In Australia, as in most countries, low back pain is the leading cause of disability burden [2]. [6]The landmark 2018 Lancet low back pain series [7, 8] presented the case that the burden of low back pain was amplified by an epidemic of poor care for this condition. [9]It is easy to understand why poor care of low back pain might arise. Our understanding of how to manage low back pain has fundamentally changed over the past few decades. Imaging, pain medicines, bed rest and surgery are now accepted as playing a limited role in most patients with low back pain [10, 11].