Stages of Care in Acupuncture & Oriental Medicine

Posted by on Oct 16, 2016 in Acupuncture, Oriental Medicine | Comments Off on Stages of Care in Acupuncture & Oriental Medicine

Stages of Care in Acupuncture & Oriental Medicine I’m often asked how often one needs acupuncture. Here is a short synopsis of the stages of care in Acupuncture & Oriental Medicine. If you wish to discuss further, please let me know. Stage 1: Acute Care This stage focuses primarily on treating the chief complaint, i.e. the pain or illness that affects quality of life. During this stage, treatment is usually 1-2 times per week, and I usually recommend a series of 4-6 treatments to start. Stage 2: Helping the Body Rediscover Balance In Oriental Medicine, health complaints result from a life out of balance. Because it is holistic in nature, we can diagnose these imbalances and provide a treatment plan that addresses them. During this stage, treatment is usually every 1-2 weeks, and there is often an accompanying herbal formula. Stage 3: Maintenance of Balance While ideally we strive for a life that creates its own balance, the reality is that the stresses of modern living have a way of challenging us, and it’s often helpful to schedule regular ‘tune-ups’. These can range anywhere from once per month, change of seasons, or year – ultimately this is an individual decision. For myself, I get acupuncture once per week and find it invaluable. As we enter into the Fall, it’s worthwhile to consider doing a whole body tune-up strengthen our immune system and better prepare ourselves to absorb the bountiful yin energy of coolness, contemplation, and consolidation that comes with Winter. New Website and Video –! I’ve finally completed my new site – please check it out! Any suggestions or comments you may have are welcome – I’d love to hear your feedback. New Colleagues in Lafayette As you may have heard, my colleague with whom I shared Lamorinda Healing Arts, Jason Luban, has sold his acupuncture practice. The new crew is made up of former top-notch students from my days at AIMC Berkeley. My days and hours haven’t changed, and if you can’t get in to see me on Mondays, Fridays, and Saturdays in Lafayette, or Tuesdays and Thursdays in San Ramon, you should try to schedule with Mimi, Katjia, Deanna, or Albert – check them out here. Acupuncture Fee Increases As my rents increased dramatically both at the office and at home, I’ll be increasing my ‘same day discount’ rates by $5/visit starting October 15 – making it $90 for a returning acupuncture session and $130 for an initial intake and session. Acupuncture Treatment Packages To help offset the impact of this increase for you, I offer discounts with the purchase of treatment packages. The new price structure starting October 15 will be: 6 Returning Acupuncture Sessions for the price of 5 ($450), 11 Returning Acupuncture Sessions for the price of 9 ($810), or 20 Returning Acupuncture Sessions for the price of 16 ($1,440). You will still be able to purchase acupuncture treatment packages at the current rates until October 15, 2016....

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Do suction cup marks indicate a Stephen Curry injury?

Posted by on Jun 10, 2015 in Acupuncture, Blog, Oriental Medicine, Uncategorized | Comments Off on Do suction cup marks indicate a Stephen Curry injury?

Do suction cup marks indicate a Stephen Curry injury?

