Spinal Manipulation and Patient Self-Management for Preventing Acute to Chronic Back Pain (PACBACK) Study

The goal of this study is to see if these treatments can prevent your back pain from becoming a longstanding issue (chronic low back pain). If you qualify for the study, you will be randomly assigned to one of the following treatments for your back pain:

• Spinal Manipulation: involves hands-on therapy to the joints and muscles in the low back.
  
  
• Supported Self Management: focuses on teaching you things you can do on your own to manage your back pain.
  
  
• Combined Spinal Manipulation and Supported Self-management: involves a combination of hands-on therapy and self-management.
  
  
• Medical care: involves treatment such as over the counter and prescription medication that you would typically get from your medical provider.