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Why does my pain return after dry needling?

4/23/2026

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Why does my pain return after dry needling?
Dry needling is a valuable tool for relieving pain, tightness and trigger points in muscles, but it’s not a cure-all.

Trigger points are tight, sensitive areas within muscle tissue, often described as “knots.” They can develop due to muscle imbalances, poor posture, overuse, or injury. When a muscle becomes tight, it functions less effectively and weakens over time. Conversely, weak muscles become tight as they compensate for instability. This cycle can lead to the formation of trigger points, where muscle fibers contract and fail to relax properly.

Dry needling works by targeting these trigger points directly. This can help release tension, improve blood flow, and reduce pain.
(Massage is limited by the depth that can be reached through the skin).

However, releasing a trigger point is only one part of the solution.

Once the trigger point is addressed, strengthening the muscle is essential. In chronic cases (typically lasting longer than three months) the brain begins to “avoid” using the affected muscle, relying instead on other muscles to compensate. These compensation patterns lead to further dysfunction and discomfort.

That’s where exercise comes in.

Rehabilitation exercises help retrain the brain to properly activate the affected muscle. This restores normal movement patterns, improves strength, and reduces the likelihood of trigger points returning. When used on its own, dry needling can provide short-term relief. But when combined with targeted exercise, it becomes a far more effective and lasting treatment approach.

CLICK HERE to book an appointment today if you have trigger points and looking for dry needling. We are located in Midtown New York.
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How Acupuncture, Dry Needling, and Pilates Can Help Manage Spinal Stenosis

4/14/2026

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How Acupuncture, Dry Needling, and Pilates Can Help Manage Spinal Stenosis: 

Spinal stenosis - a condition characterized by the narrowing of spaces within the spine - can lead to persistent pain, numbness, and reduced mobility. While traditional medical treatments like medication, injections, or surgery are often discussed, many people are turning to integrative approaches to manage symptoms more holistically. Among these, acupuncture, dry needling, and Pilates stand out as effective, non-invasive strategies that can complement conventional care.

Understanding Spinal Stenosis
Spinal stenosis most commonly affects the lower back (lumbar spine) and neck (cervical spine). As the spinal canal narrows, it can place pressure on the spinal cord and nerves, leading to symptoms such as:
  • Chronic back or neck pain
  • Tingling or numbness in the limbs
  • Muscle weakness
  • Difficulty walking or standing for long periods
Because symptoms often worsen over time, early and consistent management is key.

Acupuncture: Restoring Balance and Reducing Pain
Acupuncture, a cornerstone of traditional Chinese medicine, involves inserting very thin needles into specific points on the body to stimulate energy flow (Qi).
From a modern medical perspective, acupuncture is believed to:
  • Trigger the release of endorphins (natural painkillers)
  • Improve blood circulation to affected areas
  • Reduce inflammation
  • Calm the nervous system
For individuals with spinal stenosis, acupuncture can help alleviate pain and improve overall function without the side effects often associated with medications. Many patients report a sense of relaxation and reduced muscle tension after sessions, which can contribute to better mobility.

Dry Needling: Targeting Muscle Dysfunction
Dry needling is often confused with acupuncture, but it is based on Western medicine principles and focuses specifically on muscular trigger points—tight bands or knots within muscles that cause pain.
In spinal stenosis, surrounding muscles often become tight and overworked as they compensate for structural changes in the spine. Dry needling works by:
  • Releasing muscle knots and reducing tension
  • Improving range of motion
  • Decreasing referred pain
  • Enhancing muscle activation and recovery
By addressing muscular imbalances, dry needling can reduce some of the secondary pain associated with spinal stenosis, making movement easier and less painful.
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Pilates for spinal stenosis and low back pain
Pilates: Building Strength and Stability
Pilates is a low-impact exercise system that emphasizes core strength, flexibility, and controlled movement. It is particularly beneficial for spinal health because it focuses on stabilizing the muscles that support the spine.
For those with spinal stenosis, Pilates can:
  • Strengthen core muscles to better support the spine
  • Improve posture and spinal alignment
  • Increase flexibility and mobility
  • Reduce pressure on compressed nerves
Exercises are typically performed slowly and with precision, making Pilates adaptable for different levels of ability and pain. With guidance from a trained instructor or physical therapist, individuals can safely build strength without aggravating symptoms.

The Power of a Combined Approach
While each of these therapies offers unique benefits, their combined use can be especially powerful. Acupuncture and dry needling can help manage pain and muscle tension, creating a more comfortable foundation for movement. Pilates, in turn, helps build long-term strength and resilience, addressing the root causes of dysfunction.
Together, they create a comprehensive approach that:
  • Reduces pain
  • Improves mobility
  • Enhances quality of life
  • Potentially delays or avoids the need for more invasive treatments

Final Thoughts
Living with spinal stenosis can be challenging, but it doesn’t have to mean giving up an active, fulfilling life. Integrating therapies like acupuncture, dry needling, and Pilates into your care plan can offer meaningful relief and empower you to take control of your health.

If you are ready to start your healing journey click here to make an appointment. ​
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Morton’s Neuroma Treatment in Midtown NYC: How Acupuncture Can Relieve Foot Pain

3/17/2026

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If you’re experiencing sharp or burning pain in the ball of your foot, you may be dealing with Morton’s neuroma - a common condition we treat at our clinic.

