Acupuncture
Multidisciplinary, client-focused care to help you move better, recover faster, and live healthier.
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Evidence-Based Acupuncture at CARESPACE
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Acupuncture is a regulated health therapy that uses fine, sterile needles to stimulate specific points on the body, helping to relieve pain, reduce stress, and promote natural healing. At CARESPACE, this ancient practice is delivered within a modern, evidence-based, and multidisciplinary framework, ensuring you receive the highest standard of care. Our team of Regulated Healthcare Professionals works collaboratively to help you manage your symptoms, restore function, and achieve your health goals.
Book an appointment online or call today to begin your journey to recovery and wellness.
Why Choose CARESPACE for Acupuncture?
Choosing where to receive acupuncture care is a significant decision for your health. At CARESPACE, the approach is built on a foundation of integration, evidence, and personalization, providing a client experience that is comprehensive and effective.
- Integrated, Coordinated Care: Our Registered Acupuncturists, Naturopaths, Chiropractors and Physiotherapists are a key part of a multidisciplinary team. They collaborate directly with massage therapists, and other specialists under one roof. This means your care is never siloed; your entire health team works together on a unified plan, leading to more comprehensive and lasting results.
- Evidence-Based Treatments: The practice of acupuncture at CARESPACE is grounded in modern scientific research. Our practitioners apply techniques and protocols that have been validated by clinical studies for their effectiveness in treating conditions like chronic pain, migraines, osteoarthritis, and anxiety. This commitment to evidence ensures you receive care that is not only safe but also proven to work.
- Personalized to Your Goals: Every treatment plan begins with listening. We take the time to understand your unique health history, lifestyle, and what you want to achieve. Whether your goal is to manage chronic pain, reduce stress, or enhance athletic performance, your acupuncture plan is tailored specifically to you.
- Accessible and Convenient: We make it easy to access the care you need. With convenient online booking, multiple clinic locations, and direct billing to most insurance providers, your focus can remain on your health and recovery.
See our Registered Acupuncturists and start your personalized plan today.
Thousands of people have chosen CARESPACE for acupuncture that delivers real results.
Google Reviews for Acupuncture at CARESPACE
How Acupuncture Helps You Be Your Best
Acupuncture is a versatile and powerful therapy that can address a wide range of health concerns, from chronic physical pain to the complex challenges of stress and anxiety. By stimulating the body’s own healing mechanisms, it helps restore balance and function, empowering you to live a fuller, more active life. The benefits are supported by a growing body of scientific evidence demonstrating its effects on the nervous system, pain pathways, and inflammatory responses.
Lasting Relief from Chronic Pain and Discomfort
Chronic pain is one of the most common reasons individuals seek acupuncture, and for good reason. Research shows it can be a highly effective treatment for various persistent pain conditions. An overview of multiple high-quality Cochrane reviews concluded that acupuncture is effective for treating chronic pain associated with neck disorders and peripheral joint osteoarthritis.
For individuals suffering from persistent neck pain, the evidence is particularly encouraging. A comprehensive Cochrane review found moderate-quality evidence that acupuncture provides more pain relief than sham (placebo) acupuncture, both immediately after treatment and in the short term. The review also noted that those receiving acupuncture reported improved function and less disability compared to being on a wait-list. The therapy works by modulating signals within the nervous system, promoting the release of endorphins (the body’s natural painkillers), and reducing inflammation in affected tissues. While early reviews on low back pain were inconclusive due to the poor quality of the studies available at the time , more recent overviews suggest that acupuncture can be a valuable adjunctive therapy for managing chronic low back pain.
Finding Freedom from Headaches and Migraines
Debilitating headaches and migraines can significantly impact one’s quality of life. Acupuncture offers a powerful, non-pharmacological approach to prevention and relief. The scientific evidence strongly supports its use, with a major overview of Cochrane reviews concluding that acupuncture is an effective treatment for both tension-type headaches and migraines.
Further research suggests that acupuncture is not just a complementary option but a formidable primary therapy. Studies have found it to be at least as effective as conventional preventative drug therapies for migraines, with the added benefits of being safe, long-lasting, and cost-effective. One prospective study demonstrated that a standardized course of acupuncture significantly decreased both the frequency and intensity of migraines, with the positive effects lasting for at least 12 weeks after the final session. This is achieved by stimulating sensory nerves, which triggers the release of pain-relieving endorphins and helps to regulate nerve pathways involved in generating headache pain.
