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Whenever there’s back pain, there is some kind of disordered flow of “Qi” (energy) and “Blood” in the channels in the lower back region. The channels may be in spasm, or may not be adequated “nourished” with Qi and blood. This can happen for a few different reasons:
First, traumatic injury to the low back region, of course, can also directly interfere with blood circulation in the region. It often causes a type of pain we call “blood stagnation” pain – often sharp, stabbing or fixed, and the low back may feel tender to touch (as opposed to feeling great when someone’s putting pressure to massage it). Blood stagnation type pain may include acute strains, spasms, or pain from a herniated disk (if pain is sharp). Acupuncture and associated techniques (blood-letting, cupping) can be very effective in moving stagnant Blood.
Second, Chinese medicine is unlike Western medicine in including environmental factors in its analysis. For example, “Cold” or “Dampness” in the environment can easily lodge into the channels of the low back. This may happen after lying on damp ground, walking around in cold or damp weather without adequate layers, wading in the water, or being exposed to the wind soon after sweating profusely (e.g. after exercise). If the pain is worse with cold or damp weather, or if the back feels cold or heavy, we know these climatic factors are part of the clinical picture, and may use moxa (an herb that often gets burned over acupuncture points), a heat lamp or pad, or warming herbs to help improve low back energy circulation. More rarely, Dampness can also combined with or generate “Heat” which would cause a more burning, heavy pain, and may be accompanied by thirst and/or dry stool or constipation. In either case it is important to eat appropriately to eliminate the Cold, Dampness or Heat.
Finally, if the back pain is chronic, dull, and had a gradual onset it’s likely due to a gradual decline of energy in the “Kidney-adrenal” system. The Kidney-adrenals can be weak due to: aging, prolonged stress or emotional trauma, prolonged illnesses, inadequate rest, excessive ejaculation, multiple childbirths or pregnancies, constitution (genetic / congenital factors), or chronic taxation of the digestive system (through irregular eating, or excessive eating of difficult to digest foods such as dairy, sweets, wheat, cold and raw foods.) Acupuncture, herbs, dietary / lifestyle changes, and regular Qi gong practice can all improve the strength of this system. You can download my handout on the Winter season, which includes some information, recipes and Qi Gong exercise, to support the Kidney-adrenal system.
I usually use a combination of acupuncture points to (a) treat the root imbalance causing the back pain, (b) help Qi and Blood flow in the the affected channels – using local points (i.e. on the back itself) and distal points (usually on the arms or legs), (c) address trigger points in muscles that commonly refer pain to the lower back (e.g. the iliopsoas, paraspinals, quadratus lumborum, gluteals, etc.). This multi-pronged approach is generally quite successful to manage the pain. Length and frequency of treatments dependent on the type of back pain present and how chronic it has been. Feel free to contact me for a free 15 minute phone consultation at 416-890-7770.
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How do you stay relaxed and productive at the same time? How does your to-do list get checked off, without your body and mind getting crossed off?
In wellness workshops and in the acupuncture clinic, addressing stress and anxiety is unavoidable. Chinese medicine has a 2000+ year understanding of the effects of stress on our bodies. As biomedical research now shows, stress is a major factor in a number of chronic and long-term illnesses.
What are small steps we can take toward clarity, focus and efficiency – while staying relaxed, cheerful and loving in the meantime? How do we self-structure our days (especially for students, self-employed, etc.)? I put these questions out to my network, and added their tips to my own ideas here – thanks for all the input!
1) Heart-mind check-in: “I have reduced long “to do” lists that I used to find overwhelming (and triggered all kinds of self-hate, shame, disappointment) into a 3 item “ta da” list.” – Nrinder Nann (see Comments on this post)
Are you managing time, emotions, or both? These are two major sides to “stress management”. Often responsibilities feel much weightier because of underlying fears – e.g. that we’ll fail, be a “bad” partner, parent or employee, or lose approval of family and friends. Guilt, shame, or self-criticism can become serious energy drains, and we may cope with procrastination/distraction cycles, or over-control of ourself and others. It’s always good to be check in with ourselves, and see how our emotions are driving our work or vice versa. (See the comments on this post for some insights!) Ideas:
2) Slow down to get faster. “Ironically my way of dealing with stress and a long To Do list is to slow down and be in the moment. I prioritize better, am more efficient plus happier” – Zainab Amadahy, swallowsongs.com (Comments)
Time is such a weird phenomenon. By being more present with each breath, thought, or action (and thinking less about the past/future), time passes more slowly (it’s true – many meditators and spiritual seekers can attest to this!). With practice, thoughts can get clearer, decisions faster, and work more efficient. Ideas:
3) Get clear on life priorities. Heard the story about the rocks in the jar? Recognize what is truly important to you (e.g. close relationships, community, health and well-being, spiritual practice, etc.) and make sure they get a spot in your schedule first. (note: most ‘rock in the jar’ versions I’ve read list one’s “job” as a medium-sized rock, not the biggest…) Ideas:
4) Say No! Essential to make #3 work. Often our bodies are stuck in a stress response, and we feel like every decision/demand is life or death… when most aren’t. This is especially true for those of us who have been through some kind of trauma. Ideas:
5) PLAY (with planning)! Everyone has their own planning style. Do you know what works for you these days? (NOTE: and what works for the person you’re dating – it’s often a bit different, no?). Lots of people had suggestions for scheduling and planning, and you’ll find some of them in the comments (feel free to add more!). Try adopting a playful, experimental, and flexible attitude toward time management and self-care (rather than being rigid and hard on ourselves…).
