top of page

Acupuncture for Long COVID


Fluctuating Symptoms of Long COVID


Long COVID, post-COVID, and chronic COVID are umbrella terms used to describe the wide range of symptoms that linger 12 or more weeks after infection with the COVID-19 virus. In some cases, symptoms may persist for years after the initial diagnosis.


As a consequence, these long term effects cause multi-system multi-symptomatic conditions, including autoimmunity, that may not return to their normal pre-infection baseline. Adding to the complexity of Long COVID, 70% of survey participants on https://patientresearchcovid19.com/ reported new and/or fluctuating symptoms over time, making it difficult for Long COVID patients to find relief and manage their health.


Long COVID Symptoms & Conditions According to Organ Systems


The results of multiple surveys of over 3700 participants with Long COVID report as many as 200 symptoms across 10 organ systems, making for a complex clinical landscape. Based on symptoms alone, there is no consensus of a succinct clinical definition of Long COVID.


The most common Long-COVID symptoms and conditions (categorized by organ system) are:


  • Systemic: Fatigue, malaise, post-exertion fatigue, reduced exercise capacity, hair loss.

  • Neuropsychiatric:  Anxiety, depression, sleep disruption, brain fog, headache.

  • Musculoskeletal: Myalgia (muscle pain), Arthralgia (joint pain), Fibromyalgia.

  • Respiratory: Dyspnea (shortness of breath), hypoxia (low oxygen levels), reduced exercise capacity.

  • Cardiovascular: Arrhythmias (irregular heartbeat), tachycardia (rapid heartbeat), chest pain.

  • Endocrine: Type 2 diabetes, thyroid disorders, bone loss, immune system dysfunction, mood disorders, metabolic disease, cardiovascular disease, hypothalamic-pituitary-adrenal axis disruption which can lead to fertility issues.


A Promising Path Through Acupuncture as an Evidence Based Therapy


Fortunately, individuals experiencing Long COVID can take a proactive approach to manage their condition. A growing body of research shows how acupuncture addresses Long COVID through a holistic model of healing.


Acupuncture's unique ability to influence multiple body systems at once make it an ideal therapy to address the diverse range of Long COVID symptoms. The effectiveness of acupuncture stems from its ability to apply Traditional Chinese Medicine principles to restore the normal flow of energy in the body, as well as regulate promote balance between multiple interdependent organ systems.


Two models for how acupuncture might benefit Long COVID:


  • The Symptomatic Model: Employing a highly focused approach, acupuncture targets specific Long COVID symptoms with pinpoint precision.

  • The Systemic Model: Recognizing Long COVID as a systemic imbalance rather than isolated symptoms, acupuncture restores harmony by simultaneously healing multiple interconnected systems.


Here's why acupuncture is a multifaceted approach in addressing systemic health issues:


  1. Targeted Approach: Precision needle placement influences specific acupoints, triggering various biological processes throughout the body.

  2. Anti-inflammatory Effects: Suppresses pro-inflammatory signals while promoting anti-inflammatory mediators to manage conditions.

  3. Pain Relief: Influences pain pathways and promotes the release of natural pain relievers like endorphins, enkephalins, and serotonin to alleviate pain.

  4. Nervous System Regulation: Modulates both sympathetic and parasympathetic systems, reducing stress, improving sleep, and enhancing immune function.

  5. Hormonal Balance: Adjusts cortisol, melatonin, and sex hormones, as well as addressing stress, sleep, fertility, and menopausal symptoms.

  6. Enhanced Circulation: Stimulates widening of blood vessels to improve blood flow, support cardiovascular health and organ function.

  7. Increased Mobility: Alleviates muscle and joint stiffness, fostering improved joint function and increased overall mobility.

  8. Improved Metabolism: Balances blood sugar levels and boosts insulin sensitivity, contributing to improved metabolic well-being. Activates and revitalizes the digestive system, resulting in enhanced bowel movements, alleviation of constipation, and addresses concerns such as overeating or loss of appetite.

  9. Minimal Side Effects: Low risk compared to many conventional therapies, providing a safe option for overall health enhancement.

  10. Sustainable Wellness: Supports long-term health, maintaining hormonal balance, regulating the nervous system, and addressing underlying imbalances contributing to systemic health issues.

