Chiropractic Care + Radial Pulse Therapy for Low Back Pain
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests whether adding radial pulse therapy (also known as Radial Extracorporeal Shockwave Therapy) to chiropractic care speeds recovery from sudden low back pain. Radial pulse therapy uses acoustic waves to target tissues and cells, potentially reducing pain and improving function. Participants will receive either standard chiropractic care or this care plus radial pulse therapy to determine which is more effective. Individuals with acute low back pain for less than three months who are not currently using certain pain medications may be suitable for this trial. As an unphased trial, this study offers a unique opportunity to explore innovative treatment options for faster recovery.
Will I have to stop taking my current medications?
If you are currently using over-the-counter or prescription NSAIDs (like ibuprofen or naproxen) or have used oral corticosteroids in the past 6 weeks, you cannot participate in this trial. The protocol does not specify other medication restrictions.
What prior data suggests that radial pulse therapy is safe for treating low back pain?
Research shows that radial extracorporeal shockwave therapy (ESWT) is generally safe for treating low back pain. Studies have found ESWT to be effective and easy to tolerate for people with chronic low back pain, with no major safety issues reported.
ESWT uses sound waves to target painful areas and resembles treatments for other muscle and joint issues. While more high-quality research is needed, current evidence suggests it is a safe way to manage pain.
This trial combines chiropractic care with radial pulse therapy, a type of ESWT. Chiropractic care alone is already a common and safe treatment for low back pain. The trial aims to determine whether adding radial pulse therapy helps patients recover more quickly.12345Why are researchers excited about this trial?
Researchers are excited about Radial Extracorporeal Shockwave Therapy (ESWT) combined with chiropractic care for low back pain because it offers a novel mechanism of action compared to traditional treatments like medications and physical therapy. Unlike standard pain relief methods that often focus on reducing inflammation or masking pain symptoms, ESWT uses targeted radial pulses to stimulate tissue repair and improve blood flow in the affected areas. This non-invasive approach not only enhances the effects of chiropractic adjustments but also aims to provide quicker and potentially longer-lasting relief by addressing the underlying issues at the cellular level. Moreover, the comfort and precision of ESWT make it an attractive option for individuals seeking alternatives to standard interventions.
What evidence suggests that radial pulse therapy plus chiropractic care could be effective for low back pain?
Research has shown that radial extracorporeal shockwave therapy (ESWT) effectively reduces pain and improves movement in people with muscle and joint problems, including lower back pain. One study found that patients experienced less pain and moved more easily after using this therapy. Another review demonstrated that ESWT was more effective at reducing pain and improving lower back function compared to other treatments. This therapy works by sending sound waves through the skin to aid tissue healing and reduce pain. In this trial, one group of participants will receive only chiropractic care, while another group will receive chiropractic care plus ESWT. Overall, these findings suggest that adding ESWT to chiropractic care could help patients recover faster from sudden lower back pain.13567
Are You a Good Fit for This Trial?
Adults with acute low back pain can join this trial. They should be able to visit the clinic weekly for 5 weeks and report their pain levels. People who have conditions that might interfere with the treatment or assessments are likely excluded, but specific exclusion criteria are not provided.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive chiropractic care with or without radial pulse therapy once a week for 5 weeks
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Radial Extracorporeal Shockwave Therapy
Trial Overview
The study is testing if adding radial pulse therapy (acoustic waves treatment) to regular chiropractic care helps patients with acute low back pain recover faster. It compares outcomes of pain reduction and physical function improvement between those receiving both treatments versus just chiropractic care.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Chiropractic Care is the same as described for the active comparator arm. After receiving chiropractic care, the subject receives radial extracorporeal shockwave therapy (ESWT). The treating clinician places the ESWT probe over the treatment areas in the mid back, low back, and hip regions. At each clinic visit, there are up to six treatment areas for ESWT. At each treatment area, the subject receives 2000 radial pulses at frequency of 10 Hz (single pulse every 100 ms or 10 pulses per second). The intensity of the radial pulses are comfortable for the subjects. Duration of ESWT at each treatment area is 200 seconds or 3.33 minutes.
1. The treating clinician will use soft tissue palpation procedures applied to hips, pelvis / buttocks low back and mid back to identify taut and tender regions for manual therapy, e.g., trigger points that the clinician identified during soft tissue palpations. 2. The treating clinician will use soft tissue treatment procedures, e.g., applying precise pressure to trigger points and manual stretching techniques, to relieve taut and tender regions that were identified during soft tissue palpation procedures. 3. The treating clinician will perform high velocity, low amplitude (HVLA) spinal adjustments to restricted areas of the mid back, lower back, and hips regions.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Northeast College of Health Sciences
Lead Sponsor
Citations
The Effectiveness Of Radial Extracorporeal Shock Wave ...
According to follow-up analysis the use of this therapy had a significant influence on the reduction of pain and the improvement of the general functional state ...
Focused extracorporeal shockwave therapy for the ...
The results revealed that all treated patients had significantly reduced pain and improved functional impairment immediately after the ...
Efficacy and safety of extracorporeal shockwave therapy in ...
This systematic review and meta-analysis found that ESWT provided better pain relief and improved lumbar dysfunction compared with the other interventions ...
A Randomized Controlled
Conclusion: Low-intensity ESWT treatment with more sessions is more effective in relieving pain and improving disability in the short-term than medium-intensity ...
The evolving use of extracorporeal shock wave therapy ...
Researchers demonstrated the use of ESWT to reduce pain and promote healing in bone, tendon, ligament and fascia in patients with musculoskeletal disorders.
Efficacy and safety of extracorporeal shock wave on low ...
ESWT is effective in alleviating pain and improving the functional outcomes for patients with LBP. However, there remains a lack of high-level evidence to ...
Extracorporeal Shock-Wave Therapy for Musculoskeletal ...
This Clinical Policy Bulletin addresses extracorporeal shock-wave therapy for musculoskeletal indications and soft tissue injuries.
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