What Is Morton’s Neuroma?
​
Morton’s neuroma is a painful but benign thickening of tissue around a digital nerve, most often found between the third and fourth toes. It can cause:
  • Burning or sharp foot pain
  • Numbness or tingling in the toes
  • The feeling of a “pebble in your shoe”
This condition is especially common in people who spend long hours on their feet in New York City.
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Acupuncture for Morton’s Neuroma
What Causes Morton’s Neuroma?
Morton’s neuroma develops from compression, irritation, or injury to the nerve.

Common contributing factors include:
  • Tight or narrow shoes
  • High heels
  • Foot structure and biomechanics
  • Repetitive stress from walking or standing

Acupuncture for Morton’s Neuroma in NYC: 
At our Midtown Manhattan clinic, we use acupuncture and various foot exercises to treat Morton’s neuroma naturally and effectively.

The goals of treatment are to:
  • Calm irritated nerve tissue
  • Reduce inflammation
  • Break up scar tissue
  • Relieve pain and restore normal foot function

Many patients seek acupuncture as a non-surgical alternative for foot pain relief in NYC.

Supportive Therapies We Recommend: 
To enhance your recovery, we may recommend:
Toe Spacers: Help relax the foot, improve alignment, and reduce pressure on the nerve.
Pain Relief Patch: Used after treatment sessions to minimize discomfort and inflammation.

At-Home Care for Lasting Relief: 
For best results, we encourage patients to continue care at home:
  • Perform targeted foot exercises
  • Use toe spacers between treatments
  • Apply pain patch as needed
  • Transition to wide, supportive footwear

Looking for Morton’s Neuroma Treatment in Midtown NYC?
If you’re struggling with foot pain, acupuncture & corrective exercises may provide the relief you need - without injections or surgery.

Book an Appointment today and start your recovery.
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TFCC Wrist Pain Treatment in Midtown NYC: Acupuncture & Dry Needling After Krav Maga Injury

3/16/2026

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If you’re dealing with pain on the pinky side of your wrist, especially after training or physical activity like Krav Maga, you may be experiencing a TFCC injury.
​
At our Midtown NYC clinic, we specialize in acupuncture and dry needling for wrist pain, helping patients recover naturally without relying solely on medication.
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Acupuncture for TFCC (Triangular Fibrocartilage Complex) pain on the pinky side of the wrist after Krav Maga

What Is a TFCC Injury?​
The Triangular Fibrocartilage Complex (TFCC) is a structure on the ulnar (pinky) side of the wrist that stabilizes and cushions the joint.
Injury or irritation to the TFCC can lead to:
  • Persistent pain on the pinky side of the wrist
  • Pain that worsens with rotation (turning a doorknob, gripping, lifting)
  • Weakness or reduced wrist stability
TFCC injuries are common in athletes and individuals practicing martial arts, including Krav Maga.

Case Overview: Wrist Pain After Krav Maga
A patient presented with:
  • Ongoing ulnar-sided wrist pain after training
  • Increased discomfort with activity and rotation
  • Negative X-ray (no fracture)
  • MRI showing swelling but no tear
They were advised to rest and use Advil as needed, but were still experiencing persistent discomfort with movement. 

Acupuncture for TFCC Pain in NYC: 
At our Midtown Manhattan clinic, acupuncture is used to:
  • Increase circulation to the injured area
  • Reduce inflammation and swelling
  • Promote natural tissue healing
  • Relieve pain without invasive procedures
This makes it an excellent non-surgical treatment option for TFCC pain in New York City.

Dry Needling for Forearm Tension: 
​
In addition to acupuncture, we use dry needling to target tight muscles that contribute to wrist strain.
Treatment focuses on:
  • Forearm flexors and extensors
  • Muscle trigger points that limit mobility
  • Releasing tension to reduce stress on the TFCC
This combination helps restore proper wrist mechanics and speeds up recovery.
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Dry Needling of Extensor Carpi Radialis
Post-Treatment Pain Relief: After each session, we apply an herbal pain patch to:
  • Reduce soreness
  • Decrease inflammation
  • Provide continued relief between treatments
Looking for TFCC Wrist Pain Treatment in Midtown NYC?
​
If you’re experiencing wrist pain from sports, martial arts, or overuse, acupuncture and dry needling may help you recover faster and avoid long-term issues.
​
Visit our Midtown NYC clinic to get a personalized treatment plan and start healing today.
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Acupuncture and Chinese Medicine for Cancer

2/24/2026

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In this video lecture series Dr. Thomas N. Leung, Pharm BS., DACM, L.Ac, CEO of Kamwo Herbs discusses frequently asked questions regarding cancer and Chinese medicine: 
  1. What is Chinese medicine, and how does it differ from Western medicine in how it understands health and illness?
  2. How can Chinese medicine support someone who has been diagnosed with cancer?
  3. When someone is already in active treatment (like chemotherapy or radiation), how does Chinese medicine fit in - does it complement, conflict, or stand apart?
  4. Are there particular therapies (acupuncture, herbs, nutrition, qi gong, etc.) that you find especially helpful for cancer patients?
  5. Some people worry that herbal medicine might interfere with conventional treatments. How do you address those concerns?
  6. Are there common misconceptions about Chinese medicine and cancer care that you’d like to clear up?
  7. How personalized is treatment in Chinese medicine — would two people with the same type of cancer receive very different care plans?
  8. What kinds of symptoms or side effects is chinese medicine most helpful with?
  9. If someone is interested in trying Chinese medicine, what should they look for in a practitioner?
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Jiu Jitsu finger sprain treatment with San Huang San + Wu Yang Patch

