Most people over thier lives will experience some form of back pain. It may be from a traumatic accident or bending over to pick something up. The stress of poor posture, sitting or standing for extended time, and many other things add up until your back gives up. The American College of Physicians and the American Pain Society recommend for patients who do not improve with self care options, clinicians should consider the addition of nonpharmacologic therapy with proven benefits—for acute low back pain,spinal manipulation; for chronic or subacute low back pain, intensive interdisciplinary rehabilitation, exercise therapy, acupuncture,massage therapy, spinal manipulation, yoga, cognitive-behavioral therapy, or progressive relaxation.Ann Intern Med. 2007;147:478-491.