
Friday Health & Wellness
Back Pain, Snowbirds & Why Specialty Clinics Schedule Out
Every fall and winter, clinics see a pattern.
Seasonal residents arrive with back pain that has been building for weeks — sometimes months — and they want to see a spine surgeon immediately.
I understand why.
Back pain is uncomfortable.
It disrupts sleep.
It limits movement.
It makes everything feel urgent.
But here’s something important for your health:
Most back pain is not a surgical emergency.
Spine surgeons are not urgent care providers. They are specialists who evaluate complex cases — often after conservative treatments have been tried.
Specialty clinics operate differently than primary care.
They are:
• Referral-based
• Triage-driven
• Often scheduled weeks to months in advance
• Prioritizing true emergencies first
Emergencies include:
• Sudden loss of bowel or bladder control
• Progressive weakness
• Severe neurological changes
• Trauma with concerning symptoms
Those cases move quickly.
But routine back pain — even when it’s painful — often requires a stepwise approach first:
• Imaging (if appropriate)
• Physical therapy
• Anti-inflammatory care
• Pain management
• Activity modification
Surgery is usually not the first step.
Understanding this process helps lower frustration and stress — and stress alone can worsen muscle tension and pain perception.
Health & Wellness isn’t just about treatment.
It’s about understanding how care works.
If you’re planning seasonal travel and have ongoing back issues, consider:
• Establishing care before you travel
• Bringing imaging and records with you
• Scheduling in advance when possible
• Having realistic expectations of specialty timelines
Your body deserves thoughtful care — not rushed care.
And sometimes patience is part of healing.
— Lady Flava


