Assessment and treatment of low back pain using ultrasound and osteopathic techniques
Official title: Machine Learning Analysis of Ultrasound Images for the Investigation of Thoracolumbar Myofascial Pain and Therapeutic Efficacy of Hydrodissection (DoD) and Osteopathic Manipulative Treatment (AOA) for Thoracolumbar Fascia Glide Impairment
Run by Edward Via Virginia College of Osteopathic Medicine · NCT06818175 · Data updated 2026-11-12
This study is trying to see if using ultrasound and hands-on techniques can help people with low back pain by looking closely at a specific part of the back called the thoracolumbar fascia.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 50 Years |
| Sex | All |
| Enrollment | 200 (estimated) |
| Sponsor | Edward Via Virginia College of Osteopathic Medicine Academic / other |
| Locations | 1 site (Blacksburg, Virginia) |
| Status | Recruiting |
| Started | September 1, 2023 |
| Main results expected | October 31, 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | March 13, 2026 |
| Trial ID | NCT06818175 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include individuals aged 18-50 with either acute or chronic low back pain, as well as those without any low back pain.
✕Probably not a fit
Patients with a history of significant spinal surgery, severe low back pain limiting daily activities, or certain spinal pathologies may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study investigates the role of the thoracolumbar fascia in low back pain through advanced imaging techniques and treatment methods. It involves a multidisciplinary team that will analyze ultrasound images to identify biomarkers associated with low back pain and evaluate the effectiveness of ultrasound-guided hydrodissection and osteopathic manipulative treatment. The study will include both symptomatic and asymptomatic participants to establish a comprehensive understanding of the thoracolumbar fascia's involvement in pain conditions. The findings aim to enhance clinical decision-making for low back pain management.
Why it matters
Potential benefit: If successful, this study could lead to improved diagnostic and treatment options for patients suffering from low back pain.
How similar studies have gone: While this approach is innovative, similar studies utilizing ultrasound and machine learning for pain assessment have shown promise, indicating potential for success.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * ALL 18-50 year olds with No Low Back Pain (LBP); Acute LBP (\< 3 months); or Chronic LBP (\> 3 months) Exclusion Criteria: * Allergy to ultrasound gel - relative, consider alternatives * BMI: \> 30 * Pregnancy or Breastfeeding: current or remote, within the past 6 months * Spinal Surgery: history of lower thoracic or lumbar spine: within the past year, of more than a single level of hardware. (prior single level microdiscectomy, laminectomy, or fusion, that is stable for 1 year or greater is NOT excluded) * Current Low Back Pain (LBP) or Injury: severe enough to 1) limits activities of daily living, 2) limits the ability to work to less than an 8-hour day, 3) unable to lie prone with a pillow under their abdomen/pelvis for 30-45 minute intervals * History of Spinal Pathology: ankylosing spondylitis, rheumatoid arthritis or other rheumatic diseases, spinal tumor, or spinal infection * Corticosteroids: Injections into the low back or systemic medication within the last 3 months. Must be able to cease injections and/or corticosteroid medication during the study * Medication Usage that cannot be discontinued for length study: anticoagulants, muscle relaxants * Physical or Manual Therapy Interventions: in the last 90 days: physical therapy, acupuncture or trigger point therapy, any type of manual medicine or other bodywork treatments
Where it's running
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Edward Via College of Osteopathic Medicine
Blacksburg, Virginia, United States Recruiting
Study contacts
- Principal investigator: Albert J Kozar DO, FAOASM, R-MSK — Edward Via College of Osteopathic Medicine
- Study coordinator: Albert J Kozar, DO, FAOASM, R-MSK, =
- Email: TLFstudy@gmail.com
- Phone: 540-232-8405
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Ultrasound-Guided Thoracolumbar Fascia Injection for Chronic Low Back Pain in Type 2 Diabetes
This trial tests whether an ultrasound-guided injection into the thoracolumbar fascia, added to standard care, helps reduce chronic low back pain in adults with type 2 diabetes.
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.