This is a picture of Moxibustion on top of the Acupuncture needle. I use this technique on joint pain when there is pain due to movement. In 2019 I had a patient who came in for shoulder pain and was diagnosed with tendonitis, had 2 cortisone shots which only gave temporary relief. Acupuncture alone would not be able to treat this type of tendonitis. Moxibustion helps allow move circulation which is different from reducing inflammation.