2/13/2026

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Acupuncture and Chinese Medicine's role in Cancer Care

2/5/2026

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How people get sick from a Traditional Chinese Medicine perspective

2/4/2026

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Healthcare feels way too complicated these days. This video does a great job breaking down how people get sick from a Traditional Chinese Medicine perspective—lots of food for thought.
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Micro Fracture of Fingers and Hand from a Fall

1/15/2026

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Micro fracture of Trapezoid and Capitate bones in the hand
Micro fracture of the small bones of the hand (the Trapezoid, the Capitate and the second metacarpal to be exact) due to a fall. Patient was advised by their doctor to buddy tape the fingers. The doctor explained that the fractures are very small and that the body will just naturally absorb them. Medical massage, various herbal oils and acupuncture help aid healing by reducing unnecessary swelling, pain and increasing blood flow to the affected area.
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Microneedling, acupuncture and herbs for stress induced hair loss “Telogen Effluvium”

12/25/2025

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Microneedling, acupuncture and herbs for stress induced hair loss “Telogen Effluvium”

When hair loss is caused by stress it is called “telogen effluvium”. 
Telogen Effluvium (TE) is a non-scarring alopecia where a significant stressor (emotional, physical, or metabolic) shifts hair follicles prematurely from the anagen (growth) phase to the telogen (resting) phase. This results in diffuse hair shedding, usually occurring 2–3 months after the trigger. Under chronic stress Telogen Effluvium can last up to 7 years. 

Why Minoxidil and Finasteride Isn’t Always Effective for Chronic Hair Loss: 
Minoxidil acts as a vasodilator and prolongs the anagen (growth) phase, but it doesn’t address the upstream triggers of Telogen Effluvium, i.e., cortisol dysregulation, nervous system imbalance, systemic inflammation, or blood deficiency. It can sometimes help by forcing some follicles back into anagen (growth) but the benefits are inconsistent if the stressor remains.

How does Microneedling (MN) help Stress-Induced Hair Loss? 

Mechanism:
Microneedling can:
• Increase local blood flow
• Release growth factors (e.g., VEGF, IGF-1)
• Boost collagen and extracellular matrix remodeling
• Improve absorption of topical serums (herbal or cosmeceutical)

Relevance for Telogen Effluvium:
• If the stress is no longer active, Microneedling can help re-stimulate dormant follicles and restore a healthy cycle.
• If chronic stress is ongoing, Microneedling may offer modest gains but won’t override the underlying cortisol imbalance or blood stagnation.

Recommended Microneedling strategy:
• Use lower needle depths (0.5mm once weekly.)
• Pair with calming and follicle-nourishing topicals (e.g., Dan Shen + He Shou Wu serum).
• Avoid overstimulation, as it can backfire in people with stress-induced inflammation.

Acupuncture + Chinese Herbs for Telogen Effluvium: 
Why it works better long-term:
• Acupuncture: Regulates the HPA axis, down-regulates cortisol, improves blood flow to the scalp, and calms the nervous system (shen).
• Herbs: Address root patterns like Liver Qi stagnation, Blood Deficiency, Kidney Jing Depletion, or Spleen Deficiency (based on pulse, tongue, and constitution).

Best Clinical Approach:  
You might consider:
• Week 1-4: Acupuncture 2x/week + herbs (individualized)
• Week 5+: Introduce MN (1x/week) 
• Continue acupuncture 1x/week for maintenance

Summary: 
• Microneedling is a useful adjunct, but less effective as a primary treatment for Telogen Effluvium caused by chronic stress.
• Acupuncture + Herbs remain the most effective tools for regulating stress response and restoring follicle function.
• A combined protocol (internal + external) provides the best outcomes for stress-related hair loss.

(written by Josh Nerenberg, L.Ac + Anna Hajosi, L.Ac) 


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Chinese Herbs for Chemotherapy-induced hair loss

5/6/2025

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Chemotherapy-induced hair loss is a common side effect, and many people explore complementary approaches, supplements and natural herbs to support hair regrowth and improve overall well-being. While these approaches cannot prevent hair loss caused by chemotherapy, it may help support recovery post-treatment.

In the video below, Dr. Thomas N. Leung, Pharm BS., DACM, L.Ac, CEO of Kamwo Herbs, discusses how Chinese Herbs can help with Chemotherapy-induced hair loss. 

Important Notes
  • Always consult with your oncologist before adding herbal medicine to your care. 
  • Work with a qualified TCM practitioner who has experience supporting cancer recovery.
Purchase the herbs here


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Natural Herbs for stiff low back, chronic low back pain

4/20/2025

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In the video below, Dr. Thomas N. Leung, Pharm BS., DACM, L.Ac, CEO of Kamwo Herbs, discusses natural herbs that can improve circulation to the lower back, particularly for older athletes and individuals. According to Chinese Medicine, as we age, we lose our Yin, Yang, and Jing, leading to stiffness, increased brittleness, and various aches and pains. This herbal blend is designed to address this specific issue. While strengthening and stretching remain crucial, these herbs provide additional support.

