Latest / Hurdle with Emily Abbate / #HURDLEMOMENT: Acupuncture 101: An Expert On How It Works & What to Expect
Transcript
- 0:00Speaker 1: Acupuncture changed my life. It can change yours too, and
- 0:03Speaker 1: really there's no downside to trying it right. It's not
- 0:05Speaker 1: a medication, it's not a surgery. That's what I love
- 0:08Speaker 1: so much about acupuncture is that there's really no downside
- 0:11Speaker 1: to it. You know.
- 0:26Speaker 2: I was trying to think the other day about when
- 0:28Speaker 2: I started using the word hurdlers, and it was really
- 0:31Speaker 2: early on, but I don't have an exact origin story.
- 0:37Speaker 2: I digress to the intro. Emily A Badi here, what's
- 0:40Speaker 2: going on hurdlers? You are listening to another episode of Hurdle,
- 0:45Speaker 2: a Wileness focus podcast where I connect with everyone from
- 0:48Speaker 2: your favorite athletes to top experts and industry CEOs about
- 0:51Speaker 2: their highest hies, toughest moments, and everything in between. We
- 0:56Speaker 2: all go through hurdles in life, and my goal through
- 0:58Speaker 2: these discussions is to empower you to better navigate yours
- 1:01Speaker 2: and move with intention so that you can stride towards
- 1:05Speaker 2: your own big potential and of course have some fun
- 1:09Speaker 2: along the way. For today's episode, I am chatting with
- 1:13Speaker 2: Teddy Levarda. He's a licensed acupuncturist. He's also the owner
- 1:17Speaker 2: of Morningside Acupuncture here in Manhattan. I have been going
- 1:22Speaker 2: to see Teddy for about a month now on my
- 1:26Speaker 2: what feels like never ending journey to navigate planter fasciitis,
- 1:30Speaker 2: and I have learned so much, which is exactly why
- 1:35Speaker 2: the last time that I was in his office, I
- 1:37Speaker 2: asked him if he would be oh so kind and
- 1:41Speaker 2: come on the pod to talk all about acupuncture. And
- 1:46Speaker 2: that's exactly what we do in today's episode. In today's chat,
- 1:50Speaker 2: Teddy and I get into the origins of acupuncture, the
- 1:53Speaker 2: different types of acupuncture, what you can expect heading to
- 1:57Speaker 2: your first and second sessions, and of course subsequent to that,
- 2:01Speaker 2: plus the different types of ailments, situations, pains, whatnot that
- 2:07Speaker 2: acupuncture can treat. Like I said this time around, although
- 2:11Speaker 2: I have done acupuncture before shout out to Mollie at
- 2:15Speaker 2: eight point wellness, I am using it for a very
- 2:20Speaker 2: specific issue planter fasci itis, but individuals use acupuncture to
- 2:24Speaker 2: treat all different sorts of situations from pain to chronic illness.
- 2:30Speaker 2: We talk about fertility and so much more. Plus the
- 2:35Speaker 2: big question that everybody wanted to know about on social media,
- 2:38Speaker 2: does acupuncture hurt or what does it feel like? Spoiler alert?
- 2:43Speaker 2: We talk all about that too. Now really exciting here
- 2:47Speaker 2: Teddy and Morningside are giving five listeners that are local
- 2:52Speaker 2: to New York a free acupuncture session. The details on
- 2:56Speaker 2: how to win your session are going to be posted
- 2:59Speaker 2: on the Hurdle Instagram account that's over at Hurdle Podcast,
- 3:04Speaker 2: and the winners will be announced on Monday, January thirtieth,
- 3:09Speaker 2: twenty twenty three. So for all of the information on
- 3:13Speaker 2: how you can win a free acupuncture session at Morningside Uptown.
- 3:17Speaker 2: If you happen to be local to New York, head
- 3:19Speaker 2: on over to at Hurdle Podcast on Instagram. Make sure
- 3:23Speaker 2: you're also following along with me over at Emily Body.
- 3:26Speaker 2: And if you're not yet doing so, subscribe to the
- 3:29Speaker 2: Weekly Hurdle newsletter. It comes out every single Friday, bringing
- 3:32Speaker 2: a lot of the same motivation and inspiration you love
- 3:35Speaker 2: from the show directly to your inbox. And while you're there,
- 3:39Speaker 2: don't hesitate to share the Weekly Hurdle with a friend.
- 3:43Speaker 2: That's it for now.
- 3:45Speaker 3: With that, let's get to it. Let's get to hurdling.
- 4:05Speaker 2: Today. I am sitting down with Teddy Levarda. He is
- 4:09Speaker 2: the founder of Morningside Acupuncture. He's also a licensed acupuncturist
- 4:14Speaker 2: How are you doing, Teddy.
- 4:15Speaker 1: I'm doing great. Hello everyone in Emily. Thanks so much
- 4:18Speaker 1: for having me today. I'm really excited to talk about
- 4:21Speaker 1: acupuncture and answer any questions that you have.
- 4:23Speaker 2: Have you done a podcast before.
- 4:26Speaker 1: I've done a couple Instagram lives before. This is my
- 4:29Speaker 1: first podcast, so to speak.
- 4:30Speaker 2: How does it feel?
- 4:31Speaker 1: It's exciting. I mean, getting to talk about acupuncture and
- 4:35Speaker 1: educate people about it has been super fun since I
- 4:37Speaker 1: started doing this.
- 4:38Speaker 2: So how long have you been doing it?
- 4:39Speaker 1: So? You know, acupuncture school was three years long. I
- 4:42Speaker 1: started that in twenty sixteen. I graduated in twenty nineteen,
- 4:45Speaker 1: and it'll be almost four years now that I'm on
- 4:47Speaker 1: my own. And you know, I had a whole nother
- 4:49Speaker 1: career before acupuncture. I worked in finance for almost I
- 4:54Speaker 1: think it was nine or ten years, and then had
- 4:56Speaker 1: such an amazing experience with acupuncture personally that I I
- 5:00Speaker 1: had to abandon my career, go to school for three years,
- 5:03Speaker 1: and you know, take a chance on being an acupuncturist.
- 5:05Speaker 2: Well, we need to hear what happened.
- 5:07Speaker 1: Yeah, So you know it started back when I was
- 5:11Speaker 1: in my mid twenties. I was working in finance, like
- 5:13Speaker 1: a really crazy you know, like ten to twelve hour
- 5:16Speaker 1: job in a chair was really stressful. I wasn't allowed
- 5:18Speaker 1: to take breaks. And I was also playing a lot
- 5:21Speaker 1: of soccer, and I was more of a runner than
- 5:23Speaker 1: I am now back then, and I was training for
- 5:25Speaker 1: the New York City Marathon in twenty ten, and during
- 5:29Speaker 1: my training I started to have like hip pain, back pain.
- 5:32Speaker 1: I tore my hamstring during my training. That was a
- 5:34Speaker 1: couple months before the race. I ended up doing the marathon,
- 5:38Speaker 1: not as well as I would have liked, because you know,
- 5:40Speaker 1: I had that injury. And then the next year I
- 5:42Speaker 1: started playing soccer again, running more, and I started get
- 5:45Speaker 1: this clicking in my hip. Turned out I had a
- 5:47Speaker 1: laborum tear in my hip. It was probably from all
- 5:49Speaker 1: the running and stress. I spent about a year or
- 5:53Speaker 1: two just going around between different types of treatment. I tried,
- 5:57Speaker 1: you know, physical therapy, strength training. I went to the
- 5:59Speaker 1: Worth pedic doctor, had a cortzone injection. I tried traditional acupuncture,
- 6:04Speaker 1: which you know works for a lot of things, but
- 6:05Speaker 1: I needed a different kind of acupuncture which I later
- 6:08Speaker 1: stumbled upon. You know, I tried magnet therapy, gyratronic yoga, pilates, swimming,
- 6:15Speaker 1: you know I could name like all these weird things
- 6:17Speaker 1: that you know, you just go online and you're like,
- 6:19Speaker 1: what can help with my back or hip pain? And
- 6:20Speaker 1: you're just desperate for answers. And I really didn't want
- 6:23Speaker 1: to get surgery. And then I actually discovered a different
- 6:27Speaker 1: style of acupuncture. Because there are a lot of different
- 6:28Speaker 1: styles which we'll probably get into. I discovered more of
- 6:32Speaker 1: like a trigger point type of acupuncture, or it can
- 6:34Speaker 1: be called dry needling. It has a lot of names.
