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Most chronic pain treatments — medications, injections, surgery — work by blocking or interrupting pain signals, or by addressing structural problems. Acupuncture works differently: it engages the body's own systems, prompting changes in how the nervous system processes pain, how inflammation is regulated, and how circulation reaches damaged or stagnant tissue. Improved circulation, in particular, can support healing by delivering oxygen and nutrients to areas that have been slow to recover. It also tends to have a broader effect on sleep, mood, and fatigue — things that pain medications don't typically address.