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When someone comes to us with extremity symptoms, we almost always suggest they first get an evaluation with their primary care physician. If a person is experiencing low back pain or neck pain, we will usually watch them over time and encourage them to maintain good, stable physical activity to see if the issue resolves. If the issue is not resolved with physical activity, over-the-counter treatments, or pain management and anti-inflammatory medication, the next step would be to see a doctor for an evaluation. Many patients with spine problems can be treated non-surgically. Physical therapy, home exercises, medication, and oftentimes spinal injections are recommended prior to considering surgery. If the problem still isn’t resolved, then surgery becomes a good option.

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