Category: Recovery

Why Ice is Bad

Herbal Ice San Huang San

In sports medicine and physical therapy, the RICE (Rest, Ice, Compression, Elevation) protocol has been a cornerstone of acute injury management for decades. However, recent research suggests that aspects of the RICE approach may impede the healing process, warranting a reevaluation of these traditionally held principles.

This blog serves as a summary of the research paper by Scialoia, Domenic, and A. Swartzendruber, titled “The RICE protocol is a myth: a review and recommendations,” published in The Sport Journal in 2020. The paper critically examines the well-known RICE (Rest, Ice, Compression, Elevation) protocol, often recommended for injury treatment, and argues that it may not be as effective as commonly believed.

You can find the full article

RICE

The conventional wisdom of managing acute injuries was revolutionized in the 1970s when Dr. Gabe Mirkin coined the term RICE, an acronym for Rest, Ice, Compression, Elevation. This approach quickly became an industry standard. Nevertheless, Dr. Mirkin, in the foreword to Reinl’s second edition of “Ice: The Illusionary Treatment Option,” has publicly revised his stance on the protocol he once fervently advocated. Mirkin cites research indicating that both rest and ice may in fact delay recovery, while mild movement can facilitate faster tissue healing. Further, ice, though efficient at suppressing pain, may delay the body’s immune responses critical to a swift recovery.

Physiological Response to Injury

Inflammation is a critical and necessary response when tissue injury, initiating a triphasic recovery process comprised of inflammation, repair, and remodeling. Contrary to the view that inflammation is an undesired outcome, it is an instantaneous defense mechanism aiming to control the extent of cell injury and prepare the tissue for repair. The magnitude of the response depends on the trauma severity and tissue vascularization.

Inflammation

Upon injury, local vasodilation occurs as blood vessels in the immediate area widen to enhance blood flow. This allows neutrophils, white blood cells attracted to the trauma site, to enter the interstitial space where they work to clean the area of invaders, and protect the damaged tissue.

Swelling 

As the waste products produced by macrophages and neutrophils accumulate in the form of fluid, the body’s reliance on the lymphatic system for drainage becomes paramount. This system is a passive, one-way mode of transportation for excess fluid, depending on the voluntary contraction of the body’s tissues for propulsion.

Inadequate lymphatic system functioning can lead to an accumulation of waste products and excess swelling and hinder optimal recovery of damaged tissues. However, when the body can successfully clear the damaged site of excess fluid via the lymphatic system, the process of repair is enabled.

Therefore, understanding this complex process is paramount in redefining our approach to injury management, recognizing that inflammation is not an obstacle but a necessary healing phase. Healing cannot happen without inflammation; it is not an adverse response but an indispensable aspect of the recovery process, allowing the body to move through the stages of inflammation, repair, and remodeling.

Rethinking Ice Application

The RICE protocol advocates for ice application to reduce inflammation. However, given that inflammation is essential to the healing process, it is now apparent that icing can inhibit healing. When ice is applied, it acts as a vasoconstrictor, narrowing the blood vessels and restricting the transport of inflammatory chemicals and neutrophils to the injury site. This physiological response, consequently, impedes healing. Further, prolonged ice application can cause lymphatic vessels to excessively increase their permeability, leading to local swelling and potentially exacerbating pain.

Rest and Elevation

A cardinal principle of the RICE protocol, rest, is now questioned. Though intuitive, complete rest does not augment the healing process. As the lymphatic system’s role is to drain waste products and requires tissue contraction for propulsion, a state of inactivity can impede this drainage, leading to congestion and a delay in the inflammatory and subsequent healing phases. Moreover, extended periods of inactivity can lead to muscle atrophy, rendering tissue weaker, less functional, and more susceptible to future injury. Similarly, while elevation aims to limit swelling by utilizing gravity, it does not provide a proactive solution to the underlying issue.

Active Recovery and the MEAT Protocol

Emerging research champions a more proactive and nuanced approach to injury management – active recovery and the MEAT protocol. Active recovery refers to the involvement of injured skeletal muscle tissue in non-strenuous activity. It facilitates the propulsive force needed for lymphatic drainage and can begin as soon as the day after a minor injury, provided movements are pain-free.

The MEAT protocol, an acronym for Movement, Exercise, Analgesia, Treatment, addresses the flaws in the RICE approach. Rather than advocating for rest, it recommends pain-free movement and resistance exercises to aid lymphatic drainage and maintain muscle mass. Analgesia, the third element of the MEAT protocol, encourages the management of pain without NSAIDs, as these have been found to possibly delay recovery by inhibiting the synthesis of prostaglandins that initiate inflammation. Lastly, ‘treatment’ comprises various therapeutic approaches tailored to the individual patient, including acupuncture.

 

Herbal Ice

The use of San Huang San and Herbal Ice also stands out as a promising approach. Unlike conventional ice, which may hinder healing, these herbal remedies are formulated to reduce inflammation without interfering with the essential recovery stages. San Huang San, in particular, has a rich history in Traditional Chinese Medicine, harnessing the natural properties of herbs to aid in the treatment of injuries. By embracing these herbal alternatives, we may find a more harmonious way to manage pain and inflammation, offering a bridge between ancient wisdom and a contemporary understanding of injury recovery. This balanced approach may represent not just a refinement in treatment methods but a potential paradigm shift towards more holistic healing.

Bonus: Exercise Recovery

Both ice and gentle exercise can help you heal from an injury or recover after a tough workout. But it’s important to do it the right way. If you’re using ice, don’t leave it on for more than 10 minutes at a time. And when it comes to active recovery, which is a way of using low-impact exercises to help your muscles bounce back, focus on the same muscles you used in your workout. Think of it like a cool-down phase: spending 20 minutes gently working the same muscles that you used during your exercise session helps get rid of tiredness more effectively than working other muscles. This helps your blood flow better and clears away any waste, setting the stage for your muscles to heal and get stronger.

Herbal Ice

Nature’s Ice Packs! Experience quick relief from redness and inflammation while nourishing your skin

We make available natural products that have been observed to make a difference in the lives of our patients, friends and family. You’re in good hands shopping with us.

About the Author

Author Willard Sheppy Exporing the Coast

Willard Sheppy is a writer and healthcare practitioner who seamlessly melds scientific knowledge with practical applications in engaging and authoritative articles. He holds a Bachelor of Science in Environmental Science from Oregon State University and a Master’s in Acupuncture and Oriental Medicine from the distinguished Oregon College of Oriental Medicine.

In his work, Willard skillfully combines his extensive educational background in scientific research with his practical experience as a healthcare practitioner. Willard balances his life with martial arts and cherished family adventures. As a father of three, he often leads his family on camping and hiking trips along the breathtaking Oregon coast.

Connect with Willard on LinkedIn at linkedin.com/in/valleyhealthclinic or learn more about his services at valleyhealthclinic.com. Embark on this journey towards holistic health with Willard!

Topical Pain Relief: The Ultimate Product Comparison Chart

Topical Pain Relief: The Ultimate Product Comparison Chart

No more squinting at product labels or flipping coins to decide. This chart breaks down each product’s key features, pros, and cons, making it easier to weigh your options and determine which one aligns with you..

This comparison chart proves helpful in your quest to find the perfect topical pain relief product. Remember, everyone’s preferences and needs are different, so take the time to evaluate the options and find the one that will work best for you. Happy shopping, and may you find relief soon!

When examining the chart, consider the following factors

Your specific needs: Are you looking for a product that provides a heating or cooling sensation? Do you have sensitive skin? Do you prefer a light or strong smell?

Price: Which product fits within your budget?

Size: How often will you be using the product, and for what purpose? Will you need a larger amount for frequent use or a smaller amount for occasional use?

Absorption: Do you prefer a fast-absorbing product, or are you looking for something with a slow time-release effect?

Application: Which method of application is most convenient and suitable for your needs?

By evaluating these factors, you’ll be able to make a more informed decision when selecting a topical pain relief product. The chart aims to provide a comprehensive comparison of the three products so you can choose the one that’s best for you.

Evil Bone Water Corydalis Relief Salve Red Emperor's Immortal Flame
Price $40 $25 $45
Key Ingredients Natural menthol, camphor, cinnamon Corydalis plant extracts Organic wintergreen, menthol
Smell Strong (Herbal) Light/No (Floral) Strong (Wintergreen)
Absorption Fast Slow Medium
Application 3.4 oz Spray 2.2 oz Stick, 1.8 oz Jar 1 oz Bottle
Heating/Cooling Sensation Both, more cooling None Yes, more warming
Pros - Fast-acting
- Strong heating/cooling sensation
- Dries quickly
- Improves absorption when combined with other products
- Good for most things
- Easy to clean
- Slow time-release absorption
- Longer working time
- No strong smell,
- Effective for nerve pain
- Multiple application styles
- No/minimal stinging sensation
- Gentle on sensitive skin
- Medium acting speed
- Medium absorption time
- Effective in providing warmth and relieving cold-aggravated pain
- No/minimal stinging sensation,
Cons - Runny
- Strong smell
- Stings on open skin or after acupuncture
- Strong sensation may cause discomfort for people with sensitive skin
- Difficult to clean
- No hot/cool sensation
- Greasy feeling on skin
- Small bottle size
- May seem expensive
- Flow restriction top may be slow to use
- Not as suitable for applying to large areas easily
- Strong sensation may cause discomfort for people with sensitive skin

For those who want more information on each product, you can read the individual blog reviews for Evil Bone Water, Corydalis Relief Salve, and Red Emperor’s Immortal Flame.

By exploring these reviews, you’ll gain a deeper understanding of each product, allowing you to make a well-informed choice. We encourage you to take the time to read these reviews and find the ideal topical pain relief product that best meets your needs.

Buy Our Topical Pain Relief Products Today!

We make available natural products that have been observed to make a difference in the lives of our patients, friends and family. You’re in good hands shopping with us.

About the Author
Willard Sheppy is a writer and healthcare practitioner who seamlessly melds scientific knowledge with practical applications in engaging and authoritative articles. He holds a Bachelor of Science in Environmental Science from Oregon State University and a Master’s in Acupuncture and Oriental Medicine from the distinguished Oregon College of Oriental Medicine.
In his work, Willard skillfully combines his extensive educational background in scientific research with his practical experience as a healthcare practitioner. Willard balances his life with martial arts and cherished family adventures. As a father of three, he often leads his family on camping and hiking trips along the breathtaking Oregon coast.
Connect with Willard on LinkedIn at www.linkedin.com/in/valleyhealthclinic or learn more about his services at www.valleyhealthclinic.com. Embark on this journey towards holistic health with Willard guiding your way.

A Comprehensive Product Review of Corydalis Relief Salve

Discover Natural Pain Relief with Corydalis Relief Salve - A Comprehensive Product Review and Personal Experience

I. Introduction

A. Introducing Corydalis Relief Salve

Corydalis Relief Salve, developed by Eliz Britton, DTCM, and CEO of Botanical EZ, LLC, is a unique, traditional Chinese medicinal treatment designed to provide topical pain relief. This innovative salve utilizes Yan Huo Suo, a traditional herb known to alleviate various types of pain. At an affordable price of $25, Corydalis Relief Salve offers an excellent alternative for those seeking a more natural and budget-friendly solution to manage pain and discomfort.

