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By West Norwood Therapies Team, Jul 26 2017 08:00AM

Acupuncturist Philippa Summers explores the science behind acupuncture, looking at how it works, the structures involved and how Western science is starting to explain ancient Eastern tradition. Fascinating!


How does it work?


We know for certain that acupuncture works. Descriptions of how it works vary considerably from the Eastern view of channels and qi to the scientific view. They describe exactly the same thing, viewed through a different lens using different language, and this blog is concerned with what is understood from a scientific perspective. Through the results of high quality research we know increasingly more about how it works. For years sceptics claimed its effects were placebo but that has now been firmly shown not to be the case. Here, I’d like to run through some of the mechanisms by which acupuncture has been proven to work and also look at some interesting ideas that may in the future add detail to what we already know.

Nerves, Biomolecules and Fascia


Nerve cells
Nerve cells

Acupuncture works via several mechanisms including via the nerves the run for the periphery to the brain, via a range of biomolecules that finely tune our physiology and metabolism, and also via the fascia, the matrix of tissue that wraps every structure in the body in one interconnected web. What they all have in common is that they provide routes of communication from one part of the body to another. These mechanisms have been proven through high quality research, by some of the world’s leading institutions, with the results published in respected scientific journals. Blocking the mechanisms of action, blocks the effect of acupuncture.


The effects of acupuncture are similarly multi-dimensional. Acupuncture influences our metabolism and is able to regulate digestion, blood pressure, cardiovascular function, the immune system and the nervous system, helping us to feel more relaxed and helping our bodies switch into a more restorative, less stressed mode. It has pain relieving effects that work both at the level of the brain via endorphins and at the location of an injury via adenosine. Acupuncture has actions that support a three stages of tissue healing through its anti-inflammatory effects, its ability to influence blood flow and to stimulate the formation of new blood vessels at the site of injury. The action of acupuncture is undoubtedly mediated through the action of other biomolecules, in addition to endorphins and adenosine, but they are examples of 2 that have been extensively studied, one acting in the brain and the other locally.


The Fascia


The Fascia plays and important organisational role in embryogenesis and connects every part of the body with every other part


It is the role of the fascia that most interests me. The fascia is a matrix that connects every part of the body with every other part via one large interconnected web. You can see it easily on a raw chicken leg, as the thin clear film that covers the fleshy muscles beneath the skin. It is of particular interest to me because it has the most direct connection to the physical act of needling a point. What we understand scientifically also aligns with the teachings of acupuncture that have been handed down from generation to generation throughout China and the far East for 3,000 years. It played a vital organisational role as we developed from a single cell into a baby and continues to play a vital role in separating the body into compartments, which are all interlinked. The channels of acupuncture are the spaces between structures that lie along the routes of fascial planes. The acupuncture points along these routes have heightened electrical properties – enabling them to be detected by machines - although in the clinic we find them by touch.



Acupuncture stretches the collagen fibres and fibroblasts within fascia, producing electricity and releasing chemical messengers


The effects of acupuncture on the fascia have been extensively researched by Helene Langevin, a Professor in Residence at Harvard Medical School. Fascia is composed of strands of collagen and fibroblasts cells. When stretched the collagen fibres produce tiny electric currents and the fibroblasts release chemicals. To get an effect from acupuncture, one vital part of the ancient Eastern teachings is gentle twiddling or flicking the handle of the needles. This stretches the collagen and fibroblasts producing a mild dull achey sensation. Don’t let that put you off having acupuncture, the needles are hair width and the sensation only lasts about a second and is not unpleasant. To increase the dose of acupuncture, the needles are twiddled or flicked at more regular intervals while you lie back and relax with the needles in place, most of the time not particularly aware that they are there.


Traditional acupuncture from the East recognises much broader influences than those so far understood in scientific and medical terms. I believe that with time, more and more of what is passed down in the Traditional Eastern teachings will have scientific explanations. The fascia played a central co-ordinating role in the development of every one of us from a simple fertilised egg to a complex human being with every cell of the correct type, in the correct place, doing the correct thing. The organisational ability of the fascia, helping to direct the process of differentiation is mind boggling and it is likely that vestiges, at least, of that innate intelligence remain. Stimulating different acupuncture points, each of which has its own unique set of actions, possibly taps into the connections that remain within the fascia.


