Inclusion Criteria:  Neck and/or low back pain New cases* Males and females 18 years or older Willing to participate in the study short- and long-term  Exclusion Criteria:  Previous spine surgery Cognitively impaired Drug addiction Incarceration (prisoner) History of infections, tumors, chronic inflammation (e.g. rheumatoid arthritis, ankylosing spondylitis) Congenital/syndromal Pregnant females Diagnosed psychological impairment Inability to read or write