Most people find me after a problem has outlasted the usual fixes. Sometimes it’s mechanical: a shoulder that won’t rotate, or a low back that seized months ago and never let go. Sometimes it’s slower and never shows up on an image, like sleep that has worn down over a year or digestion you can no longer count on.
The skill is telling which kind you have, and noticing when both are the same problem seen from two sides. That decides the treatment: acupuncture, an herbal formula, or both.
On the first call I’ll tell you how many visits a pattern like yours usually takes, what a fair result looks like, and when the right person is someone other than me.
Physicians, physical therapists, psychologists and counselors send me the cases that have stopped responding to their own care. A large share of my patients come to me that way.