Can long term low back pain recovery be predicted six months after onset of injury? This secondary analysis study of 111 subjects, seeks to identify psychological factors that co-occur at six months recovery status following four weeks of physical therapy. Fear avoidance (kinesiophobia) and depressive symptoms co-occurred with non-recovery. Not answered: Can the pattern shown in the study, be changed, with introduction of other ‘psychologically informed treatment options’? A second study including other options, may speak to the introduction of ‘mindfulness, biofeedback, yoga, counseling or other treatment options combined simultaneously with physical NMS (neuromusculoskeletal) care to produce a longer lasting and more complete physical recovery in patients that plateau. Providers should enquire about stress factors in a patient’s life to see if any yellow flags exist that may impede a more complete recovery.