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Dr. Brian Abelson

Self-Care for Neck Pain: Acupressure & Fascial Manipulation


Neck Pain Image

When patients ask how to speed up recovery from neck pain, I often say, “Yes, there’s more you can do!” In addition to the prescribed treatments and exercises, I introduce two effective methods: Traditional Chinese Medicine (TCM) and Fascial Manipulation.


TCM offers centuries of experience, using specific acupuncture points proven to relieve pain and promote healing. Fascial Manipulation complements TCM by working through not just the points but also the surrounding tissues. This process activates the nervous system, enhances circulation, and accelerates healing. Both methods are supported by scientific research and are easy to incorporate into daily routines.


By adopting these techniques for neck pain, you actively engage in your recovery, reducing inflammation, relieving discomfort, and promoting lasting healing. It’s about empowering yourself to complement professional care with hands-on approaches that can make a difference.


Article Index:


 


Fascia Image

The Role of Fascia in Acupressure and Healing for Neck Pain


Research indicates that many acupuncture points related to neck pain are found along fascial thickenings where connective tissue planes meet. By applying pressure to these acupuncture points and addressing fascial restrictions in nearby areas, we can unlock significant therapeutic benefits.


Fascia forms a continuous network in the body, crucial to both neurological and vascular functions. Releasing tension and increasing mobility in the fascia around the neck helps restore proper blood flow and nerve function, reducing inflammation and easing pain. This approach treats not only the targeted acupuncture points but also the surrounding tissues, creating a more comprehensive healing process.


For example, research on acupuncture demonstrates that pressure along fascial planes creates mechanical tension, sending signals through the connective tissue. This concept, called tensegrity, shows how pressure at specific points can have a ripple effect, benefiting areas both near and distant, thanks to the interconnectedness of fascia. By working on acupuncture points and surrounding fascia in the neck, you can achieve more profound, lasting relief from neck pain.


 

Specific Acupuncture Points


When it comes to using acupressure for neck pain, combining key points such as GB 20 (Fengchi), GV 16 (Fengfu), TE 17 (Yifeng), and LI 4 (Hegu) can offer significant relief. These points, rooted in Traditional Chinese Medicine (TCM), help to promote blood flow, reduce inflammation, and ease muscle tension in the neck and upper body. By incorporating acupressure into your daily routine, you can address not only neck pain but also related symptoms like headaches, jaw tension, and upper shoulder discomfort. This holistic approach empowers you to take an active role in your recovery, ensuring that tension is released and healing is supported naturally.



GB 20 (Fengchi) Image
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GB 20 (Fengchi)


Location: GB 20 (Fengchi) is located just below the base of the skull, in the depression between the upper portions of the sternocleidomastoid and trapezius muscles. To find it, locate the bony ridge at the back of your head (occipital bone) and slide your fingers down into the hollow where these muscles meet. This point lies about 1.5 to 2 inches outward from the spine, just below the occipital bone.

Effects on Inflammation and Healing: GB 20 is particularly effective for treating neck stiffness, headaches, and upper back tension. Stimulating this point improves circulation, reduces muscle tightness, and promotes the release of tension in the neck and upper shoulders. It also enhances blood flow and relieves discomfort caused by stress, overuse, or poor posture, making it a valuable point for long-term relief from musculoskeletal discomfort.

Self-Treatment: Apply firm but gentle pressure to GB 20 using your thumbs or fingertips. Perform circular motions (both clockwise and counterclockwise) for 1 to 3 minutes. Additionally, you can knead the surrounding muscles to improve circulation and release tension in the area. Having a partner assist can make this process more effective and create a collaborative healing experience.

Contraindications: Avoid using GB 20 if you have severe cervical spine issues, fractures, or active infections in the area. Deep pressure should be avoided to prevent any risk of damaging the brainstem or spinal cord. Always consult with a healthcare provider if you are unsure whether this point is safe for you.



GV16 (Fengfu) Image
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GV 16 (Fengfu)


Location: GV 16 (Fengfu) is located at the base of the skull, in the depression just below the external occipital protuberance (the bony bump on the back of your head). To find this point, slide your fingers downward from the bony prominence until they settle in the natural hollow midway between the mastoid processes (the bony areas behind your ears).

Effects on Inflammation and Healing: GV 16 is used for relieving neck pain, tension headaches, and eye strain. Stimulating this point helps improve circulation and reduce muscle tightness in the neck and upper spine. It is also believed to promote relaxation and alleviate stress, which can be contributing factors to headaches and neck discomfort. By encouraging better blood flow, it helps reduce inflammation and ease discomfort in the upper cervical region.

