Hinge Health 2-Year Comparison Study:
Demonstrated Lasting Back and Joint Pain Relief
Resolve chronic musculoskeletal pain with a holistic approach

Resolving chronic musculoskeletal (MSK) or back and joint pain is often medically simple but behaviorally complex. Studies have shown that consistent physical activity can be a more effective approach at resolving back and joint pain than medications or expensive surgery.1 However, the exercise therapy route requires a more concerted effort to ensure patients stay on track and achieve positive outcomes. In-person physical therapy (PT) can lead to low adherence rates as patients fail to do their exercises or find time in their busy lives for PT appointments. In fact, research shows adherence rate to in-person physical therapy programs can be as low as 30%.2
Psychosocial issues are also barriers to participants to adopting and maintaining exercise therapy routines and achieving successful outcomes. For example, fear of falling or fear of pain related to the exercise activity can create significant barriers in participants' minds, preventing them from doing their prescribed therapy.3
Moreover, studies also reveal participants’ attitude or belief in their own ability to complete a task or reach a goal also influences whether they stick with physical therapy programs.4
In contrast, studies demonstrate personalized exercise therapies, motivation techniques, verbal encouragement, and celebration of successes can all help motivate and build participants' confidence in their ability to complete their exercise therapy program.5,6 Best practice research also shows the three pillars of exercise therapy, behavioral health, and education result in better patient outcomes. This evidence-based approach is the foundation of Hinge Health's program to resolving chronic MSK pain.
- Ambrose KR et al. Physical exercise as non-pharmacological treatment of chronic pain. Best Pract Res Clin Rheumatol 2015.
- Jack K et al. Barriers to treatment adherence. Manual Therapy 2010.
- Stubbs B et al. The avoidance of activities due to fear of falling. Pain Med 2014.
- Huffman K et al. Self-efficacy for exercise. Scand J Rheumatol 2014.
- Imayama I et al. Exercise adherence, cardiopulmonary fitness. J Phys Act Health 2013.
- Busch AJ et al. Exercise therapy for fibromyalgia. Current Pain and Headache Reports 2011
Key Takeaways
Hinge Health 2-year outcomes study
Demonstrated lasting impact on participants
How does this unique, holistic approach impact long-term pain relief and behavior change? We tracked and analyzed 276 Hinge Health participants with back and knee pain over a 2-year period to see if they still enjoyed reduced pain long after their intensive care program was completed. We checked in with Hinge Health participants when they first signed up for the program, after the 12-week intensive Hinge Health clinical care program, and 2 years later. Hinge Health participants still enjoyed reduced pain 2 years later.

After completing the Hinge Health program, 276 participants enjoyed statistically significant improvements in back and knee pain when surveyed after 3 months and after 2 years. This study further validates pain reduction clinical outcomes from 2 published randomized control studies in peer-reviewed journals.7,8
Participants continued to do their exercise therapy and still enjoyed sustained pain reduction 2 years later, as a result of Hinge Health’s unique holistic Clinical Care Model with dedicated Doctors of Physical Therapy and health coaches driving lasting behavior change.