What type of back complaints do you hear from your patients and I’m gonna start with you Dr. Pazionis. Sure so within my practice I’ll see both patients with benign and malignant spine conditions so patients with benign spine conditions will come in from just you know vague back aches difficulty with their everyday activities activities of daily living and also patient to have more severe pain so unfortunately pain that is keeping them up at night they can’t sleep and things like this occasionally can be also associated with shooting pains down the legs and that’s dependent on whether the how the fracture looks like and how it happens if their patient is presenting with tumor it can also be associated with fevers chills night sweats things that we call B symptoms clinically there’s a variety of different presentations but overall patients are very uncomfortable and it’s very disturbing and they’re looking for a way that they can alleviate their pain And Dr. Mena I’m sure you see this too and all ages I can imagine what do you see? Normally the type of patient for this type of condition I will see two major types of population one will be their early patient and normally they suddenly develop back problems and they we catch the patient they have a fracture the other one will be traumatic fractures from many from sports athlete that they had a trauma they were hit and all of a sudden they we find that the patient has or the athlete has a compression fracture or spine fracture as well. I’m sure a lot of patients that come in are maybe taken aback when they hear they have this or are surprised Yes most of the patients once they hear a fracture they they think that they can get paralyzed and actually to be quite honest the answer is no most of the time we might be able to treat them and avoiding sequelae of the from the compression fracture area we take that on time.