To read more about this I wholeheartedly recommend Daniel Keown’s book, ‘The Spark in the Machine’. He is a medical doctor, also trained in Traditional Acupuncture, who has used acupuncture in the A and E department of NHS hospitals, although I hasten to add this is not typically where acupuncture’s strengths lie. He became interested in acupuncture when he was 12 years old, after hearing stories from his 85 year old grandmother who had travelled around China on her own. In his book he links acupuncture theory, the actions of points and how traditional acupuncturists view the body and its connections, to the role of fascia in assisting and helping to direct the way in which we developed from cell to baby. There is a high degree of correlation. Here is a clip of Daniel Keown explaining ‘What is an acupuncture point?’


Acupuncture and Pain Control


Acupuncture has many ways of helping with pain
Acupuncture has many ways of helping with pain

Acupuncture works with the body, not against it. If you were driving your car and the oil light came on, you would not fix it by removing the bulb. Yet this is how we approach pain when we reach for pain killers, which as we are finding out, even those widely used and readily available over the counter medications like aspirin, ibuprofen and many NSAIDs, are not without their risks and side effects. Sometimes you need a pain killer and acupuncture has many effective ways to help with pain, whether it is from a sports injury, headache, migraine, period pain or cancer related pain. With acupuncture we can help to ease pain by dealing with the root cause but there are also methods that simply block the pain when the root cause cannot be addressed. It is versatile, effective and without the side effects and risks associated with many of the medicines available.


Acupuncture and wider health


Acupuncture can also affect many of our bodies systems, including mental and emotional well being


We know that the effects of acupuncture are very much wider than pain control, influencing our whole body - digestion, immunity, reproduction, cardiovascular health and of course, very importantly, our mental and emotional well-being. Acupuncture is extremely safe with many ‘side benefits’ – better sleep, more energy and generally feeling good. Having taken a look at what is understood about the mechanisms of acupuncture I hope that statements like ‘Acupuncture helps the body to heal itself’ will have a little more meaning and credence. I believe that acupuncture deserves a place besides the best that medicine has to offer, where each performs to its strengths.




By West Norwood Therapies Team, Jul 19 2017 08:00AM

Our fantastic Pilates teacher, Matthew Atwell, shares the launch of The Pilates Education's new Pilates equipment studio opening in West Norwood (just next to WNT!) this month



In addition to our established mat class provision, The Pilates Education is thrilled to announce the launch of its new venture; West Norwood’s first Pilates equipment studio!


The new studio will be located within the premises of Access Storage on Norwood Road, the venue where our group mat classes already take place, making a complete home for our Pilates provision in SE27.


This is also the residence of our friends at West Norwood Therapies who already offer massage, acupuncture, osteopathy, nutritional therapy, plus yoga and hypnobirthing classes. Thus, the studio launch will further diversify our combined offering of holistic wellbeing practices.


Amongst others, the studio will house all core pieces of Pilates apparatus - the Reformer, Cadillac and Wunda Chair - which together provide powerful opportunities for mastering the art of Pilates.


Do not hesitate to get in touch to find out more about this new space, and the semiprivate classes taking place there.


We look forward to welcoming many of you to the new studio very soon.


Best wishes


Matthew

info@thepilateseducation.com




By West Norwood Therapies Team, Jul 12 2017 08:00AM

Sports massage therapist Tessa Glover challenges you to match tennis players to their injuries and shares some advice on dealing with a common tennis injury


Can you match the tennis players with their past injuries?

Answers at the bottom of the page.

Sprained Ankle

Shoulder Pain

Wrist Pain

Back Pain

Tennis Elbow


Sprained Ankle

Ankle sprains account for as much as one-fifth of injuries in athletes. The sudden sideways movements that are required during tennis can cause the ankle to twist, particularly if the surface is slippery or the player is fatigued.


