Non-pharmacological Pain Management for Post-Spine Surgery Pain
Trial Summary
Do I need to stop my current medications for this trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What data supports the effectiveness of the Enriched Pain Management Pathway (EPM) treatment for managing pain after spine surgery?
Is non-pharmacological pain management for post-spine surgery pain safe?
The research suggests that non-pharmacological pain management techniques, such as those used in enhanced recovery pathways, are generally safe and can help reduce the need for opioids and their side effects after surgery. However, long-term safety data is still needed to fully understand their impact on persistent pain and opioid use.24678
How is the Enriched Pain Management Pathway treatment different from other treatments for post-spine surgery pain?
The Enriched Pain Management Pathway is unique because it focuses on non-drug methods like telephone counseling and nicotine replacement therapy, which are not typically part of standard care for post-spine surgery pain. This approach emphasizes a personalized, interdisciplinary plan that includes psychological support and patient education, aiming to reduce reliance on medications.2391011
What is the purpose of this trial?
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.
Research Team
Daniel Rhon, PhD
Principal Investigator
Brooke Army Medical Center
Julie M Fritz, PhD
Principal Investigator
University of Utah
Eligibility Criteria
This trial is for Tricare beneficiaries aged 18-75 who need lumbar spine surgery due to conditions like herniated discs or scoliosis and can attend treatment sessions for 16 weeks post-surgery. It's not for those with pending medical discharges, previous lumbar surgeries within a year, or conditions that limit mobility.Inclusion Criteria
Exclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Pre-surgery
Participants are randomized into two treatment groups prior to surgery
Post-operative Intervention
Participants receive either standard post-surgical care or enriched surgical management pathway with physical therapy and mindfulness
Follow-up
Participants are monitored for safety and effectiveness after treatment, including time to discontinuation of opioids and patient-reported outcomes
Treatment Details
Interventions
- Enriched Pain Management Pathway (EPM)
- Standard Care (SC)
Find a Clinic Near You
Who Is Running the Clinical Trial?
Dan Rhon
Lead Sponsor
59th Medical Wing
Collaborator
National Center for Complementary and Integrative Health (NCCIH)
Collaborator
Brooke Army Medical Center
Collaborator
University of Utah
Collaborator
Madigan Army Medical Center
Collaborator
Tripler Army Medical Center
Collaborator