Primary spine care is a "new" field of health care, focused on the diagnosis and management of spinal related disorders. A PSP can be Doctor of Chiropractic (DC), a medical doctor (MD), a doctor of osteopathy (DO) or a doctor of physical therapy (DPT).

Current efforts in spine care are disjointed, inefficient, and largely ineffective. Such efforts are increasingly being dominated by specialists and specialized procedures usually applied in isolation, with little or no communication, organization or cooperation. As a result, it has become extremely expensive and has led to confusion for the patient ("where do I go?"). This might be acceptable if these efforts led to improved outcomes but this is not the case.

Despite the expense and numerous specialized approaches, spinal related disorders have become epidemic, costs are astronomical, and more and more patients are becoming disabled. Thus, the need of a PSP to help streamline the process, improve outcomes and help control costs within the system.

Like the primary care physician, (your family doctor for example), the PSP acts as a first contact practitioner who can manage the majority of patients without the need for referral to other specialists for care.

The focus in treatment is on the quickest possible recovery, judicious use of diagnostic tests, referral to specialists when appropriate, and educating patients in self care methods whenever possible.