Acupressure

Acupressure Points for Lower Back Pain

The points

BL-40 · Wěizhōng Supporting Middle

Where it is: At the midpoint of the popliteal crease behind the knee.

Traditionally referenced for: Reference uses include acute low-back pain, sciatica, knee pain, leg weakness, and heat-related skin eruptions.

Caution: Point-specific anatomy identifies the posterior femoral cutaneous and tibial nerves, with the popliteal vein and artery at increasing depth. Avoid vascular puncture, nerve contact, and uncontrolled deep insertion.

GV-3 · Yāoyángguān Lumbar Yang Gate

Where it is: In the lumbar region, on the posterior midline in the depression below the spinous process of L4.

Traditionally referenced for: Reference uses include lumbar pain, stiffness, weakness of the legs, and cold-type menstrual pain.

Caution: The spinal canal lies deep to this midline point. Avoid deep insertion and adjust depth to the person's build.

Where it is: In the lumbar region, level with the lower edge of the L2 spinous process and 1.5 body-cun from the posterior midline.

Traditionally referenced for: Reference uses include chronic low-back weakness, urinary disorders, reproductive deficiency patterns, tinnitus, and fatigue.

Caution: BL-23 is included in an ultrasound database of high-risk points. WHO warns that deep lumbar needling can injure the kidney; use anatomy- and body-build-specific depth.

BL-25 · Dàchángshù Large Intestine Shu

Where it is: In the lumbar region, level with the lower edge of the L4 spinous process and 1.5 body-cun from the posterior midline.

Traditionally referenced for: Reference uses include low-back pain, constipation, diarrhea, abdominal pain, and sciatica.

Caution: BL-25 is included in imaging work on high-risk points, and CT research found soft-tissue thickness varies with BMI. Do not apply one fixed deep insertion to every patient.

How to apply pressure

  1. Find the location described above. Most points sit in a small hollow, and the spot usually feels more tender than the tissue beside it.
  2. Press with the pad of the thumb or index finger, straight into the point, firmly enough to feel a dull ache — not sharp pain.
  3. Hold for 30 to 60 seconds, or use small circles at the same depth of pressure.
  4. Release slowly. Repeat on the other side of the body, since these points are bilateral unless they lie on the midline.
  5. Stop immediately if you feel sharp pain, numbness, tingling, or if the area is bruised, broken, swollen, or infected.

When to see a doctor instead

Acupressure is a self-care tradition, not a substitute for assessment. Seek medical care rather than pressing points if any of the following apply:

  • Numbness in the saddle area, or loss of bladder or bowel control — seek emergency care
  • Leg weakness that is getting worse
  • Back pain with fever, or after a fall
  • Back pain with a history of cancer or osteoporosis

Frequently asked questions

Which acupressure points are used for lower back pain?

BL-40 (Wěizhōng), GV-3 (Yāoyángguān), BL-23 (Shènshù), BL-25 (Dàchángshù). Each point below links to its full reference page with the anatomical location and cited sources.

How long should I hold each point?

A common approach is firm but comfortable thumb pressure for 30 to 60 seconds per point, repeated a few times. Stop if pressure causes sharp pain, numbness, or tingling.

Is acupressure the same as acupuncture?

No. Acupressure uses finger pressure on the same point locations; acupuncture inserts needles and requires qualified training. This page describes pressure only and is not needling instruction.

Does acupressure replace medical care?

No. It is a self-care tradition, not a diagnosis or a treatment. Any symptom that is severe, persistent, or unusual for you needs medical assessment.

Sources

References displayed on this page were recorded with the point dataset.

  1. Acupuncture.com Acupuncture Point Reference Du 3: English name, classification, functions, indications and needling sections
  2. Acupuncture.com Point Locator - Urinary Bladder 23 English name, classification, indications, functions and needling
  3. Acupuncture.com Point Locator - Urinary Bladder 25 English name, classification, indications, functions and needling
  4. Acupuncture.com Point Locator - Urinary Bladder 40 English name, classification, indications, functions and needling
  5. American Dragon Acupuncture Point Reference DU-3: English name, command functions, actions, indications and needling and moxibustion sections
  6. An Exploration of the Needling Depth in Acupuncture Table 2 and section 3.1.2, BL25 BMI and soft-tissue findings
  7. College and Association of Acupuncturists of Alberta, Safety Handbook for Alberta Practitioners Appendix 1, GV3-GV14 spinal canal cautions, pp. 58-59
  8. Development of an Acupuncture Point Imaging Database Table 1 and discussion, BL25 high-risk imaging point
  9. TARA Acupuncture Knowledge Base BL 40: special-point role, indications, method, tibial innervation and popliteal vasculature
  10. TARA Acupuncture Knowledge Base BL 23: back-shu role, indications, method, moxibustion and lumbar anatomy
  11. TARA Acupuncture Knowledge Base BL 25: back-shu role, indications, method, moxibustion and lumbar anatomy
  12. WHO Guidelines on Basic Training and Safety in Acupuncture Section II, 5.2, liver, spleen and kidney
  13. WHO Standard Acupuncture Point Locations in the Western Pacific Region (2008) BL25, p. 112