By Arthur Wayne Baker Jr.

MRI

Considerations for Non-Specific Low Back Pain

Low back pain is the most common cause of disability effecting an estimated 577 million people worldwide with 50-80% of adults experiencing this at some point throughout their lives. The myth that this pain is always caused by an injury to the person’s disc and a medical imaging technique such as an MRI will provide them a reason for their pain is simply not true. While medical imaging can be an extremely valuable tool in certain situations, it can often result in incidental abnormal findings that are not causing symptoms and are normal age related changes unrelated to the low back pain. Approximately 8 out of every 10 people over the age of 40 years old have been found to have some sort of disc injury that is not causing them pain or effecting their quality of life. Considering the fact that low back pain can be very frustrating, it is understandable to look for concrete answers for the cause of the pain.

However it has been shown that imaging does not improve clinical outcomes and leaves you at a higher risk for undergoing back surgery for a benign injury unrelated to the back pain. This is why it is so important to work with your trusted healthcare providers to develop a plan to manage your low back pain!

Citations:
1. Ammer K, Ebenbichler G, Bochdansky T. Low back pain—A disease or condition of impaired functional health? Definition-inherent consequences for the comprehensive care of back pain patients. BioMed. 2022;2(2):270-281.doi:10.3390/biomed2020022

2. The global burden of low back pain. International Association for the Study of Pain (IASP). Published July 9, 2021. Accessed June 12, 2023.

3. Fatoye F, Gebrye T, Odeyemi I. Real-world incidence and prevalence of low back pain using routinely collected data. Rheumatol Int. 2019;39(4):619-626.doi:10.1007/s00296-019-04273-0

4. Culvenor AG, Ferraz Pazzinatto M, Heerey JJ. Infographic. When is abnormal normal? Reframing MRI abnormalities as a normal part of ageing. Br J Sports Med. 2021;55(13):761-762.doi:10.1136/bjsports-2020-103563

5. Franz EW, Bentley JN, Yee PPS, et al. Patient misconceptions concerning lumbar spondylosis diagnosis and treatment. J Neurosurg Spine. 2015;22(5):496-502.doi:10.3171/2014.10.spine14537

6. Hall AM, Aubrey-Bassler K, Thorne B, Maher CG. Do not routinely offer imaging for uncomplicated low back pain. BMJ. 2021;372:n291. doi:10.1136/bmj.n291