For those of us enjoying the Golden Sate Warriors’ amazing 2015-2016 season, Stephen Curry in action is a sight to behold. Not only is he a phenomenal shooter, but his looseness, quickness, self-confidence, and basketball acuity, creativity, and grace as he moves up and down the court also make him a fan favorite. He’s the second strongest player on the Warriors team, able to deadlift 400 pounds (181kg). A lifetime of training and practice created his amazing body and skill set. What you may not know is that he takes care of himself by using medical modalities that have been practiced and developed over thousands of years. Believe it or not, Stephan Curry gets suction cup therapy! Suction cups are a traditional therapy for many cultures, dating back to the classical medicines of Greece, Persia, and China. From a traditional Chinese perspective, suction draws stagnation out of the body and improves the circulation of qi (energy) and blood. Here in the United States, suction cups are a primary modality with licensed acupuncturists and increasingly with physical therapists. They function as a type of reverse deep-tissue bodywork, where the skin, muscle, and fascia are pulled outward in addition to being pushed inward. As with acupuncture, micro-trauma caused by suction spurs a cascade of healing reactions that also affect and heal injured tissue. Fascia are sleeves made of collagen protein that attach, separate, stabilize and enclose muscles and internal organs. When impacted by trauma, fascia can develop adhesions that hinder the function and mobility of muscles. Suction cups, acupuncture, and other forms of bodywork can break up these adhesions and promote healing. The pulling effect of the suction cups resets the relationship between fascia and the muscles and skin to which they attach, returning function to a healthy state. If suction is strong enough or if there is a lot of stagnant superficial blood, the force can cause the kind of bruising seen on Steph Curry’s left shoulder. These are superficial bruises, similar in nature to hickeys, and take a week or so to resolve. With repeated treatment, incidences of bruising lessen as stagnant blood is drawn out and put back into circulation. Based on my experience, my guess is that Stephen Curry has a rotary cuff issue with his left shoulder—which was injured during his horrible fall while playing against the Memphis Grizzlies—and that he is getting treated in part with suction cups. While he is right handed, an injury to his left shoulder could still affect his shooting, and may help explain why he has not been shooting as well this series. According to Licensed Acupuncturist John Kokko, the Warriors officially hired two acupuncturists who are on the road with the team right now. Given that Stephen Curry played relatively well in Game 1 of the NBA Finals when he had suction cup bruises, and not so well in Games 2-3 when suction cup marks were not observed, he and the Warriors may do better getting more suction cups! UPDATE: Go Warriors—NBA Champs! Steph Curry continued to improve in games 4-6, which supports the thesis that he was playing injured and got better as his body healed. While the media hasn’t followed this line of thinking yet, this type of information tends to come out in the week following the finals. It was in the team’s interest to keep this information secret in order to maintain the Cleveland Cavaliers’ focused on Curry instead of other talented team members, including Andre Iguodala—the series MVP.        ...

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Journey to the West

Posted by on May 12, 2015 in Acupuncture, Blog, Chinese Herbal Medicine, Oriental Medicine | Comments Off on Journey to the West

It’s official I have finished moving into my new practice in San Ramon. As I continue my solo practice in Lafayette, this new endeavor enables me to work closely and in tandem with practitioners whom I respect and are enriching the field of wellness. This completes an interesting circle within a circle for me I’ll begin at the beginning. Traditional Chinese Medicine/Oriental Medicine has been traveling West to California and taking root here over the last 165 years. The journey started with the Gold Rush, when the only medicine available was from Chinese immigrants. By signing the Acupuncture Practice Act in 1975, then-governor Jerry Brown legalized acupuncture in California. This Journey to the West (the title taken from a famous Chinese classical folk tale that I highly recommend reading), was the subject of the first Acupuncture & Oriental Medicine (AOM) conference, which I produced in 1993. It was also the theme of my foray into acupuncture politics. During my early AOM education, I became frustrated with content that was lacking or irrevelant. For example, a Western medical course promoted a system for assessing TB infection that was used by the Soviet Union in the 1960’s. Why? Because it was considered to be the “best one around.” It became my political mission to help bring the acupuncture profession in California, and by consequence in other states, up to standards that would ease integrating acupuncture into our country’s healthcare system. We had a good run, and over a period of 10 years and the backing of a unified profession here in California, we helped pass legislation that permanently established licensed lcupuncturists as Primary Treating Physicians within Workers’ Comp, protected and expanded our scope of practice, increased educational standards, and set the stage for the inclusion of acupuncture as a covered benefit in Covered California (aka ACA/Obamacare). The PIFM Team (Pacific Integrative & Functional Medicine) Fast forward, and I am now making my own Journey to the West by helping to start an integrative medical group in San Ramon. It’s an honor and a blessing to work with this group of exceptional practitioners that includes two nutritionists, a medical doctor, and a licensed acupuncturist: Nathalie Bera-Miller, MD and I met at Cal in 1996 when we were studying Nutrition & Food Science We reconnected when I was the academic dean at AIMC Berkeley, where she taught some of the Western medical courses. Nathalie practices Functional Medicine, a holistic style of Western Medicine that utilizes a detailed history intake and unique set of innovative lab tests to assess physiological function of various systems. Chief among them is the Central Nervous System (which includes one’s mental, emotional, and spiritual experience), and seven other systems that interact with it to support optimal functioning and health, including: Digestion/Gastrointestinal Immune/Repair Energy Regulation Biotransformation/Detoxification Circulation/Transportation Communication (hormones, neurotransmitters, etc) Structural/Musculoskeletal There are many interesting parallels between Oriental Medicine and Functional Medicine, as both are based on the concept of balance. Oriental Medicine also defines internal organs by their functions and how well they interact with each other. Needless to say, not only are there a lot of fascinating conversations and insights to be shared, but real benefits for patient care as well. Dawn Preisendorf, MA, NC, CHWC, practices as a functional nutritionist and health coach. She utilizes many of the same labs and tools as Dr. Bera-Miller to  assess body balance and function. Dawn is extremely sharp and knowledgeable in her areas of expertise, which include hormone balancing and brain health. She also leads group workshops for groups on health and nutrition, including a virtual Health-Reboot Workshop this May 13th, and a Virtual Quick Cleanse starting this May 27th.  ...

