This study examines the rising prevalence of chronic low back pain (LBP) in North Carolina over a 14-year period, from 1992 to 2006. The research was conducted through a cross-sectional telephone survey of representative households, with detailed interviews for those identified with chronic LBP. Key findings include: - The prevalence of chronic LBP increased significantly from 3.9% in 1992 to 10.2% in 2006, affecting all age groups, genders, and racial/ethnic backgrounds. - Symptom severity and general health remained similar between the two years. - The proportion of individuals seeking care from healthcare providers increased from 73.1% in 1992 to 84.0% in 2006, while the mean number of visits to all providers remained relatively stable. - The increase in chronic LBP prevalence may contribute to rising healthcare costs, as more individuals with chronic LBP seek care. The study highlights the need for strategies to address the increasing prevalence of chronic LBP to contain costs and improve care.This study examines the rising prevalence of chronic low back pain (LBP) in North Carolina over a 14-year period, from 1992 to 2006. The research was conducted through a cross-sectional telephone survey of representative households, with detailed interviews for those identified with chronic LBP. Key findings include: - The prevalence of chronic LBP increased significantly from 3.9% in 1992 to 10.2% in 2006, affecting all age groups, genders, and racial/ethnic backgrounds. - Symptom severity and general health remained similar between the two years. - The proportion of individuals seeking care from healthcare providers increased from 73.1% in 1992 to 84.0% in 2006, while the mean number of visits to all providers remained relatively stable. - The increase in chronic LBP prevalence may contribute to rising healthcare costs, as more individuals with chronic LBP seek care. The study highlights the need for strategies to address the increasing prevalence of chronic LBP to contain costs and improve care.