Pain Management is a medical approach that draws on disciplines in science and alternative healing to study the prevention, diagnosis, and treatment of pain. For painful spine and musculoskeletal disorders, pain management is employed as an aggressive conservative (nonsurgical) care program that helps to identify the source of neck and back pain and rehabilitate the patient as an alternative or follow-up to surgery. A physician who is practicing pain medicine or pain management is usually an anesthesiologist who has been certified or trained on the relief and/or management of pain. A physiatrist may also specialize in pain medicine. Pain management programs can employ massage therapy, analgesic medications, physical therapy, and epidural steroid injections, among others to treat back pain.