Buy a bag here. 
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Acupuncture and Massage for Dupuytren's Contracture. Natural Healing Options for Hand Mobility

3/18/2025

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Acupuncture and Massage for Dupuytren's Contracture
Dupuytren's Contracture, a condition affects the tendons in the hand, often results in pain, stiffness, and limited mobility. Fortunately, acupuncture, massage, and herbal remedies can play an important role in managing symptoms and improving hand function.

How does acupuncture help manage Dupuytren's Contracture symptoms? 
Acupuncture is very beneficial for treating Dupuytren's Contracture. This ancient practice works by relieving pain, reducing stiffness of the hand, and improving overall hand mobility. Acupuncture can also help slow the progression of the condition and promote healing by stimulating energy flow (Qi) and nourishing the tendons with improved blood flow. 

The Role of Massage in Treating Dupuytren's Contracture:
Massage (with Tendon Lotion, a specialized herbal topical that helps to relieve pain, soften and relax the tendons) is another effective approach for managing Dupuytren's Contracture. Massage helps to improve circulation, reduce stiffness, and maintain flexibility in the fingers and hand. 
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Tendon Lotion helps to soften the stiff Dupuytren's Contracture tissue
Natural Herbs for Healing Dupuytren's Contracture: 
Dupuytren's usually starts in middle age or later, though it can sometimes develop in younger adults. As we age our Jing (our vital energy) starts to deplete and the tendons and ligaments become depleted and not sufficiently nourished. Besides staying hydrated and eating well this Bone & Tendon Healing Soup can help restore the declining vital substances and promote healing of tendons, ligaments. Plus it tastes yummy!
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Natural Herbs for Dupuytren's Contracture
How Many Sessions Are Needed for Dupuytren's Contracture Treatment?
The number of acupuncture sessions varies depending on the severity of the condition. Initially, we recommend two sessions per week. As the hand softens and mobility improves, the frequency can be reduced to one session per week.
In between acupuncture sessions I highly recommend using the Tendon Lotion 3-4x daily to soften the stiffness in the hand. Drinking the Bone & Tendon Healing Soup daily for tho-three months can further support the healing process. 

If you're suffering from Dupuytren's Contracture, don't wait. Book your appointment today and experience the healing benefits of acupuncture, massage, and herbal remedies. We are located in Midtown New York. 
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Acupuncture, Dry Needling, Massage, Herbs, Heat, Exercise for Osteoarthritis Pain

3/16/2025

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In this post I’m going to discuss successful options for osteoarthritis for those not wanting surgery or constantly rely on painkillers. I am going to explain how acupuncture, dry needling, massage, exercise, heat therapy and herbs provide pain relief, improve quality of life, and decrease overall discomfort. 

Osteoarthritis usually occurs when cartilage is torn, or becomes worn, causing the articular surfaces of the bones to rub. Cartilage can be damaged by a single injury, or through chronic misuse, like living with poor posture, carrying excess body weight or training with poor alignment. ​
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Dry needling and Trigger Point Acupuncture for knee osteoarthritis pain
Bones and muscle have good blood supply, so a fracture or muscle strain heals fairly quick. Tendons and ligaments have limited blood supply, so healing takes longer. Cartilage contains no nerves and does not have a full blood supply. As such, cartilage does not have the capacity to heal on its own. 

The only true cure for osteoarthritis is joint replacement surgery. The treatment goal for the conservative treatment is to provide pain relief, decrease inflammation, preserve joint function and improve quality of life.

Living with osteoarthritis can be painful and frustrating, however the following options can help manage the uncomfortable symptoms: 


Acupuncture / Dry Needling: The problem with osteoarthritis is that it is not only bone rubbing on bone, causing pain, swelling and discomfort, but also the surrounding tissue, the tendons, ligaments and fascia tend to stiffen up to protect the joint, causing more pain, discomfort and limits joint movement.
Acupuncture and dry needling
breaks up this stiffness and restores movement. Also during the treatment other acupuncture points are used to to provide pain relief and decrease stress in the body. 

​Massage: similar to acupuncture and dry needling, just not as deep tissue work, because with acupuncture the needle punctures through the skin requiring healing reaction from the body. Massage also loosens up tight, restricted tissue and helps with pain relief and to restore joint mobility, tissue flexibility. 


Topicals: for mild osteoarthritic pain - I recommend my patients to rub U-I Oil into the painful area. Use it 2x a day morning & evening, or before and after training. The trick is that you not just put it on the skin like you would a body lotion, but it has to be rubbed into the tissue for a couple of minutes. Click here to purchase a few bottles.  
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U-I Oil for mild osteoarthritis pain
For moderate to severe osteoarthritic pain a stronger topical is needed: Tiger’s Invigorate Collateral Liniment - best is to apply the liniment on the tissue, then apply a hot pack over it and hang out 10-15min 2x day. Click here to purchase a few bottles. 

Why heat and not ice? 
Chinese medicine practitioners don't use ice, we use various cooling herbs to control pain and inflammation; and we only use them at the initial stage of healing. Later stages we suggest heat and warming herbs because limiting blood flow causes pain in itself.  Osteoarthritis doesn't happen over night, we consider them a chronic stage issue, therefore suggest heat for pain relief, and to decrease discomfort.  
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Collateral Liniment for severe osteoarthritis pain
Herbs can also be taken internally - to help decreasing pain, inflammation and to treat other issues you may have going on. For herbs I suggest seeking help from your local Chinese medicine practitioner, because herbs need to be modified frequently to address changes in your health. 