- 6:36Speaker 1: Myofascial release, you know, it's essentially like a deep tissue
- 6:40Speaker 1: release with an acupuncture needle. And that like literally changed
- 6:43Speaker 1: my life, you know, working on like my glutes and
- 6:46Speaker 1: my hip flexers and I just had chronic tightness from
- 6:48Speaker 1: sitting all day and playing soccer, both of those things
- 6:50Speaker 1: and running. All those things stressed your hips quite a bit.
- 6:54Speaker 1: And by loosening that up, like my hip pain went away.
- 6:58Speaker 1: I had gone to hip surgeon and he said, you know,
- 7:00Speaker 1: you're playing soccer four times a week. I know it's
- 7:02Speaker 1: really painful, but you're twenty five, and the longer you
- 7:05Speaker 1: can prolong surgery, you know, the better off you'll be.
- 7:07Speaker 1: He's like, I had just found this type of acupuncture.
- 7:09Speaker 1: He's like, keep trying it, like see how it feels.
- 7:12Speaker 1: And honestly, I never went back to him because within
- 7:15Speaker 1: a few months my hip pain like decreased significantly. And
- 7:18Speaker 1: then I kept seeing this acupuncturist for you know, the
- 7:21Speaker 1: same issues, but just getting deeper into working through it
- 7:25Speaker 1: and was actually getting a treatment one day and I
- 7:28Speaker 1: was like, huh, acupuncture. It's like this guy's life must
- 7:31Speaker 1: be so interesting. He like literally changed my life. He
- 7:34Speaker 1: probably does this with other people. And at that point,
- 7:36Speaker 1: I was like, I wonder how all this works, Like
- 7:38Speaker 1: why did this get better? Like why didn't anyone else
- 7:40Speaker 1: know about this? Why is this? Why am I like
- 7:42Speaker 1: two years into having pain before discovering this? And I
- 7:45Speaker 1: just became like super interested and I asked him. I
- 7:48Speaker 1: was like, how long is acupuncture school? And I was
- 7:51Speaker 1: just assuming he was going to say, like, oh, it's
- 7:53Speaker 1: like six months. It's like a certificate, you know, That's
- 7:55Speaker 1: what I thought it was, and I think that's what
- 7:56Speaker 1: most people think. And he's like, no, it's a three
- 7:58Speaker 1: year master's And I was like wow, really, like that
- 8:01Speaker 1: sounds legitimate. That's like a high barrier to entry. Not
- 8:04Speaker 1: anyone can just like go and do it. He you know,
- 8:07Speaker 1: he sounded really knowledgeable about like my muscles and what
- 8:10Speaker 1: was going on with me. And then I was like, oh,
- 8:11Speaker 1: where did you go to school? And he mentioned the
- 8:13Speaker 1: school tri State College of Acupuncture. And there's another school,
- 8:16Speaker 1: Pacific College. Those are like the two main schools, and
- 8:19Speaker 1: I went to visit them. My wife at the time,
- 8:21Speaker 1: we were just dating, and she was super supportive of like,
- 8:24Speaker 1: you know, like, if you really want to do it,
- 8:26Speaker 1: I'll go with you to the open house. And we
- 8:28Speaker 1: went together, and you know, then I went to acupuncture school.
- 8:31Speaker 2: Wow. Wow, that's you know, it's so interesting that that
- 8:35Speaker 2: was kind of where your curiosity led you, because it's
- 8:39Speaker 2: awesome that we often have the opportunity to get profoundly
- 8:42Speaker 2: impacted by a range of professionals in our life. But
- 8:45Speaker 2: you were profoundly impacted so much so that you decided
- 8:49Speaker 2: to make a major career pivot.
- 8:51Speaker 1: Yeah. And it was, you know, I was at a
- 8:53Speaker 1: point in my finance career where I had, you know,
- 8:54Speaker 1: I was like moving jobs every couple of years hoping
- 8:57Speaker 1: that there would be some better fit. I really just
- 8:59Speaker 1: didn't like the life lifestyle, and I just wanted more
- 9:02Speaker 1: freedom in my life and the idea of being an acupuncturist.
- 9:04Speaker 1: Like I have my own business. I get to set
- 9:06Speaker 1: my own hours, I get to decide what I do
- 9:08Speaker 1: and don't do, And I really like that aspect of
- 9:10Speaker 1: being a business owner. Although it is stressful. Yeah, I
- 9:13Speaker 1: really enjoy the flexibility. I love that.
- 9:15Speaker 2: I love that. So upon getting into acupuncture school, was
- 9:21Speaker 2: it what you thought that it was going to be?
- 9:24Speaker 1: I think yes and no. I think it was harder
- 9:26Speaker 1: than I thought it would be. There's just so many
- 9:28Speaker 1: layers to acupuncture, and you know, like I discovered how
- 9:32Speaker 1: many different types of acupuncture are because I think we're
- 9:34Speaker 1: you know, especially in this country, we just see that
- 9:36Speaker 1: one type where people set needles in and you rest
- 9:39Speaker 1: and you don't feel that much and you come out
- 9:41Speaker 1: of the treatment wondering like did anything really happen? I'm
- 9:43Speaker 1: not really sure? And that you know that it's called
- 9:46Speaker 1: traditional Chinese medicine style acupuncture. It works really well, like
- 9:49Speaker 1: with your nervous system, and it does help you feel
- 9:52Speaker 1: more calm, It helps with digestion, it can help with fertility,
- 9:55Speaker 1: you know, headaches, general stress, but that works more subtly,
- 10:00Speaker 1: and for me, it was like stumbling across these other styles.
- 10:02Speaker 1: We were trained in that style, a Japanese style that
- 10:04Speaker 1: is a lot more gentle and uses smaller needles, and
- 10:07Speaker 1: its practiced by a lot of blind acupuncturists in Japan
- 10:10Speaker 1: because it's a lot based more on feel, and you know,
- 10:13Speaker 1: my acupuncture practice is more informed by touch, Like before
- 10:16Speaker 1: I do the treatment, I feel different areas of your body,
- 10:19Speaker 1: and not all types of acupuncture do that. Sometimes it's
- 10:22Speaker 1: just like, oh, your back hurts, I'm not really going
- 10:24Speaker 1: to touch it. I'm just going to put needles in
- 10:26Speaker 1: these points and let you rest. And then there's the
- 10:28Speaker 1: trigger point style. That is really what drew me to
- 10:31Speaker 1: acupuncture school. And in some states, you know, that's more
- 10:35Speaker 1: in the dry needling realm, and being in New York,
- 10:37Speaker 1: only acupuncturists can do that type of treatment. So that's
- 10:40Speaker 1: kind of what led me to go to acupuncture school too.
- 10:42Speaker 1: It was like, I want to do what this guy does.