(Personally, I love planning – helps me shift from being reactive to proactive, to prioritize and commit realistically. But after many “Type A personality” (i.e. go go go) years, I made a conscious shift and discovered I also love NON-planning! Open-ended time allows for spontaneity and ‘going with the flow’, such a delightful way to experience each present moment – if you have INTENTIONS for the day/month (see #7 below), you can still get things done, just in a more relaxed and creative way, and… isn’t that the point?). Ideas:
6) (Get support to) tackle the “hard” stuff. Some tasks are daunting (like this article was for me)! But if they are truly important for our long-term priorities and intentions, how can we actually get to doing them? Many have mentioned breaking them down into subtasks or steps. Ideas:
7) Set intentions, not inflexible goals. An intention means setting a target for our efforts, but also acknowledging we can’t control everything (other people, unexpected changes, etc.). You can set result-oriented intentions (e.g. “I intend to get to my laundry today” or process-oriented intentions “I intend to take regular breaks today, to keep my mind fresh and relaxed.”) When I’m more clear what my intention in doing something is, steps fall into place easily and I’m less prone to getting caught up in the details and derailments. Ideas:
8) Cultivate unconditional friendliness toward self. “A lot of self-shame about laziness and procrastinating also come up for me, so I make sure I give love to those parts of me.” – Charm Torres (Comments)
The best definition I ever heard of “self-care” was “learning to treat our body and mind as we would a dear friend” – meaning, with compassion, support and acceptance, not with harsh criticism. Don’t make “self-care commitments” another thing to beat ourselves up about. We’ve all been through a lot and are just doing our best to live, be happy and do good. Ideas for questions to ponder:
“Don’t worry if you don’t get all the things done on one day. Most of the times the list is way too long anyway and often unexpected tasks come along (calls, emails, meetings). Rather celebrate the achievement of finishing the tasks you have completed properly and knowing that you have given your best.” – Sarah Lei (Comments)
In sum – play with these ideas, see what works for you, share your experiences, and get support! Ultimately, accept uncertainty, embrace paradox, seize the day and let go. You did your best 🙂
These are just some ideas, and this document is a work in progress. Feedback and more ideas welcome – please comment below!
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I’ve chosen and adapted two vegan, gluten-free recipes below, for their anti-anxiety ingredients (based on the Traditional Chinese Medicine analysis of these foods).
Mung Bean and Kale Soup (serves ~6)
Modified from this recipe.
Calming and Balancing Congee (2-3 servings)
1. Soak all herbal ingredients for about 15 minutes and rinse.
2. Rinse rice and put all ingredients in a pot with about 6 to 8 cups of water. Bring to a boil and lower heat to medium to cook for about 70 minutes to about 3 cups of congee.
3. Add some raw honey, if preferred.
Modified from this recipe.
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I’m pleased to announce the Grand Opening of a second location! In addition to downtown Toronto (St. George & Dupont), I will be offering treatments every Wednesday (9:30 am to 4:30 pm) at 1110 Sheppard Ave East, Suite 402 in North York (Leslie and Sheppard). Come on in for support in managing stress, anxiety, depression, insomnia, chronic pain, fatigue, digestion, and reproductive/menstrual health!
The office is shared with two neurologists and EEG lab, and I am excited to integrate Western biomedical approaches with practicing Traditional Chinese Medicine. Having studied Cognitive Neuroscience in university, it will be fascinating for me to reunite with the world of biomedical neuroscience. Biomedical science is currently limited in being able to understand “Qi” and acupuncture on its own terms (this may change with more integration of quantum physics into biological sciences), but interesting research shows some of acupuncture’s measurable effects on the nervous system.
Acupuncture needle-phobes and novices welcome! There is no better time to try out acupuncture in a gentle, friendly environment. Come to the Acu for Anxiety Discount Clinic on Tuesday Oct 29, 2:30-8:30 pm in Downtown Toronto (St. George and Dupont, in the Annex). I’ve open up a couple more time slots for people!