Exercise: exercise is important for managing weight (taking pressure off of the joint), but also we lead such a forward lifestyle with sitting, driving, texting. Poor posture predisposes us for faulty movement patterns, which leads to wear and tear in the joints, causing osteoarthritis over time. Therefore posture correction, strength training, and training against tendency is very important to help people with osteoarthritis. I also believe in doing full body exercises, like in yoga and Pilates, because the body moves as a single unit. 

CLICK HERE to book your appointment today if you need help managing osteoarthritis. We are located in Midtown Manhattan. 
​
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American Ginseng vs Asian Ginseng - Learn the Four Key Takeaways How to Choose the Best One for You

2/21/2025

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Ginseng is a fantastic herb for those looking to:  
- 
boost energy,
- improve stamina,
- immunity, memory,
- enhance sexual function,
- and offers numerous other benefits.
​
Ginseng is c
ommonly used in teas, soups, and herbal formulas, it provides sustained energy without the crash of stimulants.
Ginseng h
owever, it’s often misused. 
In this video, Dr. Thomas N. Leung, Pharm BS., DACM, L.Ac, CEO of Kamwo Herbs, clarifies the types of Ginsengs available in the market and explains how Red Ginseng (Asian Ginseng or Ren Shen) and American Ginseng (White Ginseng or Xi Yang Shen) should be consumed.

The takeaways:

  1. For the best quality and most potency, opt for the raw herb rather than capsules, as capsules can be diluted, affecting their quality and potency.
  2. Individuals (young and old) who tend to feel cold should choose the Red, Asian, Warming Ginseng (Ren Shen).
  3. The American, White, Cooling Ginseng (Xi Yang Shen) is suitable for younger individuals experiencing fatigue, lack of focus, and lack of stamina (“Qi deficiency” as we call it in Chinese Medicine).
  4. If you are unsure about your constitution, choose the American, White Ginseng (Xi Yang Shen)

Purchase raw, Red, Asian Ginseng (Ren Shen) here
Purchase raw, White, American Ginseng (Xi Yang Shen) here
​
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Sciatica Treatment in Midtown NYC: How acupuncture and dry needling treat sciatica

2/16/2025

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How Do Acupuncture and Dry Needling Treat Sciatica?
Acupuncture and dry needling treatments for sciatica depend on the location and cause of compression along the sciatic nerve.
Is the issue originating in the lower back? The Glutes? The Hamstrings?
Or is it related to core weakness or a misaligned hip?
Understanding the root cause is key to effective treatment.
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Treatment of Sciatica with Acupuncture in a Marathon Runner.
Sciatica Originating in the Lower Back: 
When compression occurs in the lower back - such as with a herniated or bulging disc pressing on the sciatic nerve - acupuncture and dry needling can provide meaningful symptom relief.
Fine needles are inserted into the surrounding muscles and soft tissue to reduce tension and improve mobility. This is a safe technique: the needles target muscle tissue only, never the spine or spinal cord.
By releasing tight structures in the lower back, the sciatic nerve is able to glide more freely, reducing pain and irritation.
In addition to muscle relaxation, these techniques create a controlled micro-stimulation in the tissue. This encourages increased blood flow, improved nutrient delivery, and activation of the body’s natural healing response.
With consistent treatment, this process can support recovery over time.

Sciatica Originating in the Glutes or Hamstrings: 
If the sciatic nerve is being compressed in the gluteal region (often involving the piriformis muscle) or in the hamstrings, treatment focuses on releasing tension in those areas.
Acupuncture and dry needling help relax tight muscles and restore normal tissue mobility, allowing the sciatic nerve to move freely again - leading to reduced pain and improved function.

Sciatica Related to Spinal Stenosis or Hip Dysfunction​: 
In cases where sciatica is linked to spinal stenosis or hip misalignment, treatment can be more complex.
Acupuncture and dry needling help reduce muscular tension and improve surrounding tissue mobility, which may relieve pressure on affected structures. However, these conditions typically require a more comprehensive approach.
Combining needling techniques with targeted corrective exercises is often the most effective strategy. While these cases may take longer to improve, consistent care will lead to meaningful progress over time.

Acupuncture Alone or Combined with Corrective Exercises?In our clinical experience in Midtown NYC, the best results come from a combined approach.
Acupuncture and dry needling are highly effective for reducing pain and improving symptoms quickly.
Corrective Exercises, on the other hand, address the underlying causes by improving strength, flexibility, and movement patterns.
Together, they not only relieve symptoms but also help prevent recurrence.

How Many Sessions Will You Need?
The number of sessions varies depending on the root cause of your sciatica: 
  • Cases involving simple muscle tightness tend to resolve more quickly.
  • Conditions such as disc injuries, hip misalignment, or poor core stability typically require a longer treatment plan.
  • Recovery also depends on your overall fitness level and how consistently you follow through with recommended exercises.

