Customized chiropractic and physical therapy may be a useful way to ease low back pain, which affects an estimated 31 million Americans a new study says. Researchers from La Trobe University observed that ‘many patients with low-back disorders persisting beyond 6 weeks do not recover. The typical algorithm that is used by your primary physician would recommend activity modification, rest and NSAID’s. They may prescribe a muscle relaxer or steroid. They typically do not refer unless there is no improvement after four weeks. The evidence is changing to support earlier treatment for low back pain to improve long term outcomes.