New studies are substantiating this nursing pairing by examining chiropractic and acupuncture for chronic pain in an integrated health plan
Even if you have a solid business exclusively working with chiropractic patients, are there any benefits to being certified in acupuncture? If not, should you hire someone who is? What Are The Benefits Of Getting Certification In Chiropractic And Acupuncture?
Lev Kalika, DC, owner of Inc. 5000 New York Dynamic Neuromuscular Rehabilitation & Physical Therapy (NYDN Rehab) in New York City, says the benefits are many. Although he is not certified in acupuncture, he works with a licensed acupuncturist. Together they perform dry needling and Kalika provides the instruction for the deep ultrasound during the procedure.
“The clinical advantages here are very obvious,” says Kalika. “You can easily achieve more in-depth treatment results by incorporating acupuncture or dry needling into your chiropractic practice. The economic effects are also very positive. Many patients have had therapists unable to achieve rapid pain relief and, moreover, find the source of the patient’s problem.
“Patients keep coming back to my clinic – in large part because of the quick pain relief that acupuncture and dry needling achieve. And because of the rapid pain relief, patients are determined to stay longer and spend more money to get rid of the root of the problem. “
Kalika also answered other questions about chiropractic and acupuncture. What follows is the interview, edited for length and clarity.
Are there certain problems or illnesses that can be helped by a combination of chiropractic and acupuncture?
Back and neck pain are the best examples here. Despite your greatest ability to create deep manual soft tissue releases, you are never able to remove deep, chronic trigger points in the deep muscles of the spine, especially something that has been around for a long time.
Certain fibrotic tissue is very difficult, if not impossible, to illuminate manually; However, this is easy to do with the needle. Especially when using ultrasound to guide where you can easily visualize fibrotic adhesions in these muscles. It’s no secret that many of our chiropractic manipulation trusts fail to produce audible results because of the hardened myofascia that locks the facet joint so regardless of the type of manipulation we use. No trust can relax veiled muscles or trigger points with a reflex after fascia compression and muscle hardening.
What about reducing stress?
We live in a very fast-paced world and our patients are under great stress. Often they do not realize how much stress they are under. With acupuncture meridian therapy, we offer our patients a dramatic reduction in stress.
The stress reduction and the immediate restoration of the sympathetic system create a feeling of well-being that patients will know.
During a patient assessment, how do you determine whether the patient needs chiropractic or acupuncture? Or both?
I usually don’t put patients into one or the other’s categories. I just look at which one gets faster and better results. To do this, I examine muscles and joints under ultrasound and look for deep-lying trigger points. I palpate the joints through movement and mark the areas where I think dry needling or acupuncture would allow me to reduce the subluxated joints more quickly through manipulation.
Whenever I see a blocked segment that does not move in a larger range of motion, I always test motion palpation to see if and how much the segment is moving under a targeted vector-specific mobilization with different levels and positions. Whenever I see that no movement can be performed, I always dry this segment before manipulation or rehabilitation.
During my examination, I use acupuncture to look for lightened segments (according to Korr) in the area of the nerve distribution of this segment. It’s the fastest way to inhibit an overstimulated nerve.
How did adding acupuncture improve your business?
Some patients seek acupuncture exclusively, but once we help them with acupuncture, they are ready to address any additional problems they have with chiropractic and rehabilitation. Dry needling and ultrasound-controlled dry needling have also brought us more and more patients. Our extensive communication with patients about every treatment and instrument we use also attracts more patients to our practice.
Is there any recent research that you think is important to chiropractors about the use of acupuncture with chiropractic care?
Yes, this study examines chiropractic and acupuncture for chronic pain in one integrated health plan.
And this research article on the meta-analysis of the therapeutic effects of acupuncture and chiropractic in cervical spondylosis radiculopathy is also important.
I would highly recommend chiropractors examine muscles, fasciae, and nerves under diagnostic ultrasound for ultrasound-guided dry needling and nerve treatment.