Back Pain Treatment in Vienna, VA | Medical Doctor + Licensed Acupuncturist

If chronic back pain is keeping you from work, sleep, or the activities you love, you've come to the right place. At Mira Integrative Clinic, you'll receive treatment from Dr. Mira—a licensed medical doctor AND board-certified acupuncturist—a rare combination that ensures both medical precision and holistic healing.

Our patients see real results: One patient came to us unable to walk due to severe lumbar pain. After just 3 acupuncture and cupping sessions with Dr. Mira, the problem was completely resolved—walking normally with no pain.

We specialize in chronic back pain that hasn't responded to medication or physical therapy alone.


Why Patients Choose Mira Integrative Clinic for Back Pain

Medical Doctor + Acupuncturist (The Only Combination in Vienna)

Dr. Mira is both a licensed medical doctor and board-certified acupuncturist—credentials no other local clinic offers. This means:

  • We can review your MRI and understand the exact cause of your back pain (herniated disc, stenosis, muscle strain)
  • You receive evidence-based treatment that integrates Western diagnosis with Traditional Chinese Medicine
  • We know when to refer you for emergency care and when acupuncture is your best option
  • Your treatment is informed by both medical science and 5,000 years of healing tradition

Research-Backed Treatment for Chronic Back Pain

We don't guess. Our treatments are based on the latest clinical research. A 2025 study published in JAMA Network Open followed 800 adults with chronic low back pain and found:

  • 43.8% achieved clinically meaningful improvement with acupuncture compared to 29.4% with usual care alone
  • Disability scores improved significantly at 6 months and benefits persisted at 12 months
  • Safe and well-tolerated with less than 1% serious adverse events
  • Effective for patients who haven't responded to medication or physical therapy

This research confirms what our patients experience every day: acupuncture works for chronic back pain, and the results last.

Specialized Practitioners

Different back pain causes need different approaches. Our team specializes:

  • Dr. Mira: Medical doctor, hijama specialist, complex herniated disc cases and chronic lumbar pain
  • Dr. Sanaa: Electroacupuncture expert, chronic pain specialist
  • Yining: Mobility restoration specialist, acute back pain and functional recovery
  • Dr. Maysoun: Complementary pain management approach

Real Back Pain Success Stories from Vienna Patients


"Unable to Walk → Pain-Free After 3 Treatments"

Patient: Judith L. | Condition: Severe Lumbar Pain Affecting Walking

"I have been using Mira Integrative Clinic, specifically with Dr. Mira for at least a year now and am very happy with how she has helped me...especially with lower back pain. I had a problem with my lumbar region (mainly muscular I think) and was having a problem with walking and back pain. With acupuncture and cupping it totally solved it with only about three treatments. It was amazing. She is very knowledgeable and the atmosphere is very comforting and relaxing."

What this means:

  • Severity: Pain was severe enough to impair walking ability
  • Treatment: Acupuncture combined with cupping therapy
  • Timeline: Complete resolution in just 3 sessions
  • Result: Full functional recovery and return to normal activities

"Immediate Relief from Chronic Back Pain"

Patient: Ahmad A. | Condition: Chronic Back Pain

"I visited this clinic for a cupping (Hijamah) session and I am blown away by the results. The staff is knowledgeable, friendly, and very compassionate. The care provided was exceptional. I felt immediate relief from my chronic back pain. I couldn't ask for better care! I would recommend them to anyone seeking professional and attentive service."

What this means:

  • Condition: Long-standing chronic back pain
  • Treatment: Hijama (wet cupping) therapy
  • Result: Immediate, noticeable pain relief after first session

"Felt Like Carrying Mountains → Walked Out Feeling Lighter"

Patient: Nada B. | Condition: Shoulders and Back Pain

"This is an awesome treatment. I came to the clinic with shoulders and back pain. I felt like carrying mountains on my back and shoulders. I left feeling much lighter. The treatment of the staff was outstanding. I have a busy schedule and yet, they were able to accommodate me and give me time slot that fits my schedule."

