Frequency of visits is also determined according to the individual needs of the patient. In general, the longer the pain has been present, the longer it will take for acupuncture to produce a sustained response. In the treatment of back pain, as in other pain syndromes, the earlier the treatment, the more a rapid, sustained effect can be expected. As with any other modality, however, some patients do not respond to acupuncture. O f additional importance is keeping up activity and reduction or improved coping with stress.
Stress contributes to muscle tension, and perpetuation of the pain cycle.
Especially for chronic back pain, reduction of continued physical and emotional stress is helpful. Physical muscle stress can be reduced by good posture and good lifting habits, maintenance of abdominal muscle tone, and stretching to maintain biofeedback or visualization. Yoga offers a good combination of stretch and relaxation. Discontinuation of smoking is encouraged. Curcumin, derived from Tumeric, which gives curry its yellow color, has been shown to have significant anti-inflammatory properties.