I've been answering questions on this site for a couple of years now. There's been a recent trend towards acupressure questions which I addressed in my first blog post. Generally,...
As part of this site, patients have the capability of asking questions of practitioners and subject matter experts. Recently I’ve been seeing a lot of questions that take the...
My suggestion would be to start with either your primary care provider or an orthopedic specialist. Get some imaging and an evaluation of your ankle. If the images and eval give us a concrete cause for the pain, then we're in a much better position to set expectations around what can and cannot be done as well as what treatment modality is going to give you the best potential outcome.
This is something that you need to work out with your primary care provider.
Without knowing the specifics (i.e. what drugs are involved), it's difficult to know whether the issue could be managed without prescription medication. There are acupuncture techniques which can help a person deal with addictive behaviors, but drugs like meth and cocaine do not typically respond well to this type of intervention.
The best approach is often a combination of prescription medication combined with therapy and other non-medication type therapies like acupuncture.
If this is more along the lines of chronic bronchitis, there are still things you can to do minimize the impact on your life. Staying away from smoke, minimizing your exposure to air pollutants, and using acupuncture/herbal medicine/OTC meds to help clear mucus and dilate the bronchi.
As to whether anxiety can go away on it's own, again, sometimes. Most of the time you're going to have to expend some effort to understand what causes the anxious feelings to arise and why anger is your response to those feelings. Therapy is an excellent place to explore these issues.
Acupuncture and Chinese medicine can support therapy and help to manage things by down regulating your central nervous system.
In time, you can probably reduce the overhead in terms of anxiety and develop strategies for managing break through anxiety and anger.
Chronic pain rarely "just happens". There's a history to what's going on, and without that information there's not a lot I can offer in terms of potential solutions.
If you haven't done so already, get with your primary care provider and at least get an x-ray. We won't be able to see soft tissue on an x-ray, but sometimes we can make educated inferences based on what we can see. Knowing what's going on in the joint will help figure out the best course of treatment.
You could try eating magnesium rich foods or adding a magnesium supplement to see if that brings your blood pressure down enough.
Chinese medicine and acupuncture have a pretty good track record with hypertension. In the Chinese system, there are multiple different potential causes so you'd need to see someone who understands that and knows how to differentiate the diagnosis to get you the most effective treatment. In other words, a chiropractor or a physical therapist are likely not going to be much help. You need someone who attended and graduated from a school of Chinese medicine and is licensed as an acupuncturist.
Most modern western interpretations of the Chinese character we pronounce as "qi" are fundamentally flawed/inaccurate. It's a term/idea/understanding that we probably should have adopted rather than attempted to translate.
That being said, if you're not experiencing any residual pain and there's no infection at the removal site, there's little call to do anything from a treatment perspective.
Your first stop should be your primary care provider for at least an x-ray of the joint. Having some understanding of what the problem is will help to level set expectations about possible treatment outcomes.
If this is something along the lines of seasonal allergies, acupuncture and Chinese medicine can often help. In time, seasonal allergy can often be reduced to the point that it's not a major life event. I used acupuncture and herbal medicine to manage my seasonal allergy and it took 2 years to get them to the point that I don't notice the season change.
If this is a food allergy, acupuncture can still help. For a time you will need to avoid the food item or items that are causing the issue.
If this is some other allergic type reaction, I'd need a lot more information.
Your images could be clotted blood, could be pieces of placenta.
I have a few guesses here:
1. Your patient has a severe allergy to surgical stainless steel.
2. Your patient has been in chronic pain long enough that he has become centrally sensitized and his brain is now interpreting most signals as pain signals.
3. The acupuncturist is needling too deeply and/or has one track they use to treat issues like this and can't think outside the box enough to come up with another way that fits this patient better.
As far as the herbs go - it's very easy to miss on a Chinese diagnosis and get the wrong herbal formula. Most folks see "inflammation", think "heat" and go for heat clearing herbs. Sometimes this is the case, and sometimes it's a lot more complicated than that.
I'd have to see/evaluate the patient to give any more/better advice in this case. My best suggestion would be to see if you can find an acupuncturist who practices either Tung/Tan or has more of an ortho/sports medicine focus. You need someone who can either treat the painful area without needling in the painful area or someone who can address specific structure in the painful area with a high degree of accuracy. Unfortunately, most acupuncturists practice so-called "TCM" acupuncture and this leaves them limited when local needles either don't solve the problem, cause more problems, or both.
The liver is unique among organs in that, if enough of it is healthy, it can regenerate to a degree. I've worked with several NAFLD (non-alcoholic fatty liver disease) patients and, assuming we can get the diet under control, there is almost always some progress that can be made. A complete fix, in certain circumstances, is unrealistic.