Do I Need To Get A Scan For My Back Pain?
About 0.7% of patients presenting to primary care with low back pain have metastatic cancer, 4% have vertebral fractures and 0.01% have a spinal infection.
We used to think that if we got a good enough picture of the spine with scans that it would be a big help in solving the patients back pain. However, we now know that this is most often not the case. When people have scans for back pain, the scans often show up things that are poorly linked with pain.
In fact, studies have shown that even people who don’t have back pain have MRI scans that highlight the following
Remember, these people do NOT have pain!
These things sound scary and we are taught to think that they are very important for pain. But the simple truth is that they are often TOTALLY IRRELEVANT. No one tells you that EVERYONE has these changes in their body. What we have been calling abnormalities are really just normalities.