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Eastward Ho! – Acupuncture in San Ramon

Posted by on Jan 27, 2015 in Acupuncture, Blog, Chinese Herbal Medicine, Oriental Medicine | Comments Off on Eastward Ho! – Acupuncture in San Ramon

I am pleased to announce that my acupuncture practice in the East Bay is expanding. In addition to providing services in Lafayette, I will soon open a practice in San Ramon, where I am teaming up with an MD and two nutritionists to create a center for integrative and functional medicine. The expansion is happening in two stages. Beginning in February, I will practice Thursdays at La Spa Petite, 2551 San Ramon Valley Blvd, Suite 221. If you would like to book an acupuncture appointment with me at this location, please call, email, or schedule online. Dr. Nathalie Berra-Miller, the MD with whom I am now collaborating, is also practicing Functional Medicine at La Spa Petite until our new space for acupuncture in San Ramon is ready in early March. I will see clients there on Tuesdays, Wednesdays, and Thursdays (more info to come), while maintaining my acupuncture hours in Lafayette on Mondays, Fridays, and every other Saturday. If you know people in the San Ramon area (or Lafayette) who could benefit from acupuncture, please tell them about us. With many thanks, Benjamin — Benjamin Dierauf, LAc Acupuncture & Oriental Medicine Click here to Schedule Online (925) 297-4785 Pacific Integrative & Functional Medicine: Acupuncture San Ramon 210 Porter Dr. Suite #230, San Ramon CA 94583 Lamorinda Healing Arts 961 Dewing Ave. Lafayette CA 94549 Acupuncture and herbs for: Pains & Aches, Stress Reduction, Insomnia, Fatigue, Digestive Issues, Chronic Illness,  Allergies, Men’s and Women’s Health   Acupuncture in Lafayette / Acupuncture in San Ramon: Experienced Acupuncture & Herbal Medicine for Lafayette, Moraga, Orinda, Pleasant Hill, Concord, Walnut Creek, Alamo, Danville, San Ramon, Pleasanton, Contra Costa & Alameda Counties, and the Greater East Bay...

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Acupuncture for Plantar Fasciitis

Posted by on Nov 2, 2014 in Acupuncture, Blog, Chinese Herbal Medicine, Oriental Medicine, Uncategorized | Comments Off on Acupuncture for Plantar Fasciitis