CLICK HERE to book your appointment today if you experience sciatica. We are located in Midtown Manhattan. 
​With proper evaluation and treatment, healing is very much possible. 
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Herbs for hair loss and healthy hair - aging / postpartum

2/13/2025

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Hair in Chinese Medicine reflects the state of internal health, more precisely the state of Blood and Essence. Aging, the fast life, overworking, or childbirth tax our health, deplete the body (Blood & Essence) resulting in hair loss, poor hair quality, premature graying, split ends, etc.
​In this video below Dr. Thomas N. Leung, Pharm BS., DACM, L.Ac, CEO of Kamwo Herbs explains how the blend of these fruits and herbs have been used for hundreds of years to stop hair loss and maintain youthful hair.
Purchase the herbs here
Read more about the role and importance of Essence here
​

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Recover Faster From Pain, Trauma and Injuries with the help of these products

2/1/2025

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In this post I am going to go over the products I use most frequently in the clinic, recommend patients for home use between sessions, and to keep in the home emergency kit for pain relief and faster recovery.

These formulas have been around for centuries, used by generations of martial arts practitioners, Chinese medicine practitioners, sports medicine doctors, and bone setters.
​They are all safe, tried and tested, natural herbal products to aid healing and recovery. 

There are three stages of injury healing: acute or stage one, subacute or stage two, and chronic or stage three. ​

Acute/ Stage One:
This stage starts from the moment the injury happens and usually lasts 1-7 days. If the trauma is minor, this stage may only last 2-3 days. If it is more severe, it may be a full week before swelling, bruising and pain begin to subside. Stage One injuries are characterized by swelling, pain, bruising, and possibly a local sensation of heat (inflammation in western medicine).
Treatment goals for Stage One is to restore normal circulation at the injury site: reduce swelling, pain, inflammation and stopping infection.

At this stage, external herbal formulas tend to be relatively cooling or neutral in temperature, while internal formulas generally focus on restoring circulation, removing stagnation and stopping pain and infection. 

Chinese medicine is about balance - warming and cooling. In Stage One we avoid heat, hot compresses, warm soaks, heating pads, and hot tubs. Adding heat to an already inflamed tissue is like throwing gasoline on the fire. Heat results in more swelling and pain, thereby delaying the healing. Warming therapies are useful in the Stage Two (Subacute) and Stage Three (Chronic) phases when the initial inflammation and swelling is greatly reduced or absent.

​External use:
The first product I recommend for the emergency kit is Trauma Liniment: I use it for pain, bruises, sprains, fractures, tendonitis, bursitis etc. Anytime I treat a patient with some acute pain, like herniated disc, pulled muscle, low back pain, ankle sprain, etc. I usually use Trauma Liniment during the session. 
​Apply it to the area of pain and gently massage it in for about five minutes. Massage helps to improve circulation, reduce pain and swelling. This is a liniment, alcohol based; so it absorbs quickly. You will need to reapply it frequently. Trauma Liniment contains herbs that have pain, swelling and inflammation relieving properties. 
Buy here. 
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Great topical for pain: Trauma Liniment

The second product worth keeping at home for emergencies is Herbal Ice, or San Huang San, for pain, swelling and inflammation: 
This is a poultice - looks weird, but it is very useful. Applied as a thick coat over the area of pain, bruising, swelling, where you would normally apply ice. Cover with gauze and then cover with an elastic bandage, and keep on for 24 hours. Used for two - three days only, because the herbs used in this product are very cold. It is to greatly reduce swelling, pain and inflammation. Messy, but a lot better than ice. Buy here. 
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Poultice for swelling, pain.

An other poultice worth keeping at home for emergencies is Stage One Trauma Ointment: this one is for bruises. ​
Bruises are called “blood stasis” in Chinese medicine. The herbs in this formula are “blood moving” herbs and able to resolve bruises faster than Herbal Ice would, which is more for pain, swelling and inflammation. Trauma Ointment is applied to the area of bruise, covered with a gauze and kept on for 24hours.
I have used this when I fell off my bike and had a massive bruise on my thigh. Buy here. 
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Poultice for absorbing bruises faster.

Internal use:
Blood Stasis Pill: this is a pill to take internally, for sprains, strains, contusions and fractures. In Chinese medicine we don’t take painkillers or anti inflammatories. Depending on the symptoms, we use various herbs that stop infection, reduce pain, promote blood flow, remove stagnation and therefore promote healing. Blood Stasis Pill is basically the internal counterpart to Trauma Liniment and definitely worth keeping at home. I took this pill after my surgery and I’ve been recommending it to my patients for post surgical healing, falls, herniated disc, contusions, sprains, bruises, fractures, etc. Buy here. ​​
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Herbs to relieve pain, and promote healing.

Subacute / Stage Two:
This stage usually begins within a week after the initial injury and can last up to three weeks, depending on the severity of the injury and the patient's condition (a younger, healthier person usually recovers faster).

By Subacute / Stage Two the swelling, heat, and pain is reduced, but the tissue is often stiff and needs to be broken up and mobilized. In Stage One we don’t recommend using heat or warming herbs, but in the Subacute / Stage Two we switch to more warming herbs, topicals, poultices and liniments. 

Treatment goals for Stage Two is to resolve the residual swelling, improve circulation for healing and reduce stiffness. Stiffness usually develops from the lack of movement, so we use herbs (and acupuncture and manual therapy and exercise) to relieve stiffness in the joints and tissue.