What this means:

  • Symptom: Heavy, oppressive pain affecting daily function
  • Timeline: Significant relief after a single treatment session
  • Result: Immediate reduction in pain burden and improved quality of life

The pattern: Most patients notice meaningful improvement within 3-5 sessions and complete resolution within 15-30 sessions. Our practitioners don't just reduce pain—they restore the ability to work, exercise, and live normally. See what other patients are saying on our reviews page.

How We Treat Chronic Back Pain: Acupuncture, Hijama & Electroacupuncture


Acupuncture for Back Pain

Acupuncture stimulates specific points along the spine and surrounding muscles to:

  • Release your body's natural pain relievers (endorphins and enkephalins)
  • Reduce inflammation in affected muscles and joints
  • Relax tight paraspinal muscles that contribute to pain
  • Improve blood flow to damaged tissues to promote healing
  • Restore normal movement patterns and reduce muscle guarding

What patients feel: Most describe deep relaxation during treatment. The needles are hair-thin—50 times thinner than injection needles—and insertion feels like a brief pinch or light pressure. Many patients fall asleep during treatment.

Research backing: The 2025 JAMA Network Open study found that acupuncture improved disability scores and pain levels significantly more than usual care alone, with benefits lasting 12 months after treatment.


Hijama (Wet Cupping) for Chronic Back Pain

Hijama is particularly effective for chronic back pain that hasn't fully responded to standard acupuncture. This technique:

  • Uses controlled suction and superficial micro-incisions to remove stagnant blood and inflammatory substances
  • Stimulates local immune response to accelerate tissue healing
  • Reduces deep muscle tension and chronic inflammation
  • Promotes blood circulation to the affected area

When we recommend it: Chronic pain lasting 6+ months, herniated disc cases, or when standard acupuncture provides partial but not complete relief after 8-10 sessions.

Patient experience: 3-5 sessions total, spaced 1-2 weeks apart. The sensation is less uncomfortable than the back pain itself. Afterward, patients report significant pain reduction and improved mobility.


Electroacupuncture for Stubborn Chronic Pain

For back pain lasting 6+ months or involving significant structural issues, we use electroacupuncture:

  • Mild electrical current through acupuncture needles provides stronger therapeutic stimulation
  • Research shows superior pain reduction compared to manual acupuncture for chronic conditions
  • Promotes muscle relaxation and tissue regeneration
  • Specifically calibrated to target pain-modulating pathways

What it feels like: Gentle tingling or rhythmic tapping sensation—not painful. Most patients find it deeply therapeutic and relaxing.

Your Treatment Protocol

Initial Consultation (60-75 minutes):

  • Comprehensive medical history focused on your back pain: onset, previous treatments, how it affects daily life
  • Physical examination including range of motion tests and postural assessment
  • MRI review if you have imaging available—Dr. Mira will show you exactly what's causing your pain
  • Traditional Chinese Medicine diagnosis (tongue and pulse evaluation)
  • Customized treatment plan: typically 15-30 sessions for chronic back pain, scheduled 2-3 times per week initially
  • Your first acupuncture treatment (if appropriate for your condition)

Typical Treatment Sessions (45-60 minutes):

  • Comfortable positioning (prone, side-lying, or face-up depending on your pain location)
  • Hair-thin sterile needles inserted at key acupoints proven effective for back pain
  • Electroacupuncture applied if recommended for your case
  • Needles remain 20-30 minutes while you rest in a peaceful environment
  • Additional therapies as needed: cupping, moxibustion (therapeutic heat), or acupressure
  • Personalized advice for posture and stretching at home

Expected Timeline & Results:

TimelineWhat to Expect
Sessions 1-3Initial response: Pain decreases 20-30%, better sleep quality, reduced muscle tension
Sessions 4-8Significant pain reduction, increased mobility, can sit and stand longer without discomfort
Sessions 10-15Substantial improvement, return to light activities, reduced reliance on pain medication
Sessions 15-30Pain mostly resolved, focus shifts to prevention and maintaining results

Realistic expectations: Most patients notice significant change by session 5-7. Research shows benefits last 12 months or longer after treatment completion. Chronic back pain requires commitment, but the results are lasting.