B. Purpose of the Review

This review aims to share personal experiences with Corydalis Relief Salve, help potential buyers make informed decisions, and provide an unbiased evaluation of the product. We will discuss the product’s appearance, design, key features, and personal experiences, along with its pros and cons, comparison to competitors, and additional information.

II. Product Description

A. Appearance and Design

Corydalis Relief Salve comes in two different packaging options: a stick for personal use and a jar for clinical settings. The stick offers a convenient, mess-free application, while the jar is ideal for healthcare professionals who will apply the product on many different patients. The stick packaging is made of plastic and is travel-friendly but may leak if exposed to high heat (I have not personally experienced this). On the other hand, the jar packaging is made of heavy-duty glass with a tight seal to ensure freshness and cleanliness.

B. Key Features and Specifications

Corydalis Relief Salve contains pain-relieving and anti-inflammatory compounds derived from the Corydalis plant. These compounds help alleviate pain by modulating pain signals in the nervous system and reducing inflammation in the affected area.

The product is free from CBD, THC, camphor, and menthol, resulting in a light floral scent that is pleasing and not overpowering.

The salve is designed to provide pain relief without creating addiction or causing irritation. Corydalis contains natural pain-relieving compounds that activate dopamine and opiate receptors without causing dependence.

III. Personal Experience

A. Purchasing and Unboxing

Corydalis Relief Salve can be purchased online for wholesale at Botanical EZ website or smaller orders at Valley Health Acupuncture Store. The product arrives in secure packaging, ensuring a positive first impression.

B. Usage and Performance

The salve has a thicker, oil-based consistency that becomes more liquid when warmed. It is slow to absorb, providing a longer-acting, time-release effect. This makes it suitable for Cupping, Gua Sha, or Massage, as it remains smooth and doesn’t require frequent reapplication. However, the harder texture can make application slightly more challenging in colder environments.

The product’s oil-based nature also means that it takes more effort to clean off hands or tools, typically requiring two washes. But because there is no menthol or camphor, Corydalis does not have a strong smell, making it suitable for individuals sensitive to fragrances. The salve does not sting when applied after acupuncture, and it is gentle on sensitive skin areas such as the face and armpits.

Corydalis Relief Salve has shown promising results in reducing nerve and joint pain. As a healthcare practitioner, the reviewer has encountered numerous patients who require topical pain relief but cannot tolerate conventional over-the-counter treatments like Icy Hot. The chilling sensation of standard ointments can be uncomfortable for individuals with poor circulation, and the strong smell can be overpowering.

One particular patient, a dear friend of the reviewer, underwent cancer treatment and struggled with pain in her hands and feet due to chemotherapy-induced neuropathy. Poor circulation led to coldness in her extremities, making it difficult for her to tolerate traditional pain relief ointments. The smell nauseated her, and the icy sensation was too much for her already cold feet. In such cases, Corydalis Relief Salve proved to be an excellent alternative.

Corydalis Relief Salve can also be used in combination with other products like alcohol-based liniments, such as Evil Bone Water. Alcohol-based liniments have quicker absorption speed, allowing active ingredients to penetrate the skin rapidly and effectively. However, they tend to evaporate and dry quickly off the skin. In contrast, oil-based salves like Corydalis create a barrier on the skin, gradually releasing the active ingredients over time. Combining both types of topicals can offer the best of both worlds.

IV. Pros and Cons

A. Strengths

  • Slower time-release absorption
  • Longer working time before absorption, suitable for massage, gua sha, or cupping
  • No strong smell
  • Gentle on sensitive skin, no stinging after acupuncture
  • Suitable for sensitive, deficient, or weak individuals who dislike cold or heat sensations
  • Effective for nerve pain
  • Available in two different application styles: Stick and Jar for personal or Jar for public use

B. Weaknesses

  • Slightly more difficult to clean, it may take two washes to remove residue
  • The lack of a hot or cooling sensation may lead some users to doubt its effectiveness
  • Longer absorption time may leave a sticky or greasy feeling on the skin after treatment

V. Comparison to Competitors

A. Compared to similar products on the market, Corydalis Relief Salve offers a unique blend of natural ingredients without the use of CBD, THC, camphor, or menthol. Its affordable price, light scent, and gentle formulation make it an attractive option for those seeking a more natural, non-irritating pain relief solution.

B. Reasons for choosing Corydalis Relief Salve over competitors include its unique features, brand reputation, and the personal preference of individuals seeking a more gentle and natural pain relief option.

VI. Conclusion

A. Overall, Corydalis Relief Salve provides an effective, natural, and affordable solution for topical pain relief. Its unique formulation offers numerous benefits, such as slower time-release absorption, suitability for various therapeutic modalities, and gentle effects on sensitive skin.

B. We highly recommend Corydalis Relief Salve for those seeking a more natural and budget-friendly alternative to manage pain and discomfort. This product is especially suitable for individuals who cannot tolerate conventional over-the-counter treatments or prefer a gentler, non-irritating option.

Buy Corydalis Relief Salve Today!

If you don’t like strong medicinal smells or menthol and camphor cooling sensations, then this is the product for you. I have found this product to work exceptionally well for diabetics or cancer-induced peripheral neuropathy.

Combine the synergistic effect of our two best-selling topicals. They work together in separate but complementary ways to quickly eliminate your pain.

About the Author
Author Willard Sheppy Exporing the CoastWillard Sheppy is a writer and healthcare practitioner who seamlessly melds scientific knowledge with practical applications in engaging and authoritative articles. He holds a Bachelor of Science in Environmental Science from Oregon State University and a Master’s in Acupuncture and Oriental Medicine from the distinguished Oregon College of Oriental Medicine.
In his work, Willard skillfully combines his extensive educational background in scientific research with his practical experience as a healthcare practitioner. Willard balances his life with martial arts and cherished family adventures. As a father of three, he often leads his family on camping and hiking trips along the breathtaking Oregon coast.
Connect with Willard on LinkedIn at www.linkedin.com/in/valleyhealthclinic or learn more about his services at www.valleyhealthclinic.com. Embark on this journey towards holistic health with Willard guiding your way.

Evil Bone Water: An In-Depth Review

Evil Bone Water Group

I. Introduction

Evil Bone Water is a handcrafted formulation of the traditional Chinese medicine Zheng Gu Shui by Mark Brinson at Saint Apothecary. As a topical pain relief solution, it is designed to alleviate pain and promote healing from injuries using high-quality, natural ingredients. At $40 per 4 oz bottle, Evil Bone Water is marketed towards individuals who prioritize quality and effectiveness in their natural pain relief products.

This comprehensive review aims to provide potential buyers with a thorough, unbiased evaluation of Evil Bone Water, detailing personal experiences and addressing concerns to help make an informed decision.

II. Product Description

Appearance and Design

Evil Bone Water is packaged in a heavy-duty 4 oz brown glass bottle to shield its contents from sun damage. The bottle’s design is visually appealing and user-friendly, with a spray top included for personal orders.

Key Features and Specifications

Fast-acting pain relief: Thanks to its alcohol base and potent volatile oils, Evil Bone Water starts working immediately upon application.
Strong heating and cooling sensations: These sensations contribute to the product’s pain-relieving properties.

Quick-drying formula: The product dries rapidly, making it ideal for use during or after treatments like gua sha or cupping without leaving a greasy residue.
Opens pores for improved absorption: Evil Bone Water enhances the effectiveness of other topical products when used in combination.

III. Personal Experience

Purchasing and Unboxing

Evil Bone Water can be purchased for wholesale and clinical use at EvilBoneWater.com and for personal use at ShopEvilBoneWater.com, both of which offer free shipping. Wholesale orders arrive in a box of 24 bottles without spray tops, while personal orders include a free spray top.

The 4 oz brown glass bottle is not only functional but also visually appealing, making it a suitable container for reuse after the product is finished. Users have reported repurposing the bottle as a plant mister or as a bathroom deodorizer by adding essential oils.

First Impressions

Upon first use, Evil Bone Water’s strong scent and deep yellow-brown color stand out. The aroma, reminiscent of menthol, camphor, and maple syrup, indicates the presence of powerful volatile oils essential to the product’s pain-relieving properties. The yellow color implies the presence of berberine, a bitter-tasting, yellow-colored compound found in various medicinal plants with antiviral, antibacterial, and blood sugar-regulating properties.

Usage and Performance

Application: Evil Bone Water can be massaged or sprayed directly onto the skin. If a spray top is not available, it is recommended to apply the product with a cotton ball to avoid spillage. Users can pinch the cotton ball between their fingers while massaging the affected area to ensure the liquid stays in place.

Performance and Quality: Due to its high concentration of volatile oils and alcohol base, Evil Bone Water provides rapid pain relief. Users can feel the product working immediately upon application. It also dries quickly, making it an ideal choice for use during or after treatments like gua sha or cupping without leaving a greasy residue. However, the alcohol base can cause a stinging sensation on cracked or open skin.

Issues and Challenges: Some users may find the product’s runny consistency difficult to manage, while others may be sensitive to its strong smell. Additionally, the alcohol base can cause stinging sensations on open or cracked skin.

IV. Pros and Cons

Pros

  • Fast-acting pain relief
  • Strong heating and cooling sensations
  • Quick-drying formula
  • Opens pores for improved absorption when combined with other products
  • Positive feedback from users for various pain conditions, such as arthritis, chronic neck and back pain, and acute injuries like ankle sprains and torn hamstrings
  • It can be repurposed for other household uses, like removing Sharpie marker stains from tables

Cons

  • Runny consistency may make application tricky without a spray top
  • A strong herbal smell may not be appealing to all users
  • Intense heating and cooling sensations may not be suitable for everyone
  • Stinging sensation on cracked skin or when used immediately after acupuncture

V. Comparison to Competitors

Evil Bone Water stands out among other Zheng Gu Shui products on the market due to its high-quality ingredients and handcrafted formula. While the price is higher compared to cheaper alternatives, it remains affordable when considering the superior ingredients and craftsmanship.

The key differences between Evil Bone Water and other brands include:

  • Utilizes food-grade Everclear alcohol instead of isopropyl alcohol
  • Contains natural menthol and camphor instead of synthetic alternatives
  • Includes seven additional ingredients that have been removed from other brands
  • Uses Grade A and Imperial herbs, unlike other brands that use lesser-quality ingredients

VI. Conclusion

In summary, Evil Bone Water is a high-quality natural pain relief solution offering fast-acting, effective relief from various pain conditions. The handcrafted formula, superior ingredients, and unique features make it a standout product in the market.

While the strong smell, heating, and cooling sensations, and stinging sensation on open skin may not be suitable for everyone, the overall benefits of Evil Bone Water make it worth considering for those seeking a natural, effective pain relief option.

