Your Questions Answered

Qi is the body’s life-force energy. It flows in a circuit along pathways between the fascial planes of the body. Blockages in the flow of qi result in pain and illness. It is the acupuncturist’s goal to rectify the smooth flow of qi throughout the body.

Acupuncture and dry needling employ the use of small, sterile needles into specific sites on the body. These flexible needles are about the width of a few human hairs. Some people experience itchiness or a momentary dull, achy sensation at or around the site where the needle was inserted. Occasionally, these sensations can occur temporarily in areas of the body where no needling occurred. This is because acupuncture needles stimulate the movement of energy throughout the body. If any discomfort lasts more than a few seconds or is particularly unpleasant, Dr Noemi will remove or adjust the needle accordingly. After insertion, a heaviness, tingling, or warmth may be felt in treated areas.

Sometimes people experience unexpected emotional releases during acupuncture. This is because the release of energy can also release emotions that have been held in the body’s tissues. Though typically a positive side effect, it can be somewhat surprising for patients, especially those who tend to not be emotionally expressive.

Acupuncture releases a flood of calming and pain reducing hormones (endorphins), giving a relaxed feeling during and immediately after treatment. Many patients fall asleep during treatments. It is my goal to work with you to ensure a relaxing, therapeutic experience.

On the contrary, acupuncture works synergistically to enhance other therapies you may already be pursuing. We believe in the value of a multi-modality approach to healing and are happy to collaborate with other practitioners in support of patients’ care. Dr. Noemi has advanced training in the pharmacology of herbal medicine and the interactions between herbs and medications. A thorough history and careful prescribing of herbs and supplements ensures patient safety and optimal results.

Most people feel relaxed during and immediately after an acupuncture treatment. While you may see quick progress in your area of concern, it may also return but to a lesser degree. This is why it is important to adhere to the recommended treatment plan and communicate progress or setbacks to Dr Noemi so she can make adjustments accordingly.

Though acupuncture promotes healing and relief, occasionally the patient’s body feels worse before it feels better. This is referred to as a “healing crisis” and shouldn’t last more than 48 hrs. Acupuncturists consider illness and pain to be symptoms of stagnant energy. When you receive an acupuncture treatment, the acupuncturist stimulates and moves energy through the channels in the body. This awakens the body’s self-healing capabilities. The body may need to expel pathogens in order to heal. In addition, you may suddenly be more sensitive to a previous ailment that had been lying dormant. This is part of the healing process as superficial issues are resolved and we tap into the root of the dis-ease in your body.

Feeling emotionally sensitive days after an acupuncture appointment is a normal response. Physical and emotional health are interrelated; therefore, emotional shifts are an indicator that the body is unwinding past experiences and is a precursor to physical healing.

Acupuncture points are believed to stimulate the central nervous system. This, in turn, releases chemicals into the muscles, spinal cord, and brain. These biochemical changes may stimulate the body's natural healing abilities and promote physical and emotional well-being.

The detoxing effects of acupuncture can last for around 3 days. During this time the body is cleansing and removing toxins and waste build-up from the body. Some patients report experiencing fatigue and discomfort; others feel revitalized.

At your initial consultation, a treatment plan will be presented, including treatment frequency, schedule of reassessment, and targeted results. Initially, acupuncture is recommended 1-2 times per week until desired results are achieved. An acute concern could show improvement after a few visits, whereas a more chronic illness may necessitate 3-6 months of regular treatment, after which monthly treatments are recommended to recalibrate the system and maintain mind-body balance.

We are not in-network with any insurance companies. If you have a health savings account (HSA) or a flex spending account (FSA), you can utilize those funds for our services. Upon request, we are able to provide superbills for most services.

You can make changes via your patient portal or by calling or emailing the office. We kindly ask that you cancel or reschedule your appointment 48 hours in advance of your appointment time so we may reach out to other patients in need. We have a 24-hour cancellation policy; if you cancel in that window, regular treatment rates apply. Thank you for understanding.

Dr. Noemi would be happy to speak with you! Text/call 415-888-9410


"I was diagnosed with fibromyalgia and tried many things to reduce my pain, but nothing made much difference until I met Dr. Noemi. She doesn’t just treat the pain, she treats the emotional root of the pain. It’s almost a hybrid of therapy and acupuncture. I couldn’t believe how easy it was to share with her and things I hadn’t thought about in years came up in our treatments. I never considered that any of this was related to my pain until the pain started to resolve. I feel better than I have in years and I have so much more energy as a result too."