By Benjamin Dierauf, LAc I’ve recently had a string of patients seeking acupuncture for plantar fasciitis, a debilitating foot pain that is usually at its worst upon waking in the morning. At its root is inflammation of the fascia—a sheath that surrounds muscles on the bottom of the feet—usually caused by recent trauma to the feet. Even something as commonplace as switching to a new pair of shoes or orthotics can initiate the condition. Conventional Western medicine doesn’t have much to offer this condition. Anti-inflammatory drugs can provide temporary relief, but they do not address the underlying issue. The same goes for the next level of intervention, steroid shots. While I don’t have a problem with the occasional anti-inflammatory for treating acute pain, these drugs have their drawbacks when taken long term. Steroids can weaken the body’s immune system and ability to heal. With plantar fasciitis, risks of corticosteroid injections include ruptured plantar fascia, skin infections, nerve or muscle injury, and atrophy of the plantar fat pad. Aspirin can damage the stomach lining and lead to internal bleeding and other complications if taken over a long period of time. At higher doses, Tylenol becomes a liver toxin, and is the leading cause of liver failure in the Western world. While recent studies show that sustained use of ibuprofen can lead to higher rates of kidney cancer, the larger risk with ibuprofen is stomach and intestinal bleeding and perforation. Acupuncture & Oriental Medicine (AOM), however, provides a unique lens for diagnosing plantar fasciitis and choosing the treatment that will reduce inflammation and support the healthy repair of the plantar fascia. In addition to reducing inflammation, increasing circulation of qi (roughly translated as energy) and blood, and promoting the repair and growth of healthy fascia, acupuncture for plantar fasciitis also treats the underlying imbalance that invited the condition. These systemic/holistic benefits are effective preventative medicine that promotes health and well being. For example, one of my patients, George, had an underlying condition of Dampness that blocked his body’s ability to heal his plantar fasciitis. While Dampness usually takes some time to treat with AOM, his condition improved dramatically after just three acupuncture for plantar fasciitis treatments. Another patient, David, had an underlying Liver & Kidney Yin Deficiency that affected his body’s ability to provide cooling anti-inflammatory support to his plantar fascia. It took six weeks of treatment with acupuncture for plantar fasciitis and Chinese herbs for his condition to improve. Another interesting treatment for plantar fasciitis that has worked for my patients and myself is to make a ‘sock’ out of aluminum foil, wrap it around the foot with a seam down the middle so that it can be taken on and off easily, and sleep with it on for 3-7 nights. It also helps to have a light sock under the foil and sleep with the foot outside of the covers. The aluminum foil helps to reduce the inflammation in the foot. If you know someone with a case of plantar fasciitis that isn’t getting better on its own or with conventional medical treatment, please refer them to a licensed acupunctuist who can assess and treat them effectively.     Lafayette Acupuncture / San Ramon Acupuncture: Experienced Acupuncture & Herbal Medicine for Lafayette, Moraga, Orinda, Pleasant Hill, Concord, Walnut Creek, Alamo, Danville, San Ramon, Pleasanton, Contra Costa & Alameda Counties, and the Greater East Bay Area....

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Treating Warts with Acupuncture & Oriental Medicine (AOM)

Posted by on Sep 4, 2014 in Acupuncture, Chinese Herbal Medicine, Oriental Medicine | Comments Off on Treating Warts with Acupuncture & Oriental Medicine (AOM)

While most of us know that Acupuncture & Oriental Medicine (AOM) effectively treats conditions such as neck pain, lower back pain, and migraines, it is actually a highly evolved and fairly complete system of medicine that applies to a wider than imagined range of symptoms. By addressing underlying imbalances that allow conditions to persist, AOM—usually a combination of acupuncture and Chinese herbs—helps the body regain balance and heal itself. Besides resolving the ailments mentioned, AOM can also remedy skin conditions as a stand-alone treatment or in tandem with conventional Western medicine. Meet “K” K, a new client, recently arrived in my office with a large periungual wart on her finger. Half of it was under her fingernail. Tricky. For more than two years, she had suffered through a variety of Western treatments. A daily application of apple cider vinegar achieved nothing. Neither did a dermatologist’s regular scraping of the wart with a specialized razor blade. Having it frozen with liquid nitrogen proved fruitless. Taking DPCP (diphenylcyclopropenone) and SADBE (squaric acid dibutyl ester) compromised her immune system and triggered horrible rashes over her entire body. K also endured four excruciating Laser Genesis sessions. As a result of these treatments, she developed several infections/abscesses. Most of them required oral and topical antibiotics, one of which entered her lymph, sending her to the ER. Otherwise fairly healthy—though a little energy deficient and stressed from raising three young children and working part-time—K also had neck and shoulder pain from carrying kids for seven years. Using AOM and innovation to treat her wart I knew that it might take a while for my treatments to work. K agreed to a course of herbs and 12 acupuncture sessions. Acupuncture would regulate her immune system—referred to in Oriental medicine as her ‘defensive qi’—and improve her blood and energy circulation. To help K nourish her blood and regulate her liver, I prescribed herbs to take internally. Because I also attended to her neck and shoulder pain, K’s health insurance covered the acupuncture treatments. Half of K’s wart was under the fingernail, so I hit the books and developed a custom herbal formula for direct application. I went to Chinatown in Oakland to buy raw herbs. When I ground up my mixture of them and added cider vinegar, there was an exciting explosion of bubbles. Although my formula smelled and looked potent, alas, after three weeks the wart had not changed. We switched gears and applied a single herb, Ya Dan Zi or Fructus Brucea. Usually prescribed for malaria or dysentery, it is considered toxic and should not be used internally unless under the care of a licensed acupuncturist. Twice daily, K ground a single seed of Ya Dan Zi, mixed it with a drop of water, placed it on her wart, and covered it with a bandage. After doing this for a week, she reported a clear discharge and pain where the wart was. We switched from mixing the herb with water to mixing it with antibiotic ointment to prevent infection. Amazing results The next week, K’s wart was significantly smaller. A month later, it was gone. K is ecstatic. Even though the type of wart she had typically disappears on its own after three years, she believes that Acupuncture & Oriental Medicine really made the difference for her. Her insurance company must be delighted, too. It paid over $10,000 for ineffective “solutions” and their side effects before the problem was solved by acupuncture and Chinese herbal medicine. Lafayette Acupuncture / San Ramon Acupuncture: Experienced Acupuncture & Herbal Medicine for Lafayette, Moraga, Orinda, Pleasant Hill, Concord, Walnut Creek, Alamo, Danville, San Ramon, Pleasanton, Contra Costa & Alameda Counties, and the Greater East Bay Area....

