Holistic Health

Acupuncture and physiotherapy: myths and facts

Does it hurt? Is it scientific? Is it enough on its own? We clear up the most common myths about acupuncture in physiotherapy.

Marianna Malevri · 3′ read
Acupuncture needles being placed on the back

To some people, acupuncture seems almost mystical. For others, it’s the first thing they turn to when nothing else has worked. And for quite a few, the mere thought of a needle is enough to make them change the subject. Between these extremes, plenty of myths are in circulation. Let’s go through them one by one.

Myths about pain and safety

“Acupuncture really hurts”

The needles are much finer than the ones used for injections. Most people feel a light prick as the needle goes in, followed by a dull, heavy or warm sensation around the spot. It usually isn’t unpleasant. If anything bothers you, the needle can be removed or repositioned straight away.

“There’s no risk at all”

When it’s performed by a trained therapist using sterile, single-use needles, acupuncture is generally considered safe. That doesn’t mean it’s free of side effects. You may get a small bruise, mild tenderness or some tiredness for a few hours. More serious complications are rare, which is exactly why training and a careful history matter.

Myths about what it can do

“It’s either a miracle or a scam”

It’s neither. Research generally supports that acupuncture can help with certain types of pain, such as chronic low back pain or tension-type headaches. At the same time, results vary from person to person, and the scientific debate about exactly how it works is still ongoing.

The most honest position is this: acupuncture is a useful tool for quite a few people, not a guaranteed solution for everyone.

“Acupuncture alone is enough”

In physiotherapy, acupuncture works best as a complement. It can reduce tension or pain enough for you to move more comfortably. Lasting change, though, is built through:

  • active exercise and gradual loading
  • a better understanding of how pain works
  • small, consistent changes to your daily habits

“We don’t use needles because ‘that’s just how it’s done.’ We use them when we have a clear reason and we know what the next step will be.”

Not all acupuncture is the same

There are different approaches. Traditional Chinese acupuncture is based on its own theoretical framework. Modern medical acupuncture and dry needling focus more on anatomy, muscles and painful points.

In a physiotherapy setting, treatment is usually guided by clinical reasoning: which tissue is sensitive, which movement is restricted, what we want to achieve. It’s always worth asking your therapist which approach they use and why.

When to ask for help

Always tell your therapist before a session if:

  • you take blood thinners or have a blood clotting disorder
  • you are or might be pregnant
  • you have a pacemaker, epilepsy or a weakened immune system
  • you’ve ever fainted during an injection or a blood test

After a session, if you experience shortness of breath, chest pain, fever or significant swelling at the needle site, contact a doctor immediately. And if the pain you originally came in for persists or changes in character, it needs to be reassessed, not simply treated with more needles.

If you’d like to talk about whether acupuncture is right for you, book an assessment at Reset Lab.

Related treatments

This content is for information only and does not replace diagnosis or assessment by a health professional. If your pain is severe, getting worse or comes with other symptoms, contact your doctor.

Author

Marianna Malevri

Physiotherapist and founder of Reset Lab in Vouliagmeni, with an MSc in musculoskeletal physiotherapy (University of Nicosia) and experience with orthopaedic, neurological and paediatric patients.

More about Marianna

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