Patellofemoral pain syndrome (PFPS), aka 'runners knee' is one of the most common forms of knee pain in adults under the age of 40.¹

PFPS is characterised by diffuse and often vague pain about the front and underside of the knee-cap and is aggravated with squatting, prolonged sitting, stair climbing as well as running.²

I have treated several clients over the past few months who, due to COVID-19 restrictions, took up outdoor running. Continuing to exercise, especially outdoors, has immense benefits; however, if the body is not prepared for running, problems can occur.

I recently came across a nice piece of clinical research by Cescon et al, 2019 (1) who looked at the prevalence and characteristics of myofascial trigger points (MTrPs) in the head and neck, frequently found in people with tension-type headache (TTH).

Research and clinical experience suggest that MTrPs are implicated in the development of tension-type headache (2). The MTrPs may act as a muscular source of nociception (potentially pain-inducing stimuli) which in turn can, over time, trigger the central sensitisation phenomenon common in chronic headache sufferers.

I am writing this after reading about medical acupuncture in the treatment of COVID-19 in a very interesting blog by Dr Mike Cummings, Medical Director at the British Medical Acupuncture Society.

Mike reminded me that the influence of acupuncture is in many cases, homeostatic. In other words, acupuncture can help normalise our body's internal physiological milieu which, depending on how far from 'normal' the body was operating, can have quite profound effects. These homeostatic effects can influence pain, sleep, mood, cognitive function and behaviours, usually very positively.

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Most of my clients are struggling with a musculoskeletal pain issue and find medical acupuncture as part of an integrated approach to treatment very beneficial.

Some of my clients may also be undergoing treatment for cancer and have reported the acupuncture they receive from me has also helped them in other ways, related to their cancer diagnosis and treatment.

The overuse and over prescription of medications which contain opioids for pain is a hot topic and has been receiving more media attention of late.

Opioids, sometimes called narcotics, include strong prescription pain relievers. Examples of opioid medications include oxycodone, hydrocodone, fentanyl, and tramadol. The illegal drug heroin is also an opioid. Some opioids are made from the opium plant, and others are synthetic (man-made).

According to a research paper by Chen et al. (2018), we are still dealing with the aftermath of opioids' use in the US civil war and that 'acupuncture is colliding with the opioid crisis not by accident but by necessity'. 'It is time to optimise our tactics and make sure that our therapies are not misaligned.'