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John A. Amaro D.C., FIAMA, Dipl.Ac. (IAMA) (NCCAOM)

It is no secret, the number one condition that plagues mankind is unquestionably "low back pain".
The chiropractic profession has been presented the dubious honor of being back doctors just because the fact that our avenue of approach in treating all conditions is through the spine. Due to the fact more people on earth have lumbar pain than any other condition combined, I guess that honor is not such a bad thing. However, what D.C.'s can do for somato viscero conditions is legendary and also the topic of a future article.

In the meantime D.C.'s will be challenged on a daily basis to help with uncontrollable pain of the lumbar spine due to a variety of reasons from the so called simple pinched nerve as a result of subluxation to the more severe spinal stenosis, to the common muscle spasm. There are a variety of reasons why patients experience low back pain.

As a general rule, Doctors of Chiropractic achieve outstanding clinical response to lumbalgia however on occasion, a condition presents itself which despite our best efforts, the condition does not resolve or is extremely slow in responding.

Having practiced for so many years the fine art of Acupuncture, I have been called on in countless occasions by my colleagues to assist in an unresolved case of low back pain. Realizing the D.C. who has referred the case to me has already exhausted all of the clinical tricks of the trade I generally approach the condition with a different mentality.

The number one thing I do in unresolved low back cases is to simply turn the patient over on their back and the first thing is to locate three extremely tender points in the crease of the groin. These three points relate to what is known as ST 30, SP 13 and a "miracle point" between the two. This alone is magic.

Following this, place the patient prone and stimulate two miracle points just above and below the iliac crest in addition to BL 23 just lateral to L2-3. The real kicker is to stimulate SI3 and BL 62 followed by KI 1 and perhaps one of the most overlooked points in acupuncture for low back pain is ST 3 on the face just below the pupil. Do all points bilateral. In the case of SI 3 and BL 62 use the right hand and left foot and vice versa.

Perhaps one of the most important aspects of this treatment approach are the three points in the inguinal crease. Try this on your next unresolved case of low back. You'll be amazed. Remember, stimulation can be achieved either invasively (needle) or with non-invasive procedures such as laser, electronic, pressure etc.
Acupuncture is a principal, not a technique. Let me know of your success.

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