Self-Treatment: Apply gentle but firm pressure to GV 16 with your fingertips, using circular motions for 1 to 3 minutes. Be mindful of any discomfort and avoid deep pressure. Kneading the surrounding tissues can further relieve tension and improve circulation. This is a good point for someone to assist with, as it can be challenging to reach on your own.

Contraindications: Avoid applying pressure to GV 16 in cases of head or neck trauma, infections, or severe medical conditions like high fever or uncontrolled hypertension. Always consult a healthcare provider before using acupressure if you are unsure whether it's appropriate for your condition.



TE 17 Image
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TE 17 (Yifeng)


Location: TE 17 (Yifeng) is located just behind the earlobe, in the depression between the lower jawbone (mandible) and the mastoid process (the bony bump behind the ear). To find it, start by feeling the soft spot just behind your earlobe where the jaw meets the neck. It’s approximately one thumb width behind the midpoint of the small notch between the ear lobes, called the intertragic notch.

Ask the patient to open their mouth, as this makes it easier to identify the point. TE 17 (Yifeng) is found in a depression behind the ear lobe, positioned between the mastoid process and the mandible (lower jaw).

Effects on Inflammation and Healing: This point is highly effective for neck pain and tension. It helps by improving blood flow and reducing muscle tension in the neck area, promoting better circulation and reducing inflammation. TE 17 is also frequently used to address ear-related issues such as tinnitus (ringing in the ears), ear infections, and jaw problems like temporomandibular joint (TMJ) disorders. It works by stimulating the muscles and fascia around the neck, easing tightness and relieving discomfort.

Self-Treatment: Apply firm but gentle pressure with your fingertips on TE 17. Use circular motions, alternating between clockwise and counterclockwise, for 1 to 3 minutes. Be mindful of the surrounding area and knead gently to release tension in the muscles and improve blood circulation. Having a partner assist can make this process smoother, allowing for more effective treatment.

Contraindications: Avoid applying pressure to TE 17 if you have an acute ear infection, mastoiditis, or severe inflammation near the ear. Always consult with a healthcare provider before using this point, especially if you have concerns about infections or injuries in the region.a.



LI4 (Hegu)m Image
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LI4 (Hegu)


Location: LI4 (Hegu) is located on the back of the hand, in the web between the thumb and index finger. To find it, first extend your hand with fingers apart. The point is located in the depression between the first and second metacarpal bones, closer to the base of the index finger. It is about at the midpoint of the second metacarpal bone, leaning slightly toward the thumb.

Effects on Inflammation and Healing: LI4 is a versatile point commonly used in Traditional Chinese Medicine (TCM) to relieve pain, reduce inflammation, and improve circulation. It is particularly helpful for headaches, facial pain, toothaches, and certain types of musculoskeletal pain. LI4 is also thought to stimulate the body's Qi and support the immune system by improving blood flow and reducing tension in the muscles, promoting a sense of overall balance and relief.

Self-Treatment: Use your thumb or fingertips to apply firm but comfortable pressure to LI4. Begin by pressing firmly, then using circular motions, alternating between clockwise and counterclockwise, for 1 to 3 minutes. Kneading and rolling the surrounding tissues will also help release tension and improve circulation. Consider involving a partner for assistance to ensure the pressure is applied correctly and consistently, turning it into a collaborative healing experience.

Contraindications: LI4 should not be stimulated during pregnancy, particularly during the first trimester or near term, as it is believed to influence uterine activity and may increase the risk of contractions or premature labor. Avoid using this point if there are skin infections, cuts, or acute injuries on the hand. Always consult a healthcare provider if you are unsure whether this technique is appropriate for you.



 

Contraindications Overview for Neck Pain


When using acupressure for neck pain, it’s important to be cautious about certain contraindications, especially in cases of severe cervical spine conditions, including fractures or instability. Pressure points like GB 20 (Fengchi) and GV 16 (Fengfu) should be used with care, as incorrect application may risk overstimulation of sensitive areas near the brainstem and spinal cord. Additionally, these points should be avoided in cases of acute infections, severe inflammation, or open wounds near the neck area.


Caution and Safety Guidelines

When practicing acupressure on the neck, ensure you avoid pressing too hard on areas where there may be major blood vessels or nerves, such as the carotid artery. If you feel a strong pulse or experience sharp, radiating pain, adjust your pressure immediately to avoid compressing vascular or neurological structures. Avoid working on areas with skin infections or open wounds, as this may lead to further complications. Always consult a healthcare provider, especially if you have pre-existing conditions or are unsure about the safety of using acupressure in certain areas. If pregnant, avoid points known to influence uterine activity and always seek medical advice before proceeding.



