Can physical therapy with a psychological twist tame ER back pain?

NCT ID NCT05221125

First seen Aug 11, 2026 · Last updated Aug 12, 2026 · Updated 1 time

Summary

This pilot study explores whether a specialized form of physical therapy, called psychologically-informed physical therapy (PIPT), can be effectively delivered in the emergency department for adults with neck or back pain. Participants will either receive usual care or usual care plus PIPT, which combines physical therapy with psychological strategies to address pain. The study primarily aims to see if this approach is feasible and acceptable to patients, while also tracking pain levels, anxiety, function, and opioid use over three months. Results will help design a larger trial to test this innovative model more rigorously.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Psychologically-Informed Physical Therapy (PIPT), a behavioral intervention combining physical therapy with psychological principles
What this could lead to
If successful, this approach could offer a new way to manage neck and back pain in emergency settings, potentially reducing reliance on opioids and improving patient outcomes.
What could go wrong
This is a small pilot study focused on feasibility, not proof of effectiveness. Results may not generalize, and the intervention may not be practical in busy ERs.

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Conditions

The condition(s) this trial relates to.

Musculoskeletal Pain

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Duke University Hospital Emergency Department

    Durham, North Carolina, 27710, United States

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