Conservative management is an approach to treating back pain, neck pain and spine related conditions utilizing non-surgical treatment options, such as physical therapy and core strengthening of muscles, medication and steroid injections in the facet joint or epidural space of spinal canal. Exercise is considered the backbone of treatment in the conservative management of spine care. When back or leg pain is present it is easy to become immobile in an attempt to reduce the pain. However, prolonged bedrest or immobilization causes de-conditioning, muscle and joint stiffness, leading to a vicious cycle of more pain and weakness so inactivity should be limited. Exercises to strengthen and stretch the back should be initiated as rapidly as possible but should not induce more back or neck or extremity pain. To begin, a prescription for physical therapy can be written by any physician but best if written by a spine/pain specialist with recommendations that fits each patient's specific issues.