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Frequently asked questions about acupuncture

General Questions

Acupuncture is a comprehensive system of medicine that originated in East Asia over 2,000 years ago and is now practiced worldwide. While many people think of it simply as “putting needles in for pain,” acupuncture is actually a method of regulating the body’s internal systems to restore balance, improve function, and support the body’s natural healing processes.


At its core, acupuncture involves the insertion of very thin, sterile needles into specific points on the body. These points are not random—they are located along pathways traditionally known as meridians, which are networks that connect different regions of the body and reflect patterns of physiological function. By stimulating these points, acupuncture influences how the body communicates internally.


From a traditional perspective, acupuncture is based on the concept of Qi (vital energy) and balance within the body. Health is seen as a state of dynamic equilibrium—when systems are in harmony, the body functions well. When there is imbalance, stagnation, or deficiency, symptoms arise. Acupuncture is used to correct these imbalances and restore proper flow and coordination within the body.


From a modern biomedical perspective, acupuncture can be understood as a form of neuromodulation. The insertion of needles stimulates the nervous system, connective tissue, and microcirculation, triggering measurable physiological responses. These include changes in brain activity, release of neurotransmitters and endorphins, improved blood flow, and regulation of inflammatory processes.


What makes acupuncture unique is that it does not target just one symptom or one organ system. Instead, it works systemically, helping the body regulate itself more effectively. This is why it can be used for a wide range of conditions, including:


  • Musculoskeletal pain 
  • Stress, anxiety, and nervous system dysregulation 
  • Sleep disturbances 
  • Digestive issues 
  • Hormonal and reproductive health concerns 


Another important aspect of acupuncture is that it is individualized. Two people with the same diagnosis may receive different treatments based on their overall presentation, constitution, and pattern of imbalance.

In practice, acupuncture is both:


  • A symptom-relieving therapy (helping reduce pain, tension, or discomfort) 
  • And a regulatory therapy (supporting long-term balance and resilience) 


Rather than forcing the body in a specific direction, acupuncture works by creating the conditions for the body to heal and regulate itself more efficiently.


That’s why many patients don’t just experience relief from their primary complaint—they also notice improvements in sleep, mood, energy, and overall well-being.


Yes. Acupuncture is supported by a substantial and growing body of scientific research, though like many complex medical interventions, it doesn’t always fit neatly into a single, simple explanation.


From a research standpoint, acupuncture has been studied for decades in areas such as pain management, nervous system regulation, and chronic conditions. Major health organizations—including the World Health Organization (WHO) and the National Institutes of Health (NIH)—recognize acupuncture as a valid therapeutic option for a range of conditions, particularly chronic pain.


Modern research has demonstrated that acupuncture produces measurable physiological effects, including:


  • Changes in brain activity: Functional MRI (fMRI) studies show that acupuncture can influence areas of the brain involved in pain perception, emotion, and regulation. 
  • Endorphin and neurotransmitter release: Acupuncture stimulates the release of natural pain-relieving chemicals (like endorphins) and affects serotonin and dopamine levels. 
  • Nervous system modulation: It helps regulate the autonomic nervous system, often shifting the body out of a stress-dominant state into a more restorative one. 
  • Improved blood flow: Studies show increased circulation in both local and systemic regions following treatment. 
  • Inflammation regulation: Acupuncture can influence immune signaling and reduce inflammatory markers in certain conditions

. 

There is particularly strong evidence supporting acupuncture for:


  • Chronic pain (back pain, neck pain, osteoarthritis) 
  • Headaches and migraines 
  • Post-operative and chemotherapy-related nausea 


That said, acupuncture can be challenging to study using conventional research models. Unlike a pharmaceutical drug—which is standardized and uniform—acupuncture is:


  • Individualized (treatments vary from person to person) 
  • Practitioner-dependent 
  • Influenced by context and environment 


Additionally, creating a true “placebo” for acupuncture is difficult. Even so-called “sham” acupuncture (using non-traditional points or superficial needling) can still produce physiological effects, which can make it harder to distinguish differences in clinical trials.


Because of this, some studies show mixed results—not because acupuncture is ineffective, but because the research model doesn’t always capture how it works in real-world practice.


It’s also important to recognize that acupuncture comes from a different medical framework than Western biomedicine. Traditional concepts like Qi and meridians don’t map directly onto Western anatomy, but they describe patterns of function and dysfunction that are increasingly being explored through modern physiology (such as fascial networks, nerve pathways, and bioelectrical signaling).


In practical terms, the question isn’t just “Is acupuncture scientific?” but also:
Does it produce reliable, measurable effects, and does it help patients?


For many conditions—especially those involving pain, stress, and nervous system regulation—the answer is yes.


