Managing Swelling and Pain After Acupuncture Treatment - Surgery

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Post-acupuncture swelling and pain?


Hello Doctor: A few days ago, I received acupuncture treatment from a traditional Chinese medicine practitioner.
However, yesterday I noticed swelling and pain near the acupuncture site.
There were three needle insertion points, but only one of them is experiencing this issue.
What would be the best way to handle this? Thank you!

Yi, 30~39 year old female. Ask Date: 2016/06/06

Dr. Li Zhonghuai reply Surgery


Hello! Please avoid contact with tap water and seek a consultation with a general surgeon as soon as possible to assess for possible cellulitis.
Take care! Changhua Hospital is concerned about you!

Reply Date: 2016/06/06

More Info


After undergoing acupuncture treatment, it is not uncommon to experience some swelling and pain at the site of needle insertion. This phenomenon can occur due to various reasons, including the body's natural response to the needles, minor bruising, or irritation of the surrounding tissues. Here are some steps you can take to manage the swelling and pain effectively:
1. Rest and Avoid Strain: After acupuncture, it is advisable to rest the affected area and avoid any strenuous activities that may exacerbate the pain or swelling. Allowing your body to heal is crucial.

2. Cold Compress: Applying a cold compress to the swollen area can help reduce inflammation and numb the pain. Use a clean cloth or an ice pack wrapped in a towel, and apply it for about 15-20 minutes at a time. This can be done several times a day, especially within the first 48 hours after noticing the swelling.

3. Gentle Massage: If the area feels tight or sore, gentle massage around the site (not directly on the needle insertion point) may help alleviate discomfort. Use light pressure and avoid any aggressive movements that could worsen the pain.

4. Heat Application: After the initial swelling has decreased (typically after 48 hours), you may switch to heat therapy. Applying a warm compress can promote blood flow and help relax the muscles around the area, which may alleviate pain.

5. Over-the-Counter Pain Relief: If the pain is significant, consider taking over-the-counter pain relievers such as ibuprofen or acetaminophen, following the recommended dosages. These medications can help reduce inflammation and provide pain relief.

6. Hydration and Nutrition: Staying well-hydrated and maintaining a balanced diet can support your body’s healing process. Foods rich in antioxidants and anti-inflammatory properties, such as fruits, vegetables, and omega-3 fatty acids, may be particularly beneficial.

7. Monitor Symptoms: Keep an eye on your symptoms. If the swelling and pain persist beyond a few days, or if you notice increased redness, warmth, or discharge at the site, it may indicate an infection or other complications. In such cases, it is essential to consult your healthcare provider for further evaluation.

8. Follow-Up with Your Acupuncturist: It is also a good idea to reach out to the acupuncturist who performed the treatment. They can provide specific advice tailored to your situation and may suggest adjustments to your treatment plan if necessary.

9. Consider Alternative Therapies: If the pain continues or worsens, you might explore other therapies such as physical therapy, which can help strengthen the area and improve mobility, or consult a pain management specialist for additional options.

In summary, while mild swelling and pain after acupuncture can be a normal response, it is essential to manage these symptoms appropriately. By resting, applying cold or heat as needed, and monitoring your condition, you can facilitate your recovery. If symptoms persist or worsen, do not hesitate to seek professional medical advice.

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