- 10:44Speaker 1: I want to you know, I want to treat people
- 10:46Speaker 1: like he treated me. And acupuncture is an interesting profession
- 10:49Speaker 1: because it was a very eclectic group of students. In
- 10:53Speaker 1: our class, there were a lot of few people just
- 10:54Speaker 1: straight out of school, a few people like me that
- 10:56Speaker 1: were like second career people, and then there were some
- 10:59Speaker 1: people who are older there, kids were going to college
- 11:01Speaker 1: and they just like wanted a new career. And for
- 11:03Speaker 1: most of us, like we had some really profound experience
- 11:06Speaker 1: with acupuncture because it's not the type of profession that's like, oh,
- 11:09Speaker 1: I'm going to go be a doctor. Oh I'm going
- 11:10Speaker 1: to be a police officer. It's just like, oh, like
- 11:13Speaker 1: I didn't I didn't even know it existed until I
- 11:15Speaker 1: was like twenty five years old. So it was a
- 11:17Speaker 1: really cool group. And then that also when I'm treating
- 11:19Speaker 1: other patients, like oftentimes I've had some of the pain
- 11:22Speaker 1: that they have, so it's like I think it just
- 11:24Speaker 1: provides like another layer of empathy and like, you know,
- 11:26Speaker 1: I know what the treatment feels like, I know you
- 11:29Speaker 1: know what it feels like afterwards, and I know psychologically
- 11:31Speaker 1: what you're going through dealing with, you know, chronic pain.
- 11:34Speaker 1: So it was a really fun experience.
- 11:36Speaker 2: So you listed a couple of different types of acupuncture,
- 11:39Speaker 2: traditional Chinese acupuncture. You also mentioned trigger points, So for
- 11:43Speaker 2: the listener, let's sum up the most popular types of acupuncture.
- 11:48Speaker 1: Yeah, so you know the reality is that there are
- 11:51Speaker 1: probably hundreds or thousands of styles of acupuncture. You know,
- 11:54Speaker 1: it originated over two thousand years ago in China, and
- 11:58Speaker 1: really until not that long ago, it wasn't really standardized.
- 12:01Speaker 1: It was more of like kind of like martial arts,
- 12:03Speaker 1: where there's like family lineage of like the master and
- 12:06Speaker 1: the apprentice, and there's like secret you know, points and
- 12:09Speaker 1: secret things that you know only like you learn if
- 12:12Speaker 1: you learn from the master. And that's how acupuncture was
- 12:14Speaker 1: for a long period of time. And then it became
- 12:16Speaker 1: more standardized with like the opening of acupuncture schools, and
- 12:20Speaker 1: then traditional Chinese medicine is actually more of a modern thing.
- 12:23Speaker 1: I forget which decade, but in the nineteen some things,
- 12:26Speaker 1: you know, China went through like a medical revolution where
- 12:29Speaker 1: they started implementing like Western medicine more and kind of
- 12:32Speaker 1: abandoned Chinese medicines for some time. And I think it
- 12:35Speaker 1: was under Mau he decided to like bring back some
- 12:38Speaker 1: traditional Chinese medicine, but more in like an americanized, standardized way,
- 12:42Speaker 1: where like you know, if you have a cough, there's
- 12:44Speaker 1: like an acupuncture point prescription, and there's like an herbal
- 12:46Speaker 1: medicine prescription. And it was kind of like revived in
- 12:51Speaker 1: that sense, but it was like more standardized where they're like,
- 12:53Speaker 1: you know, I don't remember when, but they like had
- 12:55Speaker 1: names of points and channels and it became a lot
- 12:58Speaker 1: more standardized than it was originally. And then it spread
- 13:01Speaker 1: to Japan and Korea, you know, they have their own
- 13:04Speaker 1: different types of acupuncture, to Vietnam, and then eventually made
- 13:06Speaker 1: its way to Europe, so there's like a whole French
- 13:09Speaker 1: style of acupuncture. Then it reached like the UK, and
- 13:12Speaker 1: then you know, as it is, it reached like Europe.
- 13:14Speaker 1: In the US, there are like these new like medicalized
- 13:16Speaker 1: styles of acupuncture, and you know, the trigger point stuff
- 13:19Speaker 1: kind of falls in that realm. There's a style called
- 13:22Speaker 1: medical acupuncture. There is Western acupuncture. There's trigger point acupuncture,
- 13:25Speaker 1: dry needling, and effectively like you know, traditional acupuncture looks
- 13:29Speaker 1: more of like acupuncture meridians and chi and energy and
- 13:32Speaker 1: the idea that like there are energy blockages and you
- 13:35Speaker 1: free them up with acupuncture needles. That sounds really confusing
- 13:38Speaker 1: and esoteric to a lot of people. And what a
- 13:40Speaker 1: lot of these Western styles have done now that we
- 13:42Speaker 1: have like the ability to do research and like hook
- 13:45Speaker 1: people up to machines and see what's happening in their body.
- 13:47Speaker 1: There are actually a lot of good physiological explanations of
- 13:50Speaker 1: what happens when you stick an acupuncture needle in, and
- 13:52Speaker 1: you know it does some things like release pain endorphins
- 13:55Speaker 1: and reduce stress, and you know, in the case of
- 13:57Speaker 1: trigger point work like release muscle nuts and deact trigger points.
- 14:01Speaker 1: And you know, now, like I'm more in the vein
- 14:04Speaker 1: of like when I explain treatment to patients, it's more
- 14:06Speaker 1: of like in a physiological and Western sense. There are
- 14:09Speaker 1: a lot of acupunctures who are more esoteric and talk
- 14:12Speaker 1: about liver energy and chi and you know, really what
- 14:15Speaker 1: those are our metaphors for the human body. And it's
- 14:17Speaker 1: not a surprise that like the stuff we found with
- 14:20Speaker 1: trigger points really overlaps the traditional stuff because you're really
- 14:23Speaker 1: looking at the same at the same body.
- 14:25Speaker 2: Yeah, yeah, So is there a difference between the trigger
- 14:29Speaker 2: point acupuncture as you describe it and dry needling.
- 14:32Speaker 1: Really the difference is who's doing it right. So if
- 14:35Speaker 1: an acupuncturist is releasing trigger points, it might be called
- 14:38Speaker 1: trigger point acupuncture. Dry needling is a coin a term
- 14:41Speaker 1: that was coined a few decades ago, and it's probably
- 14:44Speaker 1: interesting to talk about the history of it, because you know,
- 14:46Speaker 1: in its current form, dry needling uses acupuncture needles. So
- 14:49Speaker 1: that's why there's this whole thing of like is it acupuncture,
- 14:52Speaker 1: is it not acupuncture? And effectively what it is today
- 14:55Speaker 1: is using an acupuncture needle to find and release trigger points.
- 14:58Speaker 1: And trigger points are hyper irritable bands of muscle that
- 15:02Speaker 1: cause either local or referred pain in a specific pattern.
- 15:05Speaker 1: This kind of research started in the thirties and forties,
- 15:08Speaker 1: and there's a doctor Janet Trevelle is like the most
- 15:11Speaker 1: famous one. She was doctor Kennedy's physician, and she was
- 15:15Speaker 1: a physiatrist and I think a cardiologist, and she was
- 15:18Speaker 1: really interested in understanding muscle pain. So what they did
- 15:21Speaker 1: in the early research was inject irritants into muscles and
- 15:24Speaker 1: then study where the pain referral traveled to, and then
- 15:27Speaker 1: they mapped all this stuff out, so like, for instance,
- 15:30Speaker 1: if you have pain in the top of your shin,
- 15:33Speaker 1: those muscles connect to your toes and your feet and
- 15:35Speaker 1: you can actually get like big toe pain from your
- 15:38Speaker 1: tibilis interior muscle being tight. So they found that by
- 15:42Speaker 1: sticking a hypodermic needle in with medication and injecting it
- 15:45Speaker 1: into the trigger point, they would relieve the pain. And
- 15:49Speaker 1: fast forward a few decades, I think it was the seventies.
- 15:51Speaker 1: They you know, if you ever got a flu shot,
- 15:53Speaker 1: sometimes they put it in your shoulder and your muscle twitches.
