1. The Treatment of Arthritis & Back Pain With Chinese Medicine by: Effi Kfir M.Sc., L.Ac. A Licensed Acupuncturist

2. Arthritis There are over 100 different types of arthritis There are over 100 different types of arthritis Over 66 million people in the USA are diagnosed with some form of arthritis (Nearly 1 in 3 adults!) Over 66 million people in the USA are diagnosed with some form of arthritis (Nearly 1 in 3 adults!) Effects women more than men Effects women more than men

3. What is Arthritis ? Inflammation of a joint, usually accompanied by pain, swelling, and stiffness, and resulting from infection, trauma, degenerative changes, metabolic disturbances, or other causes. It occurs in various forms, such as bacterial arthritis, osteoarthritis, or rheumatoid arthritis.

4. Types of Arthritis Osteoarthritis Osteoarthritis Rheumatoid arthritis Rheumatoid arthritis Ankylosing spondylitis Ankylosing spondylitis Gout Gout Systemic lupus erythematosus (Lupus) Systemic lupus erythematosus (Lupus) Fibromyalgia Fibromyalgia

5. 8 Causes of Back Pain Degenerative Disc Degenerative Disc Sciatica Sciatica Spinal Osteoarthritis Spinal Osteoarthritis Bone Spur Bone Spur Scoliosis Scoliosis Muscle Strain Muscle Strain Injury Injury Prolapsed Disc Prolapsed Disc

6. Osteoarthritis A degenerative joint disease in which the cartilage that covers the ends of bones in the joint deteriorates.

7. Rheumatoid arthritis An autoimmune disease in which the joint lining becomes inflamed as part of the bodys immune system activity. Rheumatoid arthritis is one of the most serious and disabling types, affecting mostly women.

8. Normal and Arthritic Joints

9. Ankylosing spondylitis A very common type of arthritis that affects the spine. As a result of inflammation, the bones of the spine fuse together.

10. Muscle Strain 80% of back pain is due to muscle strain 80% of back pain is due to muscle strain Causes muscles to spasm and cramp. Causes muscles to spasm and cramp. Requires an increase in circulation. Done very naturally with Acupuncture. Requires an increase in circulation. Done very naturally with Acupuncture.

11. Sciatica Sciatic nerve is impinged by Lumbar Vertebrae - causing radiating pain down the legs and maybe to the feet. Sciatic nerve is impinged by Lumbar Vertebrae - causing radiating pain down the legs and maybe to the feet.

12. Examples of Disc Problems

13. Fibromyalgia A recent diagnosis in which widespread pain affects the muscles and attachments to the bone. It affects mostly women.

14. Most Common Treatments for Arthritis and Back Pain Pain Killers Pain Killers Antidepressants Antidepressants Cortisone Injections Cortisone Injections Fusion Surgery Fusion Surgery Laminectomy Laminectomy Hip and knee Replacement Hip and knee Replacement

15. Most Common Treatment for Arthritis Anti Inflammatory Drugs – NSAIDs Anti Inflammatory Drugs – NSAIDs Cox 2 Inhibitors Cox 2 Inhibitors Steroids – Cortisone Shots Steroids – Cortisone Shots Surgery Surgery

16. Chinese Medicines Treatment Acupuncture Acupuncture Herbs (internal/external) Herbs (internal/external) Nutrition Nutrition Lifestyle Changes Lifestyle Changes

17. How Does Acupuncture Work? Increases circulation Increases circulation Releases endorphins Releases endorphins Releases neurotransmitters Releases neurotransmitters Moves stagnant energy Moves stagnant energy Reduces pain Reduces pain

18. Chinese Herbal Formulas Du Huo Ji Sheng Tang Du Huo Ji Sheng Tang Shu Feng Huo Xue Tang Shu Feng Huo Xue Tang Juan Bi Tang Juan Bi Tang Xuan Bi Tang Xuan Bi Tang

19. Anti-inflammatory Diet Omega-3 fatty acids Omega-3 fatty acids Avoid refined and processed foods in general. Avoid refined and processed foods in general. Fresh fruits and vegetables from all parts of the color spectrum. Fresh fruits and vegetables from all parts of the color spectrum. Add ginger and turmeric to your diet or take them as supplements. Add ginger and turmeric to your diet or take them as supplements.

20. Lifestyle Changes Weight loss Weight loss Physical activity Physical activity Moving to a dry weather area Moving to a dry weather area Dietary changes Dietary changes

21. 21 The Acupuncture Experience Diagnosis by Effi Kfir L.Ac Diagnosis by Effi Kfir L.Ac Traditional Chinese Medicine full body diagnosis - using tongue and pulse reading Traditional Chinese Medicine full body diagnosis - using tongue and pulse reading Acupuncture Treatment Acupuncture Treatment Herbal Recommendation for homecare Herbal Recommendation for homecare

22. Time to Heal Appointments available in the Tel Aviv clinic at Sderot David HaMelech 57 (next to Ichilov Hospital and Weitzman City Mall) Appointments available in the Tel Aviv clinic at Sderot David HaMelech 57 (next to Ichilov Hospital and Weitzman City Mall) Please call: 054-4804538 Please call: 054-4804538 Consultations available Sunday and Wedensday 8 am to 7 pm. Consultations available Sunday and Wedensday 8 am to 7 pm. We speak English and Spanish. We speak English and Spanish. Tourists are welcome. Tourists are welcome.