Let’s Talk About Neck and Low Back Pain

Neck and back pain are the primary complaints I see daily in my clinic, but not all neck and back pain are the same. There are three basic sources of spinal pain: muscular, joint, and disc. One key to appropriate management is determining the exact source of the pain.

While X-rays, MRIs, and CT scans are helpful tools for diagnosing musculoskeletal conditions, imaging is only one piece of the puzzle. As providers, it's our job to take a thorough history, perform an exam, and make recommendations based on the patient’s overall condition—not just the imaging results. Many patients don't realize that not all imaging findings are problematic or need treatment. Radiology reports often include findings that are expected for a patient’s age and demographic and are not relevant to their complaints.

Unfortunately, due to limited appointment times and insurance reimbursement constraints, providers often don't have enough time to review and discuss imaging findings in detail. As a result, patients often leave appointments feeling more confused than when they arrived.

Has this ever happened to you? You go to your doctor hoping for answers and leave more confused than when you arrived? You come home to your spouse, and they ask, “What did they say?” and you don’t have a clear answer—something about a disc? I have stenosis—what is stenosis?

If this sounds familiar, I can help! I have been a certified physician assistant for 13 years, with my career focused on musculoskeletal and spinal care. I would love to review your imaging and discuss your symptoms with you so you have a clear understanding of your condition and the treatment options available to you.