This product is ideal for individuals who value quality and efficacy in their natural pain relief products and are willing to invest in a handcrafted solution.

Buy Evil Bone Water Today!

Evil Bone Water (Zheng Gu Shui) is a Chinese topical medicinal hand-crafted with only empirical grade herbal ingredients in an approved facility.

We make available natural products that have been observed to make a difference in the lives of our patients, friends and family. You’re in good hands shopping with us.

About the Author
Author Willard Sheppy Exporing the CoastWillard Sheppy is a writer and healthcare practitioner who seamlessly melds scientific knowledge with practical applications in engaging and authoritative articles. He holds a Bachelor of Science in Environmental Science from Oregon State University and a Master’s in Acupuncture and Oriental Medicine from the distinguished Oregon College of Oriental Medicine.
In his work, Willard skillfully combines his extensive educational background in scientific research with his practical experience as a healthcare practitioner. Willard balances his life with martial arts and cherished family adventures. As a father of three, he often leads his family on camping and hiking trips along the breathtaking Oregon coast.
Connect with Willard on LinkedIn at www.linkedin.com/in/valleyhealthclinic or learn more about his services at www.valleyhealthclinic.com. Embark on this journey towards holistic health with Willard guiding your way.

FAQ for Corydalis Relief Stick

Corydalis Relief Stick

What is Corydalis Relief Stick?

Corydalis Relief Stick is a topical pain relief product formulated with natural ingredients, including Corydalis (Yan Hu Suo), a herb commonly used in traditional Chinese medicine. It is designed to provide soothing relief for various types of pain, such as neuropathic pain, arthritis, muscle aches, and joint discomfort.

How does Corydalis Relief Stick work?

Corydalis Relief Stick contains active compounds from the Corydalis plant, which are known to have pain-relieving and anti-inflammatory properties. When applied topically, these compounds help to alleviate pain by modulating pain signals in the nervous system and reducing inflammation in the affected area.

How do I use the Corydalis Relief Stick?

To use the Corydalis Relief Stick, simply apply it directly to the affected area by gently rubbing it on the skin. You can repeat this process 2-3 times daily or as needed for pain relief. Be sure to wash your hands thoroughly after each application.

Are there any side effects of using Corydalis Relief Stick?

Topical application of Corydalis Relief Stick is generally considered safe when used as directed. However, some individuals may experience skin irritation, such as redness, itching, or inflammation at the application site. Discontinue use if these symptoms persist or worsen. In rare cases, an allergic reaction may occur. Seek immediate medical attention if you experience symptoms of an allergic reaction, such as hives, difficulty breathing, or swelling of the face, lips, tongue, or throat.

Can I use Corydalis Relief Stick with other medications or supplements?

Topical Corydalis products may interact with certain medications or supplements. Consult a healthcare professional before using Corydalis Relief Stick, especially if you are taking other medications or have pre-existing medical conditions.

Is Corydalis Relief Stick suitable for all types of pain?

Corydalis Relief Stick is designed to help alleviate various types of pain, including neuropathic pain, arthritis, muscle aches, and joint discomfort. We have found it to work very well with neuropathic pain. However, individual results may vary. It is always recommended to consult a healthcare professional before using any new pain-relief product.

Where can I purchase Corydalis Relief Stick?

Corydalis Relief Stick can be purchased from reputable online retailers, health stores, or traditional Chinese medicine practitioners. Be sure to choose a high-quality product from a trusted source to ensure safety and effectiveness. We have found Corydalis from Botanical EZ is a high-quality brand that we trust. It can be purchased at Valley Health Clinic

Can I use Corydalis Relief Stick during pregnancy or while breastfeeding?

The safety of using Corydalis Relief Stick during pregnancy or breastfeeding has not been well-established. It is essential to consult a healthcare professional before using any new products during pregnancy or while breastfeeding.

Buy Corydalis Relief Stick Today!

If you don’t like strong medicinal smells or menthol and camphor cooling sensations, then this is the product for you. I have found this product to work exceptionally well for diabetics or cancer-induced peripheral neuropathy.

Combine the synergistic effect of our two best-selling topicals. They work together in separate but complementary ways to quickly eliminate your pain.

About the Author
Author Willard Sheppy Exporing the CoastWillard Sheppy is a writer and healthcare practitioner who seamlessly melds scientific knowledge with practical applications in engaging and authoritative articles. He holds a Bachelor of Science in Environmental Science from Oregon State University and a Master’s in Acupuncture and Oriental Medicine from the distinguished Oregon College of Oriental Medicine.
In his work, Willard skillfully combines his extensive educational background in scientific research with his practical experience as a healthcare practitioner. Willard balances his life with martial arts and cherished family adventures. As a father of three, he often leads his family on camping and hiking trips along the breathtaking Oregon coast.
Connect with Willard on LinkedIn at www.linkedin.com/in/valleyhealthclinic or learn more about his services at www.valleyhealthclinic.com. Embark on this journey towards holistic health with Willard guiding your way.

Corydalis for Cancer Neuropathy: My Personal Experience

Corydalis Relief Stick

Discovering corydalis for cancer neuropathy

Let’s delve into the promising relationship between corydalis and cancer neuropathy to better understand how this natural remedy may offer relief to those facing this challenging condition.

As a healthcare practitioner, I have encountered numerous patients who require topical pain relief but cannot tolerate conventional over-the-counter treatments like Icy Hot. The chilling sensation of standard ointments can be uncomfortable for individuals with poor circulation, and the strong smell can be overpowering.

One particular patient, a dear friend of mine, underwent cancer treatment and struggled with pain in her hands and feet due to chemotherapy-induced neuropathy. Poor circulation led to coldness in her extremities, making it difficult for her to tolerate traditional pain relief ointments. The smell nauseated her, and the icy sensation was too much for her already cold feet.

Determined to find a solution to ease her pain, I began searching for the ideal topical treatment: gentle enough for sensitive users, yet potent enough to address neuropathy and arthritis. This search led me to discover Corydalis Relief Salve. This salve features a subtle floral scent without any cooling effect and, most importantly, provides soothing relief for various types of pain.

Corydalis Relief Salve worked wonders for my dear friend, significantly improving her quality of life. Inspired by her experience, I introduced this powerful formula to my practice, allowing more patients to benefit from its pain-relieving properties.

Yan Hu Suo and Corydalis: Background

Derived from the tuber of the Corydalis plant, Yan Hu Suo has been utilized in TCM to alleviate various types of pain, such as nerve pain, menstrual pain, and inflammatory pain. Studies have indicated that Corydalis possesses anti-inflammatory and sedative properties, which can benefit individuals suffering from conditions like arthritis, insomnia, anxiety, and stress (1).

Topical Application for Neuropathies

Neuropathies, or nerve-related pain conditions, can be debilitating for those affected. Research has shown that the active compounds in Corydalis, such as tetrahydropalmatine and dehydrocorybulbine, can effectively modulate pain signals in the nervous system (2). Topical application of Corydalis may offer a non-invasive, natural approach to managing neuropathies, making it an appealing option for those seeking alternative treatments.

Corydalis for Cancer Pain Management

Cancer pain can be challenging to manage, and many patients turn to natural supplements and herbal remedies to complement conventional treatments. Some studies have suggested that Corydalis may provide relief from cancer pain by inhibiting the release of pain-inducing substances in the body (3). Topical application of Corydalis products may be a useful adjunct therapy for cancer patients experiencing localized pain.

Conclusion

Topical Yan Hu Suo and Corydalis products may offer a natural, non-invasive approach to managing neuropathies and cancer pain. By understanding the benefits and potential risks associated with these products, individuals can make informed decisions about their use. As with any health product, it is essential to consult a healthcare professional before incorporating Corydalis into a pain management regimen.

REFERENCES

Zhang Y, Wang C, Wang L, Parks GS, Zhang X, Guo Z, Ke Y, Li KW, Kim MK, Vo B, Borrelli E, Ge G, Yang L, Wang Z, Garcia-Fuster MJ, Luo ZD, Liang X, Civelli O. A novel analgesic isolated from a traditional Chinese medicine. Current Biology. 2014 Jan 6;24(1):117-23.

Chu H, Jin G, Friedman E, Zhen X. Recent development in studies of tetrahydroprotoberberines

Buy Corydalis Relief Stick Today!

If you don’t like strong medicinal smells or menthol and camphor cooling sensations, then this is the product for you. I have found this product to work exceptionally well for diabetics or cancer-induced peripheral neuropathy.

Combine the synergistic effect of our two best-selling topicals. They work together in separate but complementary ways to quickly eliminate your pain.

About the Author
Author Willard Sheppy Exporing the CoastWillard Sheppy is a writer and healthcare practitioner who seamlessly melds scientific knowledge with practical applications in engaging and authoritative articles. He holds a Bachelor of Science in Environmental Science from Oregon State University and a Master’s in Acupuncture and Oriental Medicine from the distinguished Oregon College of Oriental Medicine.
In his work, Willard skillfully combines his extensive educational background in scientific research with his practical experience as a healthcare practitioner. Willard balances his life with martial arts and cherished family adventures. As a father of three, he often leads his family on camping and hiking trips along the breathtaking Oregon coast.
Connect with Willard on LinkedIn at www.linkedin.com/in/valleyhealthclinic or learn more about his services at www.valleyhealthclinic.com. Embark on this journey towards holistic health with Willard guiding your way.

Which Topical Medicine to Use?

An Interview with Jeremy Cornish about Which Topical Medicines to Us

An interview between Jeremy Cornish and Willard Sheppy: A person-focused method

Welcome to this exclusive interview between Jeremy Cornish and Willard Sheppy. Jeremy is a renowned expert in the treatment of complex chronic conditions using Traditional Chinese Medicine and the founder of Modern Vitality, while Willard is an accomplished acupuncturist and founder of Valley Health Clinic, specializing in sports acupuncture. Both experts have dedicated their careers to helping individuals achieve optimal health and well-being.

In this interview, we will delve into Jeremy’s and Willard’s expertise in the field of acupuncture and Traditional Chinese Medicine. They will discuss the benefits of alternative medicine, particularly in the use of topical medicine use for injuries. We will also discuss the importance of treating the root cause of illness and focus on appropriateness and clinical clarity in the decision-making process

Quick Links to the Sections Below

Question: Jeremy, What topicals do you use?

One of the major mistakes we can make in the profession is to focus on things (our tools, herbs, protocols, etc) instead of focusing on the person and their problem/goal.

Various topicals make sense in varying situations depending on the person and the problem.

I’ve used premium herbal foot soaks, liniments, “secret” martial art lineage hit formulas…

And I’ve also improvised poultices when out hiking in the middle of nowhere by chewing up herbs like dandelion and plantain and applying the wet paste to the injured area.

In choosing which topicals to use, the primary thing I keep in mind is appropriateness. It has to be the right formulation for the situation. Then quality, which is extremely important. But quality is a second place because even the highest quality can’t make up for being the inappropriate/wrong formula entirely.

