Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2010 Oct;92(7):595-8.
doi: 10.1308/003588410X12699663904196. Epub 2010 Jun 7.

Acupuncture therapy for chronic lower back pain: a systematic review

Affiliations

Acupuncture therapy for chronic lower back pain: a systematic review

Dionysios Trigkilidas. Ann R Coll Surg Engl. 2010 Oct.

Abstract

Introduction: Chronic low back pain is a common condition affecting a significant proportion of the population and has large economic implications on the society. Acupuncture has grown in popularity as an alternative therapy for chronic low back pain. Recent National Institute for Health and Clinical Excellence (NICE) guidelines on low back pain offer a course of acupuncture as a baseline treatment option according to patient preference. The aim of this systematic review was to evaluate if this treatment option is justified in view of recent evidence available on the efficacy of acupuncture.

Materials and methods: Studies included were identified by a PubMed search for relevant, randomised, controlled trials on the 23 July 2009. A systematic review was performed.

Results: Fifteen randomised controlled trials were identified. Of these, four met the eligibility criteria and were critically appraised. These trials suggest acupuncture can be superior to usual care in treating chronic low back pain, especially, when patients have positive expectations about acupuncture.

Conclusions: NICE guidelines of a course of acupuncture, offered according to patient preference as a treatment option for chronic low back pain, are justified.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Flow chart of studies with reasons for exclusion.

References

    1. Anderson GB. Epidemiological features of chronic low-back pain. Lancet. 1999;354:581–5. - PubMed
    1. Department of Health. The prevalence of back pain in Great Britain in 1998. London: Government Statistical Service; 1999.
    1. Thomas KJ, MacPherson H, Thorpe L, Brazier J, Fitter M, et al. Randomised controlled trial of a short course of traditional acupuncture compared with usual care for persistent non-specific low back pain. BMJ. 2006;333:623. - PMC - PubMed
    1. National Institute for Health and Clinical Excellence. Low back pain. Early management of persistent nonspecific low back pain. NICE Clinical Guideline 88. < http://www.nice.org.uk/CG88fullguideline>.
    1. Cherkin DC, Sherman KJ, Avins AL, Erro JH, Ichikawa L, et al. A randomized trial comparing acupuncture, simulated acupuncture, and usual care for chronic low back pain. Arch Intern Med. 2009;169:858–66. - PMC - PubMed

Publication types

LinkOut - more resources