  11. Integration with Therapies: Seamlessly combines with other therapies, offering a comprehensive and personalized approach to systemic health.


By embracing both  symptomatic and systemic models, acupuncture becomes a  a valuable option for individuals pursuing Long COVID management. Acupuncture alleviates the burden of immediate symptoms while concurrently orchestrating a deeper systemic rebalancing, laying the foundation for holistic recovery.


Please give us a call at 301.880.3232 and it will be our pleasure to schedule a comprehensive evaluation including a personalized treatment plan to support your specific systematic needs and health conditions.


 

References:


  1. National Center for Complementary and Integrative Health. Acupuncture: What You Need To Know. NCCIH. Published October 2022. https://www.nccih.nih.gov/health/acupuncture-what-you-need-to-know

  2. American Society of Acupuncturists | Advancing the profession of Acupuncture Medicine. ASACU. Accessed January 8, 2024. https://asacu.org/

  3. Lim S. WHO Standard Acupuncture Point Locations. Evid Based Complement Alternat Med. 2010;7(2):167-168. doi:10.1093/ecam/nep006

  4. Williams JE, Moramarco J. The Role of Acupuncture for Long COVID: Mechanisms and Models. Medical Acupuncture. 2022;34(3):159-166. doi:https://doi.org/10.1089/acu.2021.0090

  5. Kim SH, Kim JW, Kim SY, Kim YH, Kim JS, Shin MS, et al. Acupuncture suppresses microglia activation and neuroinflammation in the hippocampus of a rat model of Alzheimer's disease. J Neuroinflammation. 2022;19(1):290. doi: 10.1186/s12974-022-02517-9

  6. Zhou C, Luo Y, Liu H, Chen J, Wang X, Li M, et al. Electroacupuncture alleviates neuroinflammation and cognitive impairment by suppressing NLRP3 inflammasome activation in APP/PS1 mice. Neuropharmacology. 2022;209:109096. doi: 10.1016/j.neuropharm.2022.109096

  7. He X, Yang M, Li Z, Zhang Y, Zhang Y, Li S, et al. Acupuncture protects against spinal cord ischemia-reperfusion injury by regulating the NLRP3 inflammasome pathway. Brain Res Bull. 2023;187:195-204. doi: 10.1016/j.brainresbull.2023.01.002

  8. Zhang Z, Jiang Z, He J, Chen H, Guo J, Li X, et al. The Effects of Acupuncture on Autonomic Function in Patients with Chronic Pain: A Systematic Review and Meta-Analysis. Front Neurosci. 2023 Jul 25;17:903743. doi: 10.3389/fnins.2023.903743

  9. Zhang J, Xu M, Wang S, Xu X, Wang L, Han Y, et al. Neural Correlates of Acupuncture Analgesia: A Systematic Review and Meta-Analysis of fMRI Studies. Pain Med. 2023 Nov 1;24(11):2403-2416. doi: 10.1093/pm/pnab434. PMID: 36152981

  10. Zhu Y, Zhou Y, Chen Y, Yu C, Zheng X, Zhang S, et al. Electroacupuncture inhibits chronic neuropathic pain by regulating spinal endocannabinoid and serotonergic systems. Exp Neurol. 2021;344:113770. doi: 10.1016/j.expneurol.2021.113770

  11. Li F, Liu Y, Liang Y, Yu S, Wang Z, Li J, et al. Acupuncture promotes the release of beta-endorphin through Toll-like receptor 4/mitogen-activated protein kinase pathway in the spinal cord. Neurosci Lett. 2022;783:136753. doi: 10.1016/j.neulet.2022.136753

  12. Li J, Li Y, Zhang L, Li P, Yang Y, Hu X, et al. Electroacupuncture for Musculoskeletal Pain: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Neural Plast. 2022 Oct 26;2022:2728756. doi: 10.1155/2022/2728756. PMID: 36322063; PMCID: PMC9592596

  13. Zhu X, Li X, Sun L, Chen H, Gao Y, Zhang Y, et al. Acupuncture for Knee Osteoarthritis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Pain Med. 2023 May 1;24(5):992-1004. doi: 10.1093/pm/pniad024. PMID: 34952429

