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Table 1 Acupuncture points and depth of needling in the true acupuncture arm

From: Evaluating acupuncture and standard care for pregnant women with back pain: the EASE Back pilot randomised controlled trial (ISRCTN49955124)

Point

Description

Depth of insertion/needle

Local points

 BL23

1.5 cun lateral to the spinous process of L2

30–40 mm/50 mm

 BL24

1.5 cun lateral to the spinous process of L3

30–40 mm/50 mm

 BL25

1.5 cun lateral to the spinous process of L4

30–40 mm/50 mm

 BL26

1.5 cun lateral to the spinous process of L5

30–40 mm/50 mm

 BL27

1.5 cun lateral to the spinous process of S1

30–40 mm/50 mm

 BL28

1.5 cun lateral to the spinous process of S2

20–30 mm/40 mm

 BL54

3 cun lateral to the spinous process of S4

50–70 mm/75 mm

 BL31

Over the first sacral foramen

20–30 mm/40 mm

 BL32

Over the second sacral foramen

20–30 mm/40 mm

 BL33

Over the third sacral foramen

20–30 mm/40 mm

 GB30

Over the piriformis muscle, at junction of lateral 1/3 and medial 2/3 of line joining sacral hiatus and greater trochanter of the femur

50–70 mm/75 mm

 HJJ L4

One fingerbreadth lateral to the spinous process of L4

30–40 mm/50 mm

 HJJL5

One fingerbreadth lateral to the spinous process of L5

30–40 mm/50 mm

All of the above points can be needled bilaterally. Tender points over the gluteus minimus and the pelvic rim can also be included.

Distal points

 GB34

One fingerbreadth anterior and one inferior to the fibular head

25–30 mm/40 mm

 ST36

3 cun below the joint line of the knee and a fingerbreadth lateral to the tibial crest

25–30 mm/40 mm

 LR3

Just distal to the junction of the bases of the first and second metatarsal bones

25–30 mm/40 mm

 LI4

On the highest point of the first dorsal interosseous muscle of the hand

20–30 mm/40 mm–30 mm

 BL60

Midway between the lateral malleolus and the Achilles tendon

15–25 mm/30 mm

 BL62

1 cun below the tip of the lateral malleolus

10–20 mm/30 mm

One or two of the above points are to be included in the treatment. Not necessary to needle bilaterally, unless the clinician judges it to be needed.

  1. The acupuncture protocol was informed by acupuncture texts, a national survey of acupuncture practice (Bishop et al. 2015) and previous studies (Elden et al. 2008 [18])