental interaction of the meridians and organs to themselves and each other (the Five Phases). This is fairly different from Eight Principle and Zang Fu Diagnosis as interpreted in Traditional Chinese Medicine (TCM). In the TCM approach, we utilize the four diagnostic methods (asking, looking, listening, and palpating), base our diagnosis on the collection of symptoms and signs based on the chief complaint, and identify a specific pattern based on the organs, yin/yang, and body elements (like blood, body fluids, and qi) in disharmony, all of which determines the course of treatment. Depending on the TCM practitioner, palpation may be used to refine the choice of points (this is common at least in the case of choosing local ashi points) or at the extreme they may only use the trusted points in texts from Chinese Acupuncture and Moxibustion (CAM). I admit this is a gross simplification of the vast differences within the practices of TCM and JMT respectively, but seeing from the extremes can help to highlight the differences between the disciplines.

How to Survive and Thrive in the First Trimester

How to Survive and Thrive in the First Trimester

A NOTE FROM SHAWNA: When I find a good article I would like to share with you, I will (if the rights for the source allow it), reprint it here for you to enjoy. This does not necessarily indicate a relationship with the source and is not paid content. This post was written by acupuncturist Katherine Altneu, originally posted on the blog for her Denver practice, and is reposted here with her permission.

Pregnancy is different for every woman. Some women get debilitating fatigue, others get incapacitating nausea, others get leg cramps or insomnia. I don’t think there’s one foolproof way to make it through the symptoms that often accompany pregnancy, but here’s what I learned about managing and minimizing many of those symptoms.

To be honest, so far I haven’t been terribly impressed with the level of prenatal care I’ve experienced. I’ve seen both an OB and a Midwife group, and while I like the doctors I’ve worked with, believe they really do care about me and feel safe and that I’m in good hands, I also feel like a LOT is missing from the conversation.

Prenatal care feels basically like emergency prevention & management. Going to see them makes me feel relieved to hear the heartbeat or see the baby via ultrasound. But other than that, they pretty much just check my blood pressure as if to say “Well, you don’t have preeclampsia yet!” and then they basically just tell me: “Wear your seatbelt, and don’t get Listeria”. Um, thanks. Got it.

Yeah, all their nutritional advice is all about avoiding Listeria. It’s NOT about getting adequate or even optimal nutrition for the baby or mama. My goals are more than simply averting a medical crisis after all. Can’t we avert medical crises AND talk about optimal health and nutrition for BABY and helping ME feel my best as well?

So many doctors just tell you that it’s “normal”. Morning sickness is normal. Fatigue is normal. Bloating and gas are normal. And yes, all of these symptoms are very common, and it can be nice to hear that. But common doesn’t make them NORMAL or necessary or mean that they’re not AVOIDABLE or a sign of an underlying imbalance or deficiency.

In fact, many common pregnancy complaints and complications are associated with vitamin and nutritional deficiencies. Which means they can also be rectified pretty easily!

Often, we don’t need to just accept these symptoms as NORMAL. For many of these common pregnancy symptoms, there are strategies and tools we can use to prevent them, minimize them and alleviate them.

So, without further ado, here are the tricks I’ve learned and what I really want more women to know:

Needle Free if Need Be: Gentle Japanese Acupuncture Alternatives to Needles

Cupping has had a news moment lately with Michael Phelps and it has been fun to hear from many friends and patients wanting me to see that what they already know is great is being shared more widely. I wanted to take the opportunity to share back that cupping is just one of the many ways that Japanese Medicine can help that has nothing to do with needles!

When I tell people I am an acupuncturist, I often hear some variety of statement about how they've heard good things about acupuncture, but..."I'm scared of needles."

I myself was terrified of needles* when I first started going to acupuncture and there was no way I was going to drink bitter herbs!** Luckily, I was met with a first acupuncture practitioner who was open and wanted to help me based on my comfort level. She didn't mind my many questions about why she wanted me to do something or how that was going to help. Given how successful that was for me (I ended up training as an acupuncturist, after all!) I believe in working just that same way. I will meet you where you are and use the wide variety of tools at my disposal to treat you. And believe it or not, that means we can do entire treatments with absolutely no sharp objects! Perhaps that means we have an eventual goal of using needles (maybe just one?) or maybe you don't even want to put that on the table. Either is absolutely fine.

What can we use instead of inserted needles?