ER-Based physical therapy may ease chronic back pain and cut opioid use
NCT ID NCT05206630
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether starting physical therapy in the emergency department helps people with chronic low back pain. 128 adults were randomly assigned to receive either usual care or physical therapy that included exercise, education, and a home plan. The goal was to see if this approach improves daily functioning and reduces reliance on opioid pain medication.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- physical therapy
- What this could lead to
- If it works, this could offer a way to start physical therapy right in the emergency department, helping people with chronic low back pain move better and possibly use fewer painkillers.
- What could go wrong
- This is a small, completed trial with 128 participants, so results may not apply to everyone. The therapy was only available during certain hours, which limits its real-world use.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
-
128 people
The number who actually took part.
- Started
-
Jan 2022
- Finished
-
Jul 2025
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥ 18 years * Low back pain (originating between 12th rib and buttocks) * Evaluated by a physician randomized to either study arm * Evaluated when ED physical therapy is available (e.g., Mon-Fri, 8am-4pm) * Likely to be discharged home (based on physician assessment) * Ability to complete follow-up data collection electronically or by telephone * English-speaking Exclusion Criteria: * Enrollment in the main trial (NEED-PT, NCT04921449) * Serious red-flag signs/symptoms (bladder/bowel incontinence, saddle anesthesia, debilitating motor weakness) * Obvious non-musculoskeletal etiology for low back pain (e.g., shingles, kidney stone) * Other concomitant injuries or pain (e.g., closed head injury, shoulder pain) * Unable to ambulate at baseline * Known pregnancy, under police custody, unable to consent
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Low back pain are added.
Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Northwestern Memorial Hospital
Chicago, Illinois, 60611, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Pilates takes on standard physical therapy in battle against Work-Related back pain
- Radiofrequency device tested as Add-On for stubborn back pain
- Back muscles hold clues for treating recurrent low back pain
- Skip the GP? physiotherapy first for back pain put to the test
- Can yoga ease back pain when recovery looks unlikely?
- Can a second injection target the source of stubborn back pain?