FAQ about Acupuncture

What is Acupuncture?
Acupuncture is one of the oldest and most commonly used medical techniques, originating in China more than 2,500 years ago. It began with the discovery that stimulating specific areas on the body affects wellbeing. Acupuncture has evolved into a scientifically studied, world-renowned system of holistic medicine that helps to restore and maintain health, while improving quality of life.
Acupuncture for Modern Health Care:
According to a recent survey conducted by HCD Research and The Louis Finkelstein Institute, acupuncture has now become the complementary medicine most widely recommended by physicians in the U.S. In 1997, the National Institutes of Health (NIH) reviewed scientific literature about acupuncture and concluded it to be an effective, minimally invasive, and reasonable treatment for the relief of a wide variety of conditions. The NIH panel concluded, "One of the advantages of acupuncture is that the incidence of adverse effects is substantially lower than that of many drugs or other accepted procedures for the same condition."
How Acupuncture Works:
Acupuncture stimulates the body's natural ability to heal. There are a variety of ways in which acupuncture works to achieve health:

*Endorphin release: Acupuncture has been proven to trigger the brain to release chemicals called opiates, similar to pain-relieving medications, but all natural and with no side effects.

*Improved circulation: Acupuncture stimulates the dilation of blood vessels in local areas, improving circulation and speeding recovery.

*Anti-inflammatory effects: Pain can often originate in inflamed tissues. Acupuncture decreases inflammation by reducing levels of cortisol, an inflammatory hormone, and by stimulating immune system cells.

*Regulation of Brain / Body Relationship: Studies show that acupuncture regulates areas of the brain linked to heart rate, breath, hormone output, emotion and relaxation response, safely balancing these functions through the nervous system.

*Acupuncture’s Effects On Brain Activity Noted: One of the main stumbling blocks to greater acceptance for acupuncture in the West was the lack of understanding of how it works. This began to change with the publication of a seminal report by researchers at the Harvard Medical School. The researchers used functional magnetic resonance imaging (fMRI) to investigate how acupuncture affects brain activity in normal subjects. Thirteen healthy volunteers (ages 27 to 52) were involved in the study. They were seated in the MRI scanner and after relaxing had a single acupuncture point needle inserted (LI 4 or Hegu – located on the hand between the thumb and forefinger). Needle manipulation caused a pronounced calming of activity in the deep structures of the brain (e.g., amygdala, hippocampus, hypothalamus, etc.) accompanied by increased signal intensity in a key sensory region of the brains cortex. Researchers concluded, “Modulation of this neural network could constitute the initiating steps by which acupuncture regulates multiple physiological systems and achieves diverse therapeutic effect.’ Source: Human Brain Mapping, 2000.

What to Expect:
The initial visit consists of a comprehensive health history intake and evaluation followed by acupuncture. A course of acupuncture is typically 4-12 sessions, once or twice a week depending on the severity and the condition being treated. Benefits are often felt immediately after the first treatment. Treatment is continued until the symptoms begin to go away for longer periods of time. Then treatment is spread out until you no longer need to come back. This is the typical timetable for natural healing and which demonstrates how acupuncture helps the body to heal itself, not simply cover up symptoms.
About Acupuncture Needles:
Acupuncture needles are FDA approved, as thin as a human hair, sterile and disposable. Most insertions are found to be completely painless. Sometimes there is a very mild sensation that only lasts a brief moment. Many patients are surprised to find treatments to be very pleasurable, often inducing sleep or a deep state of relaxation, unique to the experience of acupuncture.
Does Insurance Cover Acupuncture?
Many U.S. insurers do provide some acupuncture coverage, but what conditions they cover will vary. Call you provider to find out if your condition / health issue is covered.

The most important questions to ask:
  • For which conditions do you cover acupuncture?
  • How many treatments do you cover?
If your insurance company does not cover acupuncture, or does not for your specific condition, check to see if acupuncture is an optional treatment. Sometimes you can add on acupuncture to a basic policy for an additional premium.

Indy Acupuncture does not process insurance claims in house. Instead we reduce our overall fee and ask for payment at the time our services are rendered. Then we provide every client with ICD9 Health Insurance codes on their bill for the reason of their visit. This receipt can be sent in to your insurance provider and they will reimburse you directly.

When you send in your claim to your insurance company it is important that you ask for a PERSONALIZED REVIEW. This means that a human being and not a machine will look at the billing for you. This will prevent your claim from being stuck in processing simply because it was not correctly read.

In the event this happens we will simply send you any paperwork your insurance sends to us and remind you to tell your insurance company to have a personalized review.

Indy Acupuncture provides bills with insurance coding and the all the necessary information for you to be reimbursed, the rest will be up to your communication with your provider.

It is also helpful to remember that we accept most Flex Accounts and Health Savings Accounts (HAS). Most of these accounts cover acupuncture and are tax-free. It is also very important to realize that paying for acupuncture treatment is a way of saving money on your health in the long run. A few weeks of acupuncture to reduce a health problem may save you a double-digit thousand dollar surgery and a lifetime of expensive medication.

It is also helpful to remember that we accept most Flex Accounts and Health Savings Accounts (HAS). Most of these accounts cover acupuncture and are tax free.

