When patients ask what more they can do to speed up recovery from low back pain, my answer is often, “Yes, there’s more!” In addition to recommended treatments and exercises, I often introduce two effective methods: Traditional Chinese Medicine (TCM) and Fascial Manipulation.
With TCM, we rely on centuries of wisdom, using specific acupuncture points that are proven to relieve pain and promote healing. Fascial Manipulation complements this by not only targeting these points but also working through the surrounding tissue, stimulating the nervous system, and accelerating the healing process. Both approaches are grounded in scientific research and can easily become part of your daily self-care routine.
By incorporating these techniques into your low back pain management, you take an active role in your recovery, reducing inflammation, easing discomfort, and promoting long-term healing. It’s about empowering yourself to complement professional treatments with effective, hands-on care.
Article Index:
The Role of Fascia in Acupressure and Healing for Low Back Pain
Research has shown that many acupuncture points, including those relevant for the low back, are located along fascial thickenings where connective tissue planes intersect. Applying pressure to these acupuncture points, while also addressing fascial restrictions in the surrounding areas, can produce significant therapeutic benefits.
Fascia forms a continuous network throughout the body, playing a vital role in both neurological and vascular function. By releasing tension and improving mobility in the fascia around the lower back, you restore proper blood flow and nerve function, which in turn helps reduce inflammation and alleviate pain. This broader, whole-body approach ensures that both the acupuncture points and the surrounding tissue contribute to a more comprehensive healing process.
For instance, studies on acupuncture demonstrate that applying pressure or needling along fascial planes creates mechanical tension and signaling throughout the connective tissue. This concept, known as tensegrity, shows how tension is distributed across the body’s fascial network. This allows treatment at specific points to have downstream effects, addressing issues in both the local area and distant regions connected through the body’s fascial web. By working on both the acupuncture points and the fascia surrounding the low back, you promote deeper, more effective healing for long-term relief.
Specific Acupuncture Points
Acupuncture points Bladder 25 (BL 25), Bladder 40 (BL 40), Small Intestine 4 (SI 4), and Small Intestine 6 (SI 6) are key locations for treating low back pain, inflammation, and improving overall healing. Each of these points offers distinct benefits, and when used together with acupressure techniques and myofasical release, they can help manage and reduce pain effectively.
BL25 (Dachangshu)
Location: BL25 (Dachangshu) is located 1.5 cun lateral to the lower border of the spinous process of the 4th lumbar vertebra. For someone unfamiliar with acupuncture terminology, a cun is a traditional unit of measurement used in acupuncture, roughly equal to the width of your thumb. To find BL25, first locate the fourth lumbar vertebra (which is in the lower back, just above the pelvis). From there, measure approximately 1.5 thumb widths outward to either side of the spine. This is where you would find the BL25 point.
Effects on Inflammation and Healing: BL25 is highly effective for low back pain relief. It works by improving circulation and reducing muscle tension in the lower back. This point can also help alleviate inflammation and discomfort due to overuse or strain by enhancing blood flow and addressing fascial restrictions, promoting overall healing.
Self-Treatment: Use your thumbs or fingertips to apply firm but comfortable pressure on BL25. Begin with circular motions in both clockwise and counterclockwise directions for 1 to 3 minutes. Additionally, knead and roll the tissues around the point to release tension and improve circulation in the surrounding area for a more comprehensive treatment. While this article focuses on "Self-Care," don’t hesitate to involve a significant other or close friend in your treatment. They can help apply the techniques outlined here, turning it into a collaborative healing process.
Contraindications: If you are pregnant, be cautious when applying pressure to the lower back, as stimulating this point could affect uterine activity. Avoid using BL25 if you have any skin infections or injuries in the lower back, or if you suffer from bleeding disorders. Always check with a healthcare provider if you are unsure whether this technique is suitable for your condition.
BL 40 (Weizhong)
Location: BL 40 is located in the center of the crease at the back of your knee, known as the popliteal crease. You can find it by gently bending your knee and feeling for the hollow space directly in the middle of the crease.
Effects on Inflammation and Healing: BL 40 is a commonly used point to relieve low back pain, sciatica, and lumbar muscle tension. It helps by promoting relaxation in the muscles and tendons, improving circulation, and reducing inflammation, making it effective for alleviating discomfort in the lower back.
