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Objective To observe the effect of a modern silver acupuncture(MSA) on chronic soft tissue lesion in low back.Methods 89 patients suffering severe low back pain from soft tissue lesions(conversion of acute injuries,chronic overuse injuries,fibromyositis or myogelosis) were treated by MSA.The silver needles of MSA to be inserted into a series of abnormal points (local tension," trigger points" and tenderness,stiffness and muscle spasms etc.) mainly located in the connective tissue between bones and muscles in low back , should go through all soft tissues to reach the lesions along the sides of bones, lighting moxibustion fixed on the tails of the needles produced heat effect on the lesions.Treatment period might be one time to five times, 7～ 10 days interval between twice.Results The effective percents of conversion of acute injuries(72% ) or chronic overuse injuries(64% ) were significant higher than that of fibromyositis or myogelosis(29% ), P < 0.01, P< 0.05 respectively. Conclusion MSA is an effective treatment, especially for the soft tissue lesions from conversion of acute injuries and chronic overuse injuries in low back.