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NCT06533345NARecruiting

VCOM Pain Free Research Collaborative

Edward Via Virginia College of Osteopathic Medicine

Start Date

8/30/2024

Completion Date

8/1/2027

Summary

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.

Eligibility Criteria

Age Range: 21 years to 80 years

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

Interventions

BEHAVIORAL

Behavior Change Coaching

BEHAVIORAL

Nutrition

OTHER

Autonomic Recalibration

PROCEDURE

Dry Needling

OTHER

Osteopathic Manipulative Treatment

BEHAVIORAL

Counseling Psychology

OTHER

Multiple Treatments

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Conditions

Chronic Pain

Locations

Edward Via College of Osteopathic Medicine-Auburn

Auburn, Alabama 36832

United States