Inclusion Criteria:  Patient seeking care for low back pain at the primary care clinic in UMMC Male and female Age 18 years and above Can understand Malay and English  Exclusion Criteria:  Potentially serious pathology (eg: cauda equina compression, inflammatory arthritis, malignancy and etc) Serious co morbidity Psychiatric illness or personality disorder Spinal surgery in the last 6 months Pregnant Already receiving treatment other than primary care for this episode of back pain Inability to attend regular physiotherapy appointments.