Question: Jeremy, How do you decide which product to use?

In deciding how to use one product over another, it really comes down to having a clinical algorithm for decision-making.

Most practitioners collect “heuristics,” which are rules of thumb. “X remedy is good for Y problem” It’s a matching type of thinking.

When we organize all of our heuristics, we can start to create clinical algorithms which are much more comprehensive and robust.

Algorithms use more of an “if, then” type of framework. The treatments live at the ends of a robust decision tree.

Using the diagnostic process of Eastern medicine, we can start to figure out which topicals are most appropriate for any given situation.

Question: Willard, How does a Sports Acupuncturist make a diagnosis to understand which topicals are appropriate?

Traditional Chinese Medicine is based on the principles of balance and harmony, and it focuses on treating the root cause of illness rather than just the symptoms. TCM has a unique approach to diagnosing and treating pain, which is based on the quality of the pain.

In TCM, the quality of the pain is considered an important diagnostic tool. Practitioners ask patients questions about the type and quality of their pain, including how it feels, where it is located, and what makes it better or worse. The answers to these questions help the practitioner to determine the underlying pathology and create an appropriate treatment plan.

Stage One

The initial stage of an injury is usually dominated by heat. The duration of this stage varies from a few days to several weeks, depending on the severity and type of injury. The treatment approach involves clearing heat and toxins, dispersing stasis, and relieving pain. The formulas used in the first stage of injury are the coldest formulas and aim to eliminate heat toxins while facilitating the removal of damaged tissue.

Heat
Pain that is warm to the touch and maybe inflamed is often associated with heat. Heat is usually accompanied by localized redness, but in some cases, patients may feel a sensation of heat without visible redness. This type of pain may have a burning sensation.

Treatment typically involves clearing the heat with acupuncture, herbs, and other modalities.

The herbal formula known as Evil Bone Water is a well-balanced composition that exhibits both cooling and warming properties. Its versatility makes it suitable for treating acute injuries, as well as for long-term use.

In contrast, San Huang San, also referred to as herbal ice, is a very cooling formula that is recommended for use only during the first week of an injury. It is not advisable to use this formula for an extended period due to its potency.

Stage Two

The second stage of trauma occurs after the initial inflammation subsides, leaving behind blood stagnation and qi stagnation, which presents as congestion of swelling and fluids in the affected area. This congestion leads to stiffness and pain. If the injury was severe or not treated sufficiently during the first stage, swelling may persist.

The second stage of trauma requires a treatment approach similar to the first stage, but with a greater focus on moving blood and dispersing stasis than on clearing heat. Herbs are added to dispel wind and dampness to prevent these pathogenic factors from becoming chronic bi syndrome. Blood stasis is a constant factor in traumatic injuries, resulting from primary vessel damage, extravasation, pressure from swelling, and increased adhesion. The goal of dispersing stasis in the second stage is to alleviate pain and facilitate tissue regeneration in the third stage.

Blood Stagnation
Sharp and stabbing pain that is fixed in location is often associated with blood stagnation. This type of pain is usually worse with pressure and may have a burning or electrical sensation. Treatment typically involves moving the blood and resolving the stagnation with acupuncture, herbs, and other modalities.

Qi Stagnation
Dull, achy pain that is tight or tense and better with movement is often associated with Qi stagnation. This type of pain may also feel better after moving around. Treatment typically involves moving the Qi and resolving the stagnation with acupuncture, herbs, and other modalities.

Both Evil Bone Water and Red Emperor’s Immortal Flame have a rich history and origin in Martial Arts Trauma Liniments, which have been used for centuries to address a wide range of injuries, pain, and discomfort.

These two formulas are highly effective in moving qi and blood,

Evil Bone Water is a well-balanced formula that combines cooling and warming properties, making it highly effective in treating most injuries, while Red Emperor’s Immortal Flame is a warming formula that is ideal for conditions aggravated with cold.

Both Evil Bone Water and Red Empeor’s Immortal Flame have there roots in Martial Arts Trauma Liniments and are good and moving qi and blood.

Cold Stagnation
Sharp and stabbing pain that is fixed in location and worse in cold weather is often associated with cold stagnation. This type of pain may also have a cold sensation or the skin my have a white hue. People with cold stagnation will have a natural avoidance to putting ice on injury or using topicals with a cooling menthol sensation. Treatment typically involves warming the area with acupuncture, herbs, and other modalities.

Red Empeor’s Immortal Flame is a renowned Traditional Chinese Medicine formula that is widely used for its warming properties, which make it ideal for treating Cold Stagnation. Unlike other liniments that may have a cooling effect, Red Empeor’s Immortal Flame is designed to provide warmth to the affected area, making it a great choice for individuals who do not respond well to cooling sensations like mentho

Tibetan herbal foot soaks have been used for centuries to treat a wide range of conditions, including cold injuries. The unique blend of herbs used in the foot soak has a warming effect on the body and helps to improve circulation, which can be especially beneficial for individuals who suffer from cold extremities or injuries caused by exposure to cold temperatures. In addition to its warming properties, the foot soak also has anti-inflammatory and pain-relieving effects that can help to reduce swelling and discomfort. Overall, Tibetan foot soaks are a safe and effective way to promote healing and provide relief for a variety of cold-related injuries and conditions.

Stage Three

At this stage, your body has fibrous deposition (scar tissue) and possible chronic inflammatory reactions. To remodel is to grow by rapid production, and that is exactly what your body is going through during this stage. The visible signs of inflammation will subside, and new tissue forms. This new tissue is fragile, and susceptible to injury.

It is during this phase that people feel like their mind is ready for them to be better, but their body is lagging behind. Oftentimes, remaining bruising, swelling and limited range of motion can bring about a sense of depression.

The fear that tends to arise during this phase of healing can cause you to guard the area even further. You may be scared to move too much, and this anxiety can cause you to lock down and stay still in order to protect yourself. This fragile new tissue, however, is susceptible to more than just injury – it is also susceptible to stagnancy, and restricting movement can form adhesions. These adhesions can limit range of motion when movement is eventually reintroduced, so appropriate mobilization of the tissue during this stage is important.

The benefit of working with your acupuncturist lies in their knowledge of what will and won’t be best for you. Some people close down, and we remind them to get out and move. Some people push themselves too far too fast, and we remind them to slow down and allow themselves to heal. Your greatest benefit lies in getting answers to your questions, and support to get through your fears and anxieties.

Rehabilitative exercises during this stage place increased demands on the tissues and some patients may have difficulty in performing the exercises due to tension in a sinew channel.

The treatment principles of this stage include: strengthening and warming the sinews and bone, tonify gi and nourishing blood, activating qi and blood, dispersing residual swelling, promoting tissue healing and decreasing pain. As always, these formulas must be prescribed for the appropriate CM presentation according to a thorough differential diagnosis.

Blood Deficiency
Dull, achy pain that is weak or stiff and worse with exertion and better with rest is often associated with blood deficiency. Treatment typically involves nourishing the blood with acupuncture, herbs, and other modalities.

Qi Deficiency
Mild, dull, achy pain that is weak and worse with exertion and better with rest is often associated with Qii deficiency. Treatment typically involves tonifying the Qii with acupuncture, herbs, and other modalities.

Corydalis relief stick is an effective and gentle formula that can be used to alleviate pain in patients who are weak or sensitive to stronger pain relief methods. One of the main benefits of using this formula is that it helps to decrease pain in patients who have a deficiency of Qi and Blood. This can be particularly useful for patients who have undergone chemotherapy and are experiencing pain as a result of the treatment. Many patients find that traditional pain relief methods such as Evil Bone Water and Red Emperor’s Immortal Flame can be too strong for their sensitive systems. The Corydalis relief stick provides a milder yet effective alternative, making it a valuable addition to any holistic pain relief regimen. Overall, the Corydalis relief stick has proven to be an invaluable resource for practitioners looking to provide gentle yet effective pain relief for their patients.

Dampness
Heavy pain is often associated with dampness. This type of pain may also have a sensation of swelling or numbness. Treatment typically involves resolving the dampness with acupuncture, herbs, and other modalities.

Wind
Moving, itchy pain is often associated with wind. If blood deficiency persists for a long period of time, it can lead to wind, which can cause pain that travels or moves around.

This type of pain may also be accompanied by tingling or numbness. Paresthesia is often related to the presence of wind in the jing luoTreatment typically involves dispelling the wind with acupuncture, herbs, and other modalities.

Corydalis relief stick is my go-to product for Nerve pain.

Tibetan foot soaks work very well for neuropathies, and also more internal conditions like chronic pain and menstrual problems when combined with other therapies and a comprehensive plan.

Question: Jeremy, What are some other examples of the right topical for the right situation?

When you use the right topicals for the situation, you’ll see the appropriate results.

For example, one obvious distinction is broken skin.

There are some liniments and other topicals that are fantastic to use, but only on unbroken skin.

So if the skin is broken, we really ought to start with something more appropriate.

For example, if it’s broken skin from a cut or scrape Yunnan Pai Yao is fantastic. When there’s bleeding from a wound, I’ve used Yunnan Pai Yao to stop the bleeding swiftly.

If it’s broken skin from a burn, then shiunko, zi cao, or even the old reliable Chung Wang Hun can work wonders . Burns responds extremely well to herbal burn cream. Especially reducing the pain, speeding the wound healing, and minimizing scar damage. This is quite reliable.

We need to be able to triage the situation and figure out the urgency of what’s going on. Is it a first-aid situation?

For example, one of my kids was wearing shorts and brushed up against a bunch of stinging nettles out in a field. His calf was red, painful, and welting up.

A formula like San Huang San makes a great poultice in that situation, however, it was much faster for me to chew up a bunch of fresh dandelion and then smear the poultice and the juice onto his leg for immediate relief right there. Poultices like San Huang San work reliably well for fresh injuries with closed skin like an acute sprain etc, when there’s redness and swelling. Also, anything similarly inflamed, such as mastitis.

If he had been bleeding, I would have chosen plantain.

Tibetan foot soaks work very well for neuropathies, and also more internal conditions like chronic pain and menstrual problems when combined with other therapies and a comprehensive plan. That’s the kind of work I do at Modern Vitality. Complex chronic conditions.

Evil Bone Water is great for sports injuries with closed skin. It has other uses too that are a bit more advanced, including oral and certain broken skin issues.

Yin Care works exceedingly well for yeast infections. There’s another company offering a similar formulation called Kuan Yin Apothecary Yoni Wash which I’m interested in as well.

Martial Arts liniments and other Dit Da formulations are usually pretty good at whatever they’re designed for. For example, some of the very warming liniments can be great for chronic injuries that are worse with cold.

Patients can soak their feet in Ginger tea for general coldness, and pain, and when coming down with a cold.

Most liniments are great for taking the sting out of mosquito bites.

