Research Confirms Acupuncture's Safety and Effectiveness for Managing Chronic Low Back Pain in Older Adults

A recent clinical trial published in JAMA Network Open highlights the benefits of acupuncture for older adults suffering from chronic low back pain. The study involved 800 participants aged 65 and older and found that those receiving acupuncture experienced greater improvements in physical function and pain reduction compared to those receiving standard medical care, which included medications and physical therapy. The trial, named BackInAction, assessed the impact of manual acupuncture needling—an approach eligible for Medicare coverage—over a period of 12 months.

The findings reveal that participants who underwent acupuncture treatments reported significant reductions in pain and disability at six and twelve months, alongside improved physical functioning and fewer anxiety symptoms. Notably, both standard acupuncture and maintenance sessions contributed to these positive outcomes, showcasing acupuncture as a safe, non-invasive, and sustainable option for pain management in older adults.

Lead researcher Dr. Lynn L. DeBar emphasized that despite the modest effect size, the results demonstrate that acupuncture can be as effective as more familiar treatments, with the added benefit of being safe with minimal adverse effects. The study also underscores the importance of improving access to acupuncture, especially if Medicare coverage can be expanded to include billing for these procedures, which could greatly benefit older adults with chronic back pain.

Acupuncture, originating from traditional East Asian medicine, involves inserting fine needles at specific body points to promote healing and pain relief. While its safety and efficacy are well-documented for adults generally, this study provides critical evidence supporting its use in the older population, offering a promising alternative for pain management without the risks associated with drugs or invasive procedures.

Participants in the study received up to 21 acupuncture treatments across three months, with some receiving additional maintenance sessions. The study’s pragmatic design reflects real-world clinical settings, making the findings more applicable to everyday healthcare practice. Overall, the research suggests that integrating acupuncture into treatment plans could enhance quality of life and reduce reliance on medications among seniors suffering from persistent low back pain.