Understanding Chronic Back Pain: Causes and Integrative Treatments

caulocare
3 hours ago
4 min read

“Acupuncturist treating patient with chronic back pain at Caulo Care Forest Hills NY clinic” — “Chronic back pain relief through acupuncture and posture correction at Caulo Care Acupuncture, Forest Hills, NY — integrative healing for long-term wellness.”

By Dr. Phumlarp Caulo – Caulo Care Community Acupuncture, Forest Hills, NY

What Is Chronic Back Pain?

Chronic back pain is pain that lasts longer than 12 weeks, even after the initial injury or strain has healed. It is one of the most common causes of disability and reduced work performance.In Queens, many patients experience this problem due to repetitive lifting, long driving hours, poor posture, or stress-related muscle tension.

Causes in Western Medicine

Muscle and Ligament Strain – Overuse, poor lifting technique, or prolonged sitting causes micro-tears and inflammation in the paraspinal muscles.
Degenerative Changes – Herniated discs, spinal stenosis, and arthritis can compress spinal nerves, leading to pain, numbness, or tingling.
Postural Imbalance – Forward head posture, rounded shoulders, or pelvic tilt from long desk work creates uneven spinal pressure.
Referred Pain – Internal organ issues, such as kidney or gynecological disorders, can radiate to the back through shared nerve pathways.
Psychological Stress – Chronic stress increases cortisol, tightens muscles, and lowers pain tolerance.

Traditional Chinese Medicine (TCM) Perspective

In Traditional Chinese Medicine, chronic back pain often results from an internal imbalance rather than a single mechanical problem.

Kidney Qi Deficiency (Shen Xu) – Dull, weak pain that worsens with fatigue; related to aging, overwork, or chronic illness.
Qi and Blood Stagnation (Qi Xue Yu Zhi) – Sharp, fixed pain after trauma or long-standing tension; due to blocked energy flow in the meridians.
Cold-Damp Invasion (Han Shi Bi) – Heavy, stiff, or cold pain aggravated by weather changes; caused by external cold or damp exposure.
Emotional Factors – Suppressed emotions (fear, frustration) may stagnate Qi, leading to tightness along the Bladder and Du meridians.

Posture and Anatomy (A&P Integration)

Neutral Spine – The natural “S-shape” of the spine supports even weight distribution and nerve protection.
Common Postural Problems:
- Forward head and rounded shoulders → tight chest and weak upper back
- Anterior pelvic tilt → tight hip flexors and weak glutes
- Posterior pelvic tilt → flattened lumbar curve and back strain
Muscle Groups Involved: Core stabilizers (transversus abdominis, diaphragm, pelvic floor) and back extensors (multifidus, erector spinae).
Body Mechanics Tip: Engage the core during lifting, and avoid twisting from the waist.

Western Medical Treatments

Physical Therapy: Core strengthening, stretching, and ergonomic training to restore balance and flexibility.
Medications:
- NSAIDs (ibuprofen, naproxen) for inflammation
- Muscle relaxants (cyclobenzaprine) for short-term spasm relief
- Neuropathic agents (gabapentin) for nerve pain
- Corticosteroid injections for localized inflammation
Procedures: Trigger-point injections, radiofrequency ablation, or surgery for severe disc compression.
Lifestyle Adjustments: Weight control, daily movement, adequate rest, and supportive mattress use.

TCM and Acupuncture Treatments

Acupuncture: Balances Qi flow, reduces inflammation, and releases endorphins; key points include BL23, BL40, GV3.
Cupping and Gua Sha: Stimulate blood circulation and release muscle adhesions.
Moxibustion: Applies warmth to remove Cold-Dampness and improve circulation in the lumbar region.
Tui Na (Therapeutic Massage): Manual manipulation to relax tendons and restore mobility.
Chinese Herbal Therapy:
- Du Huo Ji Sheng Tang for Cold-Damp and Kidney Deficiency
- Shen Tong Zhu Yu Tang for Qi and Blood stagnation
Topical Remedies: Herbal patches with camphor, menthol, or capsaicin to ease local pain.

Herbal and Nutritional Support

Anti-Inflammatory Herbs: Turmeric, ginger, and boswellia help reduce inflammation naturally.
Nutrient Support: Magnesium, vitamin D, and omega-3 fatty acids promote muscle and bone health.
Kidney-Tonifying Herbs: Rehmannia (Shu Di Huang) and Eucommia (Du Zhong) strengthen the lower back and support vitality.
Avoid Cold and Damp Foods: Too many cold drinks or raw food may worsen stiffness according to TCM theory.

Prevention and Home Care

Correct Posture: Keep feet flat, shoulders relaxed, and head aligned with spine.
Stretch Regularly: Focus on hamstrings, hips, and lower back muscles.
Strengthen the Core: Simple exercises like planks or pelvic tilts improve spinal stability.
Take Breaks Often: Stand up or walk every 30 minutes during desk work or driving.
Manage Stress: Deep breathing, meditation, and acupuncture sessions help prevent tension buildup.
Stay Warm and Hydrated: Protect the lower back from cold wind or air conditioning.
Sleep Ergonomics: Use a medium-firm mattress and avoid sleeping on the stomach.

Integrative Healing at Caulo Care

At Caulo Care Community Acupuncture, we approach chronic back pain with an integrative mindset—blending Western evidence-based care and Eastern holistic wisdom.

Each patient receives personalized acupuncture, posture education, and home exercise guidance. Our goal is not only pain relief but also restoring movement, confidence, and harmony between body and mind.

This information is only educational and should not be construed as medical advice.

Everything must be balanced, and the suggestions may not apply to you.

A specialist doctor should be consulted for any medical advice or diagnosis.

BOOK AN APPOINTMENT NOW!

Acupuncture near me at Forest Hill, NY

🔶🔷🔶🔷🔶🔷🔶🔷🔶🔷🔶🔷

Dr. Phumlarp Caulo LA,c, MAc. OM, DAHM

Doctor of Acupuncture/Chinese Medicine

Caulo Care Acupuncture

🔖 By appointment only

📧 bookingcaulocare@gmail.com

☎️+1 (929) 269-4549