When to Seek Treatment for Back Pain

Emergency Symptoms (Go to ER Immediately)

While acupuncture is highly effective for chronic back pain, some symptoms require immediate emergency care:

Red flag warning signs:

  • Loss of bladder or bowel control
  • Numbness around genitals, groin, or anus (saddle anesthesia)
  • Progressive weakness in both legs
  • Severe pain following major trauma or fall
  • Fever, chills, or night sweats combined with back pain (possible infection)
  • Unexplained weight loss with back pain

Why this matters: These symptoms may indicate cauda equina syndrome, spinal infection, or other serious conditions requiring emergency surgery. If you experience these symptoms, call 911 or go to the nearest emergency room immediately.

Ideal Cases for Acupuncture Treatment

Acupuncture works best when you have:

  • Chronic back pain lasting 6+ months that hasn't fully responded to medication or physical therapy
  • Back pain from a herniated or bulging disc (Dr. Mira can evaluate your MRI)
  • Recurring episodes of back pain
  • Desire to avoid surgery or long-term medication use
  • Lumbar muscle strain or tension
  • Pain affecting daily activities, work, or sleep

Call Us Within 24-48 Hours If You Experience

  • Sudden severe pain that's new or significantly worse
  • Progressive weakness or numbness in one or both legs
  • Pain not controlled by over-the-counter medication
  • Difficulty walking or standing for normal periods
  • Symptoms interfering significantly with sleep or daily function

Dr. Mira's medical background means we'll tell you if you need additional medical intervention—your safety is our priority. We're comfortable working with your existing healthcare team and will refer you for imaging, specialist evaluation, or surgery if your case requires it.


Understanding Chronic Back Pain: Causes & Recovery

What Is Chronic Back Pain?

Chronic back pain is pain lasting 6 months or longer. Unlike acute back pain (which lasts days to weeks and often resolves on its own), chronic back pain persists and can become a long-term problem affecting quality of life. Conditions like sciatica can develop alongside or from back pain.

The difference matters:

FactorAcute Back PainChronic Back Pain
DurationDays to weeks (less than 6 weeks)6+ months
CauseUsually specific injury or strainMay be ongoing structural issue or no clear cause
ResolutionOften improves with rest and basic careRequires active treatment intervention
ImpactTemporary disruption to activitiesLong-term effect on work, sleep, quality of life
TreatmentRest, ice/heat, OTC medicationAcupuncture, physical therapy, comprehensive approach


What Causes Chronic Back Pain?

Most common causes:

Herniated or bulging disc (60% of cases): A disc between the vertebrae ruptures or bulges outward, compressing nerve roots or causing inflammation. Most common at L4-L5 or L5-S1 levels.

Chronic muscle strain: Repeated stress or poor posture causes ongoing muscle tension and inflammation in the paraspinal muscles.

Degenerative disc disease: Discs lose water content and height over time, reducing cushioning between vertebrae. Common after age 50.

Spinal stenosis: Narrowing of the spinal canal compresses nerves over time, often develops gradually with age.

Poor posture and ergonomics: Prolonged sitting, forward-leaning positions, and improper lifting techniques create chronic stress on lumbar structures.

Risk Factors for Chronic Back Pain


  • Age 30-60: Most common age range for chronic back conditions
  • Sedentary lifestyle: Prolonged sitting weakens core muscles and stresses the spine
  • Obesity: Increased weight creates additional stress on lumbar structures
  • Occupational factors: Heavy lifting, repetitive bending, prolonged driving
  • Previous back injury: Prior acute episodes increase risk of chronic pain
  • Smoking: Reduces blood flow to spinal discs and slows healing

How Long Does Recovery Take?

Natural history of chronic back pain:

  • Without treatment: Chronic back pain lasting 6+ months is unlikely to resolve on its own
  • With acupuncture: Most patients notice improvement within 5-7 sessions
  • Full resolution: Typically requires 15-30 sessions over 2-4 months
  • Long-term benefits: Research shows benefits last 12+ months after treatment completion

Why early intervention matters: The longer chronic pain persists, the more it affects your nervous system and creates persistent pain patterns. Starting treatment within the first 6-12 months of chronic pain significantly improves outcomes.


Frequently Asked Questions About Back Pain & Acupuncture


Q: Does acupuncture hurt?

