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.
If your back pain is related to more serious disorders of the vertebrae or spinal nerves or if it hasn't improved over a few weeks, you may be referred to a specialist, such as a pain specialist, an orthopedic surgeon (a doctor who specializes in diseases of the bones), a neurologist (a doctor who specializes in diseases of the nerves and brain) or a rheumatologist (an arthritis specialist).