Conclusion

In conclusion, Traditional Chinese Medicine has a unique approach to diagnosing and treating pain based on the quality of the pain. By asking yourself questions about the type and quality of the pain, you can better understand the underlying pathology and pick an appropriate topical and treatment plan for you.

Jeremy Cornish

Jeremy Cornish is a renowned expert in the field of Traditional Chinese Medicine. He is the founder of Modern Vitality, an international group that helps people with complex chronic health conditions, and the Damn Good Doctors Club, a community of practitioners with non-linear practice models. Cornish has spent over two decades studying and practicing Traditional Chinese Medicine, and has helped countless individuals achieve optimal health and wellbeing.

Will Sheppy

Willard Sheppy is an accomplished acupuncturist and founder of Valley Health Clinic, a medical facility that provides comprehensive healthcare services to patients in Albany, Oregon. With over 15 years of experience in the field of acupuncture, Willard has established himself as a leading expert in Sports Acupuncture. He is known for his compassionate and personalized approach to patient care, and his dedication to helping his patients achieve optimal health and Sport Performance Goals.

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About the Author
Author Willard Sheppy Exporing the CoastWillard Sheppy is a writer and healthcare practitioner who seamlessly melds scientific knowledge with practical applications in engaging and authoritative articles. He holds a Bachelor of Science in Environmental Science from Oregon State University and a Master’s in Acupuncture and Oriental Medicine from the distinguished Oregon College of Oriental Medicine.
In his work, Willard skillfully combines his extensive educational background in scientific research with his practical experience as a healthcare practitioner. Willard balances his life with martial arts and cherished family adventures. As a father of three, he often leads his family on camping and hiking trips along the breathtaking Oregon coast.
Connect with Willard on LinkedIn at www.linkedin.com/in/valleyhealthclinic or learn more about his services at www.valleyhealthclinic.com. Embark on this journey towards holistic health with Willard guiding your way.

Who Created REIF (Red Emperor’s Immortal Flame)

Hugh Turcotte, Create of Red Emperor's Immortal Flame

Hugh M. Turcotte, L.Ac., Dipl. O.M. is a licensed acupuncturist and clinical herbalist who serves as the Clinical Director at Waterfield Wellness, located in Woburn, Massachusetts. With a passion for Chinese Medicine and a dedication to helping others, Hugh has spent years honing his skills and knowledge in the field of natural health and wellness.

As part of his commitment to providing effective and high-quality products for his patients, Hugh is also the producer of Red Emperor’s Immortal Flame Liniment, a topical pain relief product made from a unique combination of high-quality Chinese herbs. With a focus on natural ingredients and an unwavering commitment to quality, this Turcotte Family Formula has helped many individuals find relief from chronic pain and discomfort.

Why did you start making Red Emperor’s Immortal Flame Liniment?

My initial education in health therapies was from my mentor and uncle, Sifu Tom Turcotte DOM, someone who has dedicated the better part of 60 years to discovering first hand the limits of human potential. Spoiler alert- he hasn’t found a limit yet. I was 26 years old, my college football and wrestling days were over, and one day I couldn’t stand up and walk across my bedroom. My ever-wise mom said over the phone, “You better call Tom.” I did, and he sent me to one of his former Tui Na (Chinese Medical Massage) students for a treatment. For the next decade Sifu Turcotte hit me right between the eyes with a boatload of qigong, diet, and herbs. He taught me the importance of keeping a positive mental set in any circumstance and how to manage my own energy system with high reward and low risk.

Eventually I decided to abandon my public accounting career and take the plunge to get a formal education in Chinese Medicine and make this adopted lifestyle a livelihood. As I neared the end of my Masters program, my wife was 6 months pregnant with our first child. My uncle understood I would be both opening a practice and starting a family in the same month. Knowing I had invested all my resources into my Chinese Medicine education and imagining that I would need an additional source of income to support my growing family, he gifted me two external-use family formulas that he originally developed and used in his martial arts training and later adapted for use in his clinic. Red Emperor’s Immortal Flame is one of them. My part was and still is today, to produce it to the exacting standards of a kung fu grandmaster and to help as many people on the planet with it as I can.

I always say I’ll keep making it as long as it keeps helping people. With any product that you put on or in your body, trust is a big part of the decision to use it. Through my informal training with my uncle, I became uncompromising with what goes in and on my body. From Sodium Laureth Sulfate in hair products to the ungodly excitotoxins in our food supply to off-gassing formaldehydes in carpet glue, I awakened to the fact that grocery stores and department stores are mine fields of chemicals which in the doses intended by manufacturers, are unfit for human contact. So when it came to putting my own product out into the public sphere, I envisioned a domestically-produced world-class topical pain product made with unreasonable patience, care, and high quality ingredients, and an inspiring story behind it.

The REIF mission is not only focused on the end user, but on practitioners and business owners. “A rising tide raises all ships.” Manufacturing a unique topical product that offers unmatched value and making it available through my colleagues’ clinics and businesses (as opposed to a simple centralized website or selling on Amazon) fulfills my mission of maximizing the impact of REIF on the vitality of my profession across the country.

What makes Red Emperor’s Immortal Flame Liniment stand out from other products like Zheng Gu Shui?

Red Emperor’s Immortal Flame shines brightest when addressing chronic pain due to blood stasis with cold underneath. No other product addresses this particular combination with equal effect. Does it address pain from Wind-Cold-Damp exposure? Yes. Does is address pain from acute overuse with microinjuries to joints and soft tissue? Yes. Will it help in cases of traumatic injury to soft tissue? Yes. The therapeutic target is big. There are any number of applications, but the bullseye is where REIF becomes an absolutely indispensable tool in the toolbox of self care- lifting out stuck cold from deep tissue while simultaneously promoting local circulation, reducing inflammatory processes and stopping pain.

What specific results have you seen since using Red Emperor’s Immortal Flame Liniment?

When Tom initially passed the formula down to me, I’ll be honest- although his character, training, lineage, and accomplishments speak for themselves (tomturcotte.com), and he is my father’s brother, I still needed to prove to myself that this formula was unique in its class. First I innovated and spent 3 months developing a salve version of this product, then I began using both versions in my own clinic. Here are some results for which I have testimonials:

An 85 year old woman with OA who doesn’t know how she will be able to get off her couch to entertain company this weekend? Pain went from 8/10 to 1/10 and stayed there for 4 days with a single application of REIF. She seemed like a very nice lady, but I was new at this and wasn’t sure if I believed her. I think she was honest because she demanded that I sell her “a bottle of that stuff”.

What makes this products stand out?

Every ingredient in REIF is certified organic. While I only list three of the ingredients on the label, all three that are listed are listed as organic and I will freely show my certs to anyone who asks. I go the extra mile for the cleanest, purest, most natural and unadulterated ingredients because that’s how I was taught to make it and because it’s the right thing to do. I’m not going to ask someone to put something on their body (and which ends up in their body) unless I can unequivocally say it is safe. I don’t want my name or my uncle’s name associated with anything but the highest quality. Ultimately we want the Turcotte family name, if it means anything to anybody, to be synonymous with a world-class product made with heart-centered service and uncompromising attention to detail.

REIF provides a near-instant proof of concept. Patients will feel it work within minutes. The warming sensation begins after 3 minutes. At 25 minutes, the circulation-promoting effect kicks in. That’s when the good stuff happens. I can’t use the word “healing” due to FDA label requirements, but patients can and have.

Because of its potency, REIF is in fact very economical. A very small amount goes a long way. In one 30ml bottle of liniment, there are over 500 drops. At a liberal dosage of 6-8 drops per application, that’s between 60 and 80+ applications from a single bottle. If someone has chronic pain in their knee, hip, neck, back, etc., and they apply REIF daily for two months, that tissue will be changed. Cumulative benefit over time (not just symptom relief) has been reported consistently by users. Because of the local circulation-promoting effect, consistent use on affected joints and muscle actually changes the tissue.

About Dr. Tom Turcotte DOM, the Originator of Red Emperor’s Immortal Flame

Red Emperor’s Immortal Flame is a Turcotte Family Formula that was developed by Sifu Dr. Tom Turcotte DOM out of necessity to help him continue training Kung Fu at a very high level, day after day, decade after decade. He later adapted it for clinical use in his Chinese Medicine practice before passing the formula on to Hugh M. Turcotte, L.Ac., Dipl. O.M. of Waterfield Wellness.

Tom Turcotte is a doctor of Oriental medicine, acupuncturist, and herbalist with over 50 years of experience in the field of natural health and wellness. Tom’s has receieved an Acupuncture Degree from Shanghai University of Traditional Chinese Medicine and a Certificate in Orthopedics and Traumatology from Longhua Hospital in Shanghai. He has dedicated his life to exploring the limits of human potential and helping others achieve optimal health and wellbeing.

Tom’s journey in natural health and wellness began in the early 1970s, when he began studying martial arts and meditation. This led him to explore the principles of Chinese Medicine, which he has spent decades studying and refining. Tom’s teachings and insights have helped countless individuals achieve better health and vitality.

In addition to his work as a practitioner, Tom is also an accomplished teacher. He has published numerous books and articles on Chinese Medicine and martial arts, and he has taught seminars and workshops throughout the United States and around the world. Tom (along with his teacher Dr. Yong Shou Dong) co-produced the very first English language instructional Tui Na video designed for professional bodyworkers and Acupuncturists. Learn more at http://tomturcotte.com/news.html. His website, tomturcotte.com, serves as a valuable resource for anyone interested in learning more about Chinese Medicine, martial arts, and natural health and wellness.

Whether you’re seeking relief from chronic pain, looking to improve your athletic performance, or simply want to achieve better health and wellbeing, Tom Turcotte’s decades of experience and expertise can help guide you on your journey. Visit tomturcotte.com to learn more and discover the transformative power of Chinese Medicine.

Buy Red Emperor's Immortal Flame Today!

This liniment has been carefully crafted with a unique blend of organic medicinal herbs, non-GMO wintergreen, organic menthol, and organic olive oil to provide fast-acting pain relief for both chronic and acute pain.

We make available natural products that have been observed to make a difference in the lives of our patients, friends and family. You’re in good hands shopping with us.

About the Author
Author Willard Sheppy Exporing the CoastWillard Sheppy is a writer and healthcare practitioner who seamlessly melds scientific knowledge with practical applications in engaging and authoritative articles. He holds a Bachelor of Science in Environmental Science from Oregon State University and a Master’s in Acupuncture and Oriental Medicine from the distinguished Oregon College of Oriental Medicine.
In his work, Willard skillfully combines his extensive educational background in scientific research with his practical experience as a healthcare practitioner. Willard balances his life with martial arts and cherished family adventures. As a father of three, he often leads his family on camping and hiking trips along the breathtaking Oregon coast.
Connect with Willard on LinkedIn at www.linkedin.com/in/valleyhealthclinic or learn more about his services at www.valleyhealthclinic.com. Embark on this journey towards holistic health with Willard guiding your way.

