Yes, HSAs and FSAs cover massage and acupuncture

Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can be used to pay for massage and acupuncture treatments, as long as your physician recommends it with a written prescription. At HaLe’, we deeply believe in the effectiveness of our treatments, and are very excited to see bodywork, massage, and acupuncture covered as the health care it is.

To get a written prescription from your medical provider, you will need to talk with them about receiving treatment for a specific medical ailment. Some examples of qualifying issues are: stress, back pain, carpal tunnel syndrome, arthritis, diabetes, hypertension, chronic fatigue, fibromyalgia, anxiety, depression, and chronic pain.  Explain to them that you have an HSA or FSA that you would like to use to pay for bodywork, massage, or acupuncture to address your ailment. If you are already receiving these kinds of treatments, tell your doctor about how much they are helping you and how effective you find them.

To support this conversation, HaLe’ is happy write a letter to bring with you, detailing our suggested treatment plan for that ailment. Your doctor may choose to write the prescription to match that plan or may make adjustments based on their expertise. Either way, the prescription needs to include these 3 pieces of information:

  • Medical necessity: what condition you are treating
  • Frequency: how many sessions per month
  • Duration: how many months

Once you have your prescription, let us know what it says and then file it away with your records in case you are ever asked to back up your expense. You can pay for your sessions at HaLe’ directly with the card or check associated with your health spending account, if you have them. Please note that gratuity is not considered part of the cost and so does not qualify as a qualifying expense. Also, for some people, our classes might also be effective treatments for their ailments, and prescriptions for those could also be appropriate.

At HaLe’, we want you to feel good about what you are doing for your health. These HSA and FSA payment options make our treatments more accessible, which means we can be effective health care for more people, so you can get better and feel good!

Acupuncture for Knee Pain

Knee pain is one of the most common types of joint pain, and as the body’s largest joint, it is also one of the most injured. Our knees act as big shock absorbers and so receive a lot of stress and strain every day. Studies have shown that acupuncture is effective in relieving several types of knee pain, including pain from arthritis, overuse, and injury.

Acupuncture begins by helping to increase circulation. By bringing more blood flow, the toxins and fluids that build up due to inflammation can be removed more quickly. This reduces swelling and the pain that swelling causes. As more blood circulates, it also brings more oxygen and nutrients to speed up the tissue repair process.

Next, acupuncture relaxes and loosens painful spots in the muscles and connective tissue. As these “knots” or “trigger points” release, it supports the healing of the tissue. Muscle fibers can take on too much tension as a result of injury and pain, and helping to relax this tension supports the healing process.

Acupuncture also works with the body’s own healing and pain relief process. It helps to regulate pain signals and turn down the volume of the alarm being sent through the nervous system. It releases endorphins, the body’s internal pain medicine, and releases serotonin, the feel good brain chemical.

Treating knee pain with with acupuncture is effective, and combines well with other treatments like bodywork, physical therapy, or prescribed medications. The treatment schedule is usually to come once or twice a week for a few weeks, and then drop down to a maintenance schedule when symptoms have improved. Knee pain can affect everyday mobility and quality of life. Acupuncture can help.

How Often Do You Need Self-Care?

Our bodies require regular care in order to thrive and heal, and one of the best ways to make sure we are on top of our self-care is to put it on our schedule instead of trying to fit it in around everything else. As a health and wellness practice, HaLe’ has experience with what kinds of schedules work best. Here are our recommendations, based on the state of your body:

Acute Pain: 3 classes/wk, bodywork or acupuncture every week

Acute pain is an active, painful flare up or injury. The body needs frequent treatment in order to release secondary tension, stimulate the parasympathetic nervous system, support the lymph system, regulate the pain signals, and generally assist the healing process.

Sub-acute: 1-2 classes/wk, bodywork or acupuncture every 2 weeks

Sub-acute pain falls between acute pain (sudden and awful) and chronic pain (long term, constant/consistent pain). It means that something hurts, but it hasn’t been hurting for a very long time and it isn’t terrible. The body is not in crisis but still in need of support and healing, so regular treatment until it resolves is recommended.

