Life Extension Magazine®

Unlock Relief for Back Pain

In a clinical trial of two plant extracts, 79% of sufferers enjoyed reduced lower back pain in just 30 days.

Scientifically reviewed by: Gary Gonzalez, MD, in March 2025. Written by: Adam Cruz, MMSC.

Back pain is the leading cause of disability worldwide.1 As many as 80% of adults will experience at least one episode of lower back pain during their lifetime.2

Many sufferers turn to over-the-counter pain medication for relief. Unfortunately, these often come with side effects–occasionally severe ones–when used long-term.3,4

In the search for better alternatives, scientists evaluated two plant-derived extracts that have shown an ability to safely reduce inflammation and ease pain without side effects.

In a clinical trial, a combination of these two extracts significantly reduced lower back pain in 79% of patients in just 30 days.5

This represents an advancement for individuals suffering from back pain, with the potential to improve their quality of life.

The Burden of Back Pain

Lower back pain is frighteningly common. An estimated 619 million people worldwide were suffering from lower back pain in 2020, according to a systematic review of population-based studies.6

In the U.S., roughly 8.2% of adults have chronic severe back pain, according to surveys, and nearly 75% of them have trouble with mobility.7

Back pain can damage mental health and quality of life. An analysis of an insurance claims database of more than 101,000 patients found that, compared to those without pain, those with chronic low back pain had a:8

  • 6.9% increase in depression,
  • 4.6% increase in anxiety, and
  • 6.6% increase in sleep disorders.

A systematic review of studies indicated that most cases of back pain are categorized as non-specific,9  which means there is no one injury or ailment to blame for the pain. Unfortunately, that means there is often no specific fix.

Many people rely on non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil®, Motrin®), naproxen (Aleve®), and acetaminophen (Tylenol®) to cope. But these medications come with long-term side effects, including increased risk of liver damage,4 cardiovascular issues,3,4 gastrointestinal issues,3 and kidney damage.3

There is a need for safer, effective alternatives that can provide relief without side effects.

What you need to know

Plant Extracts Safely Ease Lower Back Pain

  • Lower back pain affects over 600 million people globally and contributes to a significant decrease in quality of life.
  • Extracts of Chinese chaste tree (also known as five-leaf chaste tree) and ginger have each shown anti-inflammatory and pain-relieving effects.
  • In a clinical study, a combination of these extracts reduced back pain for 79% of patients, improved functional activity for 76.5% of patients, and dramatically increased bending flexibility.
  • Together, these plant extracts can provide pain relief and better mobility without the side effects and long-term risks of traditional drugs.

Chaste Tree Reduces Pain and Inflammation

Chinese chaste tree (Vitex negundo L.), also known as five-leaf chaste tree, is a flowering shrub that grows in parts of Asia and the Middle East.10

It is well-known for its anti-inflammatory properties10,11 and has been used in traditional Chinese and Ayurvedic medicine to treat a range of ailments, from fever and pain to respiratory disorders.10-12

A detailed chemical analysis of the plant revealed that it contains a wide variety of health-promoting active compounds, including flavonoids, terpenoids, and alkaloids, which contribute to its anti-inflammatory, antioxidant, and antimicrobial activities.10,13

Preclinical studies have found that some of these compounds can alleviate inflammatory pain by reducing the drivers of persistent inflammation, such as NF-kB (nuclear factor-kappa B)14,15 and TNF-alpha (tumor necrosis factor-alpha),15,16 highlighting its potential as an alternative for pain relief.

Ginger: A Time-Honored Pain Remedy

Ginger is a plant native to Southern Asia. Its root has been used medicinally and in global cuisine for centuries.17,18

One of its key bioactive compounds, gingerol, has been extensively researched for its therapeutic effects on inflammation,19,20 pain,19 nausea,20,21 digestive
function20 and tumor cell growth.20-23

A review of 16 preclinical studies concluded that ginger and gingerol were significantly effective in treating different types of pain through multiple pathways, including modulation of receptors critical for pain signaling.23

Clinical studies have shown that ginger reduces levels of inflammatory mediators such as: tumor necrosis factor alpha,24 C-reactive protein,24,25 and nuclear factor kappa B (NF-kB) pathways,26,27 which are involved in the initiation of inflammation.