Post-Exercise Recovery: Research & Perspectives

Post-Exercise Recovery: Research & Perspectives

While much of sports acupuncture today focuses on the treatment of injury (pain relief and restoration of strength), there is a much larger field that acupuncturists are uniquely qualified to treat, yet often skip over: post-exercise recovery.

Recovery is a vital component of an overall exercise or training program. It’s essential for high-level performance and continued athletic improvement. With the appropriate recovery treatments–including acupuncture–athletes can achieve higher training volumes and intensities while avoiding many of the detrimental side-effects of overtraining.

Purpose

This essay aims to present and analyze the research and perspectives on the complex topic of post-exercise recovery and the role of sports acupuncture therein.

Primarily, it will look at the parasympathetic system, how it affects recovery, and how it is stimulated by acupuncture practices.

It will also address the physiology of the time period immediately after exercise as an important biological phenomenon that acupuncturists can use to the advantage of their clients.

Finally, this essay aims to show that sports acupuncture professionals can and should play a larger role in helping athletes recover after exercise.

What is Recovery?

Defining exercise recovery is a challenging task: there are many varied definitions of “recovery”. In the sports acupuncture world, the two most common definitions or views of recovery are as follows:

  • As a distinct period of time. Recovery can refer to a specific time frame. This period of time can range from minutes, as in the case of the heart rate returning to near-resting levels, to weeks, as in the return of strength after muscle-damaging exercise.These time frames also vary from person to person. For example, a trained athlete will display a different recovery timeline from that of a healthy individual. Both of these individuals will display vastly different recovery timelines than that of a person who is chronically ill.
  • As a physiological state or process. “Recovery” can also refer to a certain set of physiological processes or states which are distinct from resting physiological states and from the physiological state of exercise.This view of exercise recovery is usually localized: it assesses whether the muscles are ready to perform on the day of an event, or if they are weakened or injured.

Within these two definitions of recovery, treatment strategies tend to focus on symptoms of exercise-induced muscle damage and mainly work to blunt the inflammatory responses associated with muscle injury.

Treatments that are based on these perspectives of recovery typically aim to hasten regenerative processes of the muscles with limited consideration for other mechanisms (Minett and Duffield, 2014). This may be through lifestyle (active recovery, sleep), physiological treatment (post-exercise cooling, massage, compression), or nutritional and pharmacological interventions (supplements, anti-inflammatory medications).

These perspectives of recovery are too narrow, and they exclude factors such as illness, sleep, and psychology. These each have a significant impact on recovery and must be managed, in conjunction with the methods described above, in order to allow better performance and reduce the risk of injury.

Evidence for Expanding the Definition of Recovery

Various studies have found that single session of intense exercise and prolonged heavy training negatively influences the immune system function (Pedersen, 1998). This was done primarily by measuring SIgA levels, with SIgA being the predominant immunoglobulin found in the saliva other mucosal fluids. It neutralizes toxins and viruses and inhibits the attachment and replication of pathogens (Gleeson et al., 1999).

These studies have demonstrated that (Mackinnon et al., 1993):

  • Frequent upper respiratory tract infections (URTI) in elite athletes result in suppression of salivary secretory immunoglobulin A (SIgA) levels.
  • The exercise-induced decrease of salivary SIgA was inhibited in the acupuncture treatment group during a competition period.
  • The data suggests that acupuncture treatment enhances SIgA secretion in the saliva during the period of continuous physical exercise.
  • Therefore, it is possible that the increased risk of URTI in athletes during the competition period is due to a decrease in SIgA levels.
  • Acupuncture treatments could reduce the likelihood of infection in athletes and maintain their physical wellbeing by improving levels of SIgA and immunogenic actions.

Sympathetic vs. Parasympathetic Involvement in Exercise Recovery

The human body is intelligently balanced with a complex, built-in network for adapting to stress. This network is known as the autonomic nervous system, and it is comprised of two unique subsystems: the sympathetic nervous system (SNS) and the parasympathetic nervous system (PNS).

The parasympathetic and sympathetic nervous systems both deal with metabolism, which is a biochemical process within the body that allows healing, growth and adaptation. Metabolism is the pattern of building up and breaking down resources within the body, and can be divided into catabolic and anabolic processes.

The SNS is catabolic, meaning it breaks down resources, usually creating energy that is easily accessible. It mobilizes the these vital resources to help the body defend itself when it’s in danger. The sympathetic nervous system is what sends you into “fight or flight” mode in threatening situations. This system is upregulated during workouts, but ideally, the body only uses the SNS to its full capacity in life-threatening emergencies.

The PNS is anabolic, meaning it builds up resources within the body, usually requiring energy to perform. The parasympathetic nervous system allows the body the resources it needs to adapt and recover. It helps the body to rest, digest, and recover after workouts and strenuous activity. A well-balanced nervous system spends most of its time on parasympathetic activities. An active PNS helps muscle soreness and swelling subside more quickly.

Athletes are vulnerable to becoming SNS-dominant because they experience increased physical stress on a routine basis. By spending more time on sympathetic activities–and, therefore, less time on parasympathetic activities–an athlete’s nervous system will have a harder time helping the body recover.

In addition to the physical stress athletes experience regularly, emotional/mental stress can also play a role in an athlete becoming SNS-dominant. The following stressors can put an additional burden on an athlete’s nervous system:

  • Stress at home or at work;
  • An upcoming event or season that requires increased training intensity and/or frequency;
  • Nervousness or anxiety about an upcoming event or season;
  • Acute or chronic psychological disturbances including depression or anxiety;
  • Physical illness, either transient or chronic; and/or
  • Restricted caloric intake due to an upcoming weigh-in or their sport having another weight component (i.e. wrestling or ballet).

Most athletes will fall into at least one of the above categories. In addition to the regular physical stress their bodies undergo, stressors like these can tip the balance towards the sympathetic nervous system and strain the body’s natural process of maintaining homeostasis.

This is especially true if pertinent treatment methods are not used to minimize sympathetic dominance and boost parasympathetic activity.

Evidence of Sympathetic Dominance by Heart Rate Variability

Heart rate variability (HRV) is a measure that indicates how much variation there is in your heartbeat intervals. The more consistent your heartbeat intervals within a given time frame (i.e. 60 seconds), the lower your HRV. The more varied the lengths of the intervals between your heartbeats, the higher your HRV.

Heart rate variability has been found to be a valid indicator of decreased parasympathetic response and/or increased sympathetic activity.

Researchers have found that parasympathetic activity or increased sympathetic activity will result in reduced HRV (Billman, 2013). Though previously thought to reflect only SNS activity, it is now widely accepted that changes in heart rate variability express variations in both the sympathetic and parasympathetic nervous systems (Haker et al., 2002)

In a study by James, Munson, Maldonado-Martin & Croix (2012), subjects participated in an intense exercise session (defined as running 800 meters six times at 95% VO2 max with a three-minute recovery period between each run). The subjects experienced an increased sympathetic influence on the heart and heart rate variability and a decreased parasympathetic response (James et al, 2012).

While the subjects in this example returned to baseline numbers after 24 hours, the study demonstrates that repeated, intense exercise stressed the subjects’ ability to engage parasympathetic responses and maintain homeostasis.

Acupuncture & the Parasympathetic System

When an athletes is under stress, such as during intense physical training, his or her autonomic nervous system can deviate, leading to the athlete’s becoming sympathetic-dominant. In this state, the athlete’s parasympathetic nervous system is impaired, causing the athlete to experience more difficult recovery. A full restoration of the natural balance between sympathetic and parasympathetic is the ideal solution.

In western medicine, there aren’t many safe maneuvers to enhance parasympathetic performance while suppressing sympathetic functions. Acupuncture, however, is one of the most effective tools for doing just this.

Various experiments have shown that acupuncture treatment does in fact modulate the autonomic nervous system, in addition to alleviating muscle tension, improving local blood flow, and increasing pain threshold (Barlas et al., 2000).

One example is a study of hypertensive rats, wherein direct stimulation of the sciatic nerve produced decreased sensitivity to pain and a profound decrease in arterial pressure and activity in the splanchnic sympathetic nerve. The change lasted for several hours following treatment (Yao et al. 1982).

Another study showed that magnitopuncture–a combination of acupuncture point pressing and magnetic treatment at Dazhui (DU14) and Neiguan (PC6) points–resulted in reduced sympathetic nerve activity and increased parasympathetic nerve activity at the end of a three-hour simulated driving task (Li et al.2003).

It was also reported that needle insertions in the vagal innervated area of the ear could reduce narcotic and alcohol withdrawal symptoms and the underlying physiological mechanisms–a result of increased parasympathetic nerve activity (Mendelson et al., 1978)

More data pointing to the fact that acupuncture can upregulate the parasympathetic nervous system found that acupuncture can induce release of endogenous (natural) opioids (Basbaum et al., 1984; Holaday et al.,1983; Terman et al.,1986; Watkins et al.,1986).

Downregulation of the sympathetic nervous system has also been implicated by research. For example, it was found that acupuncture can trigger a somato-autonomic reflex (Budgell et al.1996), which can in turn induce vasodilation–a parasympathetic response (Kaada et al.,1982). This can result in increased relaxation and calmness and reduced distress (Knardahl et al., 1998).

Acupuncture has been shown capable of significantly reducing heart rate, oxygen consumption (Lin et al.2009). This is thought to be a result of a reciprocal process: an increase in parasympathetic activity and a decrease in sympathetic activity (Nishijo et al. 1997).

There is still much to be learned about the relationship between acupuncture and the autonomic nervous system. However, there is significant enough evidence to show that acupuncture is a noteworthy treatment or adjunct treatment for the reversal of sympathetic dominance.

A Window of Opportunity

While stressors like physical exertion can create an an unhealthy state of sympathetic dominance, exercise recovery (handled correctly) grants a unique window of opportunity for the body to maximize the positive outcomes of its altered state.

Many of the processes that are responsible for the beneficial effects of exercise remain highly active during exercise recovery period. This window of time can be put to good use, with the correct acupuncture interventions, to improve the body’s adaptation to exercise training.

Research shows that a period of intense exercise increases insulin sensitivity, decreases blood lipid levels and reduces blood pressure after exercise, making the recovery period after exercise an ideal time for therapeutic acupuncture intervention (Halliwill et al., 2013).

These responses occur anywhere from two to three hours immediately following exercise (e.g., post-exercise hypotension), and they may last up to 48 hours or more (e.g., altered blood lipids).

Athletes have long taken advantage of this recovery period to improve training and athletic performance by strategically consuming macronutrients during recovery. This is because the metabolic changes associated with both endurance and resistance exercise and recovery may be enhanced with appropriate nutrient timing strategies.

Optimizing the intake of macronutrients using exercise recovery is a large area of research related to human performance that may translate to clinical populations and older adults (Esmarck et al., 2001). In the context of general populations, recovery from exercise may be used to mitigate the negative effects of some chronic diseases (Luttrell et al., 2015).

