Certain cases of lower back pain and neck pain might require surgical procedures . However, conservative treatment is the keystone management step in the following conditions
Severe facet arthropathy, (wear and tear)
Facet joint cysts (synovial cyst), results from severe facet arthropathy
Discogeneic pain with Modic changes type1 of the affected level, inflammation of the adjacent vertebra due to loss of the intervertebral disc height leading to bone friction and inflammation.
Pain associated with suspected spinal instability like spondylolisthesis. Slipping of one vertebra over the other, most common cause is severe facet arthropathy (wear and tear)