Exploring Acupuncture as a Back Pain Relief Option
Acupuncture has a long history of use, and increasingly, research is exploring its potential benefits for chronic pain, particularly low back pain. While not considered standard care in the U.S., several organizations recognize it as a viable treatment option.
from a customary Eastern medicine standpoint, acupuncture aims too restore the flow of energy by “unblocking obstructions” within the body’s energy channels along pain pathways, according to Dr. Lin.Western medicine proposes a different mechanism, suggesting acupuncture needles stimulate the release of neurotransmitters, impacting pain pathways. However, Dr. DeBar emphasizes that how acupuncture works isn’t fully understood. Evidence points to potential effects on the nervous system, body tissues, and even placebo effects. some studies indicate acupuncture may increase microcirculation – blood flow in the smallest blood vessels - leading to reduced inflammation.
The World Health Association (WHO) acknowledges acupuncture as a potential treatment for low back pain, suggesting it is likely more helpful than not. Similarly, the Centers for Disease Control and Prevention (CDC) lists acupuncture as a noninvasive, drug-free approach to managing chronic pain.
Despite these endorsements, standard U.S. treatment for chronic low back pain typically begins with evaluation by a specialist, followed by individualized plans often including physical therapy, lifestyle adjustments, and over-the-counter medications.A healthcare provider may consider acupuncture as an additional option depending on a patient’s response to initial therapies.
Access to acupuncture can be a barrier. While eligible for Medicare coverage, insurance coverage is frequently enough limited.A recent study published in 2024, analyzing data from over 6.8 million Americans with low back pain, revealed that fewer than 2% filed insurance claims for acupuncture treatment. Dr. Bach notes that many insurance companies either don’t cover acupuncture, or acupuncturists don’t participate in those insurance networks.
Acupuncture isn’t suitable for everyone. Individuals with a fear of needles, or those with active skin infections like cellulitis, should avoid it.Though, studies suggest positive outcomes for those who are suitable candidates. Older adults participating in Dr. DeBar’s study reported sustained improvements in functioning after acupuncture treatment.
Doctors generally agree acupuncture can be a beneficial treatment for many experiencing chronic low back pain, offering a potential option to medication, injections, or surgery, as highlighted by Dr. Lin. Dr.Bach recommends considering acupuncture, “especially if you have tried the standard treatments and failed to find much relief.”