​External use:

​
Tendon Lotion, silly name, but invaluable topical for Stage Two tendonitis, or older injuries, like older ankle sprains, tendinosis that never healed properly. I also use Tendon Lotion for chronic stiff low back pain, chronic neck pain, and stubborn shoulder pain as well. Just like Trauma Liniment, this is also alcohol based, rubbed into the muscle or ligament; and reapplied frequently. The herbs in this formula are more warming than in Trauma Liniment, therefore not recommended for acute injuries. Buy here. 
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Topical to aid healing and reduce pain: Tendon Lotion


U-I Oil is fantastic topical for muscles and joints that ache in rainy, damp, cold weather, and pain that is worse in the cold. Rub U-I oil into the tissue for 5-10min, and apply a hot pack over it for 15min to allow the herbs penetrate deeply into the tissue. Buy here. 
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U-I oil for muscles and joints that ache in rainy, cold weather and pain that is worse in cold.


Internal use:
Internally for Stage Two I recommend the Bonesetter's Special Pill: this is the follow up formula to the Stage One Blood Stasis Pill, for remaining pain, bruising, stiffness in the injured area and to aid the healing process. Buy here. ​
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Herbs to aid healing in Stage Two.


For fractures that have a hard time healing, especially if the patient is overworked, depleted, weak or frail, I suggest using Bone Knitting Pill – the herbs in the formula help nourish the body, the "Kidney Yang", and promote bone healing in non-healing fractures. Buy here. 
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Classical formula to promote bone healing in non healing fractures.

Chronic / Stage Three: 
This stage begins 3-4 weeks after the injury. Swelling is usually gone, but stiffness, pain and restricted motion, adhesions may still be present. Minor injuries should be healed by this point, especially if they were treated properly at the beginning. However, injuries to tendons and ligaments can take up to 6-8 weeks to heal completely and in severe cases, or in depleted individuals can take even longer. 
Stage Three herbs are quite warming and tonifying, in this stage we don’t use cold or cooling, because we believe cold constricts and slows the healing progress.

​Externally continue use the Tendon Lotion and U-I oil to aid healing, if the tissue hasn't healed yet. 



​Warming Soak is a great soak for injuries that are still struggling to heal or were over iced at the earlier stages and still ache in cold, rainy weather.  Warming soak is also great for bunions, hammertoes and other foot issues. Buy here. 
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Warming Soak that struggle to heal or were over iced and now cause pain when the weather is cold.




​Bone Spur Soak is a great soak for Bone Spurs. Buy here. 
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Soak for bone spurs in the heel or joints.

Also worth getting acupuncture in all three stages. 
In Stage One various acupuncture points are used to decrease pain, swelling, aid healing and calm the nervous system (so the body can focus on healing). In Stage Two the acupuncture needle is invaluable to break up the tight, stiff tissue and to promote healing. In Stage Three acupuncture is used mostly to tonify the body and calm the nervous system.

For questions email us for acupuncture make an appointment. 
​
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Best Pain Patch | Topical Patch for Pain Relief 2025

1/28/2025

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Hi there - in this article I am going to cover two of my favorite pain patches I use on myself and also on patients. I like them for both acute and chronic pain relief. I use them for neck pain, when I slept wrong, thumb pain, when I worked a lot, give it to patients for low back pain, neck pain, shoulder pain, muscle spasm, Achilles tendonitis, bursitis, arthritis, bruises etc.

I like them, because besides the commonly used methyl salicylate, menthol and camphor they contain various plant extracts, so you get the therapeutic effects of plants as well, not just symptom relief. Also, because they stay on for hours even after multiple handwashing. 

Their similarities: 
1. they both have a strong minty smell - they both contain menthol, camphor and methyl salicylate (wintergreen oil). These three often used together to topically relieve mild to moderate pain, irritation and itching. The strong minty smell and cooling provide a distraction, different sensation to the brain, so the body can focus on a different narrative besides the pain. 
2. they both contain various plant extracts that have pain, swelling, inflammation relieving and tissue regenerating properties. This is what differentiates them from other over the counter pain patches. 
3. They are pretty long, the 701 Plaster is 3.93 x 157 inches long. The Wu Yang Patch is 3.9 x 78.7 inches long. 

The differences between the two and how to choose which one to use:
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701 Plaster for older, chronic injuries. Contains warming herbs that may aggravate a new injury.
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Wu Yang Patch for new, acute injuries. Contains herbs to relieve pain, swelling and inflammation.

​They have different ingredients, as different plant extracts are used in them. The Wu Yang Patch can be used for all stages of injury. It can also be used instead of ice (in Chinese Medicine we believe, that ice delays the healing), ​because it has herbs in it that reduce pain, swelling and inflammation. 

The 701 Medicated Plaster is a slightly warming plaster. It is used for older injuries (subacute or chronic phase), because it contains herbs that are more warming (think pepper), that may aggravate a new (acute) injury.

Examples for usage:
When you just threw your back or neck out: use Wu Yang Patch. 
Old chronic neck / low back pain: use 701 Plaster 
When you fell off a bike and have a massive bruise: use Wu Yang Patch 
Acute Achilles pain: use Wu Yang Patch  
Old Achilles pain: use 701 Plaster 
Old injury that is painful in the cold: use 701 Plaster.
​Old shoulder pain: use 701 Plaster 
Arthritis: use 701 Plaster 
Old Bunion pain: use 701 Plaster 
Gout: use Wu Yang Patch 

You get the idea... New injury: you want to cool (but not ice), so use Wu Yang Patch. Old injury: you want to warm (please never ice an old, chronic injury...) use 701 Plaster. 

