Which joint specialist to see and when to scanMost new non-traumatic joint and back pain settles within days to a few weeks and does not need immediate imaging or a specialist opinion. GP or community MSK physiotherapy is usually the first step, with same-day assessment reserved for trauma, a hot swollen joint, or back pain with bladder, bowel…Most new non-traumatic joint and back pain settles within days to a few weeks and does not need immediate imaging or a specialist opinion. GP or community MSK physiotherapy is usually the first step, with same-day assessment reserved for trauma, a hot swollen joint, or back pain with bladder, bowel or saddle numbness symptoms.