Brain zaps and yoga poses: new hope for Veterans' back pain?
NCT ID NCT07158567
First seen Jun 27, 2026 · Last updated Sep 09, 2026 · Updated 4 times
Summary
This Phase 3 trial tests whether combining transcranial magnetic stimulation (TMS) with yoga can ease chronic low back pain in 213 veterans. TMS uses magnetic pulses to gently stimulate brain areas involved in pain, while yoga adds stretching and strengthening. The goal is to reduce pain severity and interference with daily life, offering a non-drug option for those seeking alternatives to opioids.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- transcranial magnetic stimulation (TMS) and yoga
- What this could lead to
- If it works, this could offer veterans a drug-free option to reduce chronic low back pain and improve daily function.
- What could go wrong
- This is a Phase 3 trial, but results may not apply to all back pain types. TMS and yoga require commitment and may not work for everyone.
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
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 213 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2031
An estimate. End dates often move.
- Lead sponsor
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A government agency
The lead sponsor is a US federal agency other than the NIH.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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22 years and older
- Sex
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Anyone
- Healthy volunteers
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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: * 1 month stability in pain management strategies * Can read and speak English * Able to participate in strengthening, stretching, range of motion exercise via yoga as determined by study physician * Chronic Low Back Pain (CLBP): pain in the low back that persists for \>6 months and is of moderate to severe intensity with a score of \>5 on specific items on the BPI demonstrating disability of at least 20% on the Oswestry Disability Index (ODI) Exclusion Criteria: * Contraindications to combined intermittent theta burst (iTBS)/transcranial magnetic stimulation (TMS), (e.g., epilepsy, psychotic spectrum disorders \[i.e. bipolar, schizophrenia\], history of anoxic brain injury) * Moderate to severe heart disease * Contraindications to MRI (e.g., claustrophobia, implanted ferromagnetic device such as pacemaker or cardiac defibrillator) * Pain believed to be associated with cardiac or ischemic conditions * Epilepsy, active seizure disorder, personal history of a seizure or individuals with a family history of epilepsy or seizure in a first degree relative * Current prescription of psychostimulants (e.g., amphetamines), anticholinergics, tricyclic antidepressants, and antipsychotics or other medications that may increase their risk of having seizures * Intracranial lesion * History of ischemic or hemorrhagic stroke * History of moderate to severe TBI * History of or current psychosis not due to an external cause (e.g., due to illicit drug use) * Other neurological conditions (e.g., neurodegenerative disorders) * Active suicidal ideation with Columbia Suicide Severity Rating Scale(CSSRS) 3 * Are pregnant or nursing * Within 12 weeks of a major surgery/operation
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Edward Hines Jr. VA Hospital, Hines, IL
Hines, Illinois, 60141-3030, United States
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Jesse Brown VA Medical Center, Chicago, IL
Chicago, Illinois, 60612, United States
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