Age

18–any

Sex

ALL

Healthy volunteers

Not accepted

18 years of age and older
Seeking care for LBP from a participating VA clinic
Able to follow study protocol
Willing to be randomized to Usual VA Care or Usual VA Care + OMT
Individuals with pain primarily in the LBP region lasting \> 3 months and present on at least half the days during the past 6 months
Pain rating over the past 7 days equal to or greater than 3/10 as indicated on the Numeric Rating Scale for Pain

Signs of serious pathology as a cause of LBP
Underlying systemic or inflammatory conditions
Neurological diseases
Pregnancy
Previous back surgery or spinal fracture within the past year
Active workers' compensation or litigation for back pain
Any conditions impeding study protocol implementation or contraindication to OMT
No PM\&R, OMT, chiropractic, or physical treatment where manual techniques are utilized within last 3mo

Chronic Low Back Pain and Osteopathic Manipulation Treatment