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One of the biggest surprises for first-time patients is this: It doesn’t really hurt. Acupuncture needles are extremely thin—much thinner than injection needles. Most people feel a tiny sensation, sometimes warmth, heaviness, or a dull ache. In acupuncture, this feeling is called “arrival of Qi.” Qi (pronounced “chee”) is often described as vital energy, but you can also think of it as the body’s communication system. When Qi flows smoothly, we feel good. When it gets stuck, we feel pain, stress, or fatigue. Acupuncture helps “restart the traffic flow.