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Q: I have had twp sessions of acupuncture to help me with lower back pain and sciatica. Before the first session my symptoms were not too bad. The following day my sciatica appeared to be more agitated. After the second session my back started to ache. It's been 3 days since my last session and both symptoms are causing me trouble. Is this normal?
A : We would not go so far as to say that this is 'normal', but it can happen. Acupuncture can cause minor transient adverse events, and it is not unknown for people to have a day, or two at most, after a session where the system is in a state of flux and symptoms can become a little worse. In some cases this can be quite marked, but in all cases this should stop after about 48 hours.
If a problem continues after this, there are a number of possibilities. First, and this has to be expressed with great care in order not to offend a patient, the deterioration or increase in discomfort may have nothing to do with the acupuncture treatment. Many lower back problems have a 'tipping point' after which the symptoms become quite severe, and often what is happening at the time this takes place is unconnected to the change. A more positive therapeutic outcome, and very commonly experienced after osteopathic treatment of lower back problems, is that as the body reasserts its proper form some of the muscles which have been operating in a distorted structure are now forced to accommodate the better structure within which they should function. This is rather like the pain people sometimes experience after sitting in a restricted legroom seat at the theater and then standing up.
In any event, the important thing is to discuss the problem with your practitioner and get their advice. They will know what treatments they have given and will be able to interpret what is happening to you better than we can at this remove. If they are concerned they may well invite you in for a flying visit just to take a look at the overall picture, and see if any short term adjustment is necessary.
Our expectation, however, is that by the time you read this the pain will have subsided considerably and you will be starting to feel the benefits of the treatment for your lower back.
Acupuncture and lower back pain
Q: I had an epidural when I had my son over 2yrs ago. Since I have suffered really bad lower back pain. Due to the pain I hardly go out and I have put on a lot of weight. Do you think acupuncture could help me?
A : This is quite a difficult question to answer. The official NHS sites quote statistics from studies which demonstrate that there are no long term side effects, perhaps only mild and short-term problems, but a quick internet search reveals hundreds of posts from women who have suffered long term debilitating problems.
It is very important to establish as much as possible what the problem is. In the first instance this means going back to your doctor and trying to get an MRI scan of the area to eliminate the possibility that there has been some damage during the epidural or some form of haematoma or tissue change which is causing the problem. This will determine how good the prognosis is.
It is also important to consider the possibility that the back pain may not be a result of the epidural. Pregnancy involves carrying a large weight at a disadvantageous angle, and if there were any minor irregularities or misalignments of the lower spine, these might have been pushed one stage further by the pregnancy and vigorous exertion of birth.