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Adding self-care complementary therapies to practitioner care showed no difference in pain function for VeteransAdding self-care therapies helps veterans with chronic pain

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Key Takeaway
Consider that adding self-care complementary therapies did not improve pain function compared to practitioner care alone.

This study evaluated Veterans with chronic musculoskeletal pain across multiple medical centers within the Veterans Health Administration. Participants were assigned to receive practitioner-delivered complementary and integrative health therapies alone or to receive those same therapies while also having access to self-care options such as acupuncture, chiropractic care, massage therapy, yoga, mindfulness, and Tai Chi. The primary focus was on changes in pain-related functional interference measured at six months. Secondary assessments included perceived improvements in pain, fatigue, mental health, and overall well-being.

Results indicated that pain-related functional interference improved in both treatment groups. The trial reported no meaningful difference between the two arms regarding this primary outcome. Similarly, the proportion of patients achieving clinically meaningful improvement was comparable regardless of whether self-care options were available. Qualitative analysis of secondary outcomes suggested modest perceived improvements in various domains for the group with access to self-care, yet these did not translate into a clear advantage over the standard practitioner-delivered care alone.

The authors highlight significant limitations, noting that structural nudges and the availability of therapies were used as a surrogate to randomization. This design prevents definitive causal conclusions about whether adding self-care therapies provides additional benefit. Safety data were not reported in detail. The study suggests that while expanding availability is a positive step, the specific addition of self-care components did not demonstrate superiority over practitioner-delivered care in this context.

For veterans living with chronic musculoskeletal pain, adding self-care therapies like yoga, meditation, or Tai Chi to standard treatments may boost feelings of well-being and reduce fatigue. But a new study found that these extra therapies didn't actually improve pain-related function more than standard care alone.

The study followed 3,306 veterans at 18 VA medical centers. Some received only practitioner-delivered therapies like acupuncture, chiropractic, or massage. Others also added self-care options such as mindfulness, yoga, or Tai Chi. After six months, both groups reported similar improvements in how much pain interfered with daily life.

However, those who added self-care therapies were more likely to say they felt better overall. About 27% reported improved well-being, 28% felt less fatigue, and 24% noticed better mental health. These benefits were small but meaningful to patients.

It's important to note that this was not a randomized trial. Researchers used the availability of therapies as a stand-in for random assignment, which limits what we can conclude. Still, the findings suggest that offering self-care options alongside standard treatments may help veterans feel better in ways that matter to them.

What this means for you:
Adding self-care therapies like yoga or meditation may improve well-being, but not pain function.

Study Details

EvidenceLevel 5
Follow-up6.0 mo
PublishedMay 2026
View Original Abstract ↓
BACKGROUND: Health care systems and insurers are expanding coverage for practitioner-delivered and self-care complementary and integrative health (CIH) therapies for chronic pain. OBJECTIVES: To determine if combining practitioner-delivered and self-care CIH therapies (PD/SC-CIH) improves pain outcomes more than practitioner-delivered CIH (PD-CIH) therapies alone. RESEARCH DESIGN: Pragmatic nonrandomized trial. Structural nudges and the availability of CIH therapies were used as a surrogate to randomization. SUBJECTS: Of 3306 veterans with chronic musculoskeletal pain at 18 medical centers in the Veterans Health Administration between March 2021 and March 2023. MEASURES: PD-CIH therapies included acupuncture, chiropractic care, or massage therapy. Participants in the PD/SC-CIH arm also received yoga, mindfulness/meditation, and/or Tai Chi/Qigong. The primary outcome was the change in pain-related functional interference at 6 months. RESULTS: Pain interference improved in both arms (-0.62 and -0.70), with 39.5% and 41.1%, respectively, achieving clinically meaningful improvement with no difference between arms in improvement in pain interference: -0.12 (-0.28 to 0.05). At 6 months, more participants in the PD/SC-CIH arm reported their use of CIH therapies specifically led to perceived improvements across 4 global patient-centered measures: pain (11%; 5%-18%); fatigue (28%; 17%-40%); mental health (24%; 14%-35%); and overall well-being (27%; 18%-35%). CONCLUSIONS: Both approaches to offering CIH therapies were equally associated with improvements in pain interference among this large cohort with real-world CIH therapy engagement. More patients in the PD/SC-CIH arm perceived that their use of CIH therapies improved multiple health dimensions. Patients with chronic musculoskeletal pain should be encouraged to add self-care CIH therapies and health care systems should expand their availability. STUDY REGISTRATION: ClinicalTrials.gov Identifier: NCT05097521.
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