CONDITIONS · SPINE & BACK
Back and Neck Pain
Most back and neck pain never needs surgery. At JOI you get a straight, surgeon-led evaluation of what is actually driving your pain, then a clear non-surgical plan built around hands-on physical therapy. Dr. Smith evaluates and manages spine and back complaints conservatively, and when an operation truly is the answer, coordinates a referral to a trusted spine surgeon. We are direct about what we treat here and what is better handled by a spine specialist.
Common back and neck problems we treat
If your problem is on this list, you are in the right place. If it needs a spine surgeon, we will tell you honestly and help you get there.
Treatment options at JOI
We start with the least invasive option that works. For the back or neck problem that genuinely needs an operation, we coordinate a referral to a trusted spine surgeon. Every step is honest and coordinated under one plan.
Surgeon evaluation and imaging
A focused exam with in-office imaging when indicated, and a clear explanation of what is driving your pain. Often seen in days, not months.
Learn moreIntegrated physical therapy
One-on-one rehab with Dr. Christie Smith, PT, DPT, the cornerstone of back and neck recovery, focused on movement, strength, and lasting relief.
Learn moreRegenerative and shockwave options
PRP and StemWave shockwave are options for appropriate soft-tissue and tendon-related pain. We are honest about when these help and when they do not.
Learn moreCoordinated specialist referral
Dr. Smith is a sports orthopaedic surgeon, not a spine surgeon. When your problem needs an operation or a spine subspecialist, we tell you plainly and help coordinate the referral.
Learn moreClear price. Honest answer. Rapid access.
JOI is out of network with commercial insurance. You pay the posted price up front. We provide an itemized superbill and can file out-of-network claims on your behalf, and reimbursement is not guaranteed.
Dr. Smith is a sports orthopaedic surgeon, not a spine surgeon. When your back or neck needs an operation, we say so plainly and coordinate a referral to a trusted spine surgeon. What we deliver here is rapid evaluation, honest guidance, and effective non-surgical care.
Back and neck questions, answered
Ready when you are
Get a straight answer, and a clear price, this week.
Talk directly with a double board-certified surgeon. No referral needed, no insurance runaround, no surprise bills.

