They look at you immune system and see if you immune system is the cause of your problems and also examine you to see if anything else could fit together. More than likely they'll order bloods for you to check for inflammatory cells and rheumatoid factors but only if they believe it us something they can help with and not more of an orthopaedic/ degenerative problem.
I've been to one as some doctors believed I had polymyalgia but she ruled it out based on a few things and didn't do any further tests.
I know it may seem random as you're going for your back but more than likely they'll want to look at your hands to see if there are any abnormalities there. Often these show signs in many of the conditions they work with and it's easier to see smaller boney or muscular abnormalities with your glands and finger than elsewhere.
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