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My wife is 22 weeks pregnant and is suffering from low back pain. She seems to have a trigger point area in that area. Is it safe for her to have trigger point therapy by using acupuncture?

There is very little risk associated with the treatment of low back pain in pregnancy. In this journal article from Acupuncture in Medicine

the house journal of the British Medical Acupuncture Society, the author makes it quite clear that low back pain in pregnancy is one of the more frequent problems addressed by acupuncture in pregnancy, alongside morning sickness and migraine. He also spells out the key risk factors, namely using some of a series of 'forbidden' points, especially during the first trimester. No properly qualified practitioner would ever use these points anyway, but it has to be said that there are very few western practitioners who needle points as vigorously as the Chinese for whom these proscriptions applied.

The treatment of back pain generally is one of the better proven uses of acupuncture (by the rather inappropriate research measures which are in the ascendant in the west). Research into the use of acupuncture for back pain in pregnancy is limited, but that which exists is largely positive. 

Although we have not yet finalised our work on specialist practice, we are looking at recognising postgraduate qualifications in obstetric acupuncture. If you are looking for a practitioner it may well be using a google search under acupuncture and pregnancy alongside your home area to identify someone who has had specialist training. There are some advantages from visiting someone who spends more time than the average practitioner treating pregnant women. We are all generalists, but there are times when a more in depth knowledge of a field of expertise is valuable.

Trigger point therapy itself is a slightly more western approach to acupuncture with slightly different diagnostic principles. In practice the needles tend to get inserted in the same place but for different reasons, but if trigger point needling is what you specifically want then you may have to check out the registers of the medical acupuncturists (BMAS and AACP) who use this technique as a stock intervention. However, we are confident that the use of traditional acupuncture would prove equally as effective, and potentially more so insofar as it looks at the performance of the whole system, not simply the presenting symptom. 


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