Depigmentation of the skin can be caused by a number of local and systemic conditions. The pigment loss can be partial (such as after injury to the skin) or complete (such as from vitiligo).epigmentation of the skin can be caused by a number of local and systemic conditions. The pigment loss can be partial (such as after injury to the skin) or complete (such as from vitiligo).
In the most general terms, a spine specialist is a physician who focuses on the pathology of the vertebrae, intervertebral discs, joints and neural structures of the spinal column and the spinal cord.
While it is common to start off with a primary care provider (a medical doctor, chiropractor, or doctor of osteopathic medicine), if the patient's back pain is resistant to initial treatment then the services of a spine specialist may be necessary.In This Article: 1  Specialists Who Treat Back Pain.hile it is common to start off with a primary care provider (a medical doctor, chiropractor, or doctor of osteopathic medicine), if the patient's back pain is resistant to initial treatment then the services of a spine specialist may be necessary. In This Article: 1  Specialists Who Treat Back Pain.