Back Pain
What is Back Pain?
Definition
Back pain refers to pain along the spine, which can extend from the neck to the coccyx. It is one of the most common conditions and a leading cause of work absence in the modern world.
Common Causes
- Muscle tension and poor posture
- Disc herniation or degeneration
- Osteoarthritis of the facet joints
- Spinal stenosis
- Osteoporosis
- Psychosomatic factors and stress
Physiological and Pathological Mechanisms
- Compression of nerves and nerve roots
- Inflammatory processes in joints and intervertebral discs
- Muscular imbalances and tension
How Traditional Chinese Medicine (TCM) understands Back Pain
In TCM, back pain is often attributed to the Kidney meridian, as the Kidneys nourish the spine and bones. Common patterns include Kidney Yang deficiency (cold in the back) or Qi and Blood stagnation.
Treatment Principles
Acupuncture
Points along the Bladder and Governing Vessel meridians (BL 23, BL 40, GV 4) are used to relieve pain and strengthen Kidney Qi.
Tuina Treatment
Treatment of the paravertebral musculature, joint mobilisation, and traction techniques to decompress the spine.
Traditional Chinese Medicine
Formulas to strengthen Kidney Yang and expel cold-dampness (e.g. Du Huo Ji Sheng Wan).
Lifestyle Adjustments
Ergonomic workstation, regular movement (swimming, yoga), targeted back-strengthening exercises, avoidance of prolonged sitting.
When to See a Doctor Immediately
Warning Signs
- Incontinence or numbness in the perineal region
- Paralysis of the legs or arms
- Back pain following a fall or accident
- Night pain and unintentional weight loss
When to Contact a Clinic
If bladder or bowel dysfunction accompanies back pain, call emergency services immediately (cauda equina syndrome).