11/11/2025
We often have a patient come in and say, “It just started a few weeks ago… but now it’s always there”?
That’s the moment when an acute episode starts to drift into chronic territory.
Researchers followed over 5,000 patients who went to primary care for acute low back pain. Then they checked back 6 months later to see who developed chronic pain.
This week’s research is a big one—and it gives us a clearer picture of why that transition happens and what we can do to prevent it.
Researchers followed over 5,000 patients who went to primary care for acute low back pain. Then they checked back 6 months later to see who developed chronic pain.
Here’s what stood out:
About 1 in 3 (32%) of acute cases became chronic.
The biggest controllable factor?
Patients who received non-guideline care (like early imaging, opioids, or unnecessary specialist referrals) were significantly more likely to develop chronic low back pain.
In fact—the more non-guideline interventions a patient received early, the higher the risk of pain becoming chronic.
That’s huge.
This study reinforces a core principle of evidence-based chiropractic:
Early movement enhancement with a chiropractic adjustment improves long term outcomes. Know someone with acute or chronic pain that we can help? Send them our way.