Fear of Acupuncture?

Fear of Acupuncture?

Understanding the Fear

Many patients who have never tried acupuncture may feel a sense of fear for two primary reasons:

1. Fear of Pain:

• Misconception about Needle Pain: Many people equate the pain of acupuncture needles with the pain caused by hypodermic needles used for injections. However, hypodermic needles are significantly thicker (0.45-1.1 mm in diameter) compared to acupuncture needles, which are much finer (0.16-0.3 mm in diameter). Acupuncture needles are also inserted quickly with a guide tube, making the process nearly painless. Therefore, the pain caused by acupuncture is minimal. Most often, the sensation experienced is a mild ache or tingling known as “De Qi” after the needle is inserted.
• Managing Minor Discomfort: If there is any sharp pain during the insertion, it is usually because the needle has touched a capillary. Simply informing the acupuncturist to adjust the angle slightly can alleviate this discomfort.

1. Fear of Needles:

• Psychological Fear: A general fear of needles is a common and normal reaction. Most people experience some level of needle anxiety, which can actually be beneficial as it helps the body become more alert and receptive to the treatment. For those with mild fear, gentle reassurance can help them relax and not affect the treatment process.
• Severe Needle Phobia: For those with a strong aversion to needles, seeing them may trigger significant discomfort or even fainting (known as vasovagal syncope). In such cases, alternative methods like acupressure (using pressure on acupuncture points without needles) or herbal medicine are recommended.

How to Avoid Fainting (Vasovagal Syncope)?

Fainting during acupuncture, although rare, can occur, especially in patients who are extremely anxious, fatigued, or hungry. Here are some tips to prevent this:

• Avoid Extreme Fatigue: Do not come for acupuncture immediately after intense physical exertion (e.g., running or heavy exercise). Ensure you are well-rested before the session.
• Do Not Be Extremely Hungry: While it is okay to be slightly hungry, avoid undergoing acupuncture on an empty stomach if you are very hungry. Eating a small snack beforehand can help maintain your energy levels.
• What to Do if Fainting Occurs: If fainting does occur, it is usually not harmful. The patient should rest, drink some warm water, and the symptoms will gradually subside. After such an episode, it is advisable to wait a few days before resuming acupuncture treatments, and a medical evaluation should be conducted to ensure safety.

In summary, the fear of acupuncture is often based on misconceptions and psychological factors. Understanding the true nature of acupuncture needles and managing expectations can help alleviate this fear. For those with significant needle phobia, alternative treatments are available to ensure they still receive the benefits of traditional Chinese medicine.