The purpose of the study is to provide adequate information about the percentage of the main tissue that causing pain in most common spinal disorders either it is muscular, nerve or joint in each spinal parts, that will provide the physical therapist with large data that can be helpful in differential diagnosis.

Inclusion Criteria:

1. - patients from 18 to 60years
2. - both gender and any condition diagnosed by orthopedic physician with spinal disorders
3. - pre and post operative patient may be included.

Exclusion Criteria:

1. viscerogenic pain
2. cancer
3. psychogenic pain or psychogenic disorder
4. rheumatoid arthritis
5. fibromyalgia.

patients from 18 to 6o years , both gender and any condition diagnosed by orthopedic physician with spinal disorders and pre and post operative patient may be included.