Acupuncture sits at the intersection of traditional medical knowledge and modern scientific understanding. While research continues to evolve, the existing evidence, combined with widespread clinical use, supports acupuncture as a legitimate, evidence-informed therapy.


Acupuncture works by interacting with multiple systems in the body at once—primarily the nervous system, circulatory system, and immune system—to help restore balance and improve function.


From a modern biomedical perspective, when a needle is inserted into the body, it stimulates sensory receptors in the skin and underlying tissues. This sends signals through the nervous system to the brain and spinal cord, triggering a cascade of responses. These responses can include:


  • Pain modulation: Acupuncture stimulates the release of endorphins and other natural pain-relieving chemicals, while also influencing how pain signals are processed in the brain and spinal cord. This can reduce both acute and chronic pain. 
  • Nervous system regulation: It helps shift the body out of a chronic “fight-or-flight” state (sympathetic dominance) into a more relaxed “rest-and-digest” state (parasympathetic activation). This is why many people feel deeply calm or even fall asleep during treatment. 
  • Improved circulation: Acupuncture increases local blood flow to the area being treated, which brings oxygen and nutrients to tissues and helps remove metabolic waste. This supports healing and      reduces inflammation. 
  • Inflammation reduction: It influences immune signaling and inflammatory pathways, which can help decrease swelling, irritation, and chronic inflammatory conditions. 
  • Hormonal and regulatory effects: Acupuncture can affect the hypothalamus and pituitary gland, helping regulate hormones related to      stress, sleep, digestion, and reproductive health. 


Importantly, acupuncture is not just acting locally where the needles are placed—it also has system-wide effects through the brain and nervous system.


From a traditional East Asian medicine perspective, acupuncture works by regulating the flow of Qi (vital energy) through pathways in the body called meridians. When Qi is flowing smoothly, the body is balanced and healthy. When it becomes blocked or deficient, symptoms arise. Acupuncture helps restore that flow, allowing the body to self-correct.


You don’t have to choose one explanation over the other—these are simply different ways of describing the same phenomenon. In practice, acupuncture is best understood as a therapy that helps the body self-regulate more effectively, rather than forcing a specific outcome.


That’s why it can be used for such a wide range of conditions—from pain and injury to stress, sleep, digestion, and hormonal balance.


Yes. Acupuncture is considered very safe when performed by a licensed, properly trained practitioner. It has a long history of use and a strong modern safety record.


Licensed acupuncturists are trained in anatomy, sterile technique, and proper needle placement. They follow strict safety protocols, including:


  • Using single-use, sterile needles 
  • Following Clean Needle Technique standards 
  • Proper sharps disposal 
  • Adjusting treatment based on your individual health history 


Side effects are generally mild and uncommon. Some people may experience:


  • Slight bruising 
  • Temporary soreness 
  • Mild fatigue or deep relaxation after treatment 


These effects are usually short-lived and resolve on their own.


Serious complications are extremely rare, especially when acupuncture is performed by a licensed professional.


Acupuncture is safe for most people, including those with chronic conditions and older adults. It can also be used during pregnancy when performed by a practitioner trained in prenatal care.


Yes. Your acupuncturist will review your health history, medications, and current condition before treatment to ensure it’s appropriate and safe for you.


Yes. Acupuncture is a regulated healthcare profession in most regions, though the specific requirements vary depending on the state or country you’re in. This means that practitioners must meet established standards for education, training, and competency in order to legally practice. This helps ensure patient safety and a consistent level of care.


Licensed acupuncturists typically complete:


  • A master’s or doctoral-level degree in acupuncture or East Asian medicine 
  • 3–4 years of formal education, including both classroom learning and clinical training 
  • Hundreds to thousands of supervised clinical hours 


Their training includes:


  • Anatomy and physiology 
  • Point location and needle technique 
  • Diagnosis and treatment planning 
  • Safety procedures and Clean Needle Technique 


Yes. In many places (such as the United States), practitioners must pass national board exams—often administered by organizations like the NCCAOM (National Certification Commission for Acupuncture and Oriental Medicine)—in addition to meeting state licensing requirements.


Yes. Most licensed acupuncturists are required to complete continuing education to maintain their license, ensuring they stay current with safety standards and clinical practices.


No. Regulations vary by location:


  • Some states or countries have strict licensing requirements 
  • Others may allow acupuncture to be practiced by different types of healthcare providers (such as medical doctors or physical therapists) with additional training 


Because of this, it’s always a good idea to check your local regulations.


You can usually:


  • Ask your practitioner directly 
  • Check your state or regional licensing board website 
  • Look for credentials such as “L.Ac.” (Licensed Acupuncturist)


fear & sensations

No, acupuncture should not hurt. These needles are extremely thin, and they are solid. Nothing is being injected into the body or taken from the body like with a shot or blood draw. What you should feel is something like poking the back of your hand with your fingernail. Once you lift your fingernail the sensation on the hand starts to dissipate and then you feel nothing anymore even though the needle is still in. That is what acupuncture should feel like. Many people are nervous about needles their first session, but a lot of people will say they didn’t even feel them go in after we’ve started placing the needles in the acupuncture points.


