Feasibility of Implementing Manual Medicine in the Multimodal Management of Veterans and Service Members With Chronic Low Back Pain
Edward Hines Jr. VA Hospital
Summary
The goal of this clinical trial is to learn if adding Osteopathic Manipulative Therapy (OMT) to the usual medical care provided at the VA (usual VA care) improves treatment outcomes in individuals with chronic low back pain (CLBP). OMT is a set of hands-on techniques a doctor uses to move a patient's muscles and joints which include stretching, gentle pressure, resistance and applying forces to specific areas of the body. This feasibility clinical trial aims to learn about the treatment effects (e.g., effect sizes) of adding OMT to the usual medical care provided at the VA (Usual VA Care) in individuals with LBP.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * 18 years of age and older * Seeking care for LBP from a participating VA clinic * Able to follow study protocol * Willing to be randomized to Usual VA Care or Usual VA Care + OMT * Individuals with pain primarily in the LBP region lasting \> 3 months and present on at least half the days during the past 6 months * Pain rating over the past 7 days equal to or greater than 3/10 as indicated on the Numeric Rating Scale for Pain Exclusion Criteria: * Signs of serious pathology as a cause of LBP * Underlying systemic or inflammatory conditions * Neurological diseases * Preg…
Interventions
- ProcedureUsual VA Care
The usual treatment provided by PM\&R clinicians for CLBP
- ProcedureOsteopathic manipulative treatment
Between your first visit (baseline) and 12 weeks, participants will receive up to 4 usual care visits plus OMT.
Location
- Edward Hines, Jr. VA Hospital, PM&R ClinicHines, Illinois