Referring Providers

Do you have a patient experiencing pain from spine-related disorders?

Spine IQ is a community of high-performing conservative spine care clinicians who believe in non-pharmacological, non-invasive management of spine-related disorders.

We can help you identify a provider who has demonstrated best practices and high-quality patient outcomes.

Primary Spine Practitioner (PSP) model

The Primary Spine Practitioner (PSP) model was recently published in the Spine Journal and is consistent with the American College of Physicians’ new guideline on low back pain.

In the PSP model, healthcare systems would initially triage patients with low back pain and neck pain to the Primary Spine Practitioner. At the initial patient visit, the Primary Spine Practitioner would perform a history an examination, and arrive at a diagnosis.

Based on that diagnosis, the Primary Spine Practitioner would then either manage the patient autonomously or coordinate the patient’s care with members of a co-located or virtual multidisciplinary team. Depending on the patient’s condition, team members might include primary care physicians, specialty care physicians such as orthopedists or neurologists, mental health professionals, or spine surgeons.

The Primary Spine Practitioner model has the potential to impact healthcare delivery in two important ways.

  1. Improve the value of spine care delivery. There is an increasing evidence base that supports the use of non-drug therapies, the majority of which are commonly used or recommended by Primary Spine Practitioners. These treatments may result in overall lower per capita costs and are associated with a low risk of patient harms.
  2. The second potential impact the primary spine practitioner model could have on the healthcare delivery system is in regard to the primary care shortage. Just imagine what would happen if the majority of patients suffering from low back pain, one of the most common reasons for primary care visits, went to a Primary Spine Practitioner instead. This would allow primary care physicians to spend more time with patients for whom pharmaceutical management is clearly the best choice.

Learn about the PSP model

Access to Spine Care Research


Our registries allow us to partner with practitioners from across the country to collect information to compare clinical and cost outcomes for patients with spine-related pain. Studies focused on this data will enhance our understanding of how spine care impacts both physical and emotional functioning for a variety of musculoskeletal conditions.

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Our colleagues often ask us for resources on conservative spinal care. We have complied a list as a starting point of resources for high-performing conservative spine care clinicians who want to transform the culture of spine care.

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Other practice models

There are multiple multidisciplinary practice models that include doctors of chiropractic as members of patient care teams.

View reports