Are Traditional Chinese Exercises effective for treating nonspecific low back pain?

Traditional Chinese exercises (TCE), such as Tai Chi, Qigong, and Tuina (a form of massage), are increasingly used for nonspecific low back pain (NSLBP). NSLBP is back pain without a clear medical cause, like a fracture or infection. Research suggests these exercises may help, but the evidence is not perfect. A 2026 meta-analysis found that TCE improved pain, disability, and trunk muscle endurance compared with control treatments ⁹. Another 2024 meta-analysis specifically on Tai Chi found it reduced pain and improved function in chronic NSLBP ⁷. However, the studies vary in quality, so results should be interpreted with caution.

What the research says

A 2024 randomized controlled trial of 204 patients compared Tuina (a traditional Chinese massage) with physiotherapy and a combination of both for chronic NSLBP ¹⁰. All groups showed significant reductions in pain and disability after treatment and at a 20-week follow-up ¹⁰. The study did not find that Tuina was better than physiotherapy, but it was effective on its own ¹⁰. This adds to the evidence that traditional Chinese exercises can be a useful option, though not necessarily superior to standard care.

What to ask your doctor

• Would traditional Chinese exercises like Tai Chi or Tuina be a safe and helpful addition to my back pain treatment?
• How often and for how long should I practice these exercises to see benefits?
• Are there any specific traditional Chinese exercises you recommend for my condition?
• Should I combine these exercises with other treatments like physiotherapy or medication?
• What signs should I watch for that might mean I need to stop and check in with you?