Efficacy of acupressure for chronic low back pain: A systematic review.

Establish the utility of acupressure for chronic low back pain (CLBP). A systematic review of English articles using PubMed and Embase was conducted from 01/2004-01/2020. Search terms included: "acupressure" and "chronic pain" or "low back pain". Articles included were randomized control trials evaluating acupressure in adult patients with CLBP. 150 studies met initial criteria; 6 were included (n = 468). The average total treatment length was 4 weeks. The main treatment outcomes were changes in pain, disability, and sleep. All studies found a clinically significant reduction (, ≥30% decrease) in pain for the treatment groups. All studies found a clinically significant and/or statistically significant improvement in disability in at least one of the treatment groups. All studies found a statistically significant improvement in sleep. No study found significant adverse events. Acupressure is a feasible, effective, safe, low cost nonpharmacologic method to treat CLBP. • Chronic low back pain (CLBP) is the leading cause of global disability. • Despite its prevalence, safe and effective therapy is not established. • Acupressure is a noninvasive, low cost, and effective CLBP treatment option.