Non-pharmacological Treatment for Pain After Spine Surgery

Running, not enrolling · Not applicable

Conditions studied: Low Back Pain, Chronic Pain, Surgery, Back Pain, Low, Back Pain Lower Back Chronic

In brief

This study will compare the effectiveness of two pain management pathways (standard vs. enriched) for patients undergoing lumbar spine surgery in the Military Health System (MHS). Effectiveness will be based on post-surgery patient-centered outcomes and extent of opioid use. The study design is a 2-arm, parallel group, individual-randomized trial.

Key facts

Study ID

NCT04770480

Run by

Dan Rhon

People needed

267

Starts

2021-12-10

Expected to finish

2026-05-30

Last updated by the study team

2026-05-26

Who can join

Age: 18 and older, up to 75. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Tricare beneficiary receiving care in a participating MHS facility.
• Age 18 - 75 years at the time of enrollment
• Scheduled to undergo lumbar spine surgery within the next 60 days. Surgery may be laminectomy with or without fusions including lateral, transforaminal, posterior or anterior approach for 1-4 lumbar levels. Surgery may be performed in military or civilian facility
• Indication for surgery may include disc herniation, degenerative disc disease, lumbar stenosis, degenerative spondylolisthesis or scoliosis.
• Anticipates ability to attend treatment sessions over a 16 week period following the surgical procedure with no planned absence of 2 weeks or more for training, vacation or any purpose

You may not qualify if…

• Indication for surgery is infection, fracture, tumor, trauma or other indication requiring emergency surgery.
• A microsurgical technique as the primary procedure, such as an isolated laminotomy or microdiscectomy
• Surgical procedure is a revision or participant has undergone a lumbar surgical procedure in the past year.
• Contra-indication to participation in post-operative exercise program including severe orthopedic injury limiting mobility, wheelchair dependency, neurological disorder impacting mobility, reliance on supplemental oxygen for daily activity, etc.
• Pending a medical evaluation board, discharge from the military for medical reasons, or pending or undergoing any litigation for an injury

Where it is running

• Tripler Army Medical Center — Honolulu, Hawaii, United States
• Brooke Army Medical Center — San Antonio, Texas, United States
• Madigan Army Medical Center — Tacoma, Washington, United States

Full record on ClinicalTrials.gov

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