A twisted ankle usually causes a strain and sometimes even a tear of the ligaments as well as damage to other soft tissues around the ankle. This is called a sprained ankle. The injury can cause bleeding within the tissues and the swelling can be extremely painful. Simple sprained ankles usually get better on their own given enough time but having the right treatment can considerably speed up the process.

Prevention

Warm up before exercise and warm down afterwards

- Stretching before exercise is no longer recommended, but many people find stretching afterwards helps them

-Do exercises that strengthen the muscles around your ankle and foot (http://www.aofas.org/footcaremd/how-to/foot-injury/Pages/How-to-Ankle-Sprain-Strengthening-Exercises.aspx)

-Regular sports massage maintains excellent tone in the muscles of the leg, foot and ankle.

-Do exercises to improve your balance (in one big study it was found that this was the single best way to avoid re-injury!)

-Apply an ankle brace to the ankle before exercise if it feels unstable

Immediate Sprain Treatment


RICE principle: Rest, Ice, Compress, Elevate

This principle seems to go in and out of fashion, but studies continue to show that this is a safe way to care for a sprained ankle. Of the four, ice is the one you can probably afford to drop, and remember to keep your ankle moving if you possibly can to stop the muscles weakening. Don’t splint it, though, but a firm elastic wrap such as a tubigrip does an excellent job of providing just enough support.


If you cannot weight-bear on the affected ankle after 24 hours then either visit your GP or make an appointment with an osteopath who will carry out an assessment known as the Ottawa Ankle Rule. The tests in this rule will diagnose whether you need an ankle or foot X-Ray.

Chronic (longer term) sprains

About 2 in 10 people who sprain their ankle will go on to develop chronic ankle instability. The key here is to improve balance and strengthen the muscles. Strong ankle and foot muscles protect the joint and good balance is associated with a fewer repeat strains.


Depending on the severity of the sprain, a rehabilitation programme may well be necessary to return strength and stability to the ankle. Experts agree that not all sprains are the same, and a patient-centred treatment plan is the best way to care for a sprained ankle.

Answers: Sprained Ankle/Andy Murray . Shoulder pain/Maria Sharapova . Wrist Pain/Rafa Nadal . Back Pain/Juan Martin del Potro . Tennis Elbow/Serena Williams




By West Norwood Therapies Team, Jul 5 2017 08:00AM

Hypnobirthing teacher, Clare Butler, suggests how you can approach birth like a pro sportsman and gives you some tips to have a winning experience...


It is that time of year again. Sit down, relax (with a bowl of strawberries of course) and watch the likes of Murray and Williams play to their full potential. After much practice, and physical and mental preparation, they are ready to win. Giving birth is no different. Here are some hypnobirthing musts that will help you play your A game.


Fans & support

Granted, you won’t have screaming hordes of fans but I bet you have many supportive friends and family. In advance of and during labour, allow yourself to feel the love and hear the crowd roar that “you are great and you can give birth!”


Practice

Every tennis player knows they must put the practice in. It may sound a bit odd but giving birth is no different. Practice your breathing, visualisation and the ability to relax. I promise you that the effort will pay off.


Warm up

Avoid any leg and thigh ache in labour by familiarising yourself with different birth positions in advance. Exercising during pregnancy isn’t for everyone (me included) but a bit of yoga, pilates or simply trying to practice your breathing in a range of positions can go a long way.


Power thoughts

Professional sports players employ a sports psychologist for a reason. Positive thinking does wonders and produces results. Think power thoughts like Serenna and learn how to focus the mind like Murray. Professional sports players also use visualisation and practice visualising themselves winning tournaments, hitting the winning shot and lifting the cup. Consider hypnobirthing as your sports psychology. Oh and pleasse try and avoid negativity - politely walk away when your “friend” starts to tell you about their negative birth experience and, funny as it may be, DO NOT watch Knocked Up.


Best of luck with the game. I am sure that you will do fantastic. Remember the prize that you will get at the end!


I almost forgot….make sure that you stay hydrated throughout.



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