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Writer's pictureBryan Weintraub

What to Expect During a Medical Acupuncture Session

If you're new to acupuncture, you might be curious about what sensations to expect when the needles are inserted. Here’s a breakdown of what patients commonly experience during a session, including the sensations associated with needle insertion and manipulation.


1. Initial Needle Insertion

When the acupuncture needles are first inserted, you may feel a slight prick or pinching sensation. This is generally brief and often described as a minor discomfort rather than pain. The needles used in acupuncture are extremely fine and designed to minimize discomfort.


2. Sensations of Acupuncture Points

Once the needles are in place, you might experience a variety of sensations. These can include:

  • Tingling: Some people feel a gentle tingling or “needle sensation” around the insertion point. This is often referred to as "De Qi" and is considered a sign that the needle is effectively stimulating the acupuncture point.

  • Numbness: Occasionally, patients might experience a mild numbness or heaviness in the area where the needle is inserted. This is typically a normal response and should not be uncomfortable.

  • Warmth: A warming sensation can also occur, especially if the acupuncture points are being stimulated to address issues related to cold or stagnant Qi.

  • Radiating Sensations: In some cases, patients may feel sensations radiating from the needle site to other areas of the body. This can be a sign that the treatment is having an effect on the broader meridian system.


3. Needle Twiddling

During a session, your acupuncturist might gently manipulate the needles, a process sometimes referred to as “twiddling” or “twisting.” This technique is used to enhance the therapeutic effect of the needles. Here’s what you might feel during this process:

  • Increased Sensation: As the acupuncturist twiddles or adjusts the needles, you may feel a heightened sense of the previously mentioned sensations—tingling, warmth, or heaviness. This can sometimes intensify momentarily but should remain within a tolerable range.

  • Deep Pressure: Some patients report feeling a deep pressure or a sensation of energy moving through the body. This is a normal part of the acupuncture experience and can be an indication that the treatment is effectively stimulating the acupuncture points.

  • Shifts in Sensation: The sensations might shift or change as the needles are adjusted. For example, a sensation of warmth might increase or a tingling feeling might spread to other areas of the body.


4. Overall Experience

Throughout the session, many people find the experience quite relaxing. The discomfort from needle insertion is usually minimal and brief, and the overall feeling during and after treatment is often one of calm and relief.

After the session, it's common to feel a sense of relaxation or even euphoria. Some patients report feeling more balanced or energetic, while others may notice a gradual improvement in their symptoms over time.


5. Communicating with Your Practitioner

It’s important to communicate with your acupuncturist during your session. If you experience any discomfort that feels more than just mild or if you have concerns about what you’re feeling, let your practitioner know. They can adjust the needles or technique to ensure that your treatment is as comfortable and effective as possible.


Conclusion

Medical acupuncture offers a unique and nuanced approach to healing that combines ancient techniques with modern understanding. While the sensations experienced during needle insertion and manipulation can vary, they are generally well-tolerated and often contribute to the overall therapeutic effect of the treatment. By understanding what to expect, you can approach your acupuncture sessions with confidence and openness, enhancing your journey toward better health and well-being.

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