Low back pain (LBP) is a major health problem in the United States affecting the majority of people sometime during their lifetime. It is a common condition for people to seek health care and is a major cause of disability. LBP is frequently a result of a work related injury. Although evidence-based guidelines for low back pain have been published and are available to health care providers, they are not consistently utilized. I assessed the routine practices for management of low back pain among 13 providers who make up the occupational medicine provider team. They include allopathic physicians, osteopathic physicians, nurse practitioners, and physician assistants in seven occupational medicine centers in Cincinnati, Ohio, to determine current practices. The purpose of this Clinical Doctorate Capstone Project was to identify current provider practice routines regarding LBP management and to compare these practices with the Bethesda Occupational Medicine Centers’ (BOMC) guidelines. The findings were presented to the providers in an effort to increase adherence with the BOMC LBP guidelines across the seven Bethesda Occupational Medicine Centers. This project focused on providers at the seven Bethesda Occupational Medicine Centers in Cincinnati, Ohio. All of the providers were sent an online survey that assessed each providers practice routines regarding LBP management. The survey findings were formally presented to the providers in an effort to increase adherence with the LBP guidelines. A follow up online survey was sent after the presentation to the providers showing a self reported changed in practice across the seven occupational health centers. Eleven of the 13 providers (84.6%) completed the initial survey which showed that 30% of the providers were unaware of the existing LBP guidelines and therefore had never reviewed them. Of the 70% who had reviewed the guidelines, only 40% said they plan their care based on the guidelines. Eight of the 13 providers attended the formal presentation. Four of the eight who attended the presentation completed the follow up survey. The follow up survey indicated that 80% of the providers who attended the presentation felt that the presentation provided them with new information regarding the management of LBP and 60% of the providers agreed that they would be more likely to follow the established LBP guidelines. The results from this project indicate that there is a need to have the LBP guidelines readily accessible to the providers in each treatment room and not just online. The LBP guidelines also need to be reviewed with new providers during orientation. Additionally, the guidelines should be reviewed annually and updated as needed in order to reflect current evidenced-based practices.