Trigger point injection therapy is a treatment used to treat both acute or chronic pain. We inject sterile solutions into trigger or ashi points to relieve pain. It is a procedure used to treat tenderness and pain along the channel or meridian or the tight band/knot of the muscle causing pain and inflammation. Trigger points/Ashi points are commonly associated with musculoskeletal disorders, including neck, upper/low back pain, and myofascial pain syndrome, headaches, and fibromyalgia. The treatment aims to inactivate the trigger or Ashi point/tight muscle band, while simultaneously providing the nutrients and hydration to the tissues for healing and recovering. After a trigger point injection, the injected area may be tender. It is encouraged to remain active after the trigger point injection to allow the affected muscle to return to its full range of motion approximately a week after the injection. However, it is advised to refrain from strenuous activity, particularly for the first three to four days after the injection.

We use cyanocobalamin injectable. The benefits of vitamin B-12 injections include treating or preventing symptoms, like fatigue, heart problems, neurological damage, mood changes, muscle weakness, and hormone imbalance. Vitamin B-12 is found naturally in animal protein with the highest amount in red meat or fortified foods. People who are vegetarian or vegan usually need to supplement with the vitamin to avoid deficiency. Those who suffer from any inflammatory bowel disease can have B-12 deficiency due to the lack of absorption of the vitamin. B-12 Injections Also help soothe nerve pain from a shingles outbreak.

Acupuncturists use cupping therapy to treat a wide variety of conditions causing aches and pains. The cups are heated with fire and then applied to the skin on acupuncture points to create suction. The suction helps facilitate healing and promote the flow of Qi and blood flow in the body. Proponents also claim the suction helps facilitate the flow of “qi” in the body to reduce pain.

After evaluation, the physician decides the cupping needed. Researchers conducted many studies on cupping and concluded that cupping therapy may help with the following conditions: lumbar disc herniation, cervical spondylosis, shingles, cough, facial paralysis, pain management, dyspnea, acne, and more. The risk involved may include scarring of the skin and bruising (hematoma).

There are two types of cupping performed:

• Dry cupping is a suction-only method.
• Wet cupping may involve both suction and controlled medicinal bleeding.

Moxibustion is an alternative therapy that involves burning herbs or Mugwort known as moxa sticks and applying the resulting heat to specific points on the body. A technique used in TCM traditional Chinese medicine and Tibetan medicine, Moxibustion is typically administered in conjunction with acupuncture. It is a commonly used treatment to stimulate the uterus and turn a breech baby to the vertex position. Researchers reported in a study conducted in 2009. Out of fifty-one post-menopausal women with hot flashes, 14 sessions of Moxibustion reduced the frequency and severity of hot flashes. They also support the use of Moxibustion in the treatment of ulcerative colitis and breech presentation.

The use of herbs in Traditional Chinese Medicine comes from a system that relies on herbal therapies and dietary therapy to treat illnesses, to maintain proper health, balance, and prevention of diseases. TCM uses thousands of medicinal substances of plants, animals, and minerals to treat various illnesses. TCM medicinal books on substances consist of information on actions and interactions, indications, dosages, and contra-indications for each substance, as well as any available information on drug interactions./p>

TCM medicinal substances are prescribed based on their effects on the zang fu organ systems, the channels of the jing luo system into which substances enter, and the pathogenic factors and patterns of disharmony that the substance is known to address.

TCM formulations may comprise of:

• Herbal decoction is the most used method of preparing herbal formula.
• Herbal powder can be mixed with hot water for tea.
• Formulations in pill or tablet are the most used outside of China.
• Syrups are preparations used to administer herbal formula to children for cough and sore throat. It is a convenient way to administer herbal formulations to children.
• Liniments, salves, compresses, and plasters are for external application.

Gua sha means to rub or create friction, a procedure used in Traditional Chinese Medicine to treat musculoskeletal disorders and tension. Its mechanism of action is to move energy, known as qi or chi, around the body. The treatment involves using a blunt tool to rub or scrape the skin in long repetitive strokes, applying enough pressure to stimulate the skin and create petechia or minor bruising called “sha”, representing extravasation of blood in the subcutis.

This therapy is a simple and effective way to release toxins, break down scar and connective tissue, relieve muscle tension and knots, improve circulation and joints movement, reduce inflammation, and benefit the immune system. Bruising caused by gua sha is known as microtrauma, busting of capillaries near the surface of the skin; that creates a reaction in the body to break up scar tissue. The bruises usually take a few days to a week to heal and can be tender while healing. Analgesics can help reduce pain and swelling. Ice packs can also reduce inflammation and ease any pain after Gua sha therapy. Gua sha has no severe side effects; however, gua sha is not suitable for people with skin or vein conditions like deep vein thrombosis, those on a blood thinner, and those with infection, tumors, open or non- healing wounds, a pacemaker or internal defibrillator.