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VCOM Pain Free Research

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Edward Via Virginia College of Osteopathic Medicine

Status

Enrolling

Conditions

Chronic Pain

Treatments

Behavioral: Behavior Change Coaching
Procedure: Dry Needling
Behavioral: Nutrition
Other: Osteopathic Manipulative Treatment
Other: Multiple Treatments
Behavioral: Counseling Psychology
Other: Autonomic Recalibration

Study type

Interventional

Funder types

Other

Identifiers

NCT06533345
2024--061

Details and patient eligibility

About

Studies estimate that 30% of people worldwide experience chronic pain. The mechanisms causing this pain can vary: a neuropathic offender, such as nerve compression; a structural offender, such as long-term effects of soft tissue damage and repair; or nociplastic, dysfunctional offenders, such as fibromyalgia. The type of pain experienced influences diagnostic and treatment choice. In theory, there's a significant blending of these pain types within individuals and across patients, leading many specialists to view pain classification as a spectrum. Multidisciplinary pain management (MPM) is a standard model for addressing and treating different mechanisms of chronic pain using multiple interventions from different disciplines. Although many clinics employing these strategies have resulted in positive and clinically effective outcomes, the creation and implementation of such facilities have not been widespread. With increasing focus on psychosocial factors that impact pain in conjunction with structural and biomechanical offenders, a need for a whole-person, integrated approach to chronic pain management is needed. We propose an observational study to gather data that will inform the design, implementation, and operation of such a chronic pain research clinic.

Enrollment

120 estimated patients

Sex

All

Ages

21 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Those experiencing chronic pain, i.e., ongoing pain not relevant to an acute perturbation (e.g., recent injury).

Exclusion criteria

  • Those subjects seeking pharmaceutical intervention
  • Those whose myofascial pain is deemed functional (normal response to acute injury or ongoing pathology

Trial design

Primary purpose

Treatment

Allocation

Non-Randomized

Interventional model

Crossover Assignment

Masking

None (Open label)

120 participants in 7 patient groups

Osteopathic Manipulative Treatment
Experimental group
Description:
Osteopathic Manipulative Treatment
Treatment:
Other: Osteopathic Manipulative Treatment
Dry Needling
Experimental group
Description:
Dry Needling
Treatment:
Procedure: Dry Needling
Autonomic Recalibration
Experimental group
Description:
Autonomic Recalibration
Treatment:
Other: Autonomic Recalibration
Nutrition
Experimental group
Description:
Nutrition
Treatment:
Behavioral: Nutrition
Behavior Change Coaching
Experimental group
Description:
Behavior Change Coaching
Treatment:
Behavioral: Behavior Change Coaching
Counseling Psychology
Experimental group
Description:
Counseling Psychology
Treatment:
Behavioral: Counseling Psychology
Multiple
Experimental group
Description:
Multiple
Treatment:
Other: Autonomic Recalibration
Behavioral: Counseling Psychology
Other: Multiple Treatments
Other: Osteopathic Manipulative Treatment
Behavioral: Nutrition
Procedure: Dry Needling
Behavioral: Behavior Change Coaching

Trial contacts and locations

1

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Central trial contact

Bill Pearson, PhD

Data sourced from clinicaltrials.gov

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