Multidisciplinary spine clinics aim to clarify pain and avoid unnecessary surgery

Mayo Clinic specialists say spine problems often span several medical fields, making accurate diagnosis a key first step. Their coordinated evaluation model brings together neurosurgeons, orthopedic surgeons, neurologists, rehabilitation and pain specialists. This approach is intended to reduce bias and guide patients toward the most appropriate treatment, which may not involve surgery.

Mayo Clinic has spine centers in Arizona, Florida, Rochester, and northwest Wisconsin. Patients there can be seen by neurosurgeons, orthopedic surgeons, neurologists, rehabilitation and pain medicine doctors, and other specialists. Since spine-related symptoms can overlap with neurological or other medical issues, the team may review records and imaging and arrange extra tests or consultations.

Clinicians say they look first for the least invasive approach likely to help, then build a plan around each patient's preferences. Nonsurgical options can include rehabilitation and pain-focused care. When an operation is considered, neurosurgeons and orthopedic surgeons coordinate with other experts; some patients may need preparatory steps, such as improving bone strength.