Chronic low back pain is the second most common complaint that a patient presents with to a general practitioner. Management of simple low back pain, however, is often inconsistent and insufficient. Popular belief that simple low back pain is self-limiting and recovers within a four-week period has been questioned and proven wrong. Without appropriate treatment, a considerable proportion of low back pain patients continue experiencing pain or discomfort for long periods of their lives. Furthermore, some patients' attitudes and beliefs are changed due to chronic pain, and abnormal illness behaviour develops with its consequences and poorer prognosis for recovery. This paper presents a case of chronic low back pain with signs of abnormal illness behaviour in a young female. It highlights the difficulties that might be encountered in the treatment of this complex condition. Despite a maximum effort, chiropractic treatment might not be sufficient to solve the condition. Additional qualified psychological support might be necessary for a successful outcome.