Self-Treatment: Use your thumbs or fingertips to apply firm but comfortable pressure to the center of the popliteal crease. Perform circular motions, both clockwise and counterclockwise, for 1 to 3 minutes. Kneading and rolling the tissues around the point will also help release tension and improve circulation. Be cautious, though—if you feel a pulse or experience sharp, nerve-like pain radiating from the area, it means you may be pressing on a major artery or nerve, such as the popliteal artery or tibial nerve. If this happens, adjust your position immediately to avoid compressing these structures. Involving a significant other or close friend can also make the process smoother and more effective.
Contraindications: Avoid stimulating BL 40 if you have any skin infections, varicose veins, deep vein thrombosis (DVT), or a tendency toward excessive bleeding. Use caution if pregnant, and avoid using this point in cases of severe weakness. Always consult with a healthcare provider if you have concerns or medical conditions.
SI 4 (Wangu)
Location: To find SI 4, look on the pinky side of your hand. It's located in the small groove between the base of your pinky finger (the 5th metacarpal bone) and a nearby wrist bone called the hamate. If you slide your finger along the pinky side of your hand toward the wrist, you’ll feel a slight dip—this is where the SI 4 point is located.
Effects on Inflammation and Healing: In Traditional Chinese Medicine (TCM), SI 4 is used to strengthen the muscles and tendons of the back, making it effective for treating chronic low back pain. It works by promoting better circulation and relieving tension in the muscles and connective tissues, which helps to alleviate discomfort and promote healing in the lower back.
Self-Treatment: Apply firm but gentle pressure with your thumb or fingertips to the SI 4 point. Use circular motions, alternating between clockwise and counterclockwise, for 1 to 3 minutes. You can also knead and roll the surrounding tissues to release tension and improve circulation in the hand and wrist. If you feel a pulse or experience nerve-like pain radiating from the area, move your contact slightly, as this could indicate you are pressing on a nerve or artery. Having a partner assist with this technique can be helpful and turn it into a collaborative healing process.
Contraindications: Avoid applying pressure to SI 4 if you have any skin infections, severe bleeding disorders, or acute hand or wrist injuries. While generally safe, caution should be taken during pregnancy, and individuals experiencing extreme fatigue should avoid using this point. Always consult with a healthcare provider if you are unsure or have underlying conditions.
SI 6 (Yanglao)
Location: To find SI 6, bend your elbow with your palm facing your chest. On the outer side of your wrist, near the back of your hand, you’ll feel a bony bump. Just above this bump, there’s a small dip or hollow—this is where the SI 6 point is located.
Effects on Inflammation and Healing: In Traditional Chinese Medicine (TCM), SI 6 is used to relieve pain and stiffness in the neck, shoulders, and back, including low back pain. This point improves circulation, reduces inflammation, and enhances blood flow to the tissues, promoting faster healing and reducing discomfort.
Self-Treatment: Apply firm but gentle pressure to the SI 6 point using your thumb or fingertips. Perform circular motions, both clockwise and counterclockwise, for 1 to 3 minutes. You can also knead and roll the tissues around the point to release tension and improve circulation. Be cautious—if you feel a pulse or nerve-like pain radiating from the area, adjust your pressure to avoid pressing on a nerve or artery. Partner assistance can be helpful for applying pressure more effectively.
Contraindications: Avoid applying pressure to SI 6 if you have any skin infections, severe bleeding disorders, or acute wrist injuries. While generally safe, caution should be exercised during pregnancy, and individuals experiencing extreme fatigue should also avoid this point. Always consult a healthcare provider if you have concerns or underlying health conditions.
Contraindications Overview
When using acupressure for low back pain, it’s essential to be mindful of contraindications, particularly during pregnancy. Points like BL 25 (Dachangshu) and BL 40 (Weizhong) should be used cautiously, as stimulation in these areas may affect uterine activity or induce contractions. Avoid pressure on these points during pregnancy unless guided by a healthcare provider. Additionally, acupressure should be avoided if there are local skin infections, severe bleeding disorders, or recent back injuries. Always consult a healthcare provider if you are pregnant or have underlying medical conditions before using these points.
