Your body is not a traitor.

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Someone posts this meme on my Facebook wall every time it comes around and it makes me sad.

Look, I HAVE BEEN THERE. I was in severe chronic pain (9/10 on the pain scale) for years after my car accident. I was supposedly “crippled for life” and I UNDERSTAND the frustration and dark humor that arises from being in that situation. And I am the last person to try to tell you how to feel.

BUT… I also know as a professional healthcare provider, with 20 years of experience treating that chronic severe pain that you will heal better – and handle it better emotionally if it CANNOT be healed – if you are able to think of your body as a sick or injured friend instead of an enemy. Your traps and paraspinal muscles do not hate you. They are struggling.

Imagine you had plans with your friend, and they cancelled because they had strep throat. You wouldn’t be mad at them and call them terrible names. You would wish them speedy healing, and maybe bring them soup, right?

Your muscles have been damaged by injury, repetitive stress, or poor ergonomics. They are doing the best they can. What if they are screaming because they are under duress, and need your help?

LISTEN TO THEM.

Fix your posture (Lift the head and relax everything else – don’t do the forced-back rigid thing). Get some light, frequent movement. Start as small and briefly as you need, even if it’s making snow angels in bed, and gradually increase your level of exercise as you can. Weed out ergonomic problems at your desk. You want to challenge the body part instead of stressing it, which also means avoiding retraumatizing it with violent chiropractic or overly aggressive massage. Find a skilled acupuncturist and / or therapeutic medical massage specialist who can retrain your neurological and fascial systems. If you’re storing stress in your body, try to find ways to release it. Reduce inflammation, via meds if necessary, but also via your nutritional choices (sugar increases your pain). Learn to consciously relax your muscles – it’s difficult at first, but incredibly powerful when
you practice, and will change your life. Please talk to me if I can help you learn about these self-care ideas or give you hands-on care.

WHAT IF YOU BROUGHT YOUR MUSCLES SOME SOUP?

Let’s try this again…

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Points Incompatible with Pregnancy

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Chinese Traditional Medicine (TCM) is based on energy management. I know that sounds woo-woo, and it was hard for me to wrap my scientific brain around that at first. I thought all those meridians (channels of energetic flow) were just superstition or a handy mnemonic to remember neuro-muscular junctions (where nerves join with muscles to control them). Instead, decades of experience has proved over and over to me that these energetics are real. I think we just don’t have the technology to see it yet, so it seems as mystical as an X-ray would to a medieval doctor.

Whether you got pregnant by surprise or had fertility treatments, it’s important to know that there’s a category of points used to promote the movement of stagnant energy. These are enormously helpful to reduce pain, and I also use them to evict overdue babies (along with some lower back points and the uterus point on the ear). I can usually help patients avoid a chemical induction that way. For a baby that’s not yet at term, I will need a doctor’s note saying it’s okay to stimulate labor before your due date.

STIMULATION OF THESE POINTS, ESPECIALLY EARLY IN A PREGNANCY, CAN LEAD TO MISCARRIAGE.

Other acupuncture is perfectly safe for pregnancy. If you have pain, I can use indirect methods to treat it symptomatically, and do the musculoskeletal work to relax your muscles and realign the bones.

If you are pregnant and want to stay that way, AVOID THESE POINTS when getting a massage, etc. The first three have links to more information and pictures.

silhouette of a female body with four acupuncture points marked
Avoid acupressure and acupuncture on these points if you are pregnant and want to stay that way.

Note: These points are on both the left and right. I just marked one side for simplicity.

LI4: Moves stagnation in the upper body

LV3: Moves stagnation in the lower body

GB 21: Descends energy

SP 6: Stimulates uterine contractions

Sp6: Do not use if you’re pregnant and want to stay that way!

Telehealth appointments

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IIf coming to the office isn’t possible for you, we can do a telehealth session over a HIPAA-compliant secure videochat. We’ll focus on immediate relief plus long term strategies. I can also teach your loved ones how to work on you. This will be a full hour (half hours for very simple or followup appts) of customized information and instruction for you, including:

  •  discussion of possible causes of your issue(s) and identify lifestyle changes you can make to reduce your pain, stress, etc.
  •  acupressure, both self-applied treatment and lessons so you can use it in the future
  • medical massage lessons, so you can treat yourself and your loved ones
  • teaching your partner / housemate how to do acupressure or medical massage for you
  • nutrition counseling to reduce pain and speed up healing
  • movement instruction – including rehab exercises, to build strength and mobility, and stretches (did you know I used to be an ACE-certified personal trainer and bodybuilder?)
  • anxiety and trauma self-care solutions
  • explanations of what’s happening in your body and brain, in easy-to-understand language
  • help with assessing / adjusting ergonomic setups (work space, sleep, etc)
  • help with reframing your internal monologue

This list is bound to grow, as I discover new ways to help you!
Some patients like to take notes, but I will send you an email afterwards with links to information we talked about, acupressure points, etc. so you don’t have to worry about remembering everything.

