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Q:  Please could you forward details of an acupuncturist qualified to treat lingual nerve damage. The nerve was severed during a routine wisdom tooth operation.  I subsequently had microsurgery to rejoin the nerve.  Although the nerve was rejoined I still suffer continual chronic pain on the left side of my tongue

A:  We are afraid that we cannot give specific recommendations for individual practitioners, although using our postcode search function on our home page will generate a significant number of names. The more important point, though, is that from a Chinese medicine perspective, there are very few areas where we acknowledge specialist practice. At the moment the three categories of patient for which we believe it may be possible to define expert practice are children, pregnant women and people with mental health problems. For all other patients, every BAcC member is equally well qualified to treat any patient because the skills of Chinese medicine rest in treating the person, not the named conditon. Indeed, ancient China the generalist practitioner was held in much greater esteem than the specialist who was seen as markedly inferior in the narrowness of the focus of their practice.

As far as your specific problem is concerned, there are many studies for the use of acupuncture in the treatment of chronic pain, as our factsheet shows:

but very few studies which we can trace for the use of acupuncture in the treatment of lingual nerve damage. There are a number of studies which look at sensory deficit after dental surgery, but only one which were able to trace which appeared to indicate that acupuncture has been used for this specific problem but with unclear results.

However, it is fair to say that much of the research into conditions like this is conducted within conventional medical research facilities which use a far less sophisticated form of acupuncture than that used by Chinese medicine practitioners. There are a number of different ways of addressing problems such as yours, from a local problem caused by energetic disruption inherent in any surgery through to level of shock caused by the procedure through to a more widespread weakness in the system which impairs healing throughout. The skill of the Chinese medicine practitioner lies in making sense of the complex pattern which each individual represents, and treating with the best focus for achieving sustainable change.

The best advice that we can give is that you visit a BAcC member local to you and ask for a brief face to face assessment of what they think they might be able to achieve. In cases like yours which are quite rare it would be sensible, if you did decide to go ahead with treatment, to set some very clear review stages at set points to assess progress, and also to try to set measurable outcomes. This avoids the course of treatment meandering on without apparent benefit, which in our experience invariably leads to bad feeling.

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