Group Medical Visits and Chiropractic Care for Older Adults With Chronic Spine Pain
Brigham and Women's Hospital
Summary
Chronic spine pain is one of the most common and conditions in adults over the age of 65. Treatments for pain that are non-pharmacologic (do not use over-the-counter or prescription drugs) are recognized as some of the most important to study. Chiropractic care has shown to be effective at reducing chronic pain, and growing research supports the use of group visit programs for the management of chronic pain. There is reason to believe that combining the two could enhance the benefit previously demonstrated by these treatments individually. There are no studies that have examined the combined delivery of chiropractic care and group visit programs for adults over the age of 65. The investigators plan assess the feasibility of treating adults over the age of 65 with chronic spine pain with chiropractic care and a group visit program. A battery of biopsychosocial outcomes will be collected to inform a more definitive trial.
Eligibility
- Age range
- 65+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * 65+ years of age * Chronic neck, thoracic, and/or low back pain at least 5 days a week for at least 3 consecutive months * Neck, thoracic, and/or low back pain averaged over past week of 3 or more on numerical rating scale ranging from 0 to 10, with 10 described as 'worst pain imaginable' * Oswestry Disability Index score of 10% or greater * Access to and ability to use a smartphone, tablet, or computer and broadband internet * Access to reliable mode of transportation for study visits and chiropractic treatments * Agreeable to participate in all study procedures * Fluen…
Interventions
- OtherChiropractic care
Chiropractic treatment will involve a personalized treatment plan within the context of a general care protocol administered by a chiropractor at the Osher Clinical Center for Integrative Health. The treatment plan will be customized to the patient's clinical needs following the current evidence and clinical practice guidelines.
- OtherGroup medical visits
Participants will simultaneously enroll in virtual group medical visits with group discussion, practice based learning, and curricular themes pertaining to chronic pain management, healthy aging, and pillars of lifestyle medicine.
Location
- MassGeneralBrighamBoston, Massachusetts