Schedule online here, or call me at 503-964-3422.

I invite you to check out my reviews on Yelp and Google. Here are a few recent ones:

JG: 5 stars

Sharon treated me in a virtual appointment for autoimmune issues (I am not strictly isolating and I respect her safety measures). Not only did she help with acupressure and nutrition advice (which has improved my issues tremendously), she was very considerate of my autism-related communication needs. Thank you so much for the valuable help!

RS: 5 stars

Sharon is a wonderful practitioner, compassionate and dedicated. Even during the time of coronavirus she was able to help me with a virtual session deal with some pulled muscles and give me feedback on stretches, diet changes and other things that would help me move better. It was so great to have access to that and to be able to consult with her. Highly recommend.

AK: 5 stars

I set up a virtual appointment with Sharon for pain in my feet that my other doctors haven’t even talked to me about. Since we are in quarantine Sharon showed me self massage and pressure points that I could do to manage my pain. After only one appointment my feet feel SO much better!

DG: 5 stars

Sharon is the most wonderful, caring, and knowledgeable therapist I have ever seen. She’s the best of both Acupuncture and Manual Therapy all wrapped into the perfect package. I have seen a large handful of other medical therapists and she is the only one who has been able to help with my chronic pain. My only wish is I lived in the same town so I could see her more regularly. I saw her last weekend and when I got home my Physical Therapist exclaimed “who is this woman and where can I find her?!? You look great!”

UPDATE: I ended up taking a week off of work to stay in Portland and get treatment (I live in Spokane, Wa), and a few follow up sessions over the next couple months. After three years struggling to find anyone to help, she finally helped me be pain free in a matter of months!! Anytime I do anything stupid to reinjure myself, I know where to go. There are no words to express my eternal gratefulness for this kind hearted healer. 💕

Don’t hesitate to reach out if you have any questions. I’m here for you!

Sharon

Ankle Supination

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A patient came in today with lower back pain. When she got onto the table, I saw this familiar pattern: Take a look at her ankles. Before I started work, both of them looked like the “before” (left) side. This tendency for the foot to turn in is called “ankle supination.” It can be caused by many things, but in her case she had some fascial adhesions on the medial (inside) ankle.

She’s lying face down on a table with a pillow under her ankles. Notice the curvature in the left (before) ankle.

The way our feet strike the ground affects the entire chain … the ankle, the knee, the hips, the back. In extreme cases, a dysfunctional gait can even affect your neck! I knew I needed to address her ankle supination for long-term back improvement. Having canted ankles can also contribute to more foot movement inside the shoe and create blisters / calluses.

After acupuncture to treat her back pain, we did some medical massage. I reset the the function of her back muscles and finished with some myofascial release on the medial ankles. After I worked on the left, the difference was so striking I wanted to share it. Of course after I snapped the evidence pic, I went on to correct the right ankle, too.

When she stood up, she felt good, but a little unsteady. This is normal – she was used to the adhesions doing the work of stabilizing for her. I instructed her to go for a little walk. Now that the musculoskeletal system is corrected, light movement will provide feedback between the brain and muscles. They will reintegrate, and start doing the supporting they’ve been neglecting. Typically, at the end of this walk my patients tell me they feel terrific!

Sit or lie down and take a look at how your feet are aligned at rest. Do they curve in (ankle supination)? Out (ankle pronation)? Or maybe just one is crooked? If the answer to any of those is yes, come see me, and let me help you straighten out your gait! :)

Dazed and confused…

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Purely coincidentally, I’ve had two patients in the past two days with the exact same complaint: Lightheadedness / confusion / disassociation from the body. One had gone to get an MRI and X- rays, but everything came back fine. One had severe neck pain, one didn’t.

Both had had dental work recently. Imagine lying back at an awkward angle for a long time, while tense…. Sure enough, both had upper cervical (neck) vertebrae out of place. The bones were cutting off the blood supply to the brain!


