Is a sequenced care pathway better than a pain navigator for Veterans with low back pain?
Veterans with low back pain often need structured support to manage symptoms and return to function. Two main models have been tested: a sequenced care pathway that includes physical therapy and risk stratification, and a pain navigator pathway that focuses on shared decision-making and referrals. Research shows that at 3 months, the sequenced care pathway did not outperform the pain navigator model in improving pain or physical function.
What the research says
While the specific trial did not show one model was better, understanding low back pain requires looking at broader factors. Low back pain is a leading cause of disability worldwide, and recurrent cases account for a large share of healthcare costs 32. Because standard treatments vary, some researchers are testing new ways to assess disability, such as combining patient reports with motion capture and sensory testing, which can be done quickly in a clinic 4.
What to ask your doctor
- Which care model—sequenced care or pain navigation—fits my specific situation and goals?
- How will we measure my progress in pain and function over the next 3 months?
- What non-drug treatments are available to me through my current care plan?
- How can we incorporate physical activity coaching into my routine?
This question is drawn from common patient questions about Anesthesiology & Pain Medicine and answered using cited medical research. We do not provide individualized advice.