Dr. Riley Smith

Acupuncture · By Symptom

Most people don't come in
asking for acupuncture.
They come in asking for relief.

The body sends signals long before it has a name for what’s wrong. Find the symptom you recognize. I’ll show you the pattern underneath — and the clinical pathway through.

This is where your body's signal becomes a starting point.

By Symptom

Find what you're experiencing.

Eight common reasons new patients come in.
Each one has a clinical pathway — and a place to start.

Can acupuncture help pain?
Acupuncture for pain — back, neck, knees, sciatica, migraines and post-injury
recovery.

The American College of Physicians recommends acupuncture as a first-line treatment for low back pain, and the NIH recognizes its evidence base for musculoskeletal and nerve pain. I treat the signal and the pattern behind it, matching the custom plan to the pain type and source.

Can acupuncture help with anxiety and stress?
Acupuncture for anxiety, burnout and chronic stress — calming the nervous system at the source.

Clinical research has examined how acupuncture affects autonomic nervous system regulation, shifting the body out of sustained sympathetic overdrive and modulating cortisol response. I use it for generalized anxiety, panic, burnout and the high-alert state your nervous system won't release. Each custom plan works with the specific pattern driving your symptoms.

Does acupuncture work for sports injuries?
Acupuncture for sports injury, recovery and prevention — from rotator cuff to IT band.

Acupuncture is used across professional and Olympic sports for soft-tissue injury, tendinopathy, muscle recovery and return-to-play timelines. I treat acute strains, recurring injuries, plantar fasciitis, tennis elbow and the mechanical patterns that set them up. Each custom plan addresses the injury and the reason it keeps happening.

Can acupuncture help with IBS and gut issues?
Acupuncture for gut health — IBS, bloating, reflux, food sensitivities and functional dyspepsia.

Research referenced by NCCIH and Cleveland Clinic supports acupuncture for IBS and functional gut disorders, where conventional labs often read normal while symptoms persist. I treat the gut-brain-vagus nerve axis that drives bloating, unpredictable digestion, reflux and inflammatory reactivity. Each custom plan works the interplay between digestion, immunity and nervous system regulation.

Can acupuncture help adrenal fatigue and hormonal imbalance?
Acupuncture for HPA axis dysregulation, thyroid and hormonal balance — what's often called adrenal fatigue.

Clinically, what patients experience as adrenal fatigue is typically HPA axis dysregulation — the stress-response system running hot for years until it runs flat. Research supports acupuncture for cortisol regulation, menstrual and menopausal symptoms and stress-related hormonal disruption. I treat the patterns I see most often in high-achievers whose thyroid labs read normal while their bodies clearly disagree.

Can acupuncture help insomnia and sleep issues?
Acupuncture for insomnia — circadian rhythm, 3am wake-ups and wired-but-tired sleep.

Systematic reviews reference acupuncture's effects on primary insomnia, sleep onset and sleep maintenance through cortisol and melatonin regulation. I treat the pattern driving your specific disruption — whether it's a cortisol-driven 3am wake, a nervous system that won't settle at night or blood sugar dips pulling you out of deep sleep. Each custom plan targets the upstream cause, not just the sleep symptom.

Does acupuncture support healthy aging and longevity?
Acupuncture for longevity — circulation, inflammation, recovery capacity and hormonal resilience.

Chinese medicine has tracked the markers of healthy aging for centuries — circulation, inflammation, sleep, recovery, hormonal balance and nervous system tone. I use acupuncture and Chinese medicine to strengthen the systems that determine how you age, not chase the surface signs. Each custom plan builds resilience at the level where aging actually happens.

Can acupuncture boost immune function?
Acupuncture for immunity — frequent infections, post-viral fatigue and immune dysregulation.

Emerging research examines acupuncture's effects on immune cell regulation, inflammatory markers and recovery from post-viral syndromes. I treat patients caught in the pattern of constant illness, lingering fatigue after infection and the sense that their immune system is either running hot or running out. Each custom plan supports the regulation layer, where the immune system learns to respond instead of overreact.

Still have questions about what you're experiencing?
A conversation is the right place to start.

Already know acupuncture is the path forward? See custom treatment plans.

Dr. Riley Smith, LAc · DACM · DiplOM

Find Your Best First Step

Seven quick questions. I'll match you with the care that actually fits what you're dealing with — no guessing required.

Start

Before we begin

Tell us where to send your results

Question 1

Where are you located?

Acupuncture is available in-person at our San Diego clinic only. All other services are fully virtual.

Question 2

What best describes what you're dealing with?

Pick the option that feels most like your primary concern right now.

Question 3

How long have you been dealing with this?

Question 4

What kind of support resonates most right now?

Go with your gut — there's no wrong answer here.

Question 5

How urgently do you need support?

Question 6

How do you feel about working with a provider virtually?

Coaching and lab services are 100% virtual. Acupuncture is in-person only.

Question 7

What level of investment feels realistic right now?

This helps match you to the right entry point — not a commitment.