Evidence of Acupuncture and the Window of Opportunity

In the general population, this window of opportunity could be used to apply acupuncture interventions during a state of enhanced insulin sensitivity and blunted blood lipid levels. Ideally, these interventions could slow, or even reverse, the progression of chronic diseases, reducing the need for pharmacological interventions and improving quality of life.

Research presented in Effects of acupuncture on heart rate variability in normal subjects under fatigue and non-fatigue state by Zengyong Li, Chengtao Wang, Arthur F. T., Mak Daniel and H. K. Chow sheds more light on how acupuncture can work in tandem with this window of opportunity.

The goal of this study was to analyze the effects of acupuncture applied at Hegu (LI 4) points and Neiguan (PC6) points on heart rate variability in normal subjects under fatigue and non-fatigue states. Stimulations of the LI 4 points and PC 6 points created inverse effects to the stress and fatigue response.

In a fatigue state, stimulation of the LI 4 points and PC 6 points indicated a shift of sympathetic balance. In a non-fatigue state, the acupuncture adopted in this study apparently induced a significant increase in activity of both the sympathetic and the parasympathetic nerve system during the post-stimulation period in normal subjects, which was similar to the study by Haker et al. (2000), suggesting no modification in sympathetic balance in non-fatigue state.

This study concluded that acupuncture on the Neiguan (PC 6) and Hegu (LI 4) points seemed to enhance vagal (parasympathetic) activity and to suppress sympathetic activity. These effects on the autonomic nervous system were opposite to the stress and fatigue response, indicating that the acupuncture treatment was capable of reducing the effects of fatigue in a fatigue state.

These different effects of acupuncture on heart rate variability suggests that the modulating effect of acupuncture on HRV not only depends on the acupuncture points used, but that it was also connected to the functional state of the body (such as fatigue or non-fatigue) in normal subjects.

Since the temporary change in autonomic nervous system activity is associated with the functional state of human body, such as mental stress or fatigue (Pagani et al. 1989, 1994), it is reasonable to hypothesize that the effects of acupuncture on autonomic nervous system activity are associated with the functional state of the human body.

Conclusions

The research presented and analyzed in this essay shows that sports acupuncture can and should play a larger role in the field of recovery. While the treatment of injury is still a cornerstone of acupuncture for athletes, more attention must be paid to the recovery period and the window of opportunity. By focusing more on recovery, acupuncturists can help their clients to not only recover faster and more effectively, but also to improve their sports performance by utilizing key recovery states.

To help athletes properly recover and avoid overtraining it is important to:

  • Monitor the intensity of athletes’ prescribed workouts; and
  • Ensure that rest or active recovery days are part of the training program.
  • Utilize acupuncture to help athletes switch out of workout induced sympathetic dominance and into parasympathetic state.

 

About the Author
Author Willard Sheppy Exporing the CoastWillard Sheppy is a writer and healthcare practitioner who seamlessly melds scientific knowledge with practical applications in engaging and authoritative articles. He holds a Bachelor of Science in Environmental Science from Oregon State University and a Master’s in Acupuncture and Oriental Medicine from the distinguished Oregon College of Oriental Medicine.
In his work, Willard skillfully combines his extensive educational background in scientific research with his practical experience as a healthcare practitioner. Willard balances his life with martial arts and cherished family adventures. As a father of three, he often leads his family on camping and hiking trips along the breathtaking Oregon coast.
Connect with Willard on LinkedIn at www.linkedin.com/in/valleyhealthclinic or learn more about his services at www.valleyhealthclinic.com. Embark on this journey towards holistic health with Willard guiding your way.

References

Akimoto, Takayuki, et al. “Acupuncture and responses of immunologic and endocrine markers during competition.” Medicine & Science in Sports & Exercise 35.8 (2003): 1296-1302.

Areta,J.L.,Burke,L.M.,Ross,M.L.,Camera,D.M.,West,D.W.D., Broad,E. M.,etal.(2013). Timing and distribution of protein ingestion during prolonged recovery from resistance exercise alters myofibrillar proteinsynthesis. J.Physiol. 591,2319–2331.doi:10.1113/jphysiol.2012.244897

BARLAS, P., J. ROBINSON, J. ALLEN, and G. D. BAXTER. Lack of effect of acupuncture upon signs and symptoms of delayed onset muscle soreness. Clin. Physiol. 20:449–456, 2000.

Basbaum AI, Fields HL. Endogenous pain control systems: Brainstem spinal pathways and endorphin circuitry. Annu Rev Neurosci 1984;7:309–338.

Billman GE (2013). “The LF/HF ratio does not accurately measure cardiac sympatho-vagal balance”. Frontiers in Physiology. 4: 26. doi:10.3389/fphys.2013.00026. PMC 3576706. PMID 23431279.

Braun,B.,Zimmermann,M.B.,and Kretchmer,N.(1995). Effects of exercise intensity on insulin sensitivity in women with non-insulin-dependent diabetes mellitus. J.Appl.Physiol. 78,300–306

Budgell B, Sato A. Modulations of autonomic functions by somatic nociceptive inputs. Prog Brain Res 1996;113:525–539.

Chao DM, Shen LL, Tjen-A-Looi S, Pitsillides KF, Li P, Longhurst JC (1999) Naloxone reverses inhibitory effect of electroacupuncture on sympathetic cardiovascular reflex responses. Am J Physiol Heart Circ Physiol 276:H2127–H2134

Crouse,S.F.,O’Brien,B.C.,Grandjean,P.W.,Lowe,R.C.,Rohack,J.J.,and Green,J.S.(1997). Effects of training and a single session of exercise on lipids and apolipoproteins in hypercholesterolemic men. J.Appl.Physiol. 83, 2019–2028.

Emhoff,C.A.,Barrett-O’Keefe,Z.,Padgett,R.C.,Hawn,J.A.,andHalliwill,J. R.(2011). Histamine-receptor blockade reduces blood flow but not muscle glucose uptake during post exercise recovery in humans. Exp.Physiol. 96, 664–673.doi:10.1113/expphysiol.2010.056150

Esmarck,B.,Andersen,J.L.,Olsen,S.,Richter,E.A.,Mizuno, M.,andKjaer, M.(2001). Timing of post exercise protein in take is important for muscle hypertrophy with resistance training in elderly humans. J.Physiol. 535, 301–311.doi:10.1111/j.1469-7793.2001.00301.x

Gleeson, M., W. A. McDonald, D.B. Pyne,, et al. Salivary IgA levels and infection risk in elite swimmers. Med. Sci. Sports Exerc. 31:67–73, 1999.

Grandjean,P.W.,Crouse,S.F.,and Rohack,J.J.(2000). Influence of cholesterol status on blood lipid and lipoprotein enzyme responses to aerobic exercise. J.Appl.Physiol. 89,472–480.

Haker E, Lundeberg T (1990) Acupuncture treatment in epicondylalgia: a comparative study of two acupuncture techniques. Clin J Pain 6:221–226

Haker E, Egekvist H, Bjerring P (2000) Effect of sensory stimulation (acupuncture) on sympathetic and parasympathetic activities in normal subjects. J Auton Nerv Syst 79:52–59

Halson,S.L.(2014).Monitoring training load to understand fatigue in athletes. SportsMed. 44,139–147.doi:10.1007/s40279-014-0253-z

Halliwill,J.R.,Buck,T.M.,Lacewell,A.N.,andRomero,S.A.(2013). Postexercise hypotension and sustained post exercise vasodilation: what happens after we exercise? Exp.Physiol. 98,7–18.doi:10.1113/expphysiol.2011.058065

Holaday JW. Cardiovascular effects of endogenous opiate systems. Annu Rev Pharmacol 1983;23:541–594.

Holloszy,J.O.(2005). Exercise-induced increase in muscleinsulin sensitivity. J.Appl.Physiol. 99,338–343.doi:10.1152/japplphysiol.00123.2005

James, D. V. B., Munson, S. C., Maldonado-Martin, S., & Croix, M. B. A. D. S. (2012). Heart rate variability: Effect of exercise intensity on postexercise response. Research Quarterly for Exercise and Sport, 83(4), 533-9.

Kaada B. Vasodilation induced by transcutaneous nerve stimulation in peripheral ischemia (Raynaud’s phenomenon and diabetic polyneuropathy). Eur Heart J 1982;3:303–314.

Karvelas, B. R., M.D. Hoffman, A. I. Zeni. Acute effects of acupuncture on physiological and psychological responses to cycle ergometry. Arch. Phys. Med. Rehabil. 77:1256–1259, 1996.

Kenttä,G.,andHassmén,P.(1998). Overtraining and recovery: a conceptual model. SportsMed. 26,1–16.doi:10.2165/00007256-199826010-00001

Knardahl, S., M. Elam, B. Olausson,, and B. G. Wallin. Sympathetic nerve activity after acupuncture in humans. Pain 75:19– 25, 1998

Levenhagen,D.K.,Gresham,J.D.,Carlson,M.G.,Maron,D.J.,Borel, M.J.,and Flakoll,P.J.(2001). Post exercise nutrient intake timing in humans is critical to recovery of leg glucose and protein homeostasis. Am.J.Physiol.Endocrinol. Metab. 280,E982–E993.

Li ZY, Jiao K, Chen M, Wang CT (2003) Effect of magnitopuncture on sympathetic and parasympathetic activities in normal drivers during simulated driving. Eur J Appl Physiol 88: 404–410

Li-wen Guo, Ding-zhong Li (2002). Testing the effect of Haci Five Element Needle on human body using superconducting quantum interference device (in Chinese). Biomagnetism 1:3–5

Lin ZP, Lan LW, He TY, et al. Effects of acupuncture stimulation on recovery ability of male elite basketball athletes. Am J Chinese Med 2009;37:471–481

Luttrell, Meredith J., and John R. Halliwill. “Recovery from exercise: vulnerable state, window of opportunity, or crystal ball?.” Frontiers in physiology 6 (2015): 204.

Mackinnon, L. T., and D. G. Jenkins. Decreased salivary immunoglobulins after intense interval exercise before and after training. Med. Sci. Sports Exerc. 25:678–683, 1993. Minett,G.M.,and Duffield,R.(2014).Is recovery driven by central or peripheral factors?A role for the brain in recovery following intermittent-sprint exercise. Front.Physiol. 5:24.doi:10.3389/fphys.2014.00024

Malik M, Camm AJ (1993) Components of heart-rate-variability – what they really mean and what we really measure. American Journal of Cardiology 72(11):821–822

Mendelson G (1978) Acupuncture and cholinergic suppression of the withdrawal symptoms: an hypothesis. Br J Addict 73:166– 170

Minett,G.M.,Duffield,R.,Billaut,F.,Cannon,J.,Portus,M.R., andMarino,F. E.(2014). Cold-water immersion decreases cerebral oxygenation but improves recovery after intermittent-sprint exercise in the heat. Scand.J.Med.Sci.Sports 24,656–666.doi:10.1111/sms.12060.

MIYAMOTO, T. Acupuncture treatment for muscle injury [in Japanese]. Jpn. J. Phys. Fitness Sports Med. 43:39–41, 1997.