Caution and Safety Guidelines
When practicing acupressure, avoid applying pressure to areas with skin infections, open wounds, or severe skin conditions, as this may worsen the condition. Never apply pressure to acute injuries, as this can delay healing, and avoid pressing on major vascular or neurological structures. If you feel a pulse or experience sharp, radiating pain, move your contact to avoid compressing an artery or nerve. Additionally, if pregnant, avoid points that could induce contractions or affect fetal development. Always consult with a healthcare provider if you have concerns or pre-existing medical conditions before using acupressure techniques.
Conclusion: Acupressure & Fascial Manipulation for Low Back Pain
In conclusion, while acupressure on key points such as BL 25, BL 40, SI 4, and SI 6 can significantly aid in reducing low back pain, it’s important to remember that this approach works best as a complementary treatment. Techniques like osseous and myofascial release, combined with a structured exercise program, remain critical to a well-rounded recovery plan. Daily acupressure, however, can accelerate healing, providing vital support between sessions, and helping to manage pain and inflammation more effectively.
Maximizing Your Healing with Daily Acupressure
In China, acupuncture treatments are often given daily or every other day for maximum benefit, while in North America, patients are typically seen once or twice a week. Performing daily acupressure on key points—even if you’re not receiving regular acupuncture—can help bridge this gap, maintain therapeutic momentum, and speed up recovery. Consistent engagement through daily self-care is crucial to ensure the full benefits of your treatment plan are achieved.
Final Note
Although this article emphasizes self-care, involving a close friend or significant other can turn your healing process into a shared journey. They can help with acupressure and ensure the techniques are applied effectively and safely. Make sure they read and understand the instructions outlined here. Whether you perform acupressure on your own or with assistance, incorporating these protocols into your routine can enhance your body’s natural healing processes and support long-term recovery.
References
Bordoni, B., & Zanier, E. (2014). Anatomic connections of the diaphragm: influence of respiration on the body system. Journal of Multidisciplinary Healthcare, 7, 299-310. doi: 10.2147/JMDH.S66724
Chou, R., Qaseem, A., Snow, V., Casey, D., Cross, J. T., Shekelle, P., & Owens, D. K. (2007). Diagnosis and treatment of low back pain: A joint clinical practice guideline from the American College of Physicians and the American Pain Society. Annals of Internal Medicine, 147(7), 478-491. doi: 10.7326/0003-4819-147-7-200710020-00006
Deadman, P., Al-Khafaji, M., & Baker, K. (2007). A Manual of Acupuncture. Journal of Chinese Medicine Publications.
Ernst, E., & White, A. R. (1998). Acupuncture for back pain: A meta-analysis of randomized controlled trials. Archives of Internal Medicine, 158(20), 2235-2241. doi: 10.1001/archinte.158.20.2235
Findley, T., & Schleip, R. (2009). Fascia Research: Basic Science and Implications for Conventional and Complementary Health Care. Elsevier Health Sciences.
Guimberteau, J. C., & Armstrong, C. (2015). Architecture of Human Living Fascia. Handspring Publishing.
Kaptchuk, T. J. (2000). The Web That Has No Weaver: Understanding Chinese Medicine. McGraw-Hill Education.
Langevin, H. M., & Sherman, K. J. (2007). Pathophysiological model for chronic low back pain integrating connective tissue and nervous system mechanisms. Medical Hypotheses, 68(1), 74-80. doi: 10.1016/j.mehy.2006.06.033
Langevin, H. M., & Yandow, J. A. (2002). Relationship of acupuncture points and meridians to connective tissue planes. The Anatomical Record, 269(6), 257-265. doi: 10.1002/ar.10185
Lee, J. H., Choi, T. Y., Lee, M. S., Lee, H., Ernst, E. (2013). Acupuncture for acute low back pain: A systematic review. The Clinical Journal of Pain, 29(2), 172-185. doi: 10.1097/AJP.0b013e31824909f9
Maciocia, G. (2015). The Foundations of Chinese Medicine: A Comprehensive Text. Elsevier Health Sciences.
Myers, T. (2014). Anatomy Trains: Myofascial Meridians for Manual and Movement Therapists. Elsevier Health Sciences.
