I think a physiatrist can best be understood by taking care of conservative care measures for anything that could be coming to an orthopedic practice. So musculoskeletal injuries even broader diagnosis such as neurologic conditions most commonly were referred patients in the realm of spine care. So neck and low back injuries things that would create pain across the shoulder blade and down the arm things that would come across the hip and down the leg may not be specific orthopedic injuries things that would require a specific operation to fix, but are tied to nerve related symptoms nerve pain that runs from one place to another location. Nerve pain that makes muscle conditions hurt for longer than they should we’re entrusted to take care of those issues that don’t have a specific surgical fix patients would love to have their own control over pain. That’s a lot of what we talked about in my practice regaining control over how they can manage their day and how their pain cycles go. So that is our goal to get patients to understand that there may be chronic medication needs with other techniques such as anti-inflammatory pills icing injection work that remove specific inflammation physical therapy use of different devices. Making sure that’s all incorporated under one roof is important to us to make sure patients have one stop shopping we can cover all their needs including equipment they might need at home.