Non-pharmacological Treatment for Pain After Spine Surgery

Inclusion Criteria:

1. Tricare beneficiary receiving care in a participating MHS facility.

2. Age 18 - 75 years at the time of enrollment

3. Scheduled to undergo lumbar spine surgery within the next 60 days. Surgery may belaminectomy with or without fusions including lateral, transforaminal, posterior oranterior approach for 1-4 lumbar levels. Surgery may be performed in military orcivilian facility

4. Indication for surgery may include disc herniation, degenerative disc disease,lumbar stenosis, degenerative spondylolisthesis or scoliosis.

5. Anticipates ability to attend treatment sessions over a 16 week period following thesurgical procedure with no planned absence of 2 weeks or more for training, vacationor any purpose

Exclusion Criteria:

1. Indication for surgery is infection, fracture, tumor, trauma or other indicationrequiring emergency surgery.

2. A microsurgical technique as the primary procedure, such as an isolated laminotomyor microdiscectomy

3. Surgical procedure is a revision or participant has undergone a lumbar surgicalprocedure in the past year.

4. Contra-indication to participation in post-operative exercise program includingsevere orthopedic injury limiting mobility, wheelchair dependency, neurologicaldisorder impacting mobility, reliance on supplemental oxygen for daily activity,etc.

5. Pending a medical evaluation board, discharge from the military for medical reasons,or pending or undergoing any litigation for an injury