&chief_complaint=Chronic Neck and Low Back Pain

&phys_exam=Tenderness spine and paraspinal muscles in distribution outlined  and limited ROM cervical and lumbar spine

&cor_dif=Degenerative Disc Disease,Ankylosing Spondylitis,

&incor_dif=Fibromyalgia,Lyme Disease,

&review=differential diagnosis of Chronic neck and back pain