Improving Mobility and Function in Osteoarthritis
Osteoarthritis, particularly of the knee, can cause chronic pain and stiffness that limits mobility and daily activities. Acupuncture has emerged as a beneficial therapy for managing these symptoms and improving function. A Cochrane review summary indicates that for people with osteoarthritis, acupuncture may lead to small but meaningful improvements in both pain and physical function over 8 and 26 weeks.
A meta-analysis focusing specifically on knee osteoarthritis found that acupuncture had a beneficial effect in reducing pain and improving patients’ functional activities, leading researchers to recommend it as an alternative therapy for those with the condition. While the overall body of evidence is sometimes rated as low to moderate certainty, the findings consistently point toward clinically important effects. The treatment helps by reducing local inflammation, improving blood flow to the joint, and alleviating pain, which can in turn reduce reliance on nonsteroidal anti-inflammatory drugs (NSAIDs) and their potential side effects. Some evidence also suggests that techniques like electroacupuncture (where a mild current is passed through the needles) may provide even greater pain relief.
Calming the Nervous System: Managing Stress and Anxiety
Beyond physical pain, acupuncture has profound effects on the nervous system, making it an effective treatment for managing stress, anxiety, and other mood-related conditions. The Acupuncture Evidence Project, a comprehensive review of high-level evidence, concluded that acupuncture is moderately effective for treating anxiety. A systematic review included in that project found its effects to be significant when compared to conventional treatments, including pharmacotherapy.
The mechanisms behind these benefits are well-researched. Acupuncture has been shown to:
- Regulate the Autonomic Nervous System: It helps shift the body from a “fight-or-flight” (sympathetic) state to a “rest-and-digest” (parasympathetic) state, promoting relaxation.
- Improve Heart Rate Variability (HRV): A higher HRV indicates a more resilient nervous system that is better able to cope with stress. Studies show acupuncture can improve HRV.
- Calm the Brain’s Stress Centers: Research demonstrates that acupuncture can calm the response of the hypothalamus, a key area of the brain involved in the stress cascade.
- Release Endorphins: These “feel-good” chemicals play a crucial role in regulating emotional stress responses.
For depression, evidence suggests acupuncture can be a suitable adjunct to usual care, helping to reduce the severity of symptoms when used alongside standard treatments.
Accelerating Recovery and Preventing Future Injury
For athletes and active individuals, acupuncture is a valuable tool for accelerating recovery and preventing future injuries. By reducing inflammation, increasing local circulation, and releasing tight muscle bands and trigger points, it helps the body heal more efficiently after strenuous activity or injury. The same pain-modulating and anti-inflammatory mechanisms that make it effective for chronic conditions also apply to acute injuries and post-exercise soreness. Furthermore, by addressing underlying imbalances and correcting dysfunctional movement patterns, acupuncture can help prevent injuries from recurring, keeping you active and performing at your best.
What Is Acupuncture? A Modern, Evidence-Based Perspective
While acupuncture has roots in traditional medicine dating back thousands of years, its practice in Ontario today is grounded in modern standards of safety, competence, and scientific understanding. It is a recognized and regulated healthcare profession, ensuring that patients receive treatment from highly qualified and accountable practitioners.
A Regulated Health Profession in Ontario
In Ontario, acupuncture is a regulated health profession governed by the College of Traditional Chinese Medicine Practitioners and Acupuncturists of Ontario (CTCMPAO). This governing body was established under the
Regulated Health Professions Act, 1991 and the Traditional Chinese Medicine Act, 2006, with a mandate to protect the public interest.
This legal framework means that the titles “Acupuncturist” and “Registered Acupuncturist” (R.Ac) are protected by law. Only individuals who have met the rigorous standards set by the CTCMPAO and are registered members in good standing are legally permitted to use these titles. This provides patients with the assurance that their practitioner is competent, ethical, and accountable to a professional governing body. All acupuncturists at CARESPACE are Registered Acupuncturists.
Rigorous Training and Safety Standards
To become a Registered Acupuncturist in Ontario, a practitioner must complete extensive and comprehensive training. This typically involves a program of at least three years, comprising a minimum of 1,900 hours of education, including between 450 and 600 hours of supervised, practical clinical training.