Most patients feel tingling, warmth, heaviness, or deep relaxation. Once the needles are placed in the acupuncture points, you should be able to relax on the treatment table for the duration of the treatment without any discomfort. 


Acupuncture needles are extremely thin and generally well tolerated—even by those who dislike needles. If you ever feel uncomfortable with any of the needles, immediately tell your provider so they can adjust or remove the needle. 


treatment experience

You’ll discuss your health history, current symptoms and ailments of concern, receive an assessment from your Acupuncturist, and relax with needles in place for 25-30 minutes before the Acupuncturist removes the needles and gives you any necessary post-treatment recommendations. 


Typically, you should plan to budget 75-90 minutes for your initial consultation and treatment and 30–60 minutes for your follow-up treatments. 


As a general rule, if you are seeking treatment for something acute, you may only need a few sessions. Chronic conditions or treating multiple things may require more treatments and in some cases, ongoing care. Your Acupuncturist will let you know what they think your treatment plan will look like after you have had an initial intake appointment.


Many people feel relaxation, mild fatigue, or improved clarity depending on the type of treatment received. Plan to relax after your treatment and avoid heavy lifting, anything strenuous and listen to your body’s needs. Example: if you feel really tired, try to rest or nap if possible. 


results & expectations

Some people feel results immediately, others over time. As a general rule, most people feel some improvement after their first treatment, even more improvement for a longer duration after their second treatment and even more improvement after their third treatment and so on. Receiving your first few treatments close together (no more than 1 week apart) increases your results more than if you had the same number of treatments but you spaced them too far apart. 


Often patients receive some immediate relief, but true correction of symptoms often happens in a gradual healing. Acupuncturists are often treating both your immediate symptoms to help you feel better right away as well as treat the root cause of why your symptoms are occurring in the first place so that your body can experience more lasting relief instead of just symptom management. 


Acupuncture often helps when other approaches haven’t. Acupuncture is often the thing that people find helps more than other treatments they have previously tried. The good news is that Acupuncture is not a placebo so if you feel unsure about Acupuncture, I recommend still giving it a try. You’ll likely be pleasantly surprised by your results. 


Yes, Acupuncture is widely used for pain management for all types of pain conditions. 


practical questions

Loose, comfortable clothing is preferred as most acupuncture points used are on the arms, legs, hands, feet and head. However, if your Acupuncturist needs you to get partially undressed to access the areas you need focused on, they will have a table covering for you like a sheet or a gown to keep you discretely covered. 


Yes, a light meal before Acupuncture is best. Acupuncture on an overly full or empty stomach is not ideal. 


Light activity is fine, however, heavy exercise or anything overly energy exerting is advised against. 


Yes, it is often very safe to drive afterward. On the rare occasion that you feel so relaxed or a little lightheaded that you should not drive, you may wait in the treatment room or waiting area until you are ready to drive. 


safety & integration

Yes, you can do Acupuncture alongside other treatments such as PT, medications, and massage therapy.


Never stop taking medications without consulting your prescribing doctor. An example of working to wean off medications may be that you take high blood pressure medication and with dietary changes, exercise and acupuncture, your blood pressure is naturally lowering, you may want to talk to your doctor about lowering the dosage of high blood pressure medication because your old dosage may be too high for what your blood pressure regularly is at after natural interventions. 


Yes, Acupuncture is safe when performed by a Licensed Acupuncturist. Acupuncturists are trained in which acupuncture points to avoid during pregnancy. There are many pregnancy symptoms that can be improved with acupuncture like morning sickness, dizziness, sciatic pain, constipation, acid reflux, and more. Acupuncture can also be a safe and effective treatment option for concerns like allergies and pain where certain medications may not be suitable during pregnancy. 


Side effects are generally mild and uncommon. Some people may experience:


  • Slight bruising 
  • Temporary soreness 
  • Mild fatigue or deep relaxation after treatment 


These effects are usually short-lived and resolve on their own.


Community Acupuncture

Community acupuncture is a style of practice where treatments are provided in a shared, group setting rather than in private rooms. Patients are typically seated in comfortable recliners or chairs, and multiple people are treated at the same time in a quiet, calm environment. The goal is to make acupuncture more accessible, affordable, and consistent, while still delivering effective care. 


In this model, treatments are streamlined and efficient. Practitioners often use points on the arms, legs, head, and ears so patients can remain fully clothed, and sessions are designed to allow for deep relaxation without the need for extended one-on-one time. Despite the simpler format, community acupuncture is highly effective—especially for conditions like stress, anxiety, chronic pain, and sleep issues—because patients can come more frequently, which is often key to getting results.


