Dr. Steven Leckie: So patients will often come and see a spine specialist after they’ve tried some conservative management for their neck and back problems and have failed to get better. And it’s best to come and see a spine specialist early so that we can begin to fine tune a treatment plan that is specific to your condition and that may include ordering advanced imaging such as an MRI or CAT scan that may include non-surgical management such as physical therapy and medications, particularly anti-inflammatories, and other over-the-counter medications that may include seeing a pain management specialist for things such as an injection or that may even include surgery if other conservative management options have not worked for you. We do have all of those resources, all our spine team here at Plymouth Bay Orthopedics including physical therapy, pain management for injections as well as spine surgery. Certain conditions should probably reach the attention of a spine specialist sooner. Those would include if you have pain, numbness or weakness that is radiating down the arms or the legs because that may reflect a pinched nerve or neurological compression that should seek medical attention soon.