Before they can be registered, candidates must successfully pass the demanding Pan-Canadian examinations, which assess both theoretical knowledge and clinical proficiency. This rigorous process ensures that every R.Ac has a deep understanding of anatomy, physiology, and pathology from both a biomedical and a traditional perspective. Furthermore, the standards of practice mandate strict infection prevention and control protocols, including the exclusive use of sterile, single-use, disposable needles to ensure patient safety.
How It Works: The Scientific View
From a modern scientific perspective, acupuncture is understood to work by stimulating the nervous system. The insertion of fine needles at specific points in the body triggers signals that travel to the brain and spinal cord. This stimulation can:
- Prompt the release of endorphins and other neurochemicals that act as the body’s natural painkillers.
- Modulate the autonomic nervous system, helping to reduce stress and promote relaxation.
- Influence pain-processing pathways in the brain.
- Increase local blood circulation to reduce inflammation and promote tissue healing.
The Tools of Acupuncture
The primary tool used in acupuncture is the fine, sterile, single-use needle. These needles are solid (not hollow like injection needles) and are often as thin as a human hair, which is why their insertion is typically painless. Depending on the condition being treated, a practitioner may also use complementary techniques such as:
- Electroacupuncture: A small, safe electrical current is passed between pairs of needles to enhance stimulation, often used for pain or neurological conditions.
- Moxibustion: The herb Artemisia vulgaris (moxa) is burned near the skin or on the handle of a needle to introduce a gentle, therapeutic heat to an acupuncture point.
Not sure if acupuncture is right for you? Book a free discovery call with a Registered Acupuncturist today.
When to Consider Acupuncture
Acupuncture can be a beneficial therapy for a wide array of health concerns, from common aches and pains to more complex chronic conditions. It can be used as a primary treatment, as a complement to other therapies like physiotherapy or chiropractic care, or as a way to maintain long-term wellness.
Consider booking an acupuncture assessment if you are experiencing:
Everyday Challenges
- Persistent neck, back, or shoulder pain that limits your daily activities.
- Frequent tension headaches or debilitating migraines.
- Joint pain and stiffness associated with osteoarthritis.
- Chronic feelings of stress, anxiety, or being overwhelmed.
- Difficulty falling asleep, staying asleep, or chronic fatigue.
- Digestive issues such as bloating, constipation, or irritable bowel syndrome (IBS).
- Painful or irregular menstrual cycles.
More Specific Concerns
- Slow recovery from a sports injury, such as a sprain, strain, or tendonitis.
- Lingering pain or dysfunction following a motor vehicle accident, including whiplash.
- Widespread pain and fatigue associated with fibromyalgia.
- Nerve pain, such as sciatica or carpal tunnel syndrome.
- Symptoms related to allergies or sinus congestion.
Book an assessment today and get clear answers about your health.
The CARESPACE Difference: A Higher Standard of Acupuncture Care
At CARESPACE, acupuncture is more than just a standalone treatment; it is an integral part of a comprehensive and collaborative approach to healthcare. This philosophy elevates the standard of care, ensuring that your treatment is not only effective for your immediate symptoms but also aligned with your overall health and wellness goals.
Evidence-Based Practice in Action
Our commitment to being evidence-based means your care is informed by the most current and reliable scientific research. Our Registered Acupuncturists continuously review new studies and clinical guidelines, such as the systematic reviews from the Cochrane Collaboration, to refine their techniques and treatment protocols. This ensures that the acupuncture you receive is not based on tradition alone, but is supported by a solid foundation of modern evidence for its safety and effectiveness.
Multidisciplinary Coordinated Care
The true power of the CARESPACE model lies in collaboration. Imagine your Registered Acupuncturist treating your knee pain from osteoarthritis. After your session, they can walk down the hall and consult directly with your physiotherapist. They can discuss your progress, align the acupuncture treatment with the specific strengthening exercises you are performing, and ensure both therapies are working in synergy. This seamless communication and coordination among your health providers eliminates guesswork and accelerates your path to recovery.
Personalized, Client-Focused Plans
There is no one-size-fits-all approach to health. Your journey at CARESPACE begins with a comprehensive assessment where your practitioner listens to understand your unique situation, your health history, and what matters most to you. Your acupuncture treatment plan is then designed specifically to meet those needs and goals. We track your progress, adapt the plan as you improve, and ensure you are an active partner in your own care every step of the way.
