Chronic Low Back Pain and Osteopathic Manipulation Treatment

Inclusion Criteria: * 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 Exclusion Criteria: * 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