Article Index

"The Lumbar Spine & Lower Extremity"

John A. Amaro D.C., FIAMA, Dipl.Ac.

In the November 5, 2001 issue of Dynamic Chiropractic I presented nine acupuncture points which are exceptionally effective for pain in the cervical spine, shoulder, elbow and in general, the entire upper extremity. Apparently there were numerous doctors perhaps thousands, who not only read the article, but also applied the points as I have been swamped with e-mail and phone messages as to the incredible effectiveness of these points.

Yes, Yes, I know they are powerful. It's probably not necessary to point out to me how effective these points are, however, as always, I am interested in hearing of your specific case histories. In the excitement of telling me of the positive clinical response experienced, I have heard some remarkable stories. In case you missed that issue for some inexcusable reason, or failed to take my suggestion to clip the article and graphics to add to future articles, see us on the web. Go to see columnist and click on "Amaro" for access to the article entitled "Acupuncture Orthopedics" as well as over 100 more that have appeared over the last 12 years.

We as D.C.'s are continually being presented with the challenge of a variety of conditions affecting the somato system. It is the lumbar spine however that appears to warrant more of our attention than any other particular ailment. Just as we learned in the previous article of nine specific acupoints that have amazing effectiveness in the upper extremity, there are likewise a number of points that have powerful effects on the lower extremity and lumbar spine.

Since a picture is worth a thousand words, clip this reference and apply it by locating the acupoint on your patient from the graphics. Obviously the format of this publication does not allow for the space necessary to fully explain the mechanisms and academic reasons as to why these points are selected. But do yourself and your patient a favor and take my word for it, they are without question the most powerful points on the body for low back and lower extremity. Join us at one of our "Acupuncture Orthopedics" programs for the rationale and applications of the treatment of the majority of musulo-skeletal problems we see in clinical practice.

Those of you practicing acupuncture with needle stimulation, I suggest you minimize the use of needles and combine non-invasive electronic stimulation, laser light or teishein to the "Tsing-Well" and the "Stream" points. Only needle the "Spring" points of the "Well-Spring-Stream". Needles may be applied to the remaining points. For those practitioners preferring or forced to use non-penetrating methods of stimulation, activation of all of the points is highly effective with electronic or laser.

In the next ten cases you see of severe discogenic lumbalgia, sciatic neuritis, spinal stenosis, facet syndrome or generalized myogenic lumbar pain along with your usual chiropractic procedures, add the points shown in the graphics. Begin with the Well-Spring-Stream of the Bladder, Gallbladder, Stomach and Kidney meridian in that order. Then stimulate SI3 and BL62 followed by the groin points ST30, SP 12 and SP 13. The patient then may be turned over to stimulate the lumbar points on the Bladder and Governing vessel along with BL54 (40) and GB30. Remember, all of the mentioned points may be stimulated with direct transcutaneous electric nerve stimulation (TENS) with as much effectiveness as needle stimulation in most cases.

The entire procedure is quick with no more than 12 seconds per point with electronic or laser. Needle stimulation can be accomplished in less than 20 minutes of needle retention. When using needle stimulation, clinical response is accelerated with wiring to electronic stimulation via alligator clip to the needle.

It is common practice in Okinawan and Japanese acupuncture to insert the needle, rotate quickly and withdraw immediately performing the same procedure on all the points as illustrated. Very powerful!

Looking forward to hearing of your successes. Best Wishes on the use of these points.

John A. Amaro D.C., FIAMA, Dipl.Ac.
Carefree, Arizona