Cost Effectiveness of OMT for Chronic Low Back Pain
Cost Effectiveness of OMT for Chronic Low Back Pain
The specific aim of this study is to conduct a prospective, multicenter cohort study over
 four months to compare the cost of standard of allopathic care (control group, N=90) versus
 standard of care plus osteopathic manipulative treatment (experimental group, N=90) in a
 cohort of 180 consecutive patients seeking treatment for chronic low back pain at three
 osteopathic clinics and three allopathic medical clinics (offering only standard care)
 located in three different regions of the United States.
Inclusion Criteria:

 -  Patients diagnosed with chronic low back pain (lasting more than 3 months) who are
 between 18 to 84 years old will be eligible for the study. Inclusion criteria will be
 specified by the following the 2017/2018 International Classification of Diseases,
 Tenth Revision, Clinical Modification (ICD-10-CM) codes associated with chronic low
 back pain:

 -  M54.16 Lumbar radiculopathy

 -  G57.01 Lesion of sciatic nerve, right lower limb

 -  G57.02 Lesion of sciatic nerve, left lower limb

 -  M48.061 Lumbar spinal stenosis, without neurogenic claudication

 -  M48.062 Lumbar spinal stenosis, with neurogenic claudication

 -  M47.816 Lumbar spondylosis

 -  M48.07 Lumbar spinal stenosis, lumbosacral

 -  M54.41 Lumbago with sciatica, right side

 -  M54.42 Lumbago with sciatica, left side

 Exclusion Criteria:

 -  Patients with diabetic neuropathy, congenital lumbar and sacral abnormalities, lumbar
 fracture, multiple myeloma, metastatic bone disease, history of spinal and/or pain
 lasting less than three months will be excluded from the study.