Combined for Powerful Results

To evaluate the effects of these two plants on back pain, scientists combined extracts of Chinese chaste tree leaves and ginger root. They recruited 72
relatively sedentary men and women suffering from back pain for a clinical trial.5
Each participant had experienced moderate to severe lower back pain for under a year and had had an episode of persistent back pain that lasted 7–12 weeks.
Participants were randomly assigned to receive either a placebo or 200 mg of a chaste tree-ginger extract blend twice daily. After 30 days, among patients receiving the extract blend:5

  • 79% had a significant reduction in lower back pain intensity, compared to 36% taking the placebo,28
  • 76.5% reported improvements in their ability to function, compared to 30% receiving placebo,28 and
  • There was an average 40% improvement in bending flexibility, showing enhanced range of motion, compared to a 17% improvement in the placebo group.28

These findings suggest that the combination of ginger and chaste tree extracts may offer a safe and effective way to alleviate back pain and improve mobility.

The Importance of Physical Therapy

An often overlooked yet effective option is physical therapy.

While a combination of plant-based extracts has been clinically shown to alleviate back pain and loss of function,28 likely by reducing inflammation, physical therapy can relieve pain caused by anatomical disorders, such as radiculopathy, and disc degeneration.29

Physical therapy is perceived to be the most effective treatment for back pain. Many individuals achieve relief with two to three sessions per week—with strengthening and stretching interventions to support surrounding muscles, relieving stiffness, improving mobility and helping to prevent future back injuries.30

In the long term, physical therapy helps restore movement and prevent the progression of disability in individuals suffering from chronic back pain.30

Additionally, physical therapy for back pain is covered by Medicare (excluding deductible and co-pay fees).31

In short, physical therapy serves as a superior first step, while a blend of Chinese chaste tree and ginger extracts may provide added ongoing support.

Summary

Hundreds of millions of people worldwide suffer from lower back pain. Many rely on over-the-counter pain relievers to get through the day, but these can have serious side effects.

Researchers combined extracts of Chinese chaste tree leaves and ginger root, each of which showed potential to reduce inflammation and alleviate pain.

In a clinical trial, the combination of these extracts reduced lower back pain for 79% of subjects, improved functionality for 76.5%, and increased bending flexibility by 40%.

These plant extracts may provide a safe, effective alternative for managing back pain without the risks associated with medications.

If you have any questions on the scientific content of this article, please call a Life Extension Wellness Specialist at 1-866-864-3027.