Oschman, J. L. (2000). Energy Medicine: The Scientific Basis. Churchill Livingstone.
Schleip, R., & Müller, D. G. (2013). Training principles for fascial connective tissues: Scientific foundation and suggested practical applications. Journal of Bodywork and Movement Therapies, 17(1), 103-115. doi: 10.1016/j.jbmt.2012.06.007
Stecco, C., & Hammer, W. I. (2018). Functional Atlas of the Human Fascial System. Elsevier Health Sciences.
Vickers, A. J., Vertosick, E. A., Lewith, G., MacPherson, H., Foster, N. E., Sherman, K. J., ... & Linde, K. (2018). Acupuncture for chronic pain: Update of an individual patient data meta-analysis. The Journal of Pain, 19(5), 455-474. doi: 10.1016/j.jpain.2017.11.005
Wisneski, L. A., & Anderson, L. (2009). The Scientific Basis of Integrative Medicine. CRC Press.
Xue, C. (2013). Acupuncture Energetics: A Clinical Approach for Physicians. World Scientific.
Disclaimer:
The content on the MSR website, including articles and embedded videos, serves educational and informational purposes only. It is not a substitute for professional medical advice; only certified MSR practitioners should practice these techniques. By accessing this content, you assume full responsibility for your use of the information, acknowledging that the authors and contributors are not liable for any damages or claims that may arise.
This website does not establish a physician-patient relationship. If you have a medical concern, consult an appropriately licensed healthcare provider. Users under the age of 18 are not permitted to use the site. The MSR website may also feature links to third-party sites; however, we bear no responsibility for the content or practices of these external websites.
By using the MSR website, you agree to indemnify and hold the authors and contributors harmless from any claims, including legal fees, arising from your use of the site or violating these terms. This disclaimer constitutes part of the understanding between you and the website's authors regarding the use of the MSR website. For more information, read the full disclaimer and policies in this website.
DR. BRIAN ABELSON, DC. - The Author
With over 30 years of clinical practice and experience in treating over 25,000 patients with a success rate of over 90%, Dr. Abelson created the powerful and effective Motion Specific Release (MSR) Treatment Systems.
As an internationally best-selling author, he aims to educate and share techniques to benefit the broader healthcare community.
A perpetual student himself, Dr. Abelson continually integrates leading-edge techniques into the MSR programs, with a strong emphasis on multidisciplinary care. His work constantly emphasizes patient-centred care and advancing treatment methods. His practice, Kinetic Health, is located in Calgary, Alberta, Canada.
Why Choose Our MSR Courses and MSR Pro Services?
Elevate your clinical practice with our Motion-Specific Release (MSR) courses and MSR Pro services, designed to provide a comprehensive, evidence-based approach to musculoskeletal care. Here’s why you should join us:
Proven Methodology: Developed by Dr. Brian Abelson, an international best-selling author with over 30 years of clinical experience, MSR integrates the most effective elements of osseous and myofascial therapies. With a success rate exceeding 90%, our approach helps set a new industry standard.
Comprehensive Training: Our courses blend rigorous academic content with innovative techniques. You’ll master essential areas like orthopedic and neurological examinations, myofascial treatment, fascial expansions, and osseous adjusting and mobilization.
Extensive Resources: As an MSR Pro subscriber, access a vast library of over 200 MSR procedures, fillable PDF forms, instructional videos, and in-depth articles. From patient intake to tailored exercise prescriptions, our resources equip you for clinical success.
Tailored Support: Refine your diagnostic skills and expand your treatment techniques with ongoing support through over 750 videos, including 200 technique videos, 250 exercise videos, and 160 MSK articles. This extensive library features over 50 musculoskeletal condition articles, all designed to support you in clinical practice. Our resources are dynamic, with regular updates to articles, technique videos, and new additions to our educational curriculum.
Innovation and Growth: We emphasize continuous learning and innovation, giving you the tools to adapt and thrive in complex clinical scenarios. Our courses and resources are designed to foster professional growth, keeping you at the forefront of musculoskeletal therapy.
Unlock your practice's full potential with our MSR courses and MSR Pro services. Achieve outstanding clinical outcomes and join a community of forward-thinking practitioners dedicated to excellence in patient care.
Comments