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I have chronic back, leg and foot pain. Do you recommend acupuncture?

A:  Acupuncture has traditionally been used for chronic pain, often because the first major publicity event for acupuncture in the West, Nixon's visit to China in the 1970s, saw operations carried out without anaesthetic under acupuncture, and a great deal of research was stimulated into the pain relieving and anaesthetising effect of treatment. Many pain management clinics now feature acupuncture as a part of their offer. The main question is not whether the treatment will relieve the pain as much as how much relief it will give and hows sustainable its effects are. Used in this way it can sometimes, if affordable, be enough to keep someone going.

However. from a Chinese medicine perspective pain only arises where the flow of energy, called 'qi', has been affected, either from a blockage, or from a deficiency or excess in the channels through which it is said to flow. Knowing where pain appears is less important than understanding how this sits against the backdrop of the whole system. On many occasions the pain is local and to do with specific local issues, but even here the question is how the system has lost its ability to repair. More often than not, however, the pain appears as evidence of a deeper functional disturbance, and the skill of the practitioner lies in making sense of the local manifestation of discontent in the context of someone's overall balance.

The way in which energy flows in the body, and the various functions which are grouped together under the heading of an Organ (capitalised because the meaning is far broader in Chinese medicine) often show greater connections than are apparent from a conventional medical point of view. If the symptoms, for example, tended all to lie on the same channel, and this channel happened to be associated with an Organ generating other symptoms of functional disorder, this would immediately inform the practitioner and point to various treatment possibilities.

The best advice for concerns like yours is to visit a BAcC member local to you and seek a brief face to face assessment to see what they think may be possible. We would be very surprised if they did not immediately make some connections which informed their view, and if so, we think they will probably advise you that four or five sessions may be a worthwhile investment to see how well your system reacts.