Acupuncture for Back Pain

Acupuncture for Back Pain

myBackPain Assessment

Wondering if acupuncture could help your back pain?

The myBackPain assessment identifies your specific diagnosis — and tells you which treatment approaches, including acupuncture, have the best evidence for your presentation. Results in minutes.

Take the Assessment →

NICE
recommends acupuncture as an option for chronic primary pain including chronic back pain
6–12
sessions — typical course for chronic back pain; most people notice benefit within 4–6 if it is going to help
Better
than no treatment and sham acupuncture for chronic back pain in a 2012 Cochrane review of 17,000+ patients

What is acupuncture?

Acupuncture involves the insertion of fine needles into specific points on the body. It has been used for thousands of years in traditional Chinese medicine and is increasingly integrated into Western musculoskeletal care. NICE guidelines include acupuncture as one treatment option for chronic primary pain, including chronic back pain.

How acupuncture works

The mechanisms of acupuncture are not fully understood but several are well-supported. Needle insertion triggers the release of endorphins and other natural pain-modulating substances. Stimulation of sensory nerve fibres modulates pain signal transmission in the spinal cord. fMRI studies show acupuncture produces changes in brain activity in pain-processing regions. Local needle insertion triggers a local response that may reduce muscle tension and improve local circulation.

What to expect

The treatment
Fine needles inserted at selected points, typically left in place for 20–30 minutes. Most people feel minimal pain on insertion. A dull aching or tingling sensation (de qi) is considered therapeutically significant.
Number of sessions
Typically 6–12 sessions for chronic back pain. Most people notice some benefit within 4–6 sessions if it is going to help. If there is no benefit after 6 sessions, it is unlikely to become effective with more.
Practitioners
Look for practitioners accredited by the British Acupuncture Council (BAcC) or with accredited training from their professional body (physiotherapists, osteopaths, and doctors also use acupuncture within their practice).
Side effects
Minor bruising, temporary soreness. Serious adverse events are rare with properly trained practitioners using single-use sterile needles.

Where the evidence is strongest

The evidence for acupuncture is strongest for chronic back pain and pain reduction in sub-acute presentations. It is weaker for acute back pain, where other approaches such as manual therapy and guided movement tend to produce quicker results. Acupuncture is best understood as a component of an overall management plan rather than a standalone cure.

Take the Assessment →

Download the Acupuncture for Back Pain Fact SheetPDF — printable summary to share with your GP or practitioner

Find out which treatment is most appropriate for your specific back pain

The myBackPain assessment identifies the most likely cause of your pain — and guides you toward the treatment approaches with the best evidence for your specific presentation.

Take the Assessment →

£12.99  •  Personalised report  •  No subscription