Let’s Talk About Back Pain
February 14th of 2017 was a big day for acupuncture. The American College of Physicians (ACP) issued new clinical guideline recommending acupuncture among other noninvasive and non-drug therapies for acute, subacute and chronic low back pain. With this clinical guideline, acupuncture takes another step toward the mainstream of medical care. We consider this a big win for our profession and for patients. For starters, we know that there is so much we can do with acupuncture for helping back pain.
We can help our patients avoid surgery and narcotic pain killers, improve their quality of life, and offer a solution with no negative side effects. Physicians are the trusted professionals whom most people seek out to get advise on health care decisions. Now that acupuncture has become recognized by the ACP as a first resort treatment to help back pain, we hope to be seeing even more patients referred from their doctors for this widespread problem.
The ACP guideline reports that “low back pain is one of the most common reasons for physician visits in the United States.” In 2006, “the total costs attributable to low back pain in the United States were estimated at $100 billion.”
See the Recommendations given below:
Recommendation 1: “Given that most patients with acute or subacute low back pain improve over time regardless of treatment, clinicians and patients should select nonpharmacologic treatment with superficial heat. . . , massage, acupuncture, or spinal manipulation. . . . If pharmacologic treatment is desired, clinicians and patients should select nonsteroidal anti-inflammatory drugs or skeletal muscle relaxants. . . . (Grade: strong recommendation)”
Recommendation 2: “For patients with chronic low back pain, clinicians and patients should initially select nonpharmacologic treatment with exercise, multidisciplinary rehabilitation, acupuncture, mindfulness-based stress reduction. . . , tai chi, yoga, motor control exercise, progressive relaxation, electromyography, biofeedback, low-level laser therapy, operant therapy, cognitive behavioral therapy, or spinal manipulation. . . . (Grade: strong recommendation)
Recommendation 3: “In patients with chronic low back pain who have had an inadequate response to nonpharmacologic therapy, clinicians and patients should consider pharmacologic treatment with nonsteroidal anti-inflammatory drugs as a first-line therapy. Clinicians should only consider opioids as an option in patients who have failed the aforementioned treatments and only if the potential benefits outweigh the risks for individual patients and after a discussion of known risks and realistic benefits with patients. (Grade: weak recommendation, moderate-quality evidence)”!
At Urban Acupuncture Center we treat patients for back pain in several ways. We can use distal needling by utilizing points on arms and legs, which are extremely effective for back pain. Sometimes people respond better to local needling, and we can treat in Westerville in the private room on a table. With local points used, we will be working directly with points on your back. We may decide to add in some cupping as well to help relax the muscles and increase blood flow. If you have questions about how acupuncture can help you or someone you know, please do not hesitate to contact us!