Low back and neck pain are among the leading causes of medical visits, lost productivity and disability. There is an urgent need to identify ways of helping patients with acute spine pain while guiding practitioners towards high-value care. The Spine Pain INtervention to Enhance Care quality And Reduce Expenditure (SPINE CARE) trial seeks to fill the gaps in the existing literature by rigorously evaluating three methods of care for patients with acute spine pain: 1) usual care; 2) coordinated multi-disciplinary care; and 3) Individualized Postural Therapy (IPT).  This multi-centered trial, aims to enroll over 3,000 patients from primary care practices nationally. Primary outcome of the study will be spine-related spending at one year as well as pain and functional status.