Integrative treatments for chronic back and neck pain

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Participants referred to the Nellis Integrative Medicine Clinic with chronic back or neck pain will receive tailored integrative therapies chosen by their providers, such as acupuncture, myofascial therapy, microcurrent therapy, laser, and extracorporeal shockwave therapy. Baseline and follow-up visits include self-reported pain intensity, medication review (including opioid MME), demographics, and medical history, with visits typically lasting 30 minutes to 2 hours depending on treatments. The protocol excludes patients in other pain management programs, those planning surgery or imminent military separation/deployment changes, pregnant or recently postpartum individuals, and patients with certain conditions like hypermobility disorders or implanted electrical devices. Outcomes are collected during routine care to measure changes in pain and function with these integrative approaches.

Why it matters

Who can join: the full rules

\*\*Patients must be able to get care at Nellis Air Force Base (a military installation) in order to participate in this study\*\*

Inclusion Criteria:

* Active Duty and DoD Beneficiaries (i.e. former military, spouse, dependent child) aged 18 or older referred to the Nellis Integrative Medicine Clinic chronic back or neck pain
* Pain Chronicity Threshold (pain score ≥4/10 documented in EMR or reported by patient at least 2 times in one year and at least 30 days apart).

Exclusion Criteria:

* Enrolled in other pain management program (e.g. pain management, PT

  /OT)
* Anticipated Change of station, deployment, retirement from military service, separation from active or reserve military service (includes national guard) or plan to discontinue enrollment at MOMMC in \<6 months
* Planned surgery during the study period
* Pregnancy
* \<3 months post-partum
* Hypermobility disorders such as Ehlers Danlos
* Active cancer (cancer in remission is not an exclusion)
* Implanted electrical devices that cannot be turned off (ie pacemaker); implanted stimulators or pumps that can be turned off are not exclusionary
* Injury or surgery within the last 6 weeks
* Dementia
* Delirium
* Inability to make medical decisions or understand treatment plan as decided upon by principle or associate investigators
* Undergoing medical evaluation board
* Currently in the process of establishing or appealing VA disability rating, or planning to do so within the study period

Where it's running

• Mike O'Callaghan Military Medical Center
  Nellis Air Force Base, Nevada, United States Recruiting

Study contacts

• Study coordinator: Daniel Shaffer, BSBA
• Email: daniel.w.shaffer.civ@health.mil
• Phone: 702-653-2067

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.