I've had back problems for over 40 years and had a spinal fusion 30 plus years ago. There is an old saying, once a bad back always a bad back. I think some back pain sufferers have unrealistic expectations. Dr. Huston has treated my back off and on for about 6 years now. Most recently two spinal blocks were a big help. Contrary to other reviews I just read I find him to be a skilled doctor and his bedside manner and general demeanor are sound and professional. He's got my recommendation as does the TOCA practice as I have other doctors there too.