Accessible and Convenient
We believe that accessing high-quality healthcare should be simple and stress-free. Our clinics are designed to be welcoming and efficient, with easy online booking that puts you in control of your schedule. We offer direct billing to most major insurance companies, reducing your out-of-pocket expenses and paperwork. For those who need it, we also provide virtual consultations through our TeleCARE platform, making expert guidance accessible from anywhere.
Insurance Coverage
Because acupuncture at CARESPACE is performed by Registered Acupuncturists (R.Ac), a regulated health profession in Ontario, these services are covered by most extended health insurance plans. We can help you understand your coverage and will provide all necessary documentation for reimbursement, making it easy to invest in your health.
A Results-Driven Approach
Our ultimate goal is to help you achieve tangible, meaningful results. We focus on measurable improvements in your pain levels, mobility, function, and overall well-being. By combining evidence-based acupuncture with a collaborative care model, we are dedicated to helping you not just feel better, but to truly be your best.
Acupuncture Conditions Treated
Our Registered Acupuncturists are experienced in treating a wide variety of conditions. Each of the following links to a dedicated hub of information to help you learn more:
- Anxiety
- Arthritis (Osteoarthritis and Rheumatoid)
- Back Pain
- Chronic Pain
- Digestive Issues
- Fibromyalgia
- Headaches
- Insomnia and Sleep Disorders
- Menstrual Irregularities
- Migraines
- Neck Pain
- Nerve Pain (including Sciatica)
- Rheumatoid Arthritis
- Shoulder Pain
- Sports Injuries
- Tendonitis
Acupuncture Frequently Asked Questions (FAQs)
Yes, acupuncture is very safe when performed by a qualified and Registered Acupuncturist. In Ontario, practitioners are regulated by the CTCMPAO and must adhere to strict safety and infection control standards. The most significant of these is the mandatory use of sterile, single-use, disposable needles, which makes the risk of infection minimal. Common side effects are minor and may include slight soreness, bruising, or bleeding at the needle site. It is important to inform your practitioner if you are pregnant or have a pacemaker, as certain techniques may need to be modified.
This is a very common concern, but most people find acupuncture to be a relaxing and comfortable experience. Acupuncture needles are extremely thin—often no thicker than a strand of hair—so their insertion is typically painless. Many people do not feel the insertion at all. Once a needle reaches the intended depth, you may feel a unique sensation, such as a mild ache, warmth, or tingling. This is known as “de qi” and is considered a sign that the treatment is having a therapeutic effect.
In Ontario, you can be confident in your practitioner’s qualifications by ensuring they are a “Registered Acupuncturist” (R.Ac). This is a protected title, meaning only those who have met the rigorous educational and examination requirements of the College of Traditional Chinese Medicine Practitioners and Acupuncturists of Ontario (CTCMPAO) can use it. You can verify any practitioner’s registration status on the public register available on the CTCMPAO website. All acupuncturists at CARESPACE are fully registered and in good standing with the College.
While both therapies use fine needles, they are fundamentally different. Acupuncture is a comprehensive system of medicine based on balancing energy flow along meridians to treat a wide range of systemic conditions. Dry needling is a technique based on Western anatomy used by professionals like physiotherapists to release muscular trigger points for neuromuscular pain. A more detailed comparison is provided further down this page.
The number of sessions required varies depending on the individual, the condition being treated, and how long you have had it. For acute issues, you may experience significant relief after just a few treatments. For chronic or more complex conditions, a longer course of therapy is often necessary. A typical treatment plan for a single complaint often involves one or two sessions per week for several weeks, with a common range being 6 to 8 treatments to see significant progress. Your practitioner will discuss a personalized treatment plan and expected timeline with you during your first visit.
Yes, since acupuncture is a regulated health profession in Ontario, services provided by a Registered Acupuncturist (R.Ac) are covered by most extended health benefit plans. CARESPACE offers direct billing to make the process as seamless as possible. It is always a good idea to check the specific details of your individual plan.
No, you do not need a referral from a physician to see a Registered Acupuncturist in Ontario. You can book an appointment directly at your convenience.