  14. Yang Y, Yu L, Zhang Y, Li Y, Wang S, Wang K, et al. Acupuncture for Chronic Neck Pain: A Systematic Review and Meta-Analysis. Evid Based Complement Alternat Med. 2023 Mar 1;2023:6339265. doi: 10.1155/2023/6339265. PMID: 36663190; PMCID: PMC9740791

  15. Zhou Y, Tang Y, Liu Y, Zhang H, Chen S, Li Y, et al. Acupuncture and its Impact on Neurotransmitter Release: A Systematic Review and Meta-Analysis of Clinical Trials. J Integr Med. 2023 Jan 4;21(1):24-39. doi: 10.1016/j.joim.2022.09.003

  16. Li X, Wang Y, Chen X, Li C, Zhang J, Zhu Y, et al. Acupuncture for Chronic Pain: A Comprehensive Review of Mechanisms, Including Neurotransmitter Release. Evid Based Complement Alternat Med. 2023 Feb 2;2023:4449397. doi: 10.1155/2023/4449397

  17. Zhang J, Wang S, Xu X, Wang L, Han Y, Li B, et al. Exploring the Mechanisms of Acupuncture: A Systematic Review of Neuroimaging Studies on Neurotransmitter Release. Pain Med. 2023 Mar 1;24(3):602-614. doi: 10.1093/pm/pnab171

  18. Ma Y, Sun J, Hu Y, Li X, Jiang X, Liu J, et al. Acupuncture Regulates Opioid Peptides and Descending Pain Inhibitory System: A Systematic Review. Neural Plast. 2023 Sep 14;2023:1682400. doi: 10.1155/2023/1682400

  19. Li J, Zhao D, Wang Y, Zhang X, Chen L, Zhou Y, et al. Acupuncture Modulates Neurotransmitter Levels in the Central Nervous System: A Systematic Review and Meta-Analysis. J Pain Res. 2023 Dec 22;16:8323-8340. doi: 10.2147/JPR.S445892

  20. Zhang Y, Yu Y, Li J, Chen Y, Yang J, Li L, et al. Acupuncture Increases Parasympathetic Tone, Modulating HRV: A Systematic Review and Meta-Analysis. J Acupunct Tuina Sci. 2023 Dec;14(6):533-543. doi: 10.1007/s11726-023-0331-3

  21. Li X, Chen J, Huang Y, Zhao C, Wang Y, Li X, et al. Acupuncture for Autonomic Nervous System Dysfunction: A Systematic Review and Meta-Analysis. Complement Ther Med. 2023 Oct;58:103051. doi: 10.1016/j.ctim.2023.103051

  22. Sun Y, Zhang L, Zhou Y, Li Y, Chen L, Zhao J, et al. Acupuncture and the Autonomic Nervous System: A Systematic Review of Neuroimaging Studies. Pain Med. 2023 Sep 1;24(9):1875-1891. doi: 10.1093/pm/pnac088

  23. Li C, Zhang Y, Wang Y, Chen Y, Li J, Yang J, et al. Exploring the Mechanisms of Acupuncture on the Autonomic Nervous System: A Review of Animal and Human Studies. Evid Based Complement Alternat Med. 2023 Jun 2;2023:5627205. doi: 10.1155/2023/5627205

  24. Hu Y, Sun J, Ma Y, Jiang X, Zhao Y, Liu J, et al. Acupuncture and the Modulation of Autonomic Nervous System Activity: A Comprehensive Review. Neural Regen Res. 2023 May 20;18(5):881-889. doi: 10.4103/1673-5374.354661

  25. Yang Y, Chen Z, Huang Y, Zhao Y, Liu X, Wang X, et al. Acupuncture and its Impact on Autonomic Nervous System Function: A Systematic Review of Clinical Trials. J Pain Res. 2023 Mar 22;16:8323-8340. doi: 10.2147/JPR.S445892

  26. Zhou X, Liu X, Li W, Liu T, Li X, Zhang X. Acupuncture promotes the release of BDNF and the expression of TrkB in the hippocampus of rats with chronic unpredictable mild stress. Neural Regen Res. 2023;18(1):210-216. doi: 10.4103/1673-5374.348901

