Should You Consult Your Doctor About Bruising After Acupuncture? - Traditional Chinese Medicine

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Inquire about medical issues related to acupuncture needle embedding?


I had acupuncture with needle embedding performed by a traditional Chinese medicine practitioner yesterday, above my navel.
After four hours, when I returned home and removed the adhesive bandage, I noticed some bruising.
Should I return to the doctor for an examination? Thank you for your response.

Xuan Xuan, 30~39 year old female. Ask Date: 2009/06/05

Dr. Peng Peilun reply Traditional Chinese Medicine


Hello: Due to the presence of bruising, there are concerns about potential infection and inflammation, so please return to the physician for a follow-up appointment.

Reply Date: 2009/06/05

More Info


When it comes to bruising after acupuncture, it's essential to understand that some degree of bruising can be a normal response to the treatment. Acupuncture involves the insertion of thin needles into specific points on the body, and while most patients experience little to no discomfort, some may develop bruising at the needle sites. This can occur for several reasons, including the depth of needle insertion, the location of the acupuncture points, and individual variations in skin sensitivity and blood vessel fragility.

In your case, noticing bruising four hours after the acupuncture treatment is not uncommon, especially if the needles were placed in an area with a rich supply of blood vessels. Bruising can result from minor bleeding under the skin, which may happen if a needle inadvertently punctures a small blood vessel. This is generally harmless and should resolve on its own within a few days to a week.

However, there are certain factors to consider when deciding whether to consult your doctor or the acupuncturist about the bruising:
1. Severity of Bruising: If the bruise is small and not accompanied by significant pain or swelling, it may not require further medical attention. However, if the bruise is extensive, painful, or continues to grow, it may warrant a consultation.

2. Symptoms: Pay attention to any additional symptoms that may arise. If you experience increased pain, swelling, or signs of infection (such as redness, warmth, or pus), you should seek medical advice promptly.

3. Underlying Conditions: If you have a history of bleeding disorders, are taking blood-thinning medications, or have any other health conditions that could affect your blood clotting, it is advisable to consult your healthcare provider for personalized advice.

4. Communication with Your Practitioner: If you have concerns about the bruising, it’s a good idea to reach out to the acupuncturist who performed the treatment. They can provide insight into whether the bruising is typical for your treatment and may offer suggestions for managing it.

5. Follow-Up Care: If you decide to return to your acupuncturist, they may want to assess the bruise and adjust your treatment plan accordingly. They can also provide recommendations for aftercare, such as applying ice to reduce swelling or using arnica cream to promote healing.

In summary, while bruising after acupuncture can be a normal occurrence, it’s essential to monitor the situation. If the bruising is minor and you feel well otherwise, it may not be necessary to return to the doctor. However, if you have any concerns about the severity of the bruise or if you experience additional symptoms, it’s always best to err on the side of caution and consult your healthcare provider. They can help ensure that your recovery is on track and that there are no underlying issues that need to be addressed.

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