One of the biggest advantages of community acupuncture is cost. Because multiple patients are treated at once, clinics can offer services at a significantly lower price point than private sessions. This makes it possible for people to receive care regularly rather than sporadically, which tends to improve outcomes over time.


It’s also a different kind of healing experience. Being in a shared space can create a sense of collective calm and support, even without conversation. For many people, this environment enhances relaxation and helps them disconnect from daily stressors more easily.


Often community style acupuncture is cheaper because multiple patients are being treated at once in a larger shared room instead of less patients in their own private treatment rooms. This allows for a lower cost treatment and easier access for patients who want to receive the benefits of acupuncture but may not be able to afford a private treatment. . 


Cost & Value

Initial Consultation + Acupuncture Session $190

Follow Up Acupuncture Session $95


For additional offerings, explore Services & Pricing


 Acupuncture is sometimes covered by insurance, but coverage varies depending on your specific insurance plan. We can bill some insurance companies directly for acupuncture services. If you’d like to find out whether your plan includes acupuncture coverage and whether we can bill your insurance, please contact our reception team by phone or email. We’ll be happy to help you determine your coverage. 


For many people, acupuncture is absolutely worth it—especially when you consider how much it can address in a single treatment. Unlike many therapies that focus on one symptom or one part of the body, acupuncture works systemically, meaning it can support multiple concerns at the same time. It’s common for patients to come in for one issue—like back pain—and also notice improvements in sleep, stress levels, digestion, or energy. Because of this whole-body approach, you’re not just paying to treat one problem—you’re supporting your overall health and regulation in a way that often has wide-reaching benefits.


From a value standpoint, this makes acupuncture one of the most efficient and cost-effective holistic treatments available. Instead of juggling multiple appointments or treatments for different issues, acupuncture allows you to address several imbalances in a single session. Over time, this can lead to fewer symptoms, better resilience, and less reliance on medications or other interventions—making it not just a meaningful investment in your health, but a practical one as well.


Skepticism

Anecdotally we have had so many patients come in saying they know that acupuncture isn’t going to help them, but they just need to feel like they tried everything and even those people get results. So anecdotally it’s not a placebo. In acupuncture studies, typically sham acupuncture is used versus real acupuncture to test whether acupuncture is a placebo or not. For sham acupuncture, they are just placing the needle in a different acupuncture point or a non-acupuncture point. It’s very hard not to hit an acupuncture point though, because there are over 2000 acupuncture points on the body. So, these studies can’t really be done because any acupuncture, even if it’s not the most beneficial acupuncture point is still going to elicit a response by the body. For example, when someone punches you in the arm, or the back or the leg, it’s going to hurt. There will be a sensation, the body’s pain response will activate, the inflammatory response will activate, blood will move to that site, wound healing will start to happen, the immune system responds and more regardless of where you received the punch. It’s similar with acupuncture.


If you place needles into the body, the body responds regardless of where the needles are placed. You will get better results if you place the needles in the right points but even if you just place the needles in random points, you are still activating the body’s immune system, nervous system, and you’re moving blood and energy within the body and those are all mechanisms through which acupuncture works. So, many studies that test real acupuncture versus sham acupuncture will either show that both real acupuncture and sham acupuncture groups got better with no difference between the groups or that they both got better but the real acupuncture group had even more improvement. Basically, what this shows is that any acupuncture will elicit a response from the body, but if you choose the best acupuncture points, you will get better results.


Acupuncture doesn’t always produce a dramatic or immediate change. Improvement can happen gradually, so it’s helpful to pay attention to changes in your symptoms and how you’re functioning over time—not just how you feel immediately after a treatment.


Look for changes such as:


  • Symptoms becoming less intense or happening less often
  • Symptoms resolving more quickly when they do occur
  • Improved sleep, digestion, mood, stress, or energy
  • Better overall function and quality of life


Sometimes you may notice improvements in other areas first, such as sleeping better or feeling calmer, before your primary concern begins to change. Some people experience immediate relief or relaxation after a treatment, while others notice changes more gradually. Both responses are possible.


If you’re not noticing any meaningful improvement, talk with your practitioner. They may adjust your treatment approach, modify the frequency or technique, recommend combining acupuncture with other therapies, or discuss whether acupuncture is the right fit for you. A good practitioner should be focused on your outcomes and honest about your progress.


Acupuncture also isn’t necessarily about “fixing” everything. Depending on your condition and goals, success may mean complete resolution, meaningful symptom relief, improved function, or a better quality of life.


A common recommendation is to commit to a short trial of 3–6 treatments. This allows enough time to see a pattern of response, especially for chronic conditions.


For longer-standing issues, your practitioner may suggest a treatment plan over several weeks to build cumulative effects.



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