A: Most patients describe acupuncture as far less painful than their back pain. The needles are hair-thin (50 times thinner than injection needles), and insertion feels like a brief pinch. Many patients fall asleep during treatment because it's deeply relaxing. If you have needle anxiety, we can start with minimal needles in less sensitive areas so you can build comfort gradually.




Q: How many acupuncture sessions will I need for chronic back pain?

A: Most patients need 15-30 sessions for full resolution, scheduled 2-3 times per week initially, then tapering to once weekly. Research shows most people see significant improvement within 5-7 sessions. Chronic back pain requires more sessions than acute pain, but the benefits are long-lasting. During your initial consultation, Dr. Mira will estimate your timeline based on your specific diagnosis and severity.




Q: How quickly will I feel better?

A: Many patients notice some improvement after the first session (better sleep, reduced muscle tension). Significant pain reduction typically occurs by sessions 5-7. The 2025 JAMA study found that benefits continued improving through 6 months and lasted at least 12 months. Your timeline depends on how long you've had pain—chronic cases take longer than recent onset.




Q: Can acupuncture help my herniated disc?

A: Acupuncture doesn't physically repair a herniated disc, but it can significantly reduce the inflammation and muscle spasm around the affected area, allowing natural healing to occur. Many patients with herniated discs avoid surgery through acupuncture treatment. For severe structural issues, we work alongside your orthopedic specialist. If surgery is needed, we can provide pre- and post-surgical acupuncture to speed recovery.




Q: What's the difference between acupuncture and hijama for back pain?

A: Acupuncture uses thin needles to stimulate nerve pathways and release natural pain relievers. Hijama (wet cupping) uses controlled suction and micro-incisions to remove stagnant blood and boost local immune response. Hijama is particularly effective for stubborn chronic back pain that hasn't fully responded to standard acupuncture. We often recommend hijama when standard acupuncture has helped but pain hasn't fully resolved after 8-10 sessions.




Q: Will my insurance cover acupuncture for back pain?

A: Most extended health insurance plans now cover acupuncture treatment for chronic pain conditions including back pain. We recommend calling your insurance company to ask about coverage. We can verify your benefits before your first appointment and offer direct billing to most providers, so you don't pay out-of-pocket if you don't have to.




Q: Should I still see my regular doctor?

A: Absolutely. We recommend bringing your MRI or imaging results to your initial consultation so we can understand the exact cause of your back pain. If you're taking medication, we coordinate with your physician. For cases requiring surgery or additional intervention, we can provide complementary care to support your recovery. Dr. Mira is comfortable working collaboratively with your medical team.




Q: What should I bring to my first appointment?

A: Bring any MRI, X-ray, or imaging results related to your back pain. These help Dr. Mira understand the exact cause of your pain and create the most effective treatment plan. Also bring your insurance card and a list of current medications. Wear comfortable, loose-fitting clothing (loose pants and a shirt that can be lifted easily). Plan for 60-75 minutes for your initial consultation.


Schedule Your Back Pain Consultation Today

Don't wait for chronic back pain to control your life. Research shows that early intervention with acupuncture can prevent chronic pain from becoming a permanent problem. Join hundreds of Northern Virginia patients who have found lasting relief at Mira Integrative Clinic.

What you'll receive:

  • Evaluation by a medical doctor and licensed acupuncturist (rare combination)
  • Customized treatment plan based on your specific MRI and diagnosis
  • Evidence-based therapies chosen specifically for your back pain cause
  • Clear timeline and realistic expectations
  • Insurance verification and billing assistance
  • Coordination with your physician if needed

Next Steps:

  1. Call us or book online to schedule your initial consultation
  2. We'll verify your insurance coverage before your first appointment
  3. Bring any imaging results (MRI, X-ray) to your first visit if available
  4. Wear comfortable, loose-fitting clothing
  5. Plan for 60-75 minutes for your initial evaluation and first treatment

Mira Integrative Clinic
2557 Chain Bridge Road
Vienna, VA 22181

Serving: Vienna, Tysons, McLean, Fairfax, Oakton, and surrounding Northern Virginia areas