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BACK / WAIST / NECK ACHE

⚚ Acupuncture and lower back pain


Q : Are 12 needles for 40 mins for my second visit too much? I was lying on my stomach for the full 40mins for lower back pain.
A : The short answer is not at all. It is not uncommon when treating lower back pain to use a significant number of needles locally, and this can often easily run to a total of 10 or 12 needles. It is also quite common to have the patient relaxed in a face down position.
If you felt that it was too much, however, or that the position was uncomfortable for 40 minutes, then it is a simple matter to raise this with your practitioner who will be delighted, we are sure, to adjust the treatment for you.

A very small number of patients are very sensitive to acupuncture treatment, and this can often limit the number of needles which a practitioner can use. In most cases, though, this is very clear because the patient feels a little spaced out or woozy after treatment, and not in a particularly pleasant way. Practitioners will always ask how the treatment affected someone and in cases like this would automatically scale the treatment down for the next session.

How quickly does acupuncture work for back pain?

Q : I' ve got pain in my back L4 & L5. Will I get rid of some of the pain after a first session of acupuncture? How quickly does acupuncture work?
A : Without knowing exactly what kind of pain you have, how it has developed, what may have caused it and what else has happened to bring on the pain, it is very difficult to say!

This kind of question highlights the problems that we have using a different system of medicine from the one which is all around us and embedded in our common culture. People have 'bad backs', 'migraines', 'asthma', and so on, and a great deal of conventional medicine deals with this named condition in a very specific way. By contrast, the individual symptoms which piece together to define a named condition in conventional medicine are interpreted in Chinese medicine in an entirely different conceptual framework, so that there is no equivalent of a NICE guideline for a lower back problem because there are as many variations in the exact nature of the problem as there are people with it. A truism of our work is that twenty people with migraines may have twenty unique and different diganoses in Chinese medicine which would be treated in twenty different ways. We treat the person, not the disease.

However, clinical experience usually follows familiar patterns, and with back pains in this area there is often some change relatively quickly, and the question is how much and how sustainable it is. We usually warn our patients that for the first 48 hours after treatment it is possible that the pain and stiffness may increase a little, but after that there should be progress. The NICE guidelines for treating lower back pain recommend ten sessions, but most BAcC members would be reviewing a patient's progress at four or five sessions, at which point it is often possible to determine how well someone may respond. What you want to avoid is a pattern where there is some improvement for a short while which then reverts to the status quo. If this happens more than four or five times then the short term relief may not warrant the expense of treatment.

Each case is unique and different, though, and there may be other factors in play which would determine how much change and improvement you might experience. Have we had people for whom one treatment did the trick? Yes. Have we had patients who have not responded at all? Yes. The best advice is to visit a BAcC member local to you to get a brief face to face assessment of whether acupuncture treatment may be of benefit to your specific problem.