Low back pain (LBP) is a frequent presenting complaint, affecting at least one-quarter of US adults and serving as a leading cause of disability.^1-2 Most LBP is categorized as nonspecific, in which there is no identifiable cause.² Acute or subacute LBP typically improves over time. If nonpharmacologic treatment is preferred, heat, massage, acupuncture, and spinal manipulation including osteopathic manipulative treatment (OMT) may offer some relief.^1,3 

OMT is an effective tool for diagnosing and managing musculoskeletal LBP,³ and it has been reported to reduce pain levels and improve function in patients with LBP, including pregnant and postpartum patients.^3–5 An observational study demonstrated decreased pain medication use and an association with decreased work absenteeism in patients who received OMT for LBP.⁶