Discomfort after acupuncture?
The patient sustained a lower back injury and received acupuncture on the dorsal side of the right hand, specifically near the area below the index and middle fingers, as well as below the ring and little fingers.
During the acupuncture session, discomfort was experienced after approximately 5 minutes at the site near the index and middle fingers, prompting the nurse to remove the needles.
After the acupuncture treatment, the patient felt significant numbness and soreness, which worsened after returning home.
The patient reported discomfort extending from the middle finger along the tendon to the arm, with pain occurring during activities such as turning on a faucet and lifting heavy objects.
Pain was also noted when making a fist.
The patient inquires whether the needle insertion may have caused injury to a tendon, nerve, or muscle.
Thank you.
eric, 30~39 year old female. Ask Date: 2019/05/08
Dr. Lü Bingcheng reply Traditional Chinese Medicine
Hello, regarding the issue you raised, here is my response: You experienced a back injury and underwent acupuncture, but after about 5 minutes, you felt discomfort and requested the nurse to remove the needles.
Subsequently, you developed numbness and soreness in your right arm and fingers.
After returning home, the discomfort worsened, and you felt a significant discomfort extending from the middle finger up to the arm.
Activities such as turning on the faucet, making a fist, and lifting heavy objects caused pain.
You are concerned whether the acupuncture needles may have injured a tendon, nerve, or muscle.
My personal opinion is as follows: 1.
The soreness and numbness after acupuncture can arise from various factors, making it difficult to determine the cause based solely on a single inquiry.
2.
If the soreness and numbness do not improve, please seek further evaluation and treatment from a qualified healthcare professional, either in traditional Chinese medicine or Western medicine.
Reply Date: 2019/05/08
More Info
Post-acupuncture discomfort can be a common experience, especially when needles are inserted near sensitive areas such as nerves, tendons, or muscles. In your case, the discomfort you are experiencing in your right hand, particularly around the middle and ring fingers, could be attributed to several factors related to the acupuncture treatment.
Firstly, acupuncture involves the insertion of fine needles into specific points on the body to stimulate healing and alleviate pain. While acupuncture is generally safe, there are instances where patients may experience discomfort or pain following treatment. This can occur if the needle inadvertently affects nearby structures, such as nerves or tendons. Given that you felt discomfort during the procedure and that the pain has intensified afterward, it is possible that the needle may have irritated a nerve or caused some minor trauma to the surrounding tissues.
The symptoms you describe—numbness, tingling, and pain radiating from the fingers to the arm—suggest that there may be some involvement of the median nerve, which runs down the arm and into the hand. This nerve can become compressed or irritated due to various factors, including direct trauma, repetitive strain, or inflammation. If the acupuncture needle inadvertently impacted this nerve, it could lead to the symptoms you are experiencing.
Additionally, the sensation of "heaviness" or "soreness" in the area where the needle was inserted could indicate localized inflammation or muscle tension. Acupuncture can sometimes lead to a temporary increase in muscle soreness, similar to what one might feel after a workout. However, if the discomfort persists or worsens, it is essential to address it promptly.
Here are some recommendations for managing your symptoms:
1. Rest and Ice: Allow your hand to rest and apply ice to the affected area to reduce inflammation and numb the pain. Ice can be applied for 15-20 minutes every hour as needed.
2. Gentle Stretching: Once the acute discomfort subsides, gentle stretching of the fingers and wrist may help alleviate tension and improve mobility. Be cautious not to overstretch or exacerbate the pain.
3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help manage pain and reduce inflammation. Always follow the recommended dosage and consult with a healthcare provider if you have any concerns.
4. Follow-Up with Your Acupuncturist: It is crucial to communicate your symptoms to the acupuncturist who performed the treatment. They can assess the situation and determine if any adjustments to your treatment plan are necessary.
5. Consult a Healthcare Professional: If your symptoms do not improve within a few days or if they worsen, it is advisable to consult a healthcare professional. A physician or physical therapist can perform a thorough evaluation, including a physical examination and possibly imaging studies, to rule out any underlying conditions such as nerve entrapment or tendon injury.
6. Consider Nerve Conduction Studies: If symptoms persist, a neurologist may recommend nerve conduction studies to assess the function of the median nerve and determine if there is any significant nerve damage or compression.
In summary, while post-acupuncture discomfort can occur, it is essential to monitor your symptoms closely. If the pain and discomfort continue or worsen, seeking medical advice is crucial to ensure proper diagnosis and treatment. Remember, your health and well-being should always come first, and addressing any concerns promptly can help prevent further complications.
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