What are the methods for lumbar and back massage?

May 08, 2025 Source: Cainiu Health
Dr. Zhang Xiuhong
Introduction
Under normal circumstances, methods of lumbar and back massage include palm pushing, pressing and kneading, point pressing, tapping, and slapping. Patients with severe lumbar spine conditions or skin diseases should avoid lumbar and back massage or perform it only under a doctor's guidance. The palm pushing technique can effectively promote blood circulation in the waist area, improve the flow of qi and blood, and thereby relax tense lower back muscles.

  Generally, methods of lumbar and back massage include palm pushing, pressing and kneading, point pressing, percussion, and tapping. A detailed explanation is as follows:

  1. Palm Pushing Method

  The massager straightens both hands and closely applies the heel of the palm or the thenar eminence to the skin surface of the recipient's waist area. Starting from the upper waist, the massager slowly and evenly pushes downward along both sides of the spine. This method effectively promotes blood circulation in the waist, improves the flow of qi and blood, and thus relaxes tense waist muscles.

  2. Pressing and Kneading Method

  Place the hands together over the painful area of the back and massage downward until the local skin becomes warm. Alternatively, use the heel of the palm to knead the back area. This method enhances local blood circulation, relaxes tense muscles in the waist and back, and thus alleviates pain.

  3. Point Pressing Method

  The massager uses the thumb or elbow to press specific acupoints on the waist and back, such as Shenshu (BL23), Weizhong (BL40), and Mingmen (GV4). The pressure should be moderate, creating a feeling of soreness and distension in the recipient. Stimulating these acupoints regulates the flow of qi and blood and helps relieve back pain.

  4. Percussion Method

  The massager half-closes both hands into fists and rhythmically alternates between tapping the recipient's waist using the hypothenar eminence or the hollow part of the fists. The force should be moderate, and the speed slightly fast. This method improves local blood circulation in the waist, accelerates metabolism, helps relieve muscle fatigue, and also has a relaxing effect on the nerves.

  5. Tapping Method

  Gently tap the waist and back area with the palm or fist, using moderate force that feels comfortable for the recipient. The tapping should be even and firm, avoiding excessive force that could cause injury. This method helps relax muscles, promote the circulation of qi and blood, and dissipate blood stasis.

  Patients with severe lumbar spine diseases or skin conditions should avoid lumbar and back massage or perform it only under a physician's guidance.