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Back pain breakthrough? study tests chiropractic and Self-Care to stop pain becoming chronic

NCT ID NCT03581123

Symptom relief Sponsor: University of Minnesota Source: ClinicalTrials.gov ↗

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study looked at 1,000 adults with acute low back pain who were at risk of it becoming chronic. Researchers tested whether spinal manipulation therapy combined with guided self-care (like pain education and lifestyle advice) works better than standard medical care. The treatments lasted up to eight weeks, and participants were followed for a year to see if their pain and disability improved.

What this could mean

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

Active substance
Spinal manipulation therapy and supported self-management (behavioral strategies, lifestyle advice, pain education)
What this could lead to
If successful, this approach could offer a simple, non-drug way to stop short-term back pain from turning into long-term disability.
What could go wrong
The trial is completed, but results may not apply to everyone with back pain. Benefits may be modest and depend on patient engagement with self-care.

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

Phase 3

Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.

Participants

1,000 people

The number who actually took part.

Started

Nov 2018

Finished

Jun 2024

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

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * At least 18 years of age * Acute or sub-acute low back pain * Average low back pain severity ≥3 on the 0-10 numerical rating scale over 7 days * Medium or high risk for persistent disabling back pain according to the STarT Back screening tool * Ability to read and write fluently in English Exclusion Criteria: * Non-mechanical causes of low back pain * Contraindications to study treatments (e.g,. surgical fusion of lumbar spine) * Active management of current episode of low back pain by another healthcare provider * Serious co-morbid health condition that either requires medical attention or has a risk for general health decline over the next year * Pregnancy, current or planned during study period and nursing mothers * Inability or unwillingness to give written informed consent

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Conditions

The condition(s) this trial relates to.

Acute Pain Low Back Pain

As listed by the trial registrant

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

Acute pain Low back pain, mechanical

Contacts and locations

Locations

  • University of Minnesota

    Minneapolis, Minnesota, 55455, United States

  • University of Pittsburgh

    Pittsburgh, Pennsylvania, 15219, United States

  • University of Washington

    Seattle, Washington, 98195, United States

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