- 15:56Speaker 1: So they discovered that it wasn't just the medication that
- 15:59Speaker 1: was leaving the paint, it was the muscle spasm that
- 16:01Speaker 1: happened when the hypodermic needle went in. So then that's
- 16:05Speaker 1: where the term dry needling came from. Is they started
- 16:07Speaker 1: to release trigger points with a hypodermic needle, which you
- 16:10Speaker 1: could imagine is extremely painful leaves like bruising, bleeding, I
- 16:14Speaker 1: mean even just getting one injection sometimes you get that.
- 16:17Speaker 1: And so then there were some acupuncturists some were also
- 16:20Speaker 1: physicians as well, like mds, who started thinking, look, why
- 16:23Speaker 1: don't we just use an acupuncture needle to do this.
- 16:26Speaker 1: It won't leave, you know, as many side effects, it
- 16:28Speaker 1: won't bruise and hurt, it's more tolerable. And if it
- 16:30Speaker 1: really is just the muscle twitch, then we don't need
- 16:32Speaker 1: to use any medication. And so that's how the modern
- 16:35Speaker 1: form of dry needling came about. So it's a little
- 16:37Speaker 1: complicated because in one sense it does use an acupuncture needle.
- 16:40Speaker 1: In another sense, it originates in a totally different paradigm
- 16:43Speaker 1: that did not rely on she and energy and meridian.
- 16:46Speaker 1: So it's a really cool fusion of like when acupuncture
- 16:49Speaker 1: meets like you know, western physiology, and so dry needling
- 16:54Speaker 1: now is practiced by a lot of professions, right, And
- 16:56Speaker 1: what's really cool about acupuncture, like in this moment, is
- 16:59Speaker 1: there's so much interest in it. You know, acupuncturers have
- 17:02Speaker 1: to go to school for three years and get licensed
- 17:05Speaker 1: and board certified, but actually other professions that like mds
- 17:08Speaker 1: can get certified in acupuncture, dentists, chiropractors, pts, you know,
- 17:15Speaker 1: nurse practitioners, occupational therapists, athletic trainers in some states, and
- 17:20Speaker 1: you know for some of them, they don't call it
- 17:22Speaker 1: acupuncture because if they did, they wouldn't be allowed to
- 17:24Speaker 1: practice it. So this term dry needling came about to
- 17:26Speaker 1: really describe like using an acupuncture needle by non acupuncturists,
- 17:30Speaker 1: and not in a way that's like in the Chinese
- 17:33Speaker 1: medicine realm.
- 17:34Speaker 2: If someone is going to someone who's not a licensed
- 17:38Speaker 2: acupuncturist to get dry needling. What should they be checking
- 17:42Speaker 2: that this person.
- 17:43Speaker 1: Has I mean, in reality, it would be checking for
- 17:46Speaker 1: how long they've been doing it for. Because the training
- 17:48Speaker 1: standards for non acupuncturist is much lower. In some states
- 17:51Speaker 1: there are none, it's like a gray area. In other
- 17:54Speaker 1: states it's like twenty to one hundred hours. I think
- 17:56Speaker 1: one hundred is the most training. If an MD is
- 17:59Speaker 1: doing it. In New York, for instance, they need three
- 18:01Speaker 1: hundred hours of hands on training, which is pretty good.
- 18:04Speaker 1: And I think that's my biggest issue with non acupuncturists
- 18:07Speaker 1: using needles is often if they've done you know, I've
- 18:09Speaker 1: done an entire dry need link course that physical therapist
- 18:12Speaker 1: do was eighty hours, three weekends. We needled each muscle
- 18:15Speaker 1: in the body once or twice, and then we never
- 18:17Speaker 1: really did a supervised treatment. So my biggest issue is
- 18:20Speaker 1: that like there you're just going out in the world
- 18:22Speaker 1: after a few weeks and you haven't really had like,
- 18:24Speaker 1: you know, acupunctory school. We were in the clinic two
- 18:26Speaker 1: years doing supervised treatments on real patients with teachers guiding us,
- 18:30Speaker 1: and by the time I graduated, I was like, oh,
- 18:32Speaker 1: I know what I'm doing. I'll be fine, right, And
- 18:34Speaker 1: I think one thing patients will notice is the difference
- 18:36Speaker 1: of like when the needle goes in, because you probably
- 18:40Speaker 1: asked that again, but whether it hurts when the needle
- 18:43Speaker 1: goes in, and if an acupuncturist or someone who's really
- 18:45Speaker 1: good at using the needle is doing it, that you
- 18:47Speaker 1: shouldn't really feel that pinchy feeling when they all goes in.
- 18:49Speaker 1: It's really when someone isn't as well versed that you
- 18:52Speaker 1: might feel that a little more teddy.
- 18:53Speaker 2: You're doing my job for me, you're asking yourself of
- 18:56Speaker 2: my question. I mean, we were definitely going to get here,
- 18:58Speaker 2: So I'm glad that you run pain when it comes
- 19:01Speaker 2: to acupuncture. Now, let me just say I am someone
- 19:04Speaker 2: who growing up up until this point I'm in my
- 19:06Speaker 2: mid thirties, I have never quote unquote been good with
- 19:10Speaker 2: needles in that like, if I get a shot, I
- 19:12Speaker 2: just don't look at it. When I was little young,
- 19:15Speaker 2: it was like the thing my mother dreaded doing was
- 19:18Speaker 2: bringing me to the doctor's office to get any sort
- 19:20Speaker 2: of injection. So with that said, I definitely the first
- 19:24Speaker 2: time I went to acupuncture, which was a few years
- 19:27Speaker 2: ago with a different professional, was very hesitant on it.
- 19:30Speaker 2: I just had my own qualms about what I was
- 19:32Speaker 2: getting into. I will say, as someone now who has
- 19:35Speaker 2: done acupuncture with multiple professionals, it does not hurt. Maybe
- 19:40Speaker 2: I'm a little biased, maybe people can be a little
- 19:42Speaker 2: bit more sensitive, But to your point, if you're going
- 19:44Speaker 2: to someone who knows what they're doing, and they have
- 19:47Speaker 2: the training, and they have a good rapport with clients
- 19:50Speaker 2: who recommend them highly, then you're going to be in
- 19:53Speaker 2: pretty good hands.
- 19:54Speaker 1: Yeah, And I think you touched on a few things.
- 19:56Speaker 1: One I think the biggest hesitation is just this fear
- 19:59Speaker 1: of me that we have. I mean, I don't look
- 20:02Speaker 1: when I get my flu shot, I don't like getting
- 20:03Speaker 1: my bloodron and I'm an acupuncturist. And then I think,
- 20:07Speaker 1: and I see like my three year old, right, I
- 20:09Speaker 1: take her to the doctor to get her flu shot
- 20:11Speaker 1: or a COVID shot, and you know, she's like terrified
- 20:13Speaker 1: the moment we're going in because she knows like it's
- 20:16Speaker 1: kind of gonna hurt. And so I think some of
- 20:18Speaker 1: that is like a trauma of like, you know, it's
- 20:20Speaker 1: not fun to get a shot that does hurt. It's
- 20:22Speaker 1: not fun to get your blood drawn. It feels weird.
- 20:25Speaker 1: So I think when people hear the word needles for acupuncture,
- 20:27Speaker 1: they assume it's the same kind of needle, right, A
- 20:29Speaker 1: hypodermic needle has fluid in it, and also that feeling
- 20:32Speaker 1: of either fluid going in or out can feel I don't,
- 20:35Speaker 1: I don't like that feeling. And so like, acupuncture needles
- 20:37Speaker 1: are ten times thinner. They're not filled with any fluid.
- 20:40Speaker 1: They're like the thickness of a human hair, and they
- 20:43Speaker 1: don't hurt when they go in because they're so thin.
- 20:46Speaker 1: And yeah, there is some sensation with acupuncture, especially like
- 20:49Speaker 1: the trigger point or dry needling stuff, because you know,
- 20:52Speaker 1: the goal there is to like make your muscle spasm
- 20:54Speaker 1: so that it releases the trigger point or the tightness there.
