Pain & the Musculoskeletal Body — mockup v7
In the clinic

Pain & the Musculoskeletal Body

When pain persists, something in the body has stopped moving as it should. Treatment is a careful, well-evidenced way of meeting it.

Acupuncture's relationship with pain
Everyone experiences pain in their own way. Acupuncture has the versatility and the depth to meet a person where they are — and encourage the conditions where pain can truly resolve.

Practised in Hackney, London.

UK adults
1 in 3
live with chronic pain
5.5m
people in England live with high-impact chronic pain — pain that stops daily activity
45%
of those with chronic widespread pain also live with depression
Pain can hinder every aspect of life.
Sleep, mood, the capacity to work or move freely — the load is rarely confined to where it hurts.
The approach
Acupuncture, practised directly.

My practice is based on a reformulated view of Chinese medicine — a more direct, conversational form of acupuncture that's capable of invoking immediate physical effects. Sometimes that means relief in the room; sometimes it takes longer. Either way, most treatments use very few needles.

Acupuncture is, at its core, a way of communicating with the body's capacity to regulate itself. The clearer and more concise that communication, the more decisive the body's response. The whole approach is structured around the signal-to-noise ratio of treatment — saying less so the body can listen more carefully.

A useful course is usually four to six sessions: weekly for the first four, then spaced to fortnightly. From there, treatments can ease into a slower pace; the body learns the conversation.

One thing I always emphasise: if you're going to engage with acupuncture, it's worth giving it a proper go. Consistency in the first weeks is what makes the difference.

6
sessions to establish a baseline · four monthly, then two fortnightly
What the modern research says
Acupuncture has been studied for pain more thoroughly than for almost any other condition.
Outperforms standard care.

In the largest analysis of its kind — 39 trials and nearly 21,000 patients — acupuncture significantly outperformed both sham needling and usual care for chronic pain.

Benefit holds at
12 months.

A level of durability that is unusual in any pain intervention.

NICE-recommended, 2021.

The UK's National Institute for Health and Care Excellence recommends acupuncture for chronic primary pain — in the same guideline that withdrew its support for paracetamol, NSAIDs and opioids.

Prevention, not just relief.

For migraine, tension headache and recurrent low back pain, acupuncture reduces frequency and recurrence — at least as effective as preventive medication, with fewer side effects, and with durability extending well past the treatment course.

In practice

Conditions commonly treated.

A non-exhaustive list — the system can hold more, but these are what most people arrive with.

01 / 06

Relief within 4–6 sessions.

Chronic back pain

Often idiopathic and intermittent, which makes it hard to triangulate. Acupuncture is well-suited to viewing the bigger picture — treating the body not as a simple mechanical system, but as a complex one. Issues are addressed on the various levels they arise and reside, from the local tissue and nerve supply through to the wider patterns of tension and imbalance that hold the picture in place.

Effects and relief are often felt immediately, with substantial results such as greater mobility without pain occurring within four to six treatments over a two-month period.

02 / 06

Felt in the first session.

Neck, shoulder & jaw

Tension that sits high in the body — often the residue of screens, stress, or the way the head and shoulders learn to brace against a held breath. Treatment combines local work with points further down the body that draw the pattern out.

Effects can be felt within the first session, with each subsequent treatment working to reduce the overall amount of stress and tension in the body; leading to greater relief whilst preventing future pain.

03 / 06

NICE-recommended for prevention.

Headaches & migraine

The evidence base here is among the strongest of any indication. Acupuncture gets to work very quickly to reduce the frequency of migraines and tension headaches — and is shown to also work preventatively.

Most patients see a meaningful drop in episode frequency right away, within four to six sessions usually proving sufficient to establish a sustaining baseline.

04 / 06

Eases the tension around the joint.

Knee, hip & joints

Osteoarthritic pain, post-injury stiffness, and the accumulated wear of running, dancing or thirty years of office posture. Treatment combines local points around the joint with whole-body work to ease compensation patterns above and below.

Whilst acupuncture doesn't reverse joint damage itself — it's very adept at relaxing the surrounding muscles and tissues which are often the underlying cause of pain and discomfort.

05 / 06

Change within one or two sessions.

Sciatica & nerve pain

Pain that travels — down a leg, into a foot, around the rib cage. Often described as electrical, burning, or numb. Treatment is paced carefully: identifying the implicated muscle groups that are causing impingement on the sciatic nerve, easing the local irritation, drawing the signal back along the channel, allowing the nerve to ease.

Most patients notice changes within the first session or two; with a frequent course of treatment leading to greater mobility and pain reduction over time.

06 / 06

For injuries that keep returning.

Sports & overuse

Tendinopathies, plantar fasciitis, shin splints, recurring strains — the injuries that don't quite resolve or keep returning to the same place. The work is targeted and comprehensive — with attention to the painful spots alongside broader solutions that address underlying patterns of tension and stress that can often be contributing factors to injury.

Patient experiences
My movement has gotten much better — and especially around the affected areas, the difference is clear.
— Fabiano Dias
Always go away with at least one part of me feeling lighter.
— via Doctify
I left feeling considerably less blocked.
— Karl Schultz
Ed Nicholls Lic.Ac MBAcC
Member of British Acupuncture Council · PSA Accredited Register
Read more  →
Common questions
Does acupuncture hurt?+
Not really, though you might feel something. The needles are very fine, and most insertions feel more like an odd sensation than actual pain. Comfort is always the priority. A lot of people find treatments genuinely relaxing, and it's not unusual to drift off during a session.
Is acupuncture safe?+
Yes. When performed by a fully accredited practitioner (like a BAcC member), acupuncture is extremely safe. I use sterile, single-use needles and follow rigorous hygiene protocols during every session.
Can acupuncture really treat my specific kind of pain?+
Most likely. Musculoskeletal pain rarely arrives in one form, and acupuncture is unusual among manual therapies in being able to work on several levels at once. Direct treatment of motor points and trigger points addresses the local mechanics — the muscles, fascia, and nerve supply that have learned to brace or amplify a signal. At the same time, the wider system is treated: the channels, the constitutional pattern, the way the body holds itself through a day. The combination is what makes the scope of effective treatment broader than people often expect.
What conditions can acupuncture treat?+
Acupuncture has been used for thousands of years to treat a wide range of conditions. That includes physical complaints like sciatica, lower back pain, and tennis elbow, as well as deeper, more systemic issues such as fibromyalgia, hormonal conditions, and the side effects of chemotherapy. Where stress and tension are at the root of what someone is dealing with, acupuncture can really help.
Are there any side effects?+
One of the reasons many people turn to acupuncture is its ability to create meaningful clinical results with very minimal risk. Side effects are uncommon and, when they do occur, are usually mild — like light bruising or brief soreness at the needle site. Most clients leave feeling calm, clear, and often more energised.

Comfortable, Effective, Approachable treatment.

Tuscany Wharf, 4a Orsman Rd, London N1 5QJ