A study of America’s spending on personal and public health care from 1996-2013 calculated 2013 spending on neck and back pain as the third highest health-related cost in the US, second only to costs for diabetes and ischemic heart disease. Unfortunately, fully integrated neck and back pain treatment programs are scarce, and most spine care involves individual providers chipping away at the condition in a variety ways, with many utilizing flawed and costly first lines of defense.