Pressure Point: BL 31 – Shangliao
- Name (Chinese): Shangliao – (上髎)
- Name (English): Upper Bone Hole
- Introduction: Shangliao (BL 31) is an acupressure point on the Bladder meridian, known for its location in the 1st sacral foramen. It is an essential point in traditional Chinese medicine for addressing various health concerns related to the lower back, sacrum, and surrounding areas.
Location
In the 1st posterior sacral foramen, about midway between the posterior superior iliac spine (PSIS) and the midline.
Pressure Point Identification
- Begin by identifying Tuffier’s line, connecting the highest points of the iliac crest. The spinous process of the 4th lumbar vertebra (L4) typically aligns with this line.
- Palpate inferiorly, passing L5, until reaching the most superior 1st sacral foramen where Shangliao BL 31 is located.
- Identify the 4 sacral foramens by locating the 4th sacral foramen on the level of the superior end of the rima ani.
- Use a V-shaped line formed by the ring, middle, and index fingers in a superior direction, palpating for the depressions of the sacral foramens.
- With the fingers in this position, the index finger will be on Shangliao BL-31 of the 1st foramen, the middle finger on Ciliao BL-32 of the 2nd foramen, the ring finger on Zhongliao BL-33 of the 3rd foramen, and the little finger on Xialiao BL-44 of the 4th foramen.
Benefits
- Relieves lower back pain
- Alleviates sacral pain and stiffness
- Improves circulation in the lower back region
- Aids in addressing sciatica
Technique
- Apply firm but gentle pressure using thumbs or fingers.
- Use circular or kneading motions.
- Adjust pressure based on individual comfort.
Precautions
- Avoid excessive pressure, especially if there is acute pain.
- Consult with a healthcare professional for severe or chronic conditions.
- If pregnant, seek guidance before applying pressure to this area.
Conditions Treated
- Lower back pain
- Sciatica
- Sacroiliac joint dysfunction
- Lumbar muscle tension
Related Points
- Ciliao BL-32: Located on the 2nd sacral foramen.
- Zhongliao BL-33: Located on the 3rd sacral foramen.
- Xialiao BL-34: Located on the 4th sacral foramen.
These points, when stimulated together, promote balance in the sacral region and lower back.
Frequently Asked Questions (FAQs)
Can I apply pressure to Shangliao BL 31 if I have lower back pain?
Yes, applying gentle pressure to the Shangliao point can be beneficial for relieving lower back pain. However, it’s crucial to consult with a healthcare professional, especially if the pain is severe or chronic. They can provide personalized advice based on your specific condition and medical history.
Are there specific techniques for self-massage on Shangliao BL 31?
Yes, you can use circular or kneading motions with your thumbs or fingers to apply pressure to the Shangliao BL 31 point. Start with a moderate pressure and adjust based on your comfort level. It’s important to be mindful of your body’s response and avoid excessive force. If you’re unsure about the technique, consider seeking guidance from a trained acupressure practitioner or healthcare professional.
Can Shangliao (BL-31) be beneficial for sciatica pain?
Yes, stimulating the Shangliao BL 31 point is believed to help alleviate sciatica pain by promoting better circulation and relieving tension in the lower back. However, individual responses vary, and it’s recommended to incorporate Shangliao BL-31 stimulation as part of a comprehensive approach to managing sciatica. Consult with a healthcare professional to determine the most suitable treatment plan for your specific condition.