200 Participants Needed

Yoga for Chronic Back Pain

EA
Overseen ByErich Anderer, MD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: NYU Langone Health
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 3 JurisdictionsThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests whether yoga can help individuals with chronic low back pain, a condition often leading to missed work and high medical costs. Researchers will compare two groups: one participating in a specialized yoga program and another receiving usual care, such as physical therapy and medication. The aim is to determine if yoga offers a better option for managing pain without surgery or heavy reliance on medications. Individuals who have experienced back pain for more than three months and can participate in yoga may be suitable for this study. As an unphased trial, this study provides a unique opportunity to explore alternative pain management options that could enhance quality of life.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It might be best to ask the trial organizers for more details.

What prior data suggests that this yoga program is safe for chronic back pain?

Research shows that yoga can safely help with chronic low back pain. Studies have found that a 12-week yoga program is effective and easy for most people to follow. Although some participants may experience a temporary increase in back pain, this occurs in about 10-15% of cases and usually resolves quickly. Overall, yoga is considered a safe method to manage chronic low back pain without medication or surgery.12345

Why are researchers excited about this trial?

Researchers are excited about the yoga program for chronic back pain because it offers a holistic approach that differs from the standard care methods like physical therapy, NSAIDs, and steroid injections. Unlike these conventional treatments, yoga focuses on improving flexibility, strength, and mental well-being through specific postures and breathing techniques. This approach not only targets physical symptoms but also aims to reduce stress and improve overall quality of life, potentially offering a more comprehensive solution to managing chronic back pain. Additionally, yoga may have fewer side effects compared to medication-based treatments, making it an appealing option for long-term management.

What evidence suggests that yoga might be an effective treatment for chronic back pain?

Research shows that yoga can effectively treat chronic low back pain. In this trial, participants in the Yoga Arm will follow a yoga protocol devised by Eddie Stern, a renowned Ashtanga yoga practitioner, which may include NSAIDs. Studies have found that participating in a 12-week yoga program can significantly reduce pain and improve flexibility. Compared to standard care, yoga better relieves pain and stress and enhances quality of life. Evidence also indicates that yoga can lower pain levels by 0.41 points. Overall, yoga is a safe and helpful option for managing chronic low back pain.12346

Who Is on the Research Team?

EA

Erich Anderer

Principal Investigator

NYU Langone Health

Are You a Good Fit for This Trial?

This trial is for individuals who have been experiencing chronic back pain for at least three months. Participants should be willing and able to follow the study procedures. It's not suitable for those needing surgery due to conditions like fractures or infections, or with heart, lung, or other health issues that make yoga practice unsafe.

Inclusion Criteria

I am willing and able to follow the study's procedures.
I have had back pain above my buttocks for at least 3 months.

Exclusion Criteria

I need surgery for a condition like a broken bone, infection, or spine issue.
I have health issues that prevent me from doing yoga.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive a 6-week standardized yoga practice or usual care including physical therapy, NSAIDs, and epidural steroid injections

6 weeks
Baseline Visit, 6 weeks Visit

Follow-up

Participants are monitored for safety and effectiveness after treatment

6 months
3 months Visit, 1 year Visit, 2 years Visit

Long-term Follow-up

Participants are assessed for long-term changes in health outcomes

2 years
1 year Visit, 2 years Visit

What Are the Treatments Tested in This Trial?

Interventions

  • Yoga program
Trial Overview The trial is exploring how a structured yoga program might help people manage chronic low back pain, which often leads to missed work days and can contribute to opioid use. The aim is to see if yoga can be an effective non-surgical treatment option.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Yoga ArmExperimental Treatment1 Intervention
Group II: Control armActive Control1 Intervention

Yoga program is already approved in United States, European Union, Canada for the following indications:

🇺🇸
Approved in United States as Yoga therapy for:
🇪🇺
Approved in European Union as Medical Yoga Therapy for:
🇨🇦
Approved in Canada as Therapeutic yoga for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

NYU Langone Health

Lead Sponsor

Trials
1,431
Recruited
838,000+

Published Research Related to This Trial

In a study of 35 female patients with chronic low back pain, both yoga and stabilization exercises significantly improved pain levels, disability, and sleep quality, as measured by various scales (VAS, ODI, PSQI) after the interventions.
While both exercise methods were effective, the stabilization exercises showed greater improvement in transversus abdominis activation, indicating a potential advantage in core muscle engagement.
The Effects of Yoga and Stabilization Exercises in Patients With Chronic Low Back Pain: A Randomized Crossover Study.Ulger, O., Oz, M., Ozel Asliyuce, Y.[2023]
Yoga has been shown to have positive effects on various health conditions, particularly chronic pain, hypertension, depression, and supportive cancer care, based on numerous randomized controlled trials.
The risk of serious adverse events from practicing yoga is very low, making it a safe and effective complementary therapy alongside other treatments.
[Where and How does Yoga Work? - A Scientific Overview].Cramer, H.[2017]
A systematic review of three small randomized controlled trials indicated that yoga may be beneficial for reducing low back pain, with all studies favoring the yoga group.
To further investigate this, a larger randomized controlled trial involving 262 patients will assess the effectiveness and cost-effectiveness of a 12-week yoga program compared to usual care, aiming to provide more robust evidence for yoga as a treatment for chronic low back pain.
A pragmatic multi-centred randomised controlled trial of yoga for chronic low back pain: trial protocol.Cox, H., Tilbrook, H., Aplin, J., et al.[2021]

Citations

Effectiveness of Virtual Yoga for Chronic Low Back PainFindings of this study indicate that a 12-week therapeutic virtual yoga program for chronic low back pain is feasible, safe, and effective.
Effectiveness of Virtual Yoga for Chronic Low Back PainFindings of this study indicate that a 12-week therapeutic virtual yoga program for chronic low back pain is feasible, safe, and effective.
Objective evidence for chronic back pain relief by Medical ...We conclude with objective evidence that Medical Yoga Therapy relieves chronic low back pain, stress and improves quality of life better than standard care.
Twelve Weeks of Yoga for Chronic Nonspecific Lower Back ...12 weeks of yoga programs could significantly reduce chronic nonspecific lower back pain by 0.41 within the trials.
Yoga as a treatment for chronic low back painThe yoga group showed a greater increase in flexibility and reduction in pain (section 1 of the Oswestry Disability Index) than the control group [31,32].
Yoga as an Adjunctive Treatment for Chronic Low Back PainWhen alternative and comprehensive approaches for managing the complexity of CLBP are considered, yoga poses a safe, accessible adjunctive treatment option.
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