- 20:57Speaker 1: But even that, like you know, the word pain can
- 20:59Speaker 1: be very very complicated, right, because it's very subjective. Right,
- 21:02Speaker 1: So usually to me, pain is sharp, burning and stabbing,
- 21:05Speaker 1: that kind of in the vein of that sensation, something
- 21:07Speaker 1: that's like dull achy heavy, even like muscly, like muscle soreness,
- 21:12Speaker 1: Like would you call that pain? Some people would say
- 21:14Speaker 1: muscle soreness is painful, and some would just say, like
- 21:16Speaker 1: it's a strong sensation, right, And I think acupuncture falls
- 21:19Speaker 1: more in the vein, or it should of like it's
- 21:21Speaker 1: a sensation. It can be strong sometimes, but I wouldn't.
- 21:24Speaker 1: It's not supposed to be like sharp, burning, stabbing, electrical
- 21:27Speaker 1: like that kind of sensation. So I think, I think,
- 21:32Speaker 1: you know, it's complicated, and there's multiple layers of people
- 21:34Speaker 1: are scared of needles. And I was terrified the first
- 21:37Speaker 1: time I had acupuncture. I went to like a person
- 21:40Speaker 1: in Queens who did traditional acupuncture, and they did not
- 21:43Speaker 1: explain what they were doing or why they were doing it.
- 21:45Speaker 1: And my mom brought me there and was like this
- 21:47Speaker 1: person helped somebody and you should go there. And I
- 21:50Speaker 1: was just terrified. And then she was doing the treatment.
- 21:51Speaker 1: I had no idea what I was supposed to feel
- 21:54Speaker 1: before or during after. So for me personally, I spend
- 21:56Speaker 1: a lot of time with patients explaining why we're doing
- 22:01Speaker 1: the treatment, what the goal is, what it's going to
- 22:03Speaker 1: feel like, all of that, because that actually helps prime
- 22:06Speaker 1: your brain from when I'm doing the treatment that when
- 22:09Speaker 1: I'm needling, you can relax, right, because if I tell
- 22:11Speaker 1: you like, you're going to feel a strong, heavy muscle
- 22:14Speaker 1: aake when I work on your trapezius muscle. It might
- 22:16Speaker 1: feel almost like a little cramp sometimes if it's really strong.
- 22:19Speaker 1: When it happens, your brain has a sensation it's new.
- 22:22Speaker 1: So one thing our brain does when we something new
- 22:24Speaker 1: happens is we go into that like defense mechanism like
- 22:27Speaker 1: is this normal? Is it okay? And then if I've
- 22:29Speaker 1: explained it to you, that sensation happens and then you're like, oh,
- 22:32Speaker 1: that's what he said, Okay, that's normal. But if I
- 22:35Speaker 1: don't say anything, then you can get into that place
- 22:37Speaker 1: of anxiety of like, oh my god, is that normal?
- 22:39Speaker 1: Should I tell him? Oh my god? Does he know
- 22:41Speaker 1: what he's doing? Why did I come here? Your brain
- 22:43Speaker 1: goes in this spiral of like and then it's like,
- 22:44Speaker 1: oh my god, there are needles, and it can get
- 22:46Speaker 1: it can like it can devolve very quickly. So like
- 22:49Speaker 1: it's really important to build rapport and trust. And often
- 22:52Speaker 1: I make it sound worse than it's going to sound,
- 22:54Speaker 1: because it's like a consent thing of like if I
- 22:57Speaker 1: tell you you're going to be sore, really sore, and
- 22:59Speaker 1: you might feel some strong sensation and then you don't
- 23:01Speaker 1: feel that, You're like, oh, that was a lot better
- 23:02Speaker 1: than he said, at least the kind of know what
- 23:04Speaker 1: could happen?
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- 26:08Speaker 2: here is the after effects of a treatment. You said
- 26:13Speaker 2: you could be sore. So before we get into perhaps
- 26:16Speaker 2: the effects of having acupuncture, why don't we chat about
- 26:20Speaker 2: the potential benefits of acupuncture. Why is it that someone
- 26:24Speaker 2: might seek out an acupuncturist.
- 26:27Speaker 1: Yeah, you know, there's a lot of reasons. Acupuncture treats
- 26:29Speaker 1: a range of things. I mean, before Western medicine and China,
- 26:32Speaker 1: acupuncture with herbal medicine was like an entire medical system
- 26:36Speaker 1: that can treat anything like pain, digestive issues, sleep issues, malaria,
- 26:41Speaker 1: Like I learned how to treat malaria and acupuncture school,
- 26:44Speaker 1: because like in the traditional Chinese medicine textbooks, that's what
- 26:47Speaker 1: was used, and obviously I don't treat that here because
- 26:49Speaker 1: you would go to a doctor or hospital. But like
- 26:51Speaker 1: the point is it can treat literally anything, and acupuncture
- 26:55Speaker 1: tends to work better for like physical complaints. Like in
- 26:58Speaker 1: the US, pain is probably the prime or reason, whether
- 27:01Speaker 1: it's like chronic pain or acute pain or muscle tightness.
- 27:04Speaker 1: That's like and especially for me, that's my specialty is pain.
- 27:08Speaker 1: And then also I work a lot with physical symptoms
- 27:11Speaker 1: of stress. So we're talking about like the nervous system
- 27:13Speaker 1: a lot. And when we get into that elevated nervous
- 27:17Speaker 1: system state, we can have like a fight or flight response,
- 27:19Speaker 1: or we can have like a freeze response. And there
- 27:21Speaker 1: are physiological changes that happen when our nervous system is
- 27:24Speaker 1: like activated too much. When we go into that fight
- 27:28Speaker 1: or flight state, our heart rate speeds up, our digestion
- 27:30Speaker 1: shuts down, sexual function kind of turns off, our muscles
- 27:34Speaker 1: get really tense. We're like on like alert for danger.
- 27:37Speaker 1: And that's like you know, if you're getting chased by
- 27:39Speaker 1: a tiger, it's like a survival you're in like survival mode.
- 27:42Speaker 1: And you know, sometimes when people have acute chronic stress,
- 27:44Speaker 1: they have digestive issues, sleep issues, fertility issues, and acupuncture
- 27:48Speaker 1: works really great with the nervous system to calm things down.
- 27:51Speaker 1: It activates the other side of that, which is the
- 27:53Speaker 1: parasympathetic nervous system, and really what that's seeking is like
- 27:56Speaker 1: making you feel safe, right, and acupuncture can like active
- 28:00Speaker 1: bid endorphins and you know, other stress relieving chemicals. So
- 28:05Speaker 1: that's how generally how traditional acupuncture tends to work, and
- 28:07Speaker 1: that's why it works for so many things, and that's
- 28:09Speaker 1: why treatments look similar because it's really working with like
- 28:13Speaker 1: getting you back to homeostasis, like from your nervous system.
- 28:16Speaker 1: And then there's the other side, which is like even
- 28:18Speaker 1: more physible, which is the trigger point work. You know,
- 28:21Speaker 1: that's a totally different objective, which is to find muscle
- 28:25Speaker 1: tightness and trigger points release that tightness so that you
- 28:27Speaker 1: have less pain, more mobility, and you know, and restored
- 28:31Speaker 1: muscle function essentially so that you know, that feels different
- 28:35Speaker 1: afterwards because with that muscle spasm, there's like a release
- 28:38Speaker 1: of chemicals that happens, and it's not necessarily from the needle,
- 28:41Speaker 1: it's more from the spasm. Because to back up, when
- 28:44Speaker 1: you get muscle tightness, you know, your muscle is essentially contracted.
