As one of the most common and disabling conditions among adults, low back pain can be treated in numerous ways. However, many treatments have proven ineffective and potentially harmful. Published guidelines have been updated to avoid low-value services like overuse of diagnostic imaging, opioids, spinal injections, and surgery. Researchers examined trends over nine years to see how quickly providers were moving away from these low-value services. Understanding treatment trends is helpful when designing holistic programs for low back pain.