Nishijo K, Mori H, Yosikawa K, Yazawa K (1997) Decreased heart rate by acupuncture stimulation in humans via facilitation of cardiac vagal activity and suppression of cardiac sympathetic nerve. Neurosci Lett 227(3):165–168

Pagani M, Furlan R, Pizzinelli P, Crivellaro W, Cerutti S, Malliani A (1989) Spectral analysis of R-R and arterial pressure variables to assess sympatho-vagal interaction during mental stress in humans. J Hypertension 7:S14–S15

Pagani M, Lucini D, Mela GS, Langewitz W, Malliani A (1994) Sympathetic overactivity in subjects complaining of unexplained fatigue. Clin Sci 87:655– 661

Pedersen, B. K., and D. C. Nieman. Exercise immunology: integration and regulation. Immunol. Today 19:204–206, 1998.

Peltham, T. W., L. E. Holt, and R. Stalker. Acupuncture in human performance. J. Strength Cond. Res. 15:266–271, 2001.

Terman GW, Liebeskind JC. Relation of stress-induced analgesia to stimulation-produced analgesia. Ann NY Acad Sci 1986;467:300–308.

Wang JD, Kuo TBJ, Yang CCH (2002) An alternative method to enhance vagal activities and suppress sympathetic activities in humans. Auton Neurosci-Basic Clin 100(1–2):90–95

Watkins LR, Mayer DJ. Multiple endogenous opiate and nonopiate analgesia systems: Evidence of their existence and clinical implications. Ann N Y Acad Sci 1986;467:273–299.

Yao T, Andersson S, Thore P (1982) Long-lasting cardiovascular depression induced by acupuncture-like stimulation of the sciatic nerve in unanaesthetized spontaneously hypertensive rats. Brain Res 240:77–85

The Sports Acupuncture Pyramid

Each level of sports acupuncture has a unique purpose and set of treatment goals. Each level also has its own sublevels—or phases—which build upon each other in the same way.

What are the three levels of sports acupuncture? How do they build upon and work with one another?

Sports Acupuncture Has Three Levels

In sports acupuncture, our time falls into three main categories: injury, recovery and performance. These three categories work together and can be thought of as a pyramid with injury on the bottom, recovery in the middle, and performance at the top. Each level of sports acupuncture has a unique purpose and set of treatment goals. Each level also has its own sublevels — or phases — which build upon each other in the same way.

About: The Injury Phase

The Injury phase of the pyramid has three unique stages: pain, weakness and strength. Each process is equally important, but as acupuncturists, we tend to spend most of our time focusing on pain.

While pain may the driving factor behind many of our athletes seeking our help, relieving pain is only a small part of what we aim to do in sports acupuncture.

In the treatment of pain we often focus on musculoskeletal conditions and orthopedic acupuncture. This is only a small part of sports and performance acupuncture. Sports acupuncture is a greater field which includes orthopedic acupuncture, not vice-versa.

Orthopedic acupuncture is important in the pain stage. This is where trigger points, motor points, manual muscle evaluations and palpation examinations are amazing tools to have.

We can quickly get an athlete out of pain using orthopedic acupuncture methods, but what we do next–in the weakness stage–is just as important. The pain may be gone, but that doesn’t mean their muscles are working at 100%. At this point, we can say the muscles are “turned off”. We need to choose treatment methods that will turn them back on.

This “turned off” state connects to what’s known as “competitive plasticity” (use it or lose it). If you don’t use a particular skill or set of neuronal connections, your brain will re-purpose them to be used for something you are using more regularly.

If you hurt yourself (for example, if you sprain your ankle), the brain will try to stop using that muscle to allow it to heal. In doing so, the brain “turns off” the neuronal pathways that tell your ankle’s muscles to work.

A muscle might also be considered weak if there is damage to the proprioceptive system. (Proprioception is the sense of knowing where your body part is in space.) Your proprioception capabilities can be impaired when a joint tendon or ligament is injured. This is where the proprioceptors are located. An injury like an ankle sprain can damage the ligaments neurotendinous spindle that lie at the origins and insertion of skeletal muscle fibers and into the tendons of skeletal muscle. When you lose proprioception of your joint after an ankle sprain, you may experience an unstable sensation of the joint. Your joint may even give out. When treating weakness, you can use orthopedic techniques, but you’ll often find distal methods or press tacks to be more effective.

After you get rid of pain and restore muscle strength, you are able to move to the “Recovery” phase.

About: The Recovery Phase

During the Recovery phase, an athlete is not in pain but still dealing with stresses. This is where we need to focus on training stresses that affect the following:

  • Range of motion;
  • Sleep; and
  • Digestion.

Most of this is controlled by the parasympathetic nervous system (PNS).

When an athlete is training hard, they’re taxing their sympathetic nervous system (SNS); afterwards, they need to switch over to the parasympathetic nervous system (PNS) to rebuild and regenerate. The body’s sympathetic nervous system and parasympathetic nervous system balance each other out.

The SNS is catabolic and mobilizes the body’s resources to help the body “fight or flight” threatening situations. This system is upregulated during workouts. The PNS is anabolic and helps the body rest, digest, and recover after workouts.

Many athletes are especially vulnerable to being in a sympathetic-dominant state due to increased stress load. The chronic physical and mental stress that they experience may overtax their body’s ability to adapt and maintain homeostasis. Therefore, this type of athlete is more likely to experience challenges with recovery.

The above is especially true if restorative techniques are not utilized to minimize sympathetic dominance and strengthen the parasympathetic response.

During the Recovery phase, we are focusing on managing the PNS. We are watching and treating issues with sleep, digestion, and the immune system. We are also watching and treating issues in range of motion and muscle imbalances that are often the results of sport-specific movements.

About: The Performance Phase

The top level of the Sports Acupuncture Pyramid is the Performance phase. The Performance phase culminates on the day of an event or athletic performance, but it can also include up to two weeks leading up to the event.

Most athletes will begin to taper or decrease training intensity during this time period, so focusing on recovery becomes less important. Instead, now is the time to treat the spirit; shift your focus to the mental game.

Specifically, the three general areas of emphasis are as follows:

  • Stress vs. Relaxation;
  • Confidence & Optimism; and
  • Focus & Awareness

Stress: Does the athlete perform better under stress, or does stress decrease their performance? Where do they feel gameday stress the most: physically or mentally?

Russian sport psychologist Yuri Hanin suggested that different athletes had different levels of pressure at which optimum perform­ance occurs. He called these “zones of optimal functioning”. Some respond well to high tension and pressure; others do not. An athlete needs to learn what zone is best for him or herself.

Confidence: Check in about internal motivations, positive vs negative attitudes, and feelings of self-confidence.

Burnout is most common in athletes who feel like they’re playing for external motives, such as college scholarships or verbal commitments. Athletes who have a personal attachment to the sport or other internal motivations are much less likely to feel burned out.

Focus: The ability to maintain a state of full concen­tration is vital to top athletic performance, particularly during a key game or tense moment.

Visualization, for example, is a well-known technique in which the athlete imagines specific, important game-day situations as vividly as possible. When that specific situation occurs, the athlete feels better prepared, having already worked through the situation mentally.

The day of an athletic event is not the time to do any major treatments. Treatments are kept to less invasive procedures, such as ROM evaluation and soft tissue work with Gha Sha, or cupping to help warm up tight areas.

Press tacks or kinesio taping to clean up proprioceptive imbalances that are still present at that time can also be useful day-of.

Injury Stage

The Injury level is the base or foundation of the sports and performance acupuncture pyramid. This is where we tend to spend most of our time.

Overview:

A patient comes in with an injury. We treat the injury directly to relieve pain, overcome weakness and restore strength.

  • Pain. At the very bottom of the pyramid is the Pain phase of the Injury level. Before we can do anything else, we need to relieve the patient’s immediate pain. Treatment goal: Relieve pain.
  • Weakness. Treatment of an injury doesn’t end with pain relief. Once pain is resolved, the patient still has weakness in the injured area, where the muscles are essentially “turned off”. Treatment goal: Evaluate and overcome weakness.
  • Strength. Finally, once you’ve overcome weakness due to the injury, the patient can work to regain full strength. Treatment goal: Regain strength.

Treatment Methods

  • Trigger points
  • Motor points
  • Manual muscle evaluation
  • Proprioceptive Aids, Press Tacks, KenisoTape, Distal Needling

Recovery

The middle level of the pyramid is Recovery. This level comes after Injury and before Performance. It is where we spend most of our time second to the three phases of the Injury level.

Overview

Treatment doesn’t stop once an injury has healed. After an injury is resolved, the patient enters the Recovery level, which is where you can help them reintegrate into normal training and activity healthily and safely. Recovery focuses mainly on range of motion, sleep and digestion.

  • Range of Motion (ROM). As the patient heals, they begin to tax their sympathetic nervous system with training, which can cause imbalances. To continue to increase strength in the affected area and make sure it heals properly, we focus on range of motion.
  • Sleep. As the patient recovers, they need to switch their focus to the parasympathetic nervous system in order to heal from the taxes they’re putting on their sympathetic nervous system. This means focusing on improving sleep quality.
  • Digestion.Another crucial part of the parasympathetic nervous system is digestion. As the sympathetic nervous system gets put to work with increased training, more focus on improving digestion is needed to recover.

Treatment Methods

  • Traditional Chinese Medicine Diagnosis. Focus on Sleep, Digestion and Mood to evaluate Autonomic Nervous System

Performance

The top of the pyramid — Performance — is where we tend to spend the least of our time, but where we should try not to neglect important aspects of patient care.

Overview

Finally, the patient isn’t in pain, they’ve worked hard to train healthily and to avoid further injury, and now it’s the day of. Now, our job is to address and treat the spirit: fears, motivation and focus.

  • Stress. When treating the spirit, it’s important to identify and address any fears or Levels of mental, emotional physical stress that might hinder—or improve—performance.
  • Motivation. Identify and create a focus around what makes the patient want to succeed and perform well.
  • Focus. Identify and address any distractions that can detract focus and energy away from peak performance the day of.

Treatment Methods

  • Acupuncture with Performance Visualization

 

About the Author
Author Willard Sheppy Exporing the CoastWillard Sheppy is a writer and healthcare practitioner who seamlessly melds scientific knowledge with practical applications in engaging and authoritative articles. He holds a Bachelor of Science in Environmental Science from Oregon State University and a Master’s in Acupuncture and Oriental Medicine from the distinguished Oregon College of Oriental Medicine.
In his work, Willard skillfully combines his extensive educational background in scientific research with his practical experience as a healthcare practitioner. Willard balances his life with martial arts and cherished family adventures. As a father of three, he often leads his family on camping and hiking trips along the breathtaking Oregon coast.
Connect with Willard on LinkedIn at www.linkedin.com/in/valleyhealthclinic or learn more about his services at www.valleyhealthclinic.com. Embark on this journey towards holistic health with Willard guiding your way.