References

  1. Available at: https://www.who.int/news-room/fact-sheets/detail/low-back-pain. Accessed January 10, 2024.
  2. Available at: https://www.uptodate.com/contents/low-back-pain-in-adults-beyond-the-basics/print. Accessed January 10, 2025.
  3. Available at: https://www.nhs.uk/conditions/nsaids/. Accessed January 13, 2025.
  4. Available at: https://www.yalemedicine.org/news/acetaminophen-nsaids-over-the-counter-pain-relievers. Accessed January 13, 2025.
  5. Srivastava S, Karvir S, Girandola RN. Effect of E-PR-01 on non-specific low back pain in the adult population: A randomized, double-blind, placebo-controlled, parallel-group trial. J Back Musculoskelet Rehabil. 2024;37(2):487-502.
  6. Collaborators GBDLBP. Global, regional, and national burden of low back pain, 1990-2020, its attributable risk factors, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021. Lancet Rheumatol. 2023Jun;5(6):e316-e29.
  7. Available at: https://www.nccih.nih.gov/research/research-results/us-national-survey-identifies-associations-between-chronic-severe-back-pain-and-disability. Accessed 11/12/2024,
  8. Gore M, Sadosky A, Stacey BR, et al. The burden of chronic low back pain: clinical comorbidities, treatment patterns, and health care costs in usual care settings. Spine (Phila Pa 1976). 2012May 15;37(11):E668-77.
  9. Zaina F, Cote P, Cancelliere C, et al. A Systematic Review of Clinical Practice Guidelines for Persons With Non-specific Low Back Pain With and Without Radiculopathy: Identification of Best Evidence for Rehabilitation to Develop the WHO’s Package of Interventions for Rehabilitation. Arch Phys Med Rehabil. 2023Nov;104(11):1913-27.
  10. Kamal N, Mio Asni NS, Rozlan INA, et al. Traditional Medicinal Uses, Phytochemistry, Biological Properties, and Health Applications of Vitex sp. Plants (Basel). 2022Jul 26;11(15).
  11. Waghmode AB. An overview on: botany, extraction, phytochemistry and medicinal uses of Vitex negundo Linn. J. Pharm. Innov. 2020;9:100-4.
  12. Jajra SD, Panwar N, Adlakha MK, et al. Role of (Vitex nigundo) Nirgundi in pain management. World Journal of Pharmacy and Research. 2019;8(7):2083-9.
  13. Garg G, Bharadwaj A, Chaudhary S, et al. Chemical profiling of bioactive compounds in the methanolic extract of wild leaf and callus of Vitex negundo using gas chromatography-mass spectrometry. World J Exp Med. 2024Mar 20;14(1):88064.
  14. Annamalai P, Thangam EB. Vitex trifolia L. modulates inflammatory mediators via down-regulation of the NF-kappaB signaling pathway in carrageenan-induced acute inflammation in experimental rats. J Ethnopharmacol. 2022Nov 15;298:115583.
  15. Gill BS, Mehra R, Navgeet, et al. Vitex negundo and its medicinal value. Mol Biol Rep. 2018Dec;45(6):2925-34.
  16. Zheng CJ, Zhao XX, Ai HW, et al. Therapeutic effects of standardized Vitex negundo seeds extract on complete Freund’s adjuvant induced arthritis in rats. Phytomedicine. 2014May 15;21(6):838-46.
  17. Bode AM DZ. The Amazing and Mighty Ginger. In: Francis CPT, ed. Herbal Medicine: Biomolecular and Clinical Aspects. 2nd edition.: NIH; 2011.
  18. Khodaie L, Sadeghpoor O. Ginger from ancient times to the new outlook. Jundishapur J Nat Pharm Prod. 2015Feb;10(1):e18402.
  19. Rondanelli M, Fossari F, Vecchio V, et al. Clinical trials on pain lowering effect of ginger: A narrative review. Phytother Res. 2020Nov;34(11):2843-56.
  20. Anh NH, Kim SJ, Long NP, et al. Ginger on Human Health: A Comprehensive Systematic Review of 109 Randomized Controlled Trials. Nutrients. 2020Jan 6;12(1).
  21. Sharma S, Shukla MK, Sharma KC, et al. Revisiting the therapeutic potential of gingerols against different pharmacological activities. Naunyn Schmiedebergs Arch Pharmacol. 2023Apr;396(4):633-47.
  22. Nafees S, Zafaryab M, Mehdi SH, et al. Anti-Cancer Effect of Gingerol in Cancer Prevention and Treatment. Anticancer Agents Med Chem. 2021//;21(4):428-32.
  23. Kim S, Cheon C, Kim B, et al. The Effect of Ginger and Its Sub-Components on Pain. Plants (Basel). 2022Sep 2;11(17):2296.
  24. Arablou T, Aryaeian N, Valizadeh M, et al. The effect of ginger consumption on glycemic status, lipid profile and some inflammatory markers in patients with type 2 diabetes mellitus. Int J Food Sci Nutr. 2014Jun;65(4):515-20.
  25. Naderi Z, Mozaffari-Khosravi H, Dehghan A, et al. Effect of ginger powder supplementation on nitric oxide and C-reactive protein in elderly knee osteoarthritis patients: A 12-week double-blind randomized placebo-controlled clinical trial. J Tradit Complement Med. 2016Jul;6(3):199-203.
  26. Mohammadzadeh Honarvar N, Zarezadeh M, Khorshidi M, et al. The effect of an oral ginger supplementation on NF-kappaB concentration in peripheral blood mononuclear cells and anthropomorphic data of patients with type 2 diabetes: A randomized double-blind, placebo-controlled clinical trial. Complement Ther Med. 2019Feb;42:7-11.
  27. Oz B, Orhan C, Tuzcu M, et al. Ginger extract suppresses the activations of NF-kappaB and Wnt pathways and protects inflammatory arthritis. Eur J Rheumatol. 2021Oct;8(4):196-201.
  28. Shrivastava. Supplier Internal Data. 2023.
  29. Available at: https://www.hopkinsmedicine.org/health/conditions-and-diseases/radiculopathy. Accessed January 22, 2025.
  30. Shipton EA. Physical Therapy Approaches in the Treatment of Low Back Pain. Pain Ther. 2018Dec;7(2):127-37.
  31. Available at: https://www.medicare.org/articles/can-medicare-help-cover-treatment-for-back-pain/. Accessed January 22, 2025.