The purpose of this study is to evaluate prospectively the effectiveness of acupuncture as adjunctive therapy in the treatment of spinal pain is the three backbone areas: cervical, thoracic and lumbar pain, under conditions of usual clinical practice as the medical acupuncturist performed acupuncture, with and without supplementary pharmacological treatment during the first 4 weeks of follow up.

Epidemiological, observational, prospective, with two cohorts, naturalistic and non-interventionist study.

The disease to be studied is Back pain (cervical, thoracic or lumbar) caused by musculoskeletal pathologies and previously treated with conventional medical treatment with or without treatment currently.

Inclusion Criteria:

• Patients of both sexes, aged 18 and over
• Patients diagnosed with back pain: cervical, thoracic or lumbar.
• Patients who has received appropriate medical treatment for their disease: analgesics, anti-inflammatories, or other treatments, but painful and symptoms persist
• Patients that could receive acupuncture treatment in order to reduce the symptoms and reviewed by a medical acupuncturist
• Patients with sufficient cultural and educational level to complete the health questionnaires required in the study
• Patients who have given their written informed consent to participate in the study

Exclusion Criteria:

• Patient with any illness and that medical opinions recommended not to participate in the study
• Patient can not respond to questionnaires administered during the study

The study population is patients who go to the Acupuncture Office diagnosed of cervical, thoracic or lumbar pain caused by musculoskeletal diseases, pretreated with pharmacological treatment, they start treatment with acupuncture as adjunctive therapy for symptoms of their disease.

Initially it was estimated that the optimal number of patients included to achieve the objectives of the study is 102 patients