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Acupuncture vs Back Surgery?

Posted by on Aug 6, 2014 in Acupuncture, Blog, Chinese Herbal Medicine, Oriental Medicine | Comments Off on Acupuncture vs Back Surgery?

By Benjamin Dierauf, LAc Here’s an interesting story about something that recently happened at my Lafayette acupuncture office. I had a new patient with excruciating low back pain and sciatica radiating all the way down to her toes. She was scheduled for back surgery in a couple of days and wanted to get acupuncture to help prepare her body for surgery and recover from it more quickly – something I facilitate often. I am pleased to report that after front and back treatment with acupuncture and suction cups, my patient’s low back pain was reduced by 80%. This came as a complete surprise to her, and all of the sudden she was faced with the dilemma of what to do about her scheduled surgery. She was a health professional and understood that back surgery requires a surgeon, an operating room and a team of highly specialized personnel, all of whom were scheduled just for her. She asked me what I thought about acupuncture vs back surgery, and I advised her to wait and see. “You never know how back surgery will work out and it shouldn’t be done unless it’s absolutely necessary. If you’re feeling this much better after one treatment, you’re better off at least waiting on the surgery to see if you continue to feel better.” And I added, “You should talk to your surgeon as well – if they’re good they’ll say the same thing.” The next day her back still felt better, so she called her surgeon to talk about it. He was a good surgeon and agreed to cancel the surgery. My patient came back for her next round of acupuncture treatment and her pain was reduced by 90%. After four treatments 2x/week, her back pain was completely gone. Six weeks later, it is still gone. She’s now getting acupuncture once every two weeks and will drop to once per month to get preventative/restorative tune-up acupuncture for her back if all continues to go well. Given that the typical back surgery cost ranges from $50,000 – $150,000+ these days, and considering the risk involved (some of my most difficult cases are patients who have already had back surgery), it’s imperative that patients, in addition to getting at least a couple of second opinions, try a variety of less invasive care for their back pain before they go on to surgery. These may include different types of bodywork such as Feldenkrais, massage, cranial-sacral therapy, chiropractic and most importantly — in my biased opinion — Acupuncture & Oriental Medicine. Sadly for my patient, her health insurance does not cover acupuncture (although it does cover the $50,000 – $150,000+ cost of surgery), so she will have to pay out of pocket for her acupuncture care. The cost of her Chinese herbs included, if all goes well she will  be paying about $1200/year – a great deal for safe, effective and preventive care (that her insurance really should cover). I love reporting these kinds of stories and look forward to sharing more of them.   With Gratitude, Benjamin Lafayette Acupuncture / San Ramon Acupuncture: Experienced Acupuncture & Herbal Medicine for Lafayette, Moraga, Orinda, Pleasant Hill, Concord, Walnut Creek, Alamo, Danville, San Ramon, Pleasanton, Contra Costa & Alameda Counties, and the Greater East Bay Area....