- 28:49Speaker 1: It doesn't get as much blooder oxygen, so the pH
- 28:51Speaker 1: drops and then all these pain and inflammatory chemicals get
- 28:54Speaker 1: sent to tell you that something's wrong. And that's essentially
- 28:57Speaker 1: what pain is. It's a signal. Pain is something that
- 29:00Speaker 1: often we treat with blocking pain, right, take this pill
- 29:04Speaker 1: or get this injection, and really pain is meant to
- 29:06Speaker 1: tell us like, hey, something's wrong here. I'm trying to
- 29:08Speaker 1: like tell you, like hello, look at me, like I
- 29:11Speaker 1: need some some you know, I need some attention here.
- 29:15Speaker 1: And so acupuncture works more with like listening to those
- 29:18Speaker 1: signals and trying to restore balance either to your nervous
- 29:21Speaker 1: system or like physically through trigger point work. And that's
- 29:25Speaker 1: really what the goal is.
- 29:26Speaker 2: Yeah, And so we talked about soreness being something that
- 29:29Speaker 2: could happen as a result of getting acupuncture done. What
- 29:33Speaker 2: else might happen after your acupuncture session.
- 29:36Speaker 1: In a lot of cases, you'll feel a lot more
- 29:37Speaker 1: relaxed after, especially for activating that nervous system response. People
- 29:41Speaker 1: tend to walk out feeling really relaxed and lighter. And
- 29:44Speaker 1: you know, sometimes you can feel kind of tired afterwards,
- 29:46Speaker 1: especially if you've been carrying a lot of tension and
- 29:48Speaker 1: we've you know, helped release some.
- 29:50Speaker 2: Of that is hydration important after a treatment. Yeah, yeah,
- 29:54Speaker 2: I think I feel like they always say that to me.
- 29:56Speaker 1: Yeah, drink extra water because so that helps, especially if
- 29:59Speaker 1: we're talking about like least seing neurotransmitters or soreness chemicals, right,
- 30:02Speaker 1: it helps kind of flush things out and promote like
- 30:05Speaker 1: fluid metabolism and circulation. So yeah, I always tell people
- 30:07Speaker 1: drink extra water if we're doing muscle work to like
- 30:10Speaker 1: same thing you do after a workout, because the soreness
- 30:12Speaker 1: after like a trigger point treatment, it'll feel like workout soreness.
- 30:16Speaker 1: So hot hot shower, muscle cream, ebbs, some salt bath,
- 30:19Speaker 1: extra water, you know, light on the exercise till the
- 30:22Speaker 1: soreness goes away, is usually what I tell people.
- 30:24Speaker 2: Right, because after you do like a leg workout, you
- 30:26Speaker 2: wouldn't in the next day like go do another heavy
- 30:28Speaker 2: leg workout. So it's something to be cognizant of if
- 30:30Speaker 2: you're getting that area treated.
- 30:31Speaker 1: Right, And that's exactly how I describe it to people,
- 30:34Speaker 1: Like it's fine to exercise, but if you're really sore,
- 30:36Speaker 1: just like treat it like you did a workout.
- 30:38Speaker 2: Okay, So knowing that then you mentioned before the buzzword fertility,
- 30:43Speaker 2: which leads me to the question, is there a certain
- 30:46Speaker 2: time when individuals should maybe be wary of coming to
- 30:50Speaker 2: an acupuncturist because you say fertility, I think pregnancy. Is
- 30:54Speaker 2: it safe for pregnant women or are there other things
- 30:56Speaker 2: that you might want to take into consideration before coming
- 30:58Speaker 2: for treatment.
- 30:59Speaker 1: With the types of things, it's important to tell your
- 31:01Speaker 1: acupuncturists if you are pregnant, because there are certain areas
- 31:04Speaker 1: of the body you don't want to work on, like
- 31:05Speaker 1: in the belly or in the low back.
- 31:07Speaker 2: Well.
- 31:07Speaker 1: Yeah, and also in traditional acupuncture, there are certain acupuncture
- 31:10Speaker 1: points that are stimulating and they've actually done research can
- 31:12Speaker 1: like stimulate uterine contraction, so you want to avoid those
- 31:15Speaker 1: while you're pregnant. Acupuncture is also used for like labor prep,
- 31:18Speaker 1: so sometimes if someone's like overdue or late, they will
- 31:22Speaker 1: go to an acupuncturist and they'll do some of those
- 31:24Speaker 1: more stimulating points, and there are some research that shows
- 31:27Speaker 1: that it can help like smooth delivery, and even like
- 31:30Speaker 1: I've had some friends who have said I got had
- 31:32Speaker 1: acupuncture and then I like gave birth right after. And
- 31:35Speaker 1: you know, with fertility, it's a lot about like regulating
- 31:38Speaker 1: the menstrual cycle before like before conception, because if that's
- 31:42Speaker 1: thrown off, then your ability to like fertilize an egg
- 31:44Speaker 1: is impacted. So often acupuncture and herbal medicines use a
- 31:48Speaker 1: lot with fertility as well. It can be really really,
- 31:51Speaker 1: really really effective because especially coming off birth control, there
- 31:54Speaker 1: can be some side effects and like your period is
- 31:57Speaker 1: impacted because it's been altered, you know, through the medication.
- 32:01Speaker 1: And so really fertility work is a lot about the
- 32:05Speaker 1: menstrual cycle and also like the nervous system. Right, we
- 32:07Speaker 1: were talking about what happens from physical symptoms of stress,
- 32:10Speaker 1: and it does affect your menstrual cycle. And then women
- 32:12Speaker 1: who are like athletes that run a lot that also
- 32:15Speaker 1: impacts the menstrual cycle. So with fertility it's often about
- 32:18Speaker 1: like managing stress and like working on the menstrual cycle.
- 32:21Speaker 1: And then once you're pregnant, there are common things that
- 32:23Speaker 1: come up, like you know, nausea, morning sickness, especially in
- 32:27Speaker 1: the early stages. Acupuncture can help with that. There are
- 32:29Speaker 1: some cases of morning sickness like that my wife had
- 32:32Speaker 1: that like nothing works for and it just it just sucks. Yeah,
- 32:35Speaker 1: and then later on, you know, you'll get like psyatica
- 32:37Speaker 1: pain in the second and third trimester, and acupuncture is
- 32:40Speaker 1: really great for that because you can need a like
- 32:41Speaker 1: into the hips when you're pregnant, and especially it's really
- 32:44Speaker 1: just the glutes especially that get super tight. Yeah, yeah,
- 32:47Speaker 1: during that stuff. So yeah, it can be really great
- 32:49Speaker 1: for that kind of stuff.
- 32:50Speaker 2: Something that's been interesting for me has been working with
- 32:53Speaker 2: multiple experts at once. So I started coming to you
- 32:55Speaker 2: because I'm dealing with this planter fascy, I guess, and
- 32:57Speaker 2: you came highly recommended, and so I'm working with you.
- 33:01Speaker 2: I'm also working with a pd PT and the diadrist.
- 33:04Speaker 2: So would you recommend for someone who is seeing multiple
- 33:07Speaker 2: experts for an issue to make sure that you're communicating
- 33:10Speaker 2: kind of with your expert squad about what's going on
- 33:13Speaker 2: between all of them.
- 33:14Speaker 1: Yeah, it's really important because we want to make sure
- 33:17Speaker 1: especially timing of treatment and what we're doing so there
- 33:20Speaker 1: isn't too much overlap. But you know, acupunctures are great
- 33:22Speaker 1: support for especially for physical things like physical therapy and
- 33:27Speaker 1: some of the other stuff you've done, like some of
- 33:28Speaker 1: the laser treatment. Acupunctures are a really great synergis, especially
- 33:32Speaker 1: with pain related things. Right there's a reason you had
- 33:35Speaker 1: the pain in the first place. So while we're treating
- 33:38Speaker 1: the pain to try to make you feel better, there
- 33:40Speaker 1: are other layers of that, like trying to understand what happened,
- 33:44Speaker 1: you know, says we work a lot with runners and athletes.