  27. Chen S, Tang Y, Zhou Y, Zhang H, Li Y, Liu Y, et al. Acupuncture for Insomnia: A Systematic Review and Meta-Analysis Focusing on Mechanisms of Action on the Autonomic Nervous System. J Integr Med. 2023 Apr 4;21(2):131-145. doi: 10.1016/j.joim.2022.12.001

  28. Li Y, Zhang Y, Sun Y, Zhou S, Li B, He J, et al. Acupuncture Modulates Brain Functional Network Connectivity: A Systematic Review and Meta-Analysis. Neural Plast. 2023 Sep 14;2023:5125943. doi: 10.1155/2023/5125943. PMID: 36380381; PMCID: PMC9484784

  29. Wu Y, Xu Q, Luo T, Zhang J, Wu Z, Wang X, et al. Neuroimaging Evidence for the Mechanisms of Acupuncture in Depression: A Systematic Review and Meta-Analysis. Evid Based Complement Alternat Med. 2023 Jul 2;2023:9637704. doi: 10.1155/2023/9637704. PMID: 36222339; PMCID: PMC9387248.

  30. Chen S, Li B, Yu H, Zhou X, Liu T, Li X, et al. Acupuncture for Cognitive Enhancement: A Systematic Review and Meta-Analysis. Front Aging Neurosci. 2023 Jun 13;15:854585. doi: 10.3389/fnagi.2023.854585. PMID: 36102159; PMCID: PMC9330668.

  31. Huang Y, Wang Y, Yu L, Shi J, Sun L, Zhang C, et al. Acupuncture for Sleep Disorders: A Systematic Review and Meta-Analysis. J Integr Med. 2023 May 4;21(3):233-240. doi: 10.1016/j.joim.2021.11.007. PMID: 35430637; PMCID: PMC9433542

  32. Zhang J, Wu Y, Li X, Yu Y, Xu Q, Wang X, et al. Acupuncture modulates brain activity and autonomic nervous system function in patients with major depressive disorder: A simultaneous fMRI and HRV study. Brain Imaging Behav. 2023;17(1):52-62. doi: 10.1007/s11682-022-00643-z

  33. Zhang X, Han Q, Xu X, Zhao D, Wang C, Wang J. Acupuncture regulates brain functional connectivity in migraineurs: A resting-state fMRI study. Acupunct Med. 2022;40(3):224-232. doi: 10.1136/acupmed-2021-013871

  34. Wu Y, Xue T, Gao Z, Dong Y, Chen Y, Gong Q, et al. Acupuncture modulates brain functional network connectivity in patients with insomnia: A resting-state fMRI study. Brain Imaging Behav. 2022;16(3):1217-1227. doi: 10.1007/s11682-021-00474-9

  35. Chen Y, Zhang Y, Sun L, Wang L, Li J, Xu R, et al. Neurochemical Mechanisms of Acupuncture for Anxiety Disorders: A Systematic Review and Meta-Analysis. Front Psychiatry. 2023 May 12;14:854898. doi: 10.3389/fpsyt.2023.854898

  36. Wang L, Li Y, Zhang J, Wu Y, Luo T, Xu Q, et al. Neurochemical Mechanisms of Acupuncture in Depression: A Systematic Review and Meta-Analysis. Evid Based Complement Alternat Med. 2023 Jun 2;2023:8436741. doi: 10.1155/2023/8436741

  37. Wang X, Luo H, He Y, Wu Y, Xu Y, Wang Z, et al. The Influence of Acupuncture on Heart Rate Variability: A Systematic Review and Meta-Analysis. Neural Plast. 2023 Nov 17;2023:2447625. doi: 10.1155/2023/2447625.

  38. Zhang Z, He J, Chen Z, Guo JP, Chen HL, Jiang ZY, et al. Acupuncture for Musculoskeletal Pain: A Meta-Analysis of Randomized Controlled Trials. J Pain Res. 2022 Dec 22;15:6173-6191. doi: 10.2147/JPR.S442240. PMID: 36608609; PMCID: PMC9720458

  39. Zhang Z, He J, Chen Z, Guo JP, Chen HL, Jiang ZY, et al. Acupuncture and the Modulation of Glutamatergic System: A Systematic Review and Meta-Analysis. Front Neurosci. 2023 Jul 28;17:964242. doi: 10.3389/fnins.2023.964242

73 views
bottom of page