Non-pharmacological Treatment for Pain After Spine Surgery

Description

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.

Conditions

Low Back Pain, Chronic Pain, Surgery, Back Pain, Low, Back Pain Lower Back Chronic

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Study Overview

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Study Details

Study overview

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.

Exploring Non-pharmacological Approaches to Pain Management After Lumbar Surgery: A Randomized Controlled Trial

Non-pharmacological Treatment for Pain After Spine Surgery

Condition
Low Back Pain
Intervention / Treatment

-

Contacts and Locations

Honolulu

Tripler Army Medical Center, Honolulu, Hawaii, United States, 96859

San Antonio

Brooke Army Medical Center, San Antonio, Texas, United States, 78234

Tacoma

Madigan Army Medical Center, Tacoma, Washington, United States, 98391

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • 1. Tricare beneficiary receiving care in a participating MHS facility.
  • 2. Age 18 - 75 years at the time of enrollment
  • 3. 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
  • 4. Indication for surgery may include disc herniation, degenerative disc disease, lumbar stenosis, degenerative spondylolisthesis or scoliosis.
  • 5. 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
  • 1. Indication for surgery is infection, fracture, tumor, trauma or other indication requiring emergency surgery.
  • 2. A microsurgical technique as the primary procedure, such as an isolated laminotomy or microdiscectomy
  • 3. Surgical procedure is a revision or participant has undergone a lumbar surgical procedure in the past year.
  • 4. 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.
  • 5. Pending a medical evaluation board, discharge from the military for medical reasons, or pending or undergoing any litigation for an injury

Ages Eligible for Study

18 Years to 75 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Dan Rhon,

Julie M Fritz, PhD, PRINCIPAL_INVESTIGATOR, University of Utah

Daniel I Rhon, DSc, PRINCIPAL_INVESTIGATOR, Brooke Army Medical Center

Study Record Dates

2026-03-01