Acupuncture/Nerve pains


I recently had surgery on my arms to alleviate nerve pains from having to do constant repetitive motions that is the yard cleaning/mowing industry. I get not exactly shooting pains but more like burning pain no matter how I move my arm. I can't sleep with the pain, having to use fairly heavy doses of medication for sleep and even then it is difficult. I am trying to get into finish the surgery as in reopen up the arm then having the nerve reattached, something the doctor told me he needed to do.
He tells me there should be no pain, but I still get it, so I am wondering if something was jarred or cut or even if I am getting fibromyalgia. And what to do about the pains. I'm not sure I trust the doctor to open up the nerve and reattach it. What if it hurts even more? Plus being out for six months, that is truly terrible for those that have to you know actually work hard for what little money we can make.

Dear Maria -

Your situation sounds like one where being able to predict the future would be nice; unfortunately, we often cannot be certain how things will turn out.  I wish that I could give you a straight answer that would take away your fear of pain or further disability.

You don't ask a specific question, but I suspect you want to know if acupuncture would be of assistance.  In your situation I don't know.  In general, acupuncture can often be useful in repetitive injury, particularly involving the shoulder or wrist.

I wish for you the very best outcome in this situation.  I understand the fear and fatigue that comes with long-term pain.  If you have a more specific question that I might answer, don't hesitate to ask.

Malama pono - - -

Mike Zanoni


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Michael M. Zanoni, MS, LAc


I am knowledgeable about severe and chronic pain from musculoskeletal or neurological conditions, especially trauma, headache, and fibromyalgia. I can provide guidance that will assist healing and recovery after illness or surgery. I have a particular interest in long-term chronic conditions that are becoming progressively worse or intermittently severe (such as viral hepatitis, Crohn's, or Takayasu syndrome.) I have extensive experience treating endocrine disorders, such as diabetes or thyroid problems, where the primary condition is being monitored by a Western-trained physician, and cancer where there are specific treatment goals other than cure (e.g., decrease of pain; reduction of side effects of radiation and chemotherapy; lessening of edema; palliative treatment of associated conditions.) I do not treat or answer questions about infertility, ALS, or senile dementia.


I have practiced Oriental medicine for over sixteen years in a variety of settings. Much of my practice has centered around a busy clinic specializing in severe long-term chronic pain conditions and palliative care. For several years I worked in a hospice program. I also established a non-profit community clinic providing care to under-served and homeless patients. My work has found me in an HIV clinic in San Francisco, a busy private practice in Oregon, to traveling on muddy 4-wheel drive roads to see dying patients. I now teach acupuncture and Oriental medicine at a school in Hawaii.

My training was at the American College of Traditional Chinese Medicine in San Francisco where I received a masterís degree in Chinese Medicine. I have current board certifications in Oriental Medicine, Acupuncture, and Chinese Herbology from the National Certification Commission for Acupuncture and Oriental Medicine. I also have certifications in Chinese tui na bodywork, Physical Rehabilitation Training, and biofeedback. I am licensed to practice acupuncture and Oriental medicine in Hawaii, Oregon, and Washington. I also have BA, MS, and PhD degrees in subjects not directly related to Oriental medicine.

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