Group Medical Visits and Chiropractic Care for Older Adults With Chronic Spine Pain

Recruiting now · Not applicable

Conditions studied: Chronic Pain, Musculoskeletal Pain

In brief

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.

Key facts

Study ID: NCT06632535
Run by: Brigham and Women's Hospital
People needed: 10
Starts: 2025-07-01
Expected to finish: 2026-10-05
Last updated by the study team: 2025-11-26

Who can join

Age: 65 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

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
Fluent in English

You may not qualify if…

Currently, or having received chiropractic care in past 12 months (for any spine pain condition)
Any disability precluding safe exercise practice
Any prior spinal surgery within previous year
Persons currently involved in a disability/accident claim
Currently living in a nursing home and/or enrolled in hospice
Need for additional diagnostic imaging at the eligibility exam
Signs/symptoms of major systemic illness that may impair the participant's ability to effectively attend intervention sessions, or present risk factors to the care protocol: Participants with signs or symptoms suggesting the need for evaluation and/or management by other providers (e.g., Parkinson's disease, cancer, psychosis, substance use addiction)
Non-neuromusculoskeletal source: Participants with neck or back pain suspected or confirmed non-neuromusculoskeletal source (e.g., vasculitis, referred pain of cardiopulmonary origin, neoplasm, or infection)
Inflammatory arthritis: Participants suspected or confirmed diagnosis of rheumatoid arthritis, ankylosing spondylitis or other systemic inflammatory arthritis condition
Health conditions influencing compliance: Participants with health conditions that lead to difficulty complying with study protocol, such as renal dialysis, untreated psychiatric symptoms, or cognitive impairment
Vascular risk: Participants at increased risk for adverse cerebrovascular events are ineligible. Examples include a history of stroke, carotid artery dissection, or vertebral artery dissection, and those scheduled for endarterectomy procedures due to arterial stenosis. The presence of carotid artery bruit is exclusionary due to a presumed increased vascular risk and the likely need for referral and diagnostic testing
Neurological disorder: Participants exhibiting a clinical picture of serious or potentially serious neurological disorders are ineligible. Examples include:
Progressive neurologic deficit evidenced by signs/symptoms such as paralysis, progressive muscle weakness, poor coordination, loss of sensation, and loss of bladder or bowel function
Suspected or confirmed myelopathy or radiculopathy
Space occupying lesions, within or adjacent to the spinal canal, including tumors (benign or malignant)
Neurological deficit (loss of sensation, motor strength, and/or deep tendon reflexes) present for less than 12 months
Note: The presence of a cervical disc herniation/protrusion is not exclusionary without signs of neurological deficit.
Note: Stable neurological deficit (present for more than 12 months without change) is not exclusionary
Pathological hypermobility: Participants with suspected or confirmed diagnosis of a disorder known to cause spinal joint hypermobility including congenital conditions (Marfan Syndrome, Ehlers-Danlos Syndrome, and Osteogenesis imperfecta) and degenerative or traumatic instability are ineligible. Potential participants will be screened using Beighton criteria, health history, and (when available) diagnostic imaging review.
Contraindication: Participants with confirmed or suspected contraindication to care not otherwise described (e.g., cervical fracture) are ineligible. This criterion does not include factors representing relative contraindications to specific procedures such as the presence of osteoporosis, for which chiropractic care can be safely adapted.
Recent interventional pain management: defined as procedures such as corticosteroid injection, trigger point injection, and radiofrequency ablation to the cervical or lumbar region within the past 4 weeks and/or scheduled for interventional pain management procedures within the study timeframe.
Hearing or visual impairment affecting participation in a virtual program

Where it is running

MassGeneralBrigham — Boston, Massachusetts, United States (enrolling)

Full record on ClinicalTrials.gov

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