The likelihood that you improve to your satisfaction is about 85%. Among all those who seek treatment for a significant neck or back problem, there will be those who need referral elsewhere, such as pain management or surgery. My job is to determine, as soon as possible, how best to help you, and get that done ASAP. Infrequently, that means referral for other treatments. Because of Dr. Castanet’s experience in orthopedics, physical therapy, physical medicine and neurosurgery, he can help you find a solution to your problem ASAP. Of course, surgery is a “last resort”, but that doesn’t mean never, and it doesn’t mean wasting your time and money figuring that out. And Dr. Castanet works with many superior and ethical specialists to help you best.