Problem: Sandra is a 43-year-old living with her husband and two school-age children in a New England suburban neighborhood. She is an executive at a large financial company in the city, working long hours sitting at a desk and traveling internationally to Europe at least once a month. In the last year and a half, she developed low back pain that has been increasing in both frequency and pain level and has been to her primary care physician multiple times complaining of pain and discomfort. A PAIN MANAGEMENT Case Study