Your Acupuncture Questions Answered

I believe informed patients make the best health decisions. That's why I've answered the questions I hear most often in my Denver practice.

Can't find your answer? Schedule a complimentary 15-minute consultation and let's talk about your specific situation.

ABOUT ACUPUNCTURE

What is acupuncture and how does it work?

Acupuncture works through neurohormonal pathways. When I insert sterile, single-use needles at specific acupuncture points, they stimulate nerves to send signals to your brain. This triggers the release of beta-endorphins, which increase your body's ability to handle stress, raise your pain threshold, and promote feelings of well-being and calm.

Research also shows that acupuncture reduces pro-inflammatory markers (TNF and IL-1b), which means increased energy and immunity, and decreased chronic inflammation.

Does acupuncture hurt?

Acupuncture needles are very small gauged, unlike needles used for blood draws or IVs. Sensations can range anywhere from tiny pricks to the skin, deep aches, a distending or radiating feeling, momentary releases, tightening of the tissue, or a release in muscle tension.

When patients feel any type of unusual sensations, it is usually momentary and passes. In some cases, I can adjust or remove the needle.

How many treatments will I need?

Treatment frequency depends on multiple factors. I usually tell my patients "until symptoms improve by 80%, measured by specific orthopedic tests or the patient-specific functional scale (PSFS)." Results also depend on adherence to lifestyle and dietary recommendations provided, as well as current medications and supplements. Some insurance plans will cover 8-20 treatments.

Sample treatment schedules:

  • Acute pain: 4-6 treatments; depends on usage (workouts, rest vs movement or exercise)

  • Chronic pain: 6-10+ treatments, depending on how long the pain has occurred and why

  • Fertility: Until results are achieved; usually 10-20 treatments

  • Stress/anxiety: Until symptoms improve by 80%; includes adherence to lifestyle and dietary recommendations; depends on current medications and supplements

  • Digestive concerns: Until symptoms improve by 80%; includes adherence to lifestyle and dietary recommendations; depends on current medications and supplements

  • Sleep disorders: Until symptoms improve by 80%; includes adherence to lifestyle and dietary recommendations; depends on current medications and supplements

  • Men's and women's optimal health/longevity: 1 treatment every 1-2 weeks to 1 month, or as needed

Is acupuncture safe?

Yes. I use sterile, single-use stainless steel needles for every patient. All needles are disposed of immediately after treatment in medical sharps containers. I am nationally board certified and maintain all required certifications and continuing education to maintain licensure.

Safety protocols:
I practice using and am required to test in Clean Needle Technique (CNT) as a part of licensure, and I practice Universal Precautions (essentially, we treat everyone as if they have "something contagious").

I set up a "clean field" with each patient, consisting of:

  • A sterile desk/horizontal surface drape

  • All equipment is labeled either by myself or at the factory

  • Cotton balls and swabs are kept in a sterile container

  • 70% alcohol dispenser and sharps containers are labeled at the factory

  • I wipe down all office door handles and equipment with 70% alcohol wipes between patients

  • All cloth draping is washed with bleach and is sterilized, or replaced every 3 months

  • I wear single-use nitrile gloves for each patient

  • I wash my wrists and hands each time I leave the treatment room

  • I swab areas where needles are placed with 70% alcohol, or iodine and/or betadine to prepare for sterile injections

  • Only sterile preparations are used for injections

  • Glass cupping cups are washed and sanitized with antibacterial/antiviral soap and soaked in virucide for 24 hours, and are dried thoroughly with each patient

I'm nervous about needles. Can you still help me?

Absolutely! I can use acupressure on acupuncture points, Japanese-style acupuncture which uses a metal tool called a "teishin" that mimics the effects of a needle without penetrating the skin, or I use magnets, pendulums, mineral stones, heated basalt stones, wooden massage tools, vaccaria plant seeds, or small Japanese acupuncture tacks.

I am also licensed and trained to perform bodywork and energy work, which is non-touch. I can stay in the room for the full duration of the treatment and use special breathing techniques to minimize pain of needle insertion and fear.

All acupuncture is performed clothed or the patient is draped with clean, single-use sheets.

What should I expect during my first visit?

Your first visit will be a comprehensive intake that typically lasts 70-90 minutes (or 180 minutes for complex cases). We will discuss your health history, current concerns, lifestyle, diet, medications, and health goals. I will examine your pulse and tongue, and may perform specific orthopedic tests.

I will create a customized treatment plan tailored to your specific needs and goals. Most new patients receive their first acupuncture treatment during this initial visit.

CHINESE HERBAL MEDICINE

What is Chinese herbal medicine?

Chinese herbal medicine is a companion treatment to acupuncture. Herbs work to treat both the root and the branch of your condition. The root represents your underlying constitutional imbalances or patterns that have developed over time. The branch represents your current symptoms. By addressing both, we create lasting change rather than temporary relief.