- 33:47Speaker 1: Often we're thinking about like how's your posture, how is
- 33:50Speaker 1: your running form? Like what kind of movements are you
- 33:52Speaker 1: doing during your sport? Are you training too hard? Are
- 33:54Speaker 1: you not recovering enough? And there's often you can kind
- 33:57Speaker 1: of figure out a reason you got you know, especially
- 34:00Speaker 1: if you're a run right, it's a very bilateral mechanical exercise.
- 34:03Speaker 1: If you have like one sided heel pain, right, something
- 34:07Speaker 1: is going on that that's being used too much, or
- 34:10Speaker 1: there's too much pressure on there, or something's wrong with
- 34:12Speaker 1: your shoes. There's some sort of story behind it, and
- 34:15Speaker 1: oftentimes that can be complicated. But really, like acupuncture is
- 34:18Speaker 1: great for like releasing muscle tightness, relieving pain, but then
- 34:22Speaker 1: you want to try to figure out why you got there.
- 34:24Speaker 1: And you know, that's where like things like physical therapy
- 34:26Speaker 1: and strength training come in, because, especially with pain and
- 34:29Speaker 1: athletic injuries, it's important to fixing balances and strengthen weak areas.
- 34:34Speaker 1: And you know, I work a lot with pts and
- 34:37Speaker 1: strength coaches and running coaches, and there's just such a
- 34:40Speaker 1: great synergy of working with that community where you know,
- 34:43Speaker 1: I'm loosening people up the pts doing manual work, strengthening them,
- 34:47Speaker 1: giving them exercises, you know, the running coaches altering their
- 34:50Speaker 1: training plan right, And it's a really nice synergy with
- 34:54Speaker 1: using other types of treatment.
- 34:55Speaker 2: So then the question comes up, how long should it
- 34:59Speaker 2: take for this to work? Which I know, I know
- 35:02Speaker 2: this it's a very generic question and that answer can
- 35:05Speaker 2: be extremely multifaceted. But what would you say to someone
- 35:08Speaker 2: who comes in here and is like, can I do
- 35:10Speaker 2: this for a month and all be good?
- 35:12Speaker 1: Yeah, it really depends. So I'll give you some examples
- 35:15Speaker 1: because maybe that will illustrate the point better. I think
- 35:17Speaker 1: one big misconception about acupuncture is that it's like a procedure,
- 35:20Speaker 1: like you know, you get surgery and then your hip
- 35:22Speaker 1: is fixed. Yeah, it's not like that. Generally. There are
- 35:25Speaker 1: some cases where, like you know, if you strain a
- 35:27Speaker 1: muscle like this morning, that if we get to it
- 35:30Speaker 1: pretty quickly, sometimes it can be like a one treatment fix.
- 35:32Speaker 1: But if especially if you're dealing with chronic issues, especially
- 35:36Speaker 1: chronic pain, there's more to it where you know, there's
- 35:39Speaker 1: changes to your nervous system and how you perceive pain
- 35:42Speaker 1: and feel pain, and then there's just like mechanical adjustments
- 35:45Speaker 1: to like if your heel is hurting, you start running differently,
- 35:48Speaker 1: and then you're kind of moving in a way that
- 35:50Speaker 1: reinforces the issue. So sometimes you have to work through
- 35:54Speaker 1: that with getting treatment and then like some of those
- 35:56Speaker 1: other stuff we talked about, like fixing, like strength work
- 35:59Speaker 1: and and stuff like that. So it can be complicated,
- 36:03Speaker 1: you know. I generally recommend people come in once or
- 36:05Speaker 1: twice a week for an issue, and usually we can
- 36:07Speaker 1: get a good idea based on like how long it's
- 36:10Speaker 1: going on for, So the longer it's been going on
- 36:11Speaker 1: for generally the longer it will take. I usually tell
- 36:14Speaker 1: people like, after about you know, four to six visits,
- 36:16Speaker 1: we should have an idea, like there should be some
- 36:18Speaker 1: change during that period of time. It can get even
- 36:21Speaker 1: more complicated when you're working with runners training for a marathon,
- 36:24Speaker 1: because often you're like increasing your load while we're doing treatment,
- 36:27Speaker 1: and sometimes the goal is to just like either stay
- 36:30Speaker 1: the same or get slightly better and get you through
- 36:32Speaker 1: like the marathon, and then hopefully afterwards you'll have time
- 36:35Speaker 1: to recover. Because it depends on what the goal is too, right,
- 36:39Speaker 1: there are different reasons to use acupuncture. One can be
- 36:42Speaker 1: just for general stress and anxiety. One can be for
- 36:46Speaker 1: you know, post workout soreness. One can be for injury recovery,
- 36:49Speaker 1: one can be for injury prevention.
- 36:51Speaker 2: Right.
- 36:51Speaker 1: Patients sometimes come in like once a month or so
- 36:54Speaker 1: just for tune up, just to see like where they're
- 36:56Speaker 1: holding tightness so that they don't over use muscles. So
- 36:59Speaker 1: there's different uses, and I think depending on what your
- 37:01Speaker 1: objective is, it could be used for maintenance or for like,
- 37:05Speaker 1: you know, pain relief definitely.
- 37:07Speaker 2: So then one of the last areas that we're going
- 37:10Speaker 2: to talk on today is cost and insurance. Obviously everyone's
- 37:13Speaker 2: always trying to keep a budget or their finances in mind.
- 37:17Speaker 2: Do you have a range perhaps of what an acupuncture
- 37:21Speaker 2: treatment may cost someone, and to your knowledge, if different
- 37:25Speaker 2: acupunctures take insurance.
- 37:27Speaker 1: Yeah, you know, acupuncture is covered by a lot of
- 37:30Speaker 1: insurance plans. Some acupunctures are in network, so you might
- 37:34Speaker 1: have acupuncture coverage that covers treatment where you just pay
- 37:37Speaker 1: a copay kind of like you're going to the doctor.
- 37:39Speaker 1: And then there's also out of network acupuncturists that you know,
- 37:43Speaker 1: you might still have insurance coverage for if you have
- 37:45Speaker 1: acupuncture out of network acupuncture round of it. So it
- 37:48Speaker 1: really depends on the plan and the company, but it's
- 37:51Speaker 1: it's definitely becoming more covered by insurance companies. I think
- 37:54Speaker 1: the issue is, like in a lot of other professions,
- 37:56Speaker 1: being in network often means you have to see more
- 37:58Speaker 1: patients per hour because the reimbursement for practitioners is quite
- 38:02Speaker 1: low if you're in network. So it's just like in
- 38:04Speaker 1: physical therapy where if you go to like an in
- 38:07Speaker 1: network place, you know they're just that you have to
- 38:09Speaker 1: see more patients per hour. So like my practice is
- 38:11Speaker 1: out of network because especially I'm doing a lot of
- 38:13Speaker 1: like hands on and like physical like muscle release work,
- 38:17Speaker 1: it just requires more time. I can't do that treatment
- 38:19Speaker 1: in ten minutes. I need like forty five minutes to
- 38:21Speaker 1: an hour with somebody generally to do that kind of work.
- 38:24Speaker 1: So I have to be out of network because otherwise
- 38:26Speaker 1: I can't see enough patients to pay the rent, especially
- 38:29Speaker 1: New York, and I think depending on what city you're in, right,
- 38:32Speaker 1: it can be even out of network or out of
- 38:34Speaker 1: pocket can be cheaper. Obviously, a place like New York
- 38:37Speaker 1: or LA or Chicago tends to be more expensive because
- 38:40Speaker 1: rent is higher and operating a business is more expensive.
- 38:43Speaker 1: But you know, i'd say the range, you know, and
- 38:44Speaker 1: there's different types. There's like community acupuncture clinics where there's
- 38:47Speaker 1: a room and a bunch of tables and you get
- 38:49Speaker 1: a quick treatment and you rest, and that can be
- 38:51Speaker 1: you know, like forty to eighty dollars out of out
- 38:54Speaker 1: of pockets, probably looking at like one hundred to four hundred.