Your first visit will be comprehensive. It will start with a detailed conversation about your health history, symptoms, and goals. Your practitioner will then perform a physical assessment, which may include orthopedic tests as well as traditional diagnostic methods like observing your tongue and feeling the quality of the pulse in your wrist. Based on this, they will explain their findings, propose a treatment plan, and begin your first treatment. You can find a more detailed walkthrough of the first visit below.
Meet Our Acupuncturists
Chiropractor, Clinic Director
Waterloo – Uptown Waterloo
Naturopathic Doctor, Assistant Director
Kitchener - Victoria North
Chiropractor, Clinic Director
Kitchener – Fischer-Hallman
Please call us at (519) 208-2273 or book online today.
CARESPACE Locations Offering Acupuncture
Live-answer Reception
Please call us at (519) 208-2273 to talk with our live-answer Reception Team who will be happy to book, reschedule appointments or answer any of your questions, or book online now.
Open 7-days a week!
Monday–Friday: 8 AM–8 PM
Saturday–Sunday: 8 AM–6 PM
CARESPACE Fischer-Hallman
851 Fischer-Hallman Rd, 201, Kitchener, ON N2M 5N8
CARESPACE Victoria North
1373 Victoria Street North, 4A, Kitchener, ON N2B 3R6
CARESPACE Westmount East
720 Westmount Rd E, 9, Kitchener, ON N2E 2M6
CARESPACE Waterloo GoodLife
270 Weber St N, Waterloo, ON N2J 3H6
CARESPACE Weber North
564 Weber Street North #12, Waterloo, ON N2L 5C6
CARESPACE Uptown Waterloo
75 King St S, 28B, Waterloo, ON N2J 1P2
What to Expect at Your First Acupuncture Visit
Your first acupuncture visit at CARESPACE is a comprehensive and reassuring experience designed to understand your unique health needs and set a clear path toward your goals. We ensure you feel heard, informed, and comfortable throughout the entire process.
- A Thorough Conversation: The visit begins with you. Your Registered Acupuncturist will dedicate time to an in-depth conversation about your primary health concerns, your symptoms, your health history, and your lifestyle. This is the foundation upon which your personalized care plan is built.
- A Comprehensive Assessment: Your practitioner will conduct a detailed physical assessment. This may include familiar orthopedic and neurological tests to evaluate your muscles, joints, and nerves. It will also incorporate traditional diagnostic methods unique to acupuncture, such as closely examining the shape and coating of your tongue and feeling the strength and quality of the pulse at your wrist. These methods provide a holistic view of your body’s overall state of health.
- Your Personalized Plan: After the assessment, your practitioner will discuss their findings with you in clear, easy-to-understand language. They will explain the diagnosis from an acupuncture perspective, outline a recommended treatment plan, and tell you what to expect from future sessions. This is a collaborative process, and you will have ample opportunity to ask questions and ensure you are comfortable with the proposed plan.
- Your First Treatment: You will then receive your first acupuncture treatment. You will be asked to lie down on a comfortable, padded table. Your practitioner will gently insert the fine, sterile needles at specific points on your body. Once the needles are in place, you will be left to rest and relax for approximately 10 to 15 minutes. Many people find this period deeply calming and may even fall asleep. The removal of the needles is quick and painless.
- Next Steps: After your treatment, your practitioner will discuss any immediate post-treatment recommendations and confirm your ongoing care plan. You will leave your first visit with a clear understanding of your path forward and can easily book your follow-up appointments at the front desk or online.
Insurance & Payment for Acupuncture Services
At CARESPACE, we strive to make the financial aspect of your care as simple and transparent as possible.
- Covered by Most Extended Health Plans: As a regulated health service provided by Registered Acupuncturists, acupuncture is included in most extended health insurance plans in Ontario.
- Direct Billing for Your Convenience: To minimize your out-of-pocket expenses, we offer direct billing to most major insurance providers. Simply bring your insurance information to your first appointment, and we will handle the rest.
- No Doctor’s Referral Required: You can book an appointment with one of our Registered Acupuncturists at any time without a referral from your family doctor.
- Transparent Pricing: We believe in clear and upfront communication about the cost of your care. Our fee schedule is available, and we are happy to answer any questions you may have.
Acupuncture vs. Other Approaches
Navigating different therapeutic options can be confusing. Understanding how acupuncture compares to other common treatments can help you make an informed decision about your health. At CARESPACE, we believe in using the right tool for the right job, and often the best results come from an integrated approach.