Chronic: Start with 2-3 classes/wk and bodywork or acupuncture every 1-2 weeks, then taper down

Chronic pain is long term pain that is not healing or getting better, and can be anywhere on the spectrum from unbearable to really annoying. Addressing chronic pain involves a combination of treatments to reduce overall pain levels and to treat the root cause of the chronic condition. This usually means coming often at the beginning, and as treatment makes progress at interrupting the pain cycle, tapering off gradually until treatments reach a maintenance level.

Maintenance: 1-2 classes/wk, bodywork or acupuncture every 4 weeks

To maintain a level of general good health and low pain, we recommend a basic self-care schedule. This helps resolve issues before they begin to hurt, reduces baseline stress levels, hydrates the connective tissue (fascia), and promotes a general sense of well-being. People who are very active or athletic may need more frequent self-care maintenance.

 

A Note on Mental Health care:

These same protocols can also be applied to mental and emotional health. Psychotherapy sessions for high distress, medium distress, chronic distress, and mental health maintenance often follow the same frequency guidelines as the pain levels, since mental and emotional distress is a form of pain. Coming to classes provides valuable support for regulating mood, reducing the physical symptoms of mental and emotional stress, and releasing emotional energy that is stored in the body. Adding bodywork and/or acupuncture to your treatment plan can treat imbalances that may be contributing to distress and help boost a sense of overall wellbeing.

Crackle and Pop: Knees and other Joints

Our knees and other joints can pop, grind, crunch, and make other interesting sounds. This can be alarming, causing worry about the health of the joint and whether the sounds are a sign of something serious.

What makes those sounds: There are a lot of complex tissues in our joints, and most of them can make some noise. Tiny bubbles can form in the joint fluid due to changes in joint pressure, and they make a sound when they pop. Ligaments and tendons can make a click or pop sound as they move over a bony lump and snap back into place. Cartilage can develop uneven areas as we age, and a grinding or crunching sound can be from those rough surfaces gliding across each other.

When to worry: As long as there is no pain or swelling, these sounds are not a reason to worry. They can come from age, use, or healed injuries, and the noises are not part of the alarm system of your body. Our body uses pain and swelling to indicate that there is a problem, and that is how you know when the joint needs extra attention and treatment. And if you ever experience a sudden pop followed by pain, that is almost always an injury that needs treatment.

Support for Joint Health: There are a few keys to supporting joint health, whether they are just making painless sounds or are causing discomfort. Bodywork and movement classes both help restore alignment so that the right muscles and connective tissues are working together, and to relieve muscle tension that can contribute to joint pain. Hydration of the tissues is also key to keeping joints supple and healthy, which is especially supported by bodywork and therapeutic movement. Acupuncture is also very effective at treating pain and the imbalances that may be causing that pain.

Joints like knees and shoulders that make interesting sounds without pain are not a cause for alarm. They can serve as reminders to stay committed to our self care, but do not indicate serious damage or injury to the joint.

Focus on Feeling Better: Rebalancing the Body

Our bodies function through complex biological systems interacting with each other. Because everything is interconnected, an issue in one part of the body can have widespread consequences. Rebalancing these systems can help to find and address root causes of pain and dysfunction, and to correct small imbalances before they start to have wider effects.

Acupuncture is focused on rebalancing the body. It is a complete medical protocol traditionally used to prevent and treat disease and to promote overall health. It uses tiny, hair-thin needles to cue the body toward balance, and is both very safe and effective.

Studies have shown acupuncture to be especially effective for pain. This is true for all kinds of pain, including arthritis, fibromyalgia, dental pain, menstrual pain, back pain, knee pain, and headaches. It both addresses the underlying imbalances that are causing the pain, and helps regulate the pain signals in the nervous system, which can snowball without effective treatment.

Acupuncture also helps to rebalance and treat the many other systems of the body. This includes addressing various kinds of allergies, regulating hormonal systems, bringing balance to the heart and circulatory system, and easing digestive difficulties. Most imbalances or health concerns can be addressed and improved through acupuncture, and at Ha.Lé we welcome the opportunity to partner with your doctor in your care.

Rebalancing the body through acupuncture also has the benefit of improving overall health and addressing small problems before they become big problems. As a preventative treatment, it can keep the many complex systems of the body running more smoothly, with fewer opportunities for dysfunction.

Balancing the body and maintaining that balance is one of the foundations of health and wellbeing. Acupuncture is a safe, effective way to promote that balance, creating health deep in the interconnected systems of the body.

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