Percentage of patients aged 18 years and older with documentation of narcotic use/requirements at baseline (initial encounter) and documentation of decreased narcotic use/requirements at 2 +/-1 months following initial assessment and therapy (ies) for treatment of spine-related pain symptoms with an improvement in pain status from the baseline and documentation of follow-up plan. This measure will be calculated using two performance rates. Two rates can be reported for baseline and follow-up: Rate 1: Patient population with Follow-up/Patient population with baseline Rate 2: Patient population with improvement in pain status from the baseline. Thus Rate 2 =< Rate 1 Overall Rate = Rate 1