I continue to see patients that have been sent to pain clinics for first-line treatment of back or neck pain. Unfortunately,many are not examined and just given drugs or injections. In many cases,they come to need these drugs too often. The issue is diagnosis and then treatment! The newer less invasive spinal procedures can eliminate the need for excessive narcotics. I am amazed that diagnosis such as signal stenosis is so poorly diagnosed when these procedures give such great outcomes. Please consider all your choices!