Does acupuncture hurt? What it really feels like to be needled

So you’re looking to try something new for your pain and you came across some articles about how effective acupuncture can be. But you’re a little hesitant because…needles…am I right?

Well, it’s completely normal to be wary of something you’ve never tried before and fear of needle discomfort is a common concern for newcomers. In this article, I promise to go into the details of what it feels like to be needled, to ease your worries.

What is acupuncture?

Acupuncture is the art of inserting fine needles at points on the body that align with major nerve bundles, vessels and muscles. Inserting needles at these areas can stimulate nervous system regulation and healing as well as send signals to the brain to moderate our pain response and alleviate a variety of systemic symptoms.

These needles are VERY thin. In fact, 40 or more acupuncture needles can fit inside 1 hypodermic needle. Some are thinner than others and there are various reasons for that, but all in all, they’re incredible unassuming in their ability to make powerful physical change in the body.

Common sensations

There are good sensations and less desirable sensations when getting acupuncture. Contrary to our instincts, some discomfort is good! But a lot of discomfort is definitely bad.

Good and common sensations are:

• A quick sting or pinch as the needle is inserted

• Gradual increase of a dull or heavy pressure around the needle

• Tingling sensation around the needle

• Warmth or a feeling of energy flowing or an opening sensation

• Mild muscle twitches

• Many barely feel anything at all

These sensations are all a sign of “de qi” which means qi sensation. These are desirable and signal to the practitioner that the acupuncture point is activated. Not having these sensations doesn’t necessarily mean the point is not activated. Different techniques elicit different physical responses but de qi sensation is often sought when treating physical pain.

What does it not feel like?

Bad sensations are not usually damaging, but they’re also not necessary. It shouldn’t feel sharp or painful, or like hitting a “funny bone” that lingers. Acupuncture points are often located in sensitive areas, like at the wrist or behind the knee. Being near nerves and vessels means there’s a very small space for the needle to fit and sometimes it rubs up against a nerve or it is inserted into a hair follicle. If this happens, it’s important to tell your practitioner. They will guide you as to whether or not the sensation is likely to change and to wait, or they may simple remove the needle and reinsert it in a slightly different place or at a different depth.

Why sensations vary

Different people have different sensitivity levels. In some cases, the energy of the body might be very much at the surface which could mean more sensation, in other cases, the opposite. Further, every person’s anatomy is different, your radial nerve might be a little different than someone else’s.

Location of the needles and treatment styles influence sensation. Some styles of acupuncture focus on being as gentle as possible, like Japanese Style Acupuncture. Their theory is that the qi sensation does not have to be sought, it will come to the needle on its own. This means they insert more shallowly and with thinner needles.

Traditional Chinese needling uses thicker needles and the belief is that the more sensation thats achieved, the stronger the results. There’s no evidence to support one is better than another, it’s more about what speaks to you and your body.

The technique of the practitioner matters. Not all acupuncturist are the same. We learn a lot of the same material, but the way we do things and our perspectives are different. As a very needle sensitive patient, I needle as gently as possible, the way I would prefer to be needled. Not everyone does this.

Tips for first timers

Stay relaxed. Tensing before the needle is inserted, will make the sensation different. Take some deep breaths, consciously relax into the table and just allow the experience. If you are nervous, be sure to communicate with your practitioner. There are many distraction techniques and less sensitive points that can be used.

The more calm and comfortable you are, more beneficial the experience. Opening your body to the healing potential of the needle pattern is the only job you have on the table.

Conclusion

So, now you know: acupuncture pain is minimal and it often leads to a pleasant experience. It’s one of the most beautifully simple, yet complex healing methods out there. It has the power to shift old patterns and open you up to new perspectives in a way thats gentle yet potent. I encourage everyone to try it and see the benefits firsthand.

Ready to try acupuncture in a gentle, supportive environment? Book your first session today on my schedule page.

Happy poking!

-Sara