Acupuncture vs. Dry Needling: Understanding the Key Differences
This is one of the most common areas of confusion for patients. While both treatments involve the use of fine needles, their philosophies, training, and applications are fundamentally distinct. Acupuncture is a complete medical system, whereas dry needling is a specific technique.
Acupuncture is performed by a Registered Acupuncturist and is based on the principles of Traditional Chinese Medicine (TCM). Its goal is to restore the balanced flow of the body’s energy (Qi) along established pathways called meridians to treat a wide range of health conditions and improve overall wellness. Dry needling, conversely, is a technique used by other healthcare professionals, like physiotherapists, and is based on modern Western neuroanatomy. It specifically targets tight bands of muscle tissue known as myofascial trigger points (“knots”) to relieve localized pain and improve muscle function.
Acupuncture vs. Massage Therapy
Acupuncture and massage therapy are excellent complementary treatments. Registered Massage Therapy is highly effective for releasing broad areas of muscular tension, improving circulation, and promoting general relaxation. Acupuncture can target issues at a deeper level, addressing specific points of pain, influencing the nervous system directly, and treating the underlying imbalances that may be contributing to muscle tension. Often, a combination of both therapies yields the best results.
Acupuncture vs. Medication
For many pain conditions, medication can provide necessary relief but often comes with side effects and may not address the root cause of the problem. Acupuncture offers a powerful, non-pharmacological alternative that works by stimulating the body’s own healing and pain-relief mechanisms. For chronic issues like migraines, studies have shown acupuncture to be at least as effective as preventative drug therapy, but without the associated side effects. It can be a valuable tool for managing pain and reducing or eliminating the need for long-term medication use.
The CARESPACE Difference: Why an Integrated Approach is Best
You do not have to choose. The core philosophy at CARESPACE is that the best outcomes are achieved when different therapeutic approaches work together. Your team of health professionals collaborates to determine the optimal combination of treatments for your specific needs. Your plan might include acupuncture to manage pain and inflammation, physiotherapy to restore strength and mobility, and massage therapy to address compensatory muscle tension. This integrated, client-focused model ensures you receive the most comprehensive and effective care possible.
The Evidence for Acupuncture: A Look at the Outcomes
At CARESPACE, our commitment to evidence-based care means we rely on high-quality scientific research to guide our practice. The body of evidence for acupuncture is vast and continually growing, with numerous systematic reviews and clinical trials investigating its effectiveness for a wide range of conditions.
Chronic Pain Relief
Systematic reviews, which synthesize the results of multiple studies, provide the highest level of evidence. An overview of eight high-quality Cochrane reviews found that acupuncture is effective for several pain syndromes, including neck disorders and peripheral joint osteoarthritis. For neck pain specifically, moderate-quality evidence shows it relieves pain more effectively than sham treatments in the short term.
Headache & Migraine Prevention
The evidence for using acupuncture to prevent headaches and migraines is particularly strong. Research has shown that acupuncture is at least as effective as conventional preventative drug therapies and is safe, long-lasting, and cost-effective. This makes it a compelling first-line treatment option for individuals who suffer from frequent headaches or migraines.
Mental Health & Stress Reduction
The benefits of acupuncture extend beyond physical pain. A comprehensive review known as the Acupuncture Evidence Project concluded there is high-level evidence that acupuncture is moderately effective for treating anxiety. Studies have shown its effects are significant compared to conventional treatments and have identified several biochemical mechanisms, including its ability to regulate the nervous system, improve heart rate variability, and trigger the release of endorphins.
Safety and Risk Profile
The safety of acupuncture is well-established, especially when performed by a regulated professional. The risks are very low. The most common side effects are minor and transient, such as soreness or bruising at the needle insertion site. The standard practice of using sterile, single-use, disposable needles minimizes the risk of infection.
The State of the Research
The scientific community is actively engaged in acupuncture research. While the evidence is strong and positive for many conditions, it is important to acknowledge the complexity of the field. Some systematic reviews have been inconclusive, often due to methodological diversity or flaws in the primary studies being reviewed. However, as the quality of research continues to improve, the evidence base supporting acupuncture’s role as a safe and effective therapy for many common health problems grows stronger. This commitment to transparently understanding the state of the evidence is central to our practice.
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