 

Neck Pain Image

Conclusion: Acupressure & Fascial Manipulation for Neck Pain


In conclusion, applying acupressure to key points such as GB 20, GV 16, TE 17, and LI 4 can significantly alleviate neck pain and tension. However, it's essential to remember that acupressure works best when combined with other treatments like osseous and myofascial release, along with a structured exercise program tailored to improve posture and mobility. Daily acupressure can play a vital role in managing symptoms between treatment sessions, accelerating healing by reducing inflammation, improving circulation, and releasing muscle tension in the neck and shoulders.


Maximizing Your Healing with Daily Acupressure


In places like China, acupuncture is often performed daily for optimal results, while in North America, sessions are generally limited to once or twice a week. Performing acupressure daily on key points can help maintain progress, keep therapeutic benefits active, and accelerate recovery. Consistent self-care through acupressure ensures the body continues to heal effectively, even between professional treatments.


Final Note


While this article emphasizes self-care, involving a friend or loved one in your acupressure routine can create a collaborative healing experience. They can help you reach difficult areas, such as the base of the skull, ensuring that the techniques are applied correctly and effectively. Whether performed independently or with help, integrating these protocols into your daily routine will support your body’s natural healing processes and provide long-term relief from neck pain.



 

References


  1. Bordoni, B., & Zanier, E. (2014). Anatomic connections of the diaphragm: influence of respiration on the body system. Journal of Multidisciplinary Healthcare, 7, 299-310. doi: 10.2147/JMDH.S66724

  2. Chou, R., Qaseem, A., Snow, V., Casey, D., Cross, J. T., Shekelle, P., & Owens, D. K. (2007). Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Annals of internal medicine, 147(7), 478-491.

  3. Deadman, P., Al-Khafaji, M., & Baker, K. (2007). A manual of acupuncture. Journal of Chinese Medicine Publications.

  4. Guimberteau, J. C., & Armstrong, C. (2015). Architecture of human living fascia. The extracellular matrix and cells revealed through endoscopy. Eastland Press.

  5. Huang, L. C., & Deng, M. Y. (2016). Acupuncture for the treatment of neck pain. In Neuropathic Pain, IntechOpen.

  6. Langevin, H. M., & Yandow, J. A. (2002). Relationship of acupuncture points and meridians to connective tissue planes. The Anatomical Record, 269(6), 257-265. doi: 10.1002/ar.10185

  7. Schleip, R., Jäger, H., & Klingler, W. (2012). What is 'fascia'? A review of different nomenclatures. Journal of Bodywork and Movement Therapies, 16(4), 496-502.

  8. Stecco, C., & Hammer, W. I. (2018). Functional Atlas of the Human Fascial System. Elsevier Health Sciences.

  9. Vickers, A. J., Vertosick, E. A., Lewith, G., MacPherson, H., Foster, N. E., Sherman, K. J., ... & Linde, K. (2018). Acupuncture for chronic pain: Update of an individual patient data meta-analysis. The Journal of Pain, 19(5), 455-474. doi: 10.1016/j.jpain.2017.11.005

  10. Yang, M., Yang, J., Zuo, Z., Liao, X., Wen, Y., Fan, L., ... & Xia, J. (2016). The role of traditional Chinese medicine in the regulation of oxidative stress in treating coronary heart disease. Oxidative Medicine and Cellular Longevity, 2016. doi: 10.1155/2016/5691949

  11. Yu, X., & Ding, G. (2012). Acupuncture mechanisms: Anesthesia, analgesia and protection on organ functions. World Journal of Traditional Chinese Medicine, 1(1), 59-66. doi: 10.15806/j.issn.2311-8571.2012.0013

  12. Yuan, Q. L., Guo, T. M., Liu, L., Sun, F., & Zhang, Y. G. (2015). Traditional Chinese medicine for neck pain and low back pain: a systematic review and meta-analysis. PloS one, 10(2), e0117146.



 
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DR. BRIAN ABELSON, DC. - The Author


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With over 30 years of clinical practice and experience in treating over 25,000 patients with a success rate of over 90%, Dr. Abelson created the powerful and effective Motion Specific Release (MSR) Treatment Systems.


As an internationally best-selling author, he aims to educate and share techniques to benefit the broader healthcare community.


A perpetual student himself, Dr. Abelson continually integrates leading-edge techniques into the MSR programs, with a strong emphasis on multidisciplinary care. His work constantly emphasizes patient-centred care and advancing treatment methods. His practice, Kinetic Health, is located in Calgary, Alberta, Canada.



 


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