Low back pain is a common problem and one of the most common areas we treat in our Boulder Physical Therapy practice. In Colorado, patients do not need a referral to seek Physical Therapy services and this pathway (direct access) has continuously been shown in the research to be safe, effective, and save patients health care dollars compared to seeing a physician first. This latter pathway is associated with higher costs secondary to unnecessary and costly imaging, specialist referrals, and procedures. In comparison, many large corporations and health care organizations are using Physical Therapy (including patient education, spinal manipulation, and exercise) first for acute low back pain because of its’ clinical and cost effectiveness. Another study was published supporting the utilization of Physical Therapy first for the treatment of acute low back pain.