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Acupuncture Points Research: Combining CT Scans with Synchotron Radiation

Posted by on Jul 10, 2014 in Acupuncture, Blog | Comments Off on Acupuncture Points Research: Combining CT Scans with Synchotron Radiation

By Benjamin Dierauf, LAc While its fairly common knowledge that acupuncture works great for a wide variety of conditions – pain, numbness, stress, and gynecological, immunological, respiratory, and digestive issues, much of the basic science on how it actually works has yet to be discovered. For example, it’s been difficult to identify physiological structures that make an acupuncture point different from other parts of the body. But thanks to the creative use of new technologies, acupuncture points research may be starting to change. I had just gotten my acupuncture license in the early 1990’s when I shared a house with my buddy Tom, an engineer working on the construction of the Advanced Light Source (ALS) housed in the large domed building near the top of the Berkeley hills at the Lawrence Berkeley Laboratory. While my life was focused on learning and practicing a relatively esoteric medicine thousands of years old, his was focused on the cutting edge of technology. We often tried to merge paradigms and discuss questions like “Hey Ben, when I put my head between the poles of these super powerful magnets I feel kind of dizzy – what’s happening to my qi? The years passed by and the Advanced Light Source (ALS), one of the few large scale pure science projects funded during the Reagan years at a cost of $300 million, went on from being what Tom once described as a “high-tech flashlight”, to become one of the most prodigious producers of scientific papers in the world, and probably produces more PhD’s/square foot than any other building in the world! What the ALS does is accelerate electrons around a circle by powerful magnets to almost the speed of light. One section of the ring forces the electrons through an undulating series of magnets that make the electrons emit bundles of light and x-rays – but a thousand times more powerful. This is called synchrotron radiation. Speed forward 20 years, and researchers in China are now using synchrotron radiation in conjunction with CT scans (computerized tomography) to study the anatomy of acupuncture points. CT scans use a series of x-rays to create cross-sectional images of biological tissue. The addition of synchotron radiation creates x-rays with such a high level of brightness, collimation (level of parallel light waves), and polarity, that the resulting 3-dimensional images of biological structures have a level of detail that goes down to the molecular level. Chinese researchers focused their CT scans on the acupuncture points Stomach 36 and Stomach 37 – found on humans approximately 3 and 6 inches below the patellae and half an inch lateral to the lateral border of the tibia, and found significant differences in tissue from non-acupuncture point regions At these acupuncture points the CT scans revealed fine, high-density microvascular structures 15-50 micrometers in size with bifurcations that can clearly be seen around thicker blood vessels that were several dozen micrometers in size. Non-acupuncture point regions displayed a few thick blood vessels but none of the fine, high-density vascular structures.  Researchers also noted that the size of an acupuncture point could be determined by the diameter of these micro-vascular structures. While other research has determined that there are higher densities of nerves and blood vessels in the regions where acupuncture points are present, it had not been scientifically determined if there are unique features specific to acupuncture points. This research, published in the Journal of Electron Spectroscopy and Related Phenomena, challenges that determination. Science creates many more questions than it answers, and questions about the physiological purposes of these highly vascular structures and how they might this relate...

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Obamacare in Action with Acupuncture Insurance

Posted by on May 13, 2014 in Acupuncture | Comments Off on Obamacare in Action with Acupuncture Insurance

By Benjamin Dierauf, LAc This is very exciting – I just treated my first patient who has coverage for acupuncture by her Obamacare insurance plan! I’m treating them with Lafayette acupuncture for allergies, along with Chinese medicinal herbs, and they’re responding well. Their family signed up with a silver level Blue Shield Family EPO Plan which, because of a preexisting condition, is saving them over $1,200/month. (Their old plan came with a $6,000 deductible and cost $2,000/month). For acupuncture services, their new plan requires a $30 copay/visit, has no deductible, no yearly maximum number of treatments – there just has to be a medical necessity, and provides coverage is at 100% of what is allowed. And it covers the treatment of allergies, not just a pain diagnosis as many insurance plans with acupuncture coverage do. This is excellent insurance coverage for Walnut Creek acupuncture! (The Chinese herbal formula is not covered by her acupuncture insurance, so they’re paying out of pocket for it). As for my patient, I gave them a treatment plan of five Lafayette acupuncture sessions. After the first session their throat was no longer hurting, their eyes were itching less, their nose was still stuffy, but the redness on the sides and tip of their tongue had diminished by 50%. Acupuncture works for the treatment of allergies by normalizing physiological function, and this is what is happening with my patient. Their symptoms are not being suppressed by the action of a drug after a more expensive visit with an ENT specialist. Lafayette Acupuncture / San Ramon Acupuncture: Experienced Acupuncture & Herbal Medicine for Lafayette, Moraga, Orinda, Pleasant Hill, Concord, Walnut Creek, Alamo, Danville, San Ramon, Pleasanton, Contra Costa & Alameda Counties, and the Greater East Bay Area....

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