How are the herbs prescribed?

All herbal formulas are customized and prescribed on-site based on your specific presentation. I adjust dosages and combinations as your condition changes, ensuring you receive exactly what your body needs at each stage of healing.

Where do you source herbs? What forms do they come in? How do patients take them?

I source herbs from various companies in the United States and China. They are obtained raw and unprocessed, in granular or powder forms.

Are Chinese herbs safe? Do they interact with medications?

Chinese herbs are safe if taken as prescribed. Prior to any Chinese herbs being prescribed, I will get a full health history including any current medications or supplements taken, which include frequency, dosages, and if the medications and supplements are continued, discontinued, or only recommended. It is up to the patient to fully disclose all current medications and supplements so that I can safely prescribe Chinese herbs.

Yes, Chinese herbs can interact with medications. Chinese herbs may be avoided or replaced by other herbs, depending on each patient's medical history and if they are determined to be unsafe for the patient. Scholarly and anecdotal research can be provided.

Quality control and drug interaction checking:

I perform scholarly and anecdotal-based research, with multiple levels of evidence, especially with more current pharmaceuticals. I use our Materia Medica and other well-known Chinese herbal publications, and follow basic safety protocols outlined in our training.

There are websites with tools that can address some herb-drug interactions.

Quality control is performed by United States companies who sell Chinese herbs. Most, but not all companies provide third-party testing, similar to supplements disclosures in the US. Some herb companies based in China do not provide third-party testing. Herb companies used will be disclosed and information will be provided to the best of my knowledge.

I recommend that patients perform their own research and perform their due diligence with any concerns.

How long will I need to take herbs?

Duration varies by condition:

  • Sleep disorders: 3+ months; until symptoms reach an 80% improvement

  • Digestive disorders: 3+ months; until symptoms reach an 80% improvement

  • Anxiety/depression: 3+ months; until symptoms reach an 80% improvement

  • Acute pain: Until symptoms resolve or until symptoms reach an 80% improvement

  • Chronic pain: Until symptoms reach an 80% improvement

INJECTION THERAPIES

What is Perineural Injection Therapy (PIT)?

Perineural therapy is a safe and effective treatment for healing inflamed and damaged nerves caused by trauma, sports injuries, arthritis, or repetitive stress. When nerves are injured, they continue sending pain signals to the brain even when the actual stimulus is gone. This creates a chronic pain cycle. PIT injections calm nerve inflammation and interrupt this pain cycle. Once the damaged nerves heal, the surrounding tissues including muscles, tendons, and ligaments can also recover.

What is Neural Therapy (NT)?

Neural therapy uses therapeutic injections to treat pain and restore proper function to the autonomic nervous system. When trauma occurs, it creates an "interference field" that disrupts electrical signals in your nervous system. Neural therapy clears these interference fields, allowing normal nerve function to resume.

What's in the injections?

Legally, I do not provide this information online; some information is proprietary, but will be disclosed to the patient if it is necessary or due to legal issues.

How is this different from cortisone shots?
  • There are fewer side effects on the kidneys, if used as directed by the manufacturer

  • Used as an alternative for people who do not want to use cortisone shots which have known side effects

  • Used for people who want natural alternatives to pharmaceuticals by preference

Are there any side effects?

Some tingling, aching, soreness, redness, and bruising can occur. Some conditions may worsen before they improve, which is diagnostic vs concerning.

Most symptoms last between 1 hour to 1 week. Symptoms that last longer than 1 week are not a safety issue, but are more diagnostic to the patient's concern or disorder.

Patients should expect to feel calm, relaxed, energized, or regulated with both acupuncture and Chinese herbs.

How many injection sessions will I need?

Injections will show results between 4 hours and 4 days. Any recurrence of symptoms or pain requires follow-up injections.

FACIAL REJUVENATION & MICRONEEDLING

How does cosmetic facial acupuncture work?

Facial acupuncture increases blood flow and stimulates collagen and elastin production through precise needle insertion at specific points on your face and body. The treatment plumps and fills lines naturally, improves muscle tone, and creates a natural lift.

What makes facial acupuncture unique is that it's preventative. You receive cosmetic benefits while also getting a full body acupuncture treatment that addresses the underlying causes of aging according to Traditional Chinese Medicine.

How does microneedling work?

Microneedling uses a gentle, oscillating device with single-use sterile needle tips to trigger your skin's natural renewal response. At a depth of 0.5mm, it affects keratinocytes in the stem cell layer, increasing topical absorption of beneficial serums up to 97%.

We typically use hyaluronic acid, which draws 1,000 times its weight in water to plump and fill wrinkles. Other serums include vitamin C, niacinamide, and plant stem cells.