It is also very important to realize that paying for acupuncture treatment is a way of saving money on your health in the long run. A few weeks of acupuncture to reduce back pain may save you a double-digit thousand dollar surgery and a lifetime of expensive medication.
What is training of a Nationally Certified / Licensed Acupuncturist:
There are 3 categories of health care professional that can perform acupuncture. The specialist are called Licensed Acupuncturist (L.Ac), who attend accredited graduate level US colleges studying Traditional Chinese Medicine and earning Master of Science degrees. They then pass National Certification exams (NCCAOM). Their training includes over 3000 hours of in-class and clinical training specializing in acupuncture. State medical boards grant licensure. MD's and Chiropractors may also practice acupuncture but typically from introductory courses offering only 200 hours of training or less. Therefore it is our recommendation that NCCAOM certified (National Certification Committee for Acupuncture and Oriental Medicine) practioners be utilized whenever possible due to their extensive training and specialization in acupuncture technique and knowledge. Seeing a specialist in any health field makes sense and is a wise philosophy in the field of medicine.
Pain Studies Involving Acupuncture:
Pain reduction has been one of the most widely cited benefits of acupuncture in scientific studies beginning with the discovery that endorphins are naturally released in the brain during acupuncture, with no side effects or concern or addiction to medications for patients. Here are a few studies about acupuncture and pain management.

New Studies Confirm Acupuncture Relieves Pain MRI Scans Provide Objective Evidence that Treatment Works

By Michael Devitt, contributing editor
For more than 2,500 years, acupuncture has been one of the world's most popular forms of health care. Only in the latter part of this century has the practice of acupuncture gained acceptance in North America, but the profession appears to have earned much respect in that short time. A 1998 study published in the Archives of Internal Medicine, for example, showed that medical doctors refer their patients to acupuncturists more than any other "alternative" care provider;1 the same study also revealed that 51% of medical doctors believe acupuncture to be efficacious and of value.

A pair studies done in 2000 -- one conducted at the University of Heidelberg in Germany,2 the other at the University of Medicine and Dentistry of New Jersey (UMDNJ)3,4 show objective evidence that acupuncture works as a form of pain relief and that certain types of acupuncture work better than others.

Acupuncture More Effective Than Placebo

In the Heidelberg study, 52 athletes suffering from shoulder pain were divided into a control group and an acupuncture group. Each group received eight 20-minute sessions over a four-week period. The project was a single-blind study; the acupuncturists who administered the needles were aware of the different treatments involved, but the subjects were not.

The acupuncture group received traditional acupuncture therapy, with needles inserted through a plastic ring affixed with plaster into a combination of 12 acupoints according to the patient's symptoms. The control group were treated using a special "placebo-needle" designed by one of the researchers. The placebo needle had a blunt tip which only touched, but did not penetrate, the subject's skin. Patients in the control group would feel a small pricking sensation and "see" the needle being inserted without it actually doing so.

Patients were rated using the modified Constant-Murley score, assigning points to the level of the subject's pain; their ability to perform daily activities; the painless range of motion in their shoulder; and the maximum amount of power in their shoulder. Patients in the control/placebo group improved by an average of 8.37 points after receiving treatment. Scores from the acupuncture group, meanwhile, improved an average of more than 19.2 points after treatment. Seventeen patients in the acupuncture group (68%) gave the treatment a positive evaluation after the final treatment as opposed to only 14 patients (52%) in the control group.

Based on these results, the authors concluded that "acupuncture with penetration of the skin is more effective than placing the needles on similar sites." However, the authors were quick to point out the study's limits, stating that the treatment "only demonstrates the effectiveness of the needling procedure in rotator cuff tendinitis" and calling for a larger, double-blinded study to prove the effectiveness of acupuncture as opposed to placebo.

Acupuncture Today
January, 2000, Vol. 01, Issue 01

Acupuncture for Pain Relief - Brain Activity During MRI

The New Jersey study, while smaller, produced similarly encouraging results. Twelve patients were monitored using functional magnetic resonance imaging (fMRI), a technology that reveals what parts of the brain are receiving increased blood flow. Increased blood flow to different areas of the brain indicates that those areas of the brain are being stimulated.

The patients were subjected to pain in the form of a tiny filament used to prick the inside or outside of their upper lip. Initial tests showed via fMRI that all 12 people reacted strongly to the pain stimulus, as there was an increased flow of blood to the subjects' parietal areas and brain stems.

Concurrently with being pricked with the filament, seven subjects received traditional acupuncture at the Hegu point, an acupoint located between the thumb and forefinger. The remaining five subjects received electroacupuncture at the Hegu point, with a low-level electrical current being delivered through the needle.

During 30 minutes of treatment, the patients rated their pain level on a scale of one to 10 every five minutes, with the fMRI continually monitoring their brains. In four of the seven subjects who received traditional acupuncture (57%), the fMRI showed considerably decreased levels of brain activity associated with the pain.

"We found activity subsided in 60 to 70 percent of the entire brain," said Wen-Ching Liu, an assistant professor of radiology at UMDNJ and a co-author of the study. "Interestingly, in each subject, we detected pain-induced activity in different areas of the brain."

"We could see the brain activity associated with the pain subsiding even as the patients reported they were experiencing relief," added Dr. Huey-Jen Lee, the study's lead author. Lee noted that since the MRI definitively showed different brain activity, it was highly likely the increased tolerance to pain was real and not a placebo effect.

"The brain actually shows differences," Lee said, "and that is convincing."

Although the results of the study appear favorable for those who have been looking for proof that acupuncture works, Dr. Lee warned against jumping to conclusions. "It's still premature," she said of the study results. "We'd like to get more data."

Dr. Lee expects to conduct more studies in the near future, including a project to see whether acupuncture can help relieve chronic pain in cancer patients. While the researchers don't expect the treatment to be a panacea, they are optimistic that acupuncture could eventually be used to reduce the dosage needed for certain pain medications and non-steroidal anti-inflammatory drugs (NSAIDs), some of which carry less than desirable side-effects.

"It is important for Western medicine to recognize that these acupoints really mean something in regard to pain relief," Dr. Lee concluded. "So many people with pain, whether from cancer, headache or a chronic, unexplained condition, rely on medications such as morphine, which can become addicting. Acupuncture as no side effects, and other studies have shown the pain relief it provides can last for months."