1. What is the decision or change (e.g., clinical topic, practice guideline, system design, delivery of care) you are facing or struggling with where a summary of the evidence would be helpful?

I nominate the topic of External Neuromodulation Mechanical Oscillation Stimulation Therapy for AHRQ's Evidence-based Practice Center (EPC) Program for upcoming systematic reviews. We need this therapy in our toolbox for pain management.

2. Why are you struggling with this issue?

Many people experiencing acute and chronic pain seek a state of function with pain rather than a pain-free state. They avoid opioids unless the pain is more than seriously annoying - debilitating. They feel immense frustration that their medical partners, by and large, know little about non-drug, non-surgical pain relief and that their insurance doesn’t cover those modalities (chiropractic, massage, acupuncture, vibration, meditation, and more). Don’t they know that these are less expensive, much less? Several of my family members and cronies in Pain Management use VibraCool Devices for Fibromyalgia, lower back pain, repetitive strain, and other musculo-fascial injuries, and post-joint replacement to significant effect.

3. What do you want to see changed? How will you know that your issue is improving or has been addressed?

My measure of success would be for Medicare and Medicaid to provide a unique billing code for External Neuromodulation Mechanical Oscillation Stimulation Therapy

4. When do you need the evidence report?

5. What will you do with the evidence report?

Inform clinicians about these non-medical pain management interventions

Supporting Documentation

Stimulation Therapy for AHRQ's Evidence-based Practice Center (EPC) Program (PDF, 170 KB)

Optional Information About You

What is your role or perspective? Patient/consumer

If you are you making a suggestion on behalf of an organization, please state the name of the organization

May we contact you if we have questions about your nomination? Yes