- 38:58Speaker 1: It depends on what they're doing, right. We touched on
- 39:00Speaker 1: different styles. There's also like cupping can be part of
- 39:03Speaker 1: acupuncture guasha, which is like grassen or scraping technique. There's
- 39:08Speaker 1: electro acupuncture that some practitioners use. Even like dietary nutritional
- 39:12Speaker 1: advice can fall in the acupuncture realm as well.
- 39:15Speaker 2: That's a really interesting topic as well, using acupuncture for
- 39:19Speaker 2: dietary issues.
- 39:20Speaker 1: Yeah, so yeah, that's another common use is for digestive issues,
- 39:24Speaker 1: and you know a lot of them again coming back
- 39:26Speaker 1: to like stress, a lot of digestive issues have like
- 39:29Speaker 1: a stress related component. Especially things like IBS. There's like
- 39:32Speaker 1: a link to chronic or acute stress. And you know
- 39:36Speaker 1: acupuncture is great in twofold because you know some of
- 39:40Speaker 1: the treatment will touch on other aspects of Chinese medicine,
- 39:43Speaker 1: because a big thing with Chinese medicine and nutrition is
- 39:46Speaker 1: about like the concept of yin and yong, like eating
- 39:50Speaker 1: eating in balance. Right, so like in the winter you
- 39:52Speaker 1: eat certain types of food, you eat more warming and
- 39:55Speaker 1: like aromatic foods because that offsets like the cold that's outside,
- 39:59Speaker 1: Whereas in summer you would eat more cold like watermelon
- 40:02Speaker 1: and mint and those types of cooling types of foods
- 40:05Speaker 1: because that offsets like the heat outside. So nutrition and
- 40:08Speaker 1: even Chinese mess and generally it's all about like being
- 40:10Speaker 1: in harmony with nature and kind of like doing the opposite.
- 40:13Speaker 1: Like if you feel cold, like do something warm. If
- 40:16Speaker 1: you feel hot, do something cold. And it's really simple,
- 40:18Speaker 1: but it extends to so many metaphors.
- 40:21Speaker 2: For someone who is hesitant on acupuncture, you right now
- 40:25Speaker 2: have an opportunity to encourage them to fit a try.
- 40:29Speaker 1: What is it that you tell them? You know, I
- 40:32Speaker 1: would say to give it a chance. And like most practitioners,
- 40:35Speaker 1: if you're hesitant at least me personally, I will speak
- 40:37Speaker 1: to someone beforehand before they come in, and like you know,
- 40:40Speaker 1: always when you get to a treatment, like if you're
- 40:42Speaker 1: really that's scared or uncomfortable, like you don't have to
- 40:44Speaker 1: do the treatment, I would say that it's worth a shot,
- 40:47Speaker 1: and the needles don't really hurt that much. And I
- 40:50Speaker 1: think often it's easiest when you have a recommendation from
- 40:53Speaker 1: a friend or someone you trust, because it can be
- 40:55Speaker 1: a little scary, and if you know someone personally that's benefited,
- 40:58Speaker 1: I think that can make people more comfortable.
- 41:00Speaker 2: Yeah, yeah, I mean, And like I said, when I
- 41:02Speaker 2: started coming here, it was because you were referred to
- 41:05Speaker 2: me by multiple people that I knew, And I do
- 41:07Speaker 2: think that word of mouth can go a really long way.
- 41:11Speaker 2: And know that, as we talked about earlier, there are
- 41:14Speaker 2: different styles of acupuncture, so just because you've tried one
- 41:18Speaker 2: doesn't mean that another one can't benefit you if the
- 41:21Speaker 2: first one just didn't feel necessarily right for you and
- 41:24Speaker 2: your body. And also knowing that you can try one
- 41:28Speaker 2: type of acupuncture with an acupuncturist and try the exact
- 41:31Speaker 2: same type of acupuncture with a different acupuncturist and it
- 41:34Speaker 2: could be like a mental thing as to why the
- 41:36Speaker 2: second time it might work versus the first time that
- 41:38Speaker 2: you felt as though it didn't.
- 41:40Speaker 1: Yeah, and that's a really important point because there is
- 41:42Speaker 1: the idea of the therapeutic relationship, like you know in therapy,
- 41:44Speaker 1: for instance, your relationship with your therapist or your relationship
- 41:48Speaker 1: with your doctor. They've done a lot of research on that,
- 41:50Speaker 1: if you like believe someone's going to help you, you're
- 41:52Speaker 1: more likely to get better. And you know, some of
- 41:55Speaker 1: that sounds like a placebo, but there is like some
- 41:57Speaker 1: trust built into treatment and I think think especially getting acupuncture,
- 42:01Speaker 1: if you're able to be a little more relaxed during
- 42:03Speaker 1: the treatment, it, you know, it feels a lot more
- 42:05Speaker 1: pleasant than if you're really tense and uncomfortable the whole time.
- 42:08Speaker 1: So that is an important thing to feel comfortable with
- 42:10Speaker 1: the person that you're working with.
- 42:12Speaker 2: Any final words of wisdom, Teddy.
- 42:15Speaker 1: You know, I mean I would say that acupuncture changed
- 42:17Speaker 1: my life. It can change yours too, And really there's
- 42:20Speaker 1: no downside to trying it right. It's not a medication,
- 42:23Speaker 1: it's not a surgery. That's what I love so much
- 42:24Speaker 1: about acupuncture is that there's really no downside to it,
- 42:28Speaker 1: and so I would recommend you try it if you're
- 42:30Speaker 1: on the fence, and you know, more and more people
- 42:32Speaker 1: are trying it. A lot of athletes have tried it.
- 42:35Speaker 1: Like just in the past year, I've seen like the
- 42:37Speaker 1: Rock post about and David Beckham and you know a
- 42:40Speaker 1: lot of NFL teams. It's really popular with a lot
- 42:42Speaker 1: of other sports, Soccer, basketball, it's just becoming a lot
- 42:45Speaker 1: more common, and especially like cupping has become really popular.
- 42:49Speaker 1: You saw with like Michael Phelps in the Olympics a
- 42:51Speaker 1: while ago, and then every once in a while you'll
- 42:53Speaker 1: watch like a sports game basketball because they have like
- 42:55Speaker 1: the sleeveless shirt and you say, oh, they got cupping.
- 42:57Speaker 1: That's really great. So you know there are other aspects
- 42:59Speaker 1: to you. If you're free of needles. Their acupuncture is
- 43:01Speaker 1: like I do cupping. I do it. You know, if
- 43:03Speaker 1: someone's really that scared, I'm like, Okay, we don't have
- 43:05Speaker 1: to use a needle. We could do cupping, and you know,
- 43:07Speaker 1: get you used to the you know some sensation in
- 43:10Speaker 1: those areas.
- 43:11Speaker 2: Yeah, I feel like we could talk forever, but I'm
- 43:13Speaker 2: going to bring us to a close. Teddy, how do
- 43:15Speaker 2: the hurdlers follow along? With you. How do they keep
- 43:18Speaker 2: up with you? Give us your details.
- 43:20Speaker 1: Yeah, so we're located on the Upper West Side in Manhattan.
- 43:24Speaker 1: We are also on Instagram Morningside Acupuncture NYC and you
- 43:29Speaker 1: can also visit us on our website Morningside ACUPUNCTURENYC dot com.
- 43:34Speaker 2: Perfect And we're going to put a little bit in
- 43:37Speaker 2: the show notes where you guys can click and if
- 43:38Speaker 2: you're interested in coming up to Morningside, we're going to
- 43:41Speaker 2: give you one hundred dollars off your visit. So click
- 43:44Speaker 2: on over the show notes check that out come see
- 43:47Speaker 2: my guy Teddy. You know how to find me. I'm
- 43:48Speaker 2: over at Emily Body at Hurdle Podcast another Hurdle Conquered.
- 43:53Speaker 2: Catch you guys next time in my