Tui na, which dates back to 1700 BC, is a form of Chinese manipulative therapy that is often used in conjunction with acupuncture. The hands-on treatment, which works with the energy of the body to affect its flow, appears to be a cross between acupressure and shiatsu. A practitioner may use rhythmic brushing, kneading, rolling, pressing and rubbing of the areas between each of the joints in an attempt to open the body’s defensive qi and get the energy moving in the meridians and the muscles. The practitioner may also use range of motion, traction and massage techniques to stimulate acupressure points and aid in the treatment of acute and chronic musculoskeletal conditions.

Especially effective for joint pain, such as arthritis, sciatica and muscle spasms, as well as pain in the back, neck and shoulders, tui na may help chronic conditions like insomnia, constipation, headaches, migraines and tension associated with stress.

The style of tui na practiced in China today is closer to the work of chiropractors, osteopaths and physical therapists than to that of massage therapists. It's taught as a separate but equal field of study in schools of Traditional Chinese Medicine and requires the same level of training as acupuncturists and herbalists.

Resource: Dr. Wei Jiang, Liu’s Acupuncture Center, 8791 Daniels Ctr., Ste. 304, Ft. Myers, 239-939-1222. 803 Myrtle Terr., Naples, 239-403-9077. LiusAcupuncture.com.