I treated both with acupuncture and medical massage, relaxing the muscles and gently easing the vertebrae back into place. Both patients reported instant improvement. Please remember this next time you have a headache / confusion following dental work, or any other stress on your neck.


Note: Chiropractic would have jammed the bone back in place, but not treated the cause of the problem – the tight muscle pulling on that bone – so the misalignment would be likely to return. I prefer to work upstream, on the neurological and muscular system. My method also avoids that whole risk-of-stroke thing (!).

Restaurant cards for Nightshade avoidance

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Explaining Nightshade sensitivities to busy waitstaff can be a nightmare… so I made these handy cards. This way they can bring one back to the kitchen for the chef to review. I’m not going to say they work perfectly – I still get cherry tomatoes in my salads! – but they definitely help.

Print these out on card stock and keep a few in your wallet. Bon appetit!

English front  English back

Spanish front  Spanish back

French front  French back

Dutch front Dutch back

German front   German back

Italian front  Italian back

If you notice a mistake or possible improvement in any of these translations, PLEASE let me know! :)

Fascia – the best kept secret in healthcare

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I’ve talked about fascia before in this blog, but I wanted to expand on the topic: It’s SO important, causing so many resolvable issues. It’s frustrating to me that fascia is unknown by average people, and ignored by so many types of healthcare practitioners. It’s ESSENTIAL in understanding biomechanical dysfunction and healing.

Fascia is the connective tissue that – literally – connects all of our parts. It’s why we are up walking around instead of a pile of organs and bones on the floor. These delicate layers of tissue are supposed to move past each other inside us as we move, but sometimes they get stuck. Trauma like injury or surgery, or a sedentary lifestyle over long periods, are frequent causes of fascial adhesions. 

Once I bought a rotisserie chicken from a regular grocery store. As I was taking it apart, I was stunned at how bound up the bird was, compared to the free-range chickens I was used to. A lifetime of forced inactivity had created fascial adhesions all over – you know, that translucent white sheeting? The muscles were all shrink-wrapped in place. “This poor chicken needed a massage!” I told Robert. I felt so bad for it. Just another lesson on how important light, frequent movement is for our bodies.

Connective tissue / fascia (white) and muscle fibers (tan)

Tight fascia will pull on our muscles and bones, preventing free movement and potentially causing misalignments. In severe cases, it can constrict nerve and blood vessel function, creating swelling, pain, or numbness & tingling.

Resolving fascial adhesions is as simple as knowing the right medical massage technique, myofascial release. I can do it for you, and I can show you how to treat yourself and your loved ones.

For hard-to-reach areas, you can use a foam roller to soften the adhesions. I advise people to use it against a wall, rather than lying down on it, because you can control the pressure better. Remember you do NOT want to cause intense pain – that will spark an alarm response. The body will think you have a new injury and will send sticky connective tissue to glue up whatever is torn or bleeding – which means the adhesions you just broke up will reform themselves.  It’s best to use the roller gently, then move. Go for a walk or do your usual workout. Movement will help release those weakened adhesions.

Likewise, those home massagers and thumpers can be helpful, but I recommend you use the lowest setting, and don’t go for more than 10 minutes. 

Want to learn more? There’s a treasure trove of articles here.

Let me know if you have any questions!

Before and After: A/C Separation

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Anterior view of shoulder joint with muscles. SOURCE: Based on AMuscsk_20131017_v0_001.

This 40 year old gentleman separated his acromioclavicular joint 2 years ago, in the April of 2016. Since then, he’s had shoulder pain and a lot of crunching noise with movement.

I treated him with acupuncture and medical massage. The goal was to break up fascial adhesions (scar tissue) and his muscles working properly again.

These pictures were taken on 4/3/18 and 4/25/18. He received 4 sessions of care.

First, look at the outside curves of the shoulders. He is much more symmetrical in the after pic. His deltoid (“shoulder cap” muscle”) has filled out now that he’s using it. Secondly, the shoulder girdle is no longer being held

forward. See the difference in the shadow at Arrow 2? And the A/C joint isn’t sticking out as sharply.

Here in the side view, you can see how the shoulder has rotated back to its normal position. In the Before pic you can’t see his chest at all at the top. His scapula (shoulder blade) is also sticking out in the Before shot.

Most importantly, the patient reports less pain, less crunching, better range of motion, and generally better performance. :)