How many treatments before I see results?

A minimum of 3-6 months of treatments occurring every 4-6 weeks. This is a case-by-case basis.

How long do results last?

Most maintenance must be performed every 6 months to 1 year for optimal results. This may include a new course of treatment or maintenance of current results depending on at-home care, diet and lifestyle recommendations, adherence to the treatment plan, which may include Chinese herbal recommendations.

What's the difference between facial acupuncture and microneedling?

Both achieve similar cosmetic results. However, facial acupuncture is preventative because you also receive a body acupuncture treatment addressing internal causes of aging. For optimal results, I recommend combining both approaches.

BODYWORK THERAPIES

What is Tui Na?

Tui Na is traditional Chinese medical massage. It's the gentle yet focused manipulation of your body's tissues to relieve muscle tension and tightness. Unlike Swedish massage, Tui Na specifically targets acupuncture points, meridians, and organ systems. Treatment is typically performed with you clothed.

I use specialized topicals, liniments, and recommend at-home herbal soaks to help break up areas where blood flow is reduced, accelerating healing and reducing pain.

What is cupping therapy?

Cupping uses glass, plastic, or silicone cups that create suction on your skin, muscle, and fascia. This relieves tension, reduces pain, and improves blood flow. The circular marks sometimes left behind are diagnostic indicators that help me understand what's happening beneath the surface.

Will cupping leave marks? How long do they last?

The marks are diagnostic tools which demonstrate the health of the patient. They are not bruises, by definition. The suction brings up various states of the patient's health, in addition to relieving muscle tension and pain.

What is gua sha?

Gua sha is a gentle scraping technique that is used for various internal health disorders, such as coughs and colds, can be used to support collagen production, and can relieve muscle tension, depending on where it is done and which type of gua sha tool is used.

What is craniosacral therapy?

Craniosacral therapy is a gentle, hands-on technique that supports the movement of cerebrospinal fluid and the subtle motion of cranial bones. This deeply calming treatment helps regulate the nervous system, reduce stress, and promote profound relaxation.

What is integrative bodywork?

Integrative bodywork combines techniques of acupuncture, moxibustion, Channel theory, Tui Na (Chinese massage), gua sha, and injection therapies. These are used to address patient-specific concerns of pain and other health disorders simultaneously, such as nerve impingement with pain or digestive or sleep disorders, and nervous system regulation. Since Chinese medicine is holistic, often multiple techniques must be used to support a patient.

I do not provide deep tissue, Swedish, or prenatal massage.

APPOINTMENTS & LOGISTICS

How do I schedule an appointment?

You can use the booking link at the top of our site, call 720-226-7501, or email deniseanlacom@gmail.com to schedule your appointment.

Do you offer a free consultation?

Yes! I offer a complimentary 15-minute consultation by phone or video call to discuss your health concerns and answer any questions. This helps us determine if acupuncture is right for you.

What should I wear to my appointment?

Loose, comfortable clothing. Shorts and tank tops are best. The room and table are warmed.

Should I eat before treatment?

Eat a light, nourishing meal 1 hour before to 1 hour after treatments.

What should I do after treatment?

I provide a treatment plan with individual patient instructions. Instructions are emailed prior to treatments.

Are there conditions you don't treat?

I do not treat cancer or emergency medicine conditions.

How quickly will I see results?

Results vary by condition, but the general goal is an 80% improvement measured by specific orthopedic tests or the patient-specific functional scale (PSFS).

Do I need a referral from my doctor?

Referrals are not required, but any imaging and lab work is helpful. I am willing to interact with and communicate with patient providers, with HIPAA compliance.

Where do I park?

Our office is located at 1441 York Street, Suite 304, in the Colorado Chinese Medicine University building. Both secure lot parking and street parking are available on-site.

Accessibility: ADA accessible entrance available. No elevator service. Patients who cannot take stairs will be treated in a Colorado Chinese Medicine University student clinic room on the ground level.

Can I bring someone with me to my appointment?

Yes, as long as there is no interference with the treatment. No children or pets allowed. There are 2 comfortable waiting rooms: one in the office and one across the hall by the restrooms.

Do you treat children?

No, I do not treat children.

Do you treat pregnant women?

Yes, I treat pregnant women on a case-by-case basis.

INSURANCE & PAYMENT

Do you accept insurance?

Some forms of insurance are accepted. Please call or email for more information.

Do you offer payment plans?

Payment plans are offered for patients receiving 6+ scheduled treatments. Packages must be paid in advance.

10% discounts are automatically applied for: Active and retired veterans, Active military and law enforcement, Students, Proof of financial hardship

Do you accept HSA/FSA cards?

Yes.

Ready to Start Your Healing Journey?

Schedule a complimentary 15-minute consultation to discuss your health concerns and learn how integrative medicine can help.