Pain Management: Acupuncture, Electrotherapy,
D-Actor, Strain and Counterstrain Technique




Acupuncture is the strategic insertion of fine needles into specific points on the body’s surface for the purpose of stimulating healing. It is part of an ancient system of health care developed in China over 3000 years ago. Acupuncture is based on the concept that energy (called chi) flows through the body in certain patterns (meridians). The free flow of these energies ensures good health. Change in the free flow of this energy, such as blockages, stuckness or imbalances, are believed to lead to pain, congestion and eventually disease conditions in the body.

Recent research has clarified some of the physiologic and biochemical bases of acupuncture. Acupuncture stimulation has been shown to release central nervous system endorphins and spinal cord dynorphins, explaining part of its mechanism of action. It has also been shown to promote the release of the chemical that activates the adrenal glands (adrenocorticotrophic hormone or ACTH), affect chemicals that are known to be involved in mood and pain perception (serotonin, GABA, catecholamines, dopamine, etc), and influence one of the body’s pain-generating messengers (substance P). While its effects have traditionally been explained in terms of energy flow dynamics (Qi or Chi), science has shown that acupuncture may work at least partly by directly affecting the function of the nervous system.

Since the 1970′s, acupuncture has been practiced in the United States by licensed acupuncturists. It has been used to treat a wide variety of health conditions, as well as to maintain an optimal state of health. Based on clinical experience, the World Health Organization lists more than 40 conditions for which acupuncture might be considered, including a variety of digestive, gynecological, neurological, respiratory, and psychological conditions. In 1997, the National Institutes of Health Consensus Development Conference, a panel of experts, reviewed the scientific evidence on the effectiveness of acupuncture and concluded that acupuncture was effective for postoperative dental pain, and helpful as an additional treatment for headache, menstrual cramps, fibromyalgia, myofascial pain, osteoarthritis, tennis elbow, low back pain, and carpal tunnel syndrome.

More recent studies and reviews have supported the use of acupuncture for migraine and tension headaches (Melchart, 2001), chronic neck pain (Irnich, 2001), and low back pain, neck pain and soft-tissue injuries of the peripheral joints (Kerr, 2001). According to a recent National Institutes of Health study, acupuncture is most frequently used in both China and the U.S. for musculoskeletal pain relief, with other common uses for pain including migraine and peripheral nerve neuralgia (Xu X, 2001).



Neuromuscular electrical stimulation (NMES) is the application of electrical stimulation to a group of muscles, most often for the purpose of muscle rehabilitation. This technique is primarily used by acupuncturists and physical therapists as a form of rehabilitation after injury, stroke, or other incident that results in the loss of muscle function. NMES is achieved by passing an electrical impulse from a device through electrodes placed on the skin over the targeted muscle or muscles.

ElectrotherapyFor the purpose of rehabilitation, neuromuscular electrical stimulation is typically used in conjunction with acupuncture. The intent of this is to stimulate the nerves in the muscle with electrical impulses, since they are a natural part of the normal communication between the brain and the muscular system in an uninjured or unaffected body.

Electro-stimulation is used for:
Relaxation of muscle spasms;
Prevention or retardation of disuse atrophy;
Increasing local blood circulation;
Muscle re-education;
Maintaining or increasing range of motion;
Eliminate pain.



Extra corporeal Pulse Activation and Shockwave TD-Actorechnology is the most advanced and highly effective non-invasive treatment for neuromuscular disorders approved by the FDA. This proprietary technology is based on a unique set of pressure waves that stimulate the metabolism, enhance blood circulation and accelerate the healing process. Damaged tissue gradually regenerates and eventually heals.

This non-invasive based procedure represents a breakthrough treatment option for a broad range of musculoskeletal condition.
Indications: Painful trigger points (acute and chronic painful neck, back, shoulder, etc. due to chronically shortened and thickened muscle tissue). Various sport injuries. 

The new blood vessels will improve the blood supply and the oxygenation resulting in the faster healing.

The releasing of pro-inflammatory compounds, when needed, may help to restore the normal healing and regenerative processes.

The production of sufficient amounts of collagen is a necessary precondition of the tissue repair process. Shockwave therapy hastens procollagen synthesis.


Strain and Counterstrain Technique

 Strain and Counterstrain TechniqueWe utilize traditional therapeutic measures to restore function, improve mobility, and relieve pain, however we combine it with a powerful form of osteopathic (musculoskeletal) treatment called Strain and Counterstrain technique.

Counterstrain or ”Positional Release” as it is sometimes called, is a hands-on treatment that alleviates muscle and connective tissue tightness by the use of very specific treatment positions held for 30-90 seconds. During the procedure, the  involved tissue is ”slackened” causing a relaxation of the ”spasm” which in turn, allows local areas of inflammation, trapped within the dysfunctional tissue, to dissipate. The treatment is unusual in that it affects not only muscle tightness, but also the supportive network of connective tissue that is generally unaltered by traditional physical therapy or massage.

Following this ”release” there is an immediate reduction of pain and tension in the involved tissue. This relaxation helps restore normal joint mobility and is also beneficial to the nerves and discs in the region that may have been compressed. This gentle and painless technique is effective in a variety of orthopedic conditions, including headaches, sciatica, tendonitis, chronic pain, post-surgical conditions, and even fibromyalgia.