acupuncture in podiatry

7/29/2019 Acupuncture in Podiatry

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ACUPUNCTURE IN PODIATRY



Origins of acupuncture

China, 2,698-2598 BCE Huang Di (the YellowEmperor)

Yellow Emperor said to have developed silkmaking, built first boats in China, first carts,bow and arrow, written language.

Thought of as the father of Chinese Nation.

Wrote “Huang Di Nei Jing” – The YellowEmperors Inner Classic



Nei Jing

Yin / Yang & Five Phase Doctrine

The body and its organs

Blood and Qi

The Vessels

Pathogenic Agent

Diseases Examination

Invasive, heat & substance therapies......



How does it work?

TCM: Qi needle

manipulationstimulates or sedatesQi travelling throughmeridians.

Effecting Zang-Fuorgans thus restoringhealth.



European evidence

European Shepherd found by German touristHelmut Simon, 5000 years old (3,300BCE)from the Tirolean Otzal Alps of Italy /

Austrian border. In Bolzano museum

“Otzi”

Ankle Injuries, low back & Knee arthritis.. 80% correlation between tattoos and

acupuncture points

Similar mummy found in Russia



Western Acupuncture

Influences:

French Physician – Nogier, 40’s

Dr Felix Mann, 70’s

Dr Chan Gunn, 90’s

Helene Langevin, present...



Helene LangevinResearch Associate Professor, Department

of Neurology, University of Vermont.

Facial / Soft tissue basis

Looked for cause of what TCM calls “De-Qi”and needle grasp.

Facia – “Multi Multi Importante!”

Soft tissue attach to and wind around needle.



Information Signalling

1.Neurons

2. Capillaries

3. Collagen Fibrils

Mechanical travels at speed of sound (three

times faster than nervous system) 720mph



Mechanical stimulation with

needle. Acupuncture needle manipulation

“pistoning”

“rotating”

Chinese have always placed a large emphasis

on needle manipulation.



“Subcutaneous Tissue Fibroblast

Cytoskeletal Remodelling induced by

Acupuncture: Evidence for a

Mechanotransduction-based

mechanism”

Langevin et al, 2006, Journal of Cellular Physiology,207:767-774

Conclusion: Needle rotation induced extensive fibroblast spreading and lamellipodia formation(found in very mobilecells & involved in quick repair of tissue) within 30mins.

Has effects on mechanotranduction-mediated geneexpression and connective tissue matrix remodelling,modulation of sensory input form mechanosensory nociceptors.



Common response to acupuncture, massage,physical therapy, orthotic therapy

Any therapy that utilises MECHANICALFORCES

i.e. Orthotic Therapy

Would be interesting to look at themechanical signalling in orthotic therapy.



“Relationship between acupuncture points

and meridians to connective tissue

planes” Langevin et al, 2002, TheAnatomical Record, 269: 257-265.

“Merdians” – first thing that westernapproaches threw away

However.

Langevin found 80% correspondence

between sites of acupuncture points (onmeridians) and intermuscular andintramuscular connective tissue planes inpostmortem tissue section.



Uses

Tibialis posterior dysfunction

Tendonopathies

Neuroma Fasciopathy

Tib Ant overuse………

acupuncture in podiatry

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