I felt an intense burning sensation during acupuncture. Should I be concerned?

Q: I saw an osteopath today for acupuncture treatment of my lower back. I have 2 damaged discs at L4-5. As one needle went in it was fairly painful like a nerve had been touched. She said she was near one of my damaged discs. When she started moving a different needle the pain was unbelievable like a intense burning sensation. She removed the needle straight away and massaged the area until the pain subsided. Everything I have read seems to suggest I shouldn't have felt this pain. I am due to go back for another session next week but I'm really concerned now.

A: We are very sorry to hear of your experience. Acupuncture treatment can occasionally be a little uncomfortable with a dull aching sensation, and on very rare occasions it can produce a very sharp reaction if a nerve is hit. Much rarer, though, are the occasions when it generates extreme sensations.

However, the fact that the pain subsided after a little gentle massage is quite a positive sign. If there had been serious damage or if the practitioner had hit a nerve there is less chance that things would have settled down so quickly. Indeed, where someone has had some very long term conditions there can occasionally be a quite violent release with some very strong after effects, so it could possibly be that this has been a very positive treatment. You will soon find out from changes which occur after the treatment. We tend to advise people that the next 24-48 hours might be a little up and down, but after that if there is going to be improvement it will swiftly become noticeable.

Although we have great respect for colleagues in the other professions who use acupuncture alongside their own modalities, it is no secret that we have been highly critical of the proliferation of very short courses adding acupuncture to another existing modality. The doctors and physios, both of whom have special interest groups protecting the public interest, have published standards for what they do and well-organised training. Many osteopaths and chiropractors, and even some podiatrists, however, are increasingly taking these short courses. We believe that it is not possible to cram both the techniques and theory into such a course at the same time as ensuring that appropriate safety standards and hygienic practice are being passed on.

This is not intended to cast aspersions on your osteopath, who may very well have substantial training and experience, and we have no doubt that what you have experienced is probably a one-off. However, as a general rule we prefer people to see practitioners whose primary focus is acupuncture rather than practitioners offering acupuncture as an adjunct within their existing skill set. Knowing what to do is important, but knowing what to do when things go wrong is as, if not more, important. For this it is essential that someone has had an in-depth training. We would not countenance our members having a go at a few osteopathic manipulations, and we're pretty sure the osteopathic associations wouldn't be that happy either.

By all means go ahead with the treatment next week, and rest assured that the chances are that it will be largely uneventful. If there is any repetition of the extreme pain or sensation, then remember that any healthcare professional can only work with your consent. If you say 'stop' then they have no choice but to so do. But we doubt it will come to that!

Post a question

If you have any questions about acupuncture, browse our archive or ask an expert.

Ask an expert

BAcC Factsheets

Research based factsheets have been prepared for over 60 conditions especially for this website

Browse the facts