This trial is evaluating whether Supported Biopsychosocial Self-Management (SBSM) will improve 16 primary outcomes, 8 secondary outcomes, and 4 other outcomes in patients with Intervertebral Disc Displacement. Measurement will happen over the course of Through study treatment, an average of 3 months.
This trial requires 40 total participants across 2 different treatment groups
This trial involves 2 different treatments. Supported Biopsychosocial Self-Management (SBSM) is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.
"There are many medical conditions that cause low back pain: back pain may be due to musculoskeletal (soft tissue) disorders, neurological disorders, or diseases of the skeleton. Common musculoskeletal conditions related to back pain include [degenerative disc disease](https://www.withpower.com/clinical-trials/degenerative-disc-disease), spinal stenosis, and osteoporosis. Neurological conditions related to low back pain include radiculopathy, neuralgia, myeloproliferative, and infectious disorders (e.g., Lyme disease, sciatica). Rarer diseases of the spine can cause back pain, including Paget disease of bone, metastatic carcinoma, and spinal tumor. Conditions of the spine can, in many cases, not be adequately explained by the preceding conditions." - Anonymous Online Contributor
"LBP refers to pain between the back and the tailbone, when standing, or lying down. There can be many causes of LBP, but there tends to be a self-perpetuating cycle of the disorder as the cause can only be changed." - Anonymous Online Contributor
"Between the years 2000-2009, there was 1.6 million new cases of low back pain. This would translate into an annual incidence of 12.6 per 10,000 population for those aged 40-64 years. The age distribution can be attributed to older age in the population and, thus, the lower number of new cases between the years 2000-2009. As a result, the probability of low back pain within an individual will, in fact, increase steadily with ageing, while the probability of low back pain within a population will remain comparatively constant; in other words, age is not a risk factor for low back pain." - Anonymous Online Contributor
"A reduction in the number of days of low back pain can not be considered as a result of a cure of the underlying LBP condition, due to a change in the average LBP intensity." - Anonymous Online Contributor
"A few of the most common treatments are effective for chronic low [back pain](https://www.withpower.com/clinical-trials/back-pain). These include low-dose NSAIDs such as aspirin or naproxen. Acetaminophen or other NSAIDs are a viable alternative, especially when used before going to bed. A combination of NSAIDS and opioids is effective for managing chronic pain. Other common treatments are chiropractic treatments, exercise, and spinal manipulation. Steroid injections may be effective for certain patients, but evidence is weak for their use. No treatment is effective for all cases of back pain. More research is needed to determine which treatments provide short-term pain relief and which do not." - Anonymous Online Contributor
"The majority of individuals presenting to primary care clinics with signs of low back pain have other potential causes, and are unlikely to have a life-threatening condition at admission." - Anonymous Online Contributor
"A number of studies are in existence to support the view that CIMT can be successful in reducing disability and pain associated with specific physical conditions, such as chronic musculoskeletal pain and CFS/ME. Supported biopsychosocial self-management (sbsm) approaches are believed to be similar in efficacy in reducing disability and pain associated with chronic musculoskeletal pain, however, the mechanism of action or mechanism of action has yet to be fully understood. In the specific case of CFS/ME, the clinical significance of self-management approaches is also clear, since those who self-manage have been shown to have a significantly lower chance of being disabled at work." - Anonymous Online Contributor
"In the absence of evidence to the contrary, we are assuming that the following therapies have similar analgesic effects on chronic low-back pain: transcutaneous electrical nerve stimulation, spinal cord stimulation, and behavioral therapies." - Anonymous Online Contributor
"SBSM patients will most probably complain of insomnia and emotional distress or discomfort, and may also complain of decreased appetite, depression, insomnia, fatigue, back discomfort, and constipation. Other side effects may be more common in certain patient populations or with certain treatment modalities, such as changes in medication." - Anonymous Online Contributor
"A substantial proportion of all LBP cases has severe duration. At least half of the patients received some type of treatment. Even though the proportion of LBP cases that can be treated is high, many had not been assessed, and the proportion of patients receiving long-term treatment is less than 15%. There is a need for more effective assessment in primary care before long-term treatment." - Anonymous Online Contributor
"There are several potential risk factors associated with low back pain and low back pain behavior. This paper examines the link between low back pain behavior and shared family environment factors, and identifies a number of potential familial effects." - Anonymous Online Contributor
"The majority of participants in the CB-CBT and PT-CBT groups completed a sbsm program in addition to their regular therapy. However, in the CB-PBT group, only half completed a sbsm program in addition to usual care (see 'Description of self-management intervention')." - Anonymous Online Contributor