
Services: Frequently Asked Questions
Do you have questions about any of the treatment modalities that Sarah offers? This page is a great place to start. You can also contact her or schedule your first appointment now.
Acupuncture
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Your acupuncturist will have a conversation with you about the details of your health history and the problem that brings you in. Then your acupuncturist will perform pulse and tongue readings and other physical exams if needed. The history conversation and physical exams help your acupuncturist arrive at a Chinese Medicine diagnosis and a treatment plan. You will then lie on a treatment table and have needles placed. In a typical treatment you will rest with needles for 25-30 minutes.
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The most common places you might have needles are in the arms, legs, hands and feet. If you have problems in your neck or head or in your back or hips you might have needles in these areas. Acupuncture treatments can be done lying face up or down. Sometimes small needles may be placed on special acupuncture points in the ears.
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Acupuncture is fundamentally a stimulation therapy. The insertion of thin stainless steel needles into points on the body provides a signal to your body to improve function and promotes your ability to heal and self-regulate. We know from modern research that acupuncture helps your body produce pain-relieving biochemicals called endorphins and that it also reduces local inflammation and improves blood flow. It has a beneficial effect on hormones that regulate the stress response, reproductive function, digestion, and sleep.
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Receiving acupuncture does not feel like getting a shot or blood draw. The needles are much finer and somewhat dull compared to a hypodermic needle. Often people do not feel the insertion or only feel a slight tenderness at an acupuncture point. You may feel a dull ache or pressure sensation which is considered to be a beneficial part of the therapy called “De Qi.” People often feel a sense of significant relaxation and calm comparable to some types of meditation. Sometimes people will feel more energetic and alert.
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Treatment frequency can vary depending on the length and severity of the condition being treated. New problems that have not been present long can resolve in just a few treatments. Long-term chronic problems may require regular treatments over a longer period of time. One acupuncture treatment is similar to taking a pill in that it has an effect that eventually wears off. A typical course of acupuncture treatment for many pain conditions is 12 treatments.
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Acute pain
Chronic pain
Neck pain
Headaches: migraines, tension, sinus
TMJ pain
Back pain
Shoulder pain
Hip pain
Knee pain
Fibromyalgia
Neurological problems like foot neuropathy, trigeminal neuralgia, Bell’s palsy, occipital neuralgia, concussion
Painful and irregular periods
Menopausal symptoms like hot flashes and sweats, insomnia and anxiety
Nausea
IBS
Heartburn
Constipation
Fatigue
Respiratory problems
Skin problems
Depression and anxiety symptoms
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I am not currently billing medical insurance for acupuncture but am happy to provide a superbill receipt with diagnostic and procedure codes and fees per unit of service as well as treatment notes for you to submit to insurance for reimbursement out of network. Your insurer may not cover the full amount of the fee. I am happy to provide this sort of receipt as well for auto and worker’s compensation claims.
Chinese Herbal Medicine
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Chinese herbal medicine is a comprehensive system developed over more than 2000 years of history and is used extensively for healthcare in Asia and all over the world. It can be used to treat a wide variety of conditions.
Typical treatments begin with recipes called “formulas” that come from historical medical texts that are still in common use. The most traditional form of herbal medicine is to cook herbal substances together to form a medicinal drink called a decoction.
Today the most common herbal formulas are available in powder concentrates that are made from standardized large batches of decoctions. These powders are mixed with warm water and taken as a tea.
Many common formulas are also available in pill form. I tend to prescribe pills because they are the easiest form to take and are readily available and budget friendly. Conditions I often treat with herbs are:
Headaches
Menstrual problems
Menopause symptoms
Digestive problems
Inflammatory joint pain
Respiratory problems
Digestive problems
Skin problems
CranioSacral Therapy (CST)
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You will have a health history conversation with your therapist to help plan a session and determine your goals. CST is generally performed with a client clothed and lying face up on a treatment table. Your therapist will feel different areas of your body to assess the status of the craniosacral rhythm in those areas and in your whole body. This will determine the sequence and focus of the session. Techniques in CST involve gentle holding on the front and back of the body along with subtle movements, and gentle compression or stretching of an area. Most sessions focus on the sacral and pelvic area, abdomen, chest, neck and head. Some sessions can include work in the limbs as well.
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SER is an advanced therapeutic imagery and dialog technique in CST. It is used along with hands-on technique to facilitate healing processes when trauma or an emotional component of a condition needs to be processed for the body-mind to progress in the healing process. SER dialog may be initiated by the client or therapist. There are physical signs that occur in the session that alert your therapist to the need for this work.
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Headaches
Post-concussion symptoms and TBI
Chronic pain
Chronic fatigue
Recovery post-COVID
Depression and anxiety
Digestion problems
Neurological problems
Sinus problems
TMJ pain and dysfunction
Manual Lymph Drainage (MLD)
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An MLD session can be whole body or can be focused on a problem limb or area. MLD is performed directly on your skin as the lymphatic collectors and vessels are located here. Generally clients disrobe and are draped similarly to draping for a regular massage. MLD works by using gentle surface level strokes that stretch your skin in a rhythmic fashion towards your lymph nodes and torso. Typical areas of treatment include the neck, chest and abdomen, areas of lymph nodes in the armpit and upper thigh, and sometimes the head and the back of the body depending on where there is swelling and the best pathways to direct fluid movement.
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Lymphedema management following complete decongestive therapy with a physical therapist
Swelling after a joint replacement surgery or plastic surgery
Fibromyalgia
Chronic Fatigue Syndrome
Recovery post-COVID