For best outcome and proper healing use pain patches as a modality besides acupuncture, corrective exercises and other therapeutic methods. 

Do not use pain patches on open wounds. For open wounds, cuts, abrasion use San Qi, buy here.
If you have delicate skin, be careful of wearing the patches on the same spot repeatedly, or day after day, because the skin may get irritated beneath the patch.  
Also if the pain is recurring or not getting better it’s better so seek help from a health care professional you trust - your doctor, acupuncturist, physical therapist, chiropractor, whomever you trust. Pain is often a signal of improper body use, which can cause joint and tissue damage.
Simply masking the pain allows one to continue the misuse without correcting it. Pain is a sign that something is not right and with ample focus and quality care pain - even chronic pain - can be lessened or even completely fixed.

Buy 701 plaster here. Wu Yang Patch here. 
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Acupuncture for Keloid Scar that is still painful and itchy.

1/26/2025

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This short post explains how acupuncture helps keloid scars that are painful and itchy.
Itchiness, tenderness or pain in keloid scars is usually felt while the keloid is growing, and it stops once it's finished growing, but not always.
​
Keloids can also restrict how far you can move or stretch, especially if the scar covers over a joint. 

​How does acupuncture help keloid scars? 
  • Needling under the scar with an acupuncture needle breaks up the stiff, thickened tissue and helps restore the range of motion. ​
  • Acupuncture also increases blood flow to the injury site and fasten the healing, reducing the itchiness and pain. 
​
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Acupuncture for Keloid Scar that is still painful and itchy

​Between acupuncture sessions I often give this topical to my patients for home use to help with the pain and itch.
​Just spray on the affected area, and gently massage into the skin.
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Topical that eases itch and pain in keloid scars.

​CLICK HERE
to schedule an appointment if you have a keloid scar that it painful or itchy. 
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Acupuncture and herbs for poor wound healing

1/24/2025

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Acupuncture is more widely accepted and used than herbs for wound healing. Acupuncture increases blood flow to the wound site, which is important for healing.

This study by Pubmed https://pmc.ncbi.nlm.nih.gov/articles/PMC3529882/ revealed that at 7 days the wound size in acupuncture-treat group was decreased more significantly compared to the control group, when they examined whether acupuncture has an effect on wound healing in injured rats.

In this video below Dr. Thomas N. Leung, Pharm BS., DACM, L.Ac, CEO of Kamwo Herbs explains how San Qi (Pseudoginseng) and Bai Zhu (Atractylodes macrocephala) facilitates closing of open bedsores, non healing ulcers and diabetic sores.

Read more on non healing sores here, here and here. 
​Purchase a jar of Regenicare here and San Qi here. ​
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Heal open bedsores & pressure ulcers faster with an herb that exist in nature.

1/18/2025

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Pseudoginseng or San Qi is the herb I frequently prescribe for non healing ulcers, pressure ulcers and pressure sores. 
​Purchase a bottle here
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Interesting case this week - Left ankle stiffness causing Right knee pain

1/15/2025

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Joint limitation leading to pain in other parts of the body - importance of full body mobility. 
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What is the difference between movement therapy, sports acupuncture, chiropractic care, and sports massage - and which one is better?

1/14/2025

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What is the difference between movement therapy, sports acupuncture, chiropractic care, and sports massage - and which one is better?
Because these professions overlap, this page explains what each one does and how they intersect.

The main goal of pain relief is to help the body move out of positions it is “stuck” in and toward positions it has difficulty going into.
    •    Chiropractic adjustments do this at the joint level using a short, rapid motion.
    •    Joint mobilization uses slower, broader techniques to improve joint movement.
    •    Soft tissue mobilization, such as structural integration, acupuncture, cupping, and massage, aims to influence soft tissues to help reposition the body.
    •    Movement therapists, such as yoga teachers, Pilates instructors, and personal trainers, help you access your own muscle activation and relaxation, particularly in muscles that are lengthened or underutilized, to support movement into these restricted and underutilized positions.

While these approaches do not produce identical tissue responses, understanding both their similarities and differences can help clarify how each modality contributes to pain relief and improved movement.
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Herbal Formulas Worth Having in Your Home Emergency Kit

1/13/2025

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Click the link to purchase: 
​Stop Bleeding Powder - San Qi

Trauma Pill
Herbal Ice - San Huang San
For Bruises - Trauma Ointment
Wu Yang Pain Patch
Burn Ointment - Chin Wan Hung
Yin Care: - Sold out -
​Good Alternative Formula

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    ‼️ Traditional Chinese Medicine is powerful and reliable, but it can be complex. Please understand that this is a blog, which was made for educational, informational and entertaining purposes only, and is not a substitute for proper individualized medical care. Please do not discontinue any medical treatment, including prescription medications based on what you watch or read here. If you want to modify your existing treatment plan, discuss such changes with your licensed healthcare provider. You are ultimately responsible for your health and health care. In case of serious injury, seek appropriate medical care immediately ‼️
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