Your MRI is NOT A Reflection of Your Back Pain!

Squat University

Dr. Aaron Horschig

Health & Fitness

5 • 617 Ratings

🗓️ 20 August 2019

⏱️ 18 minutes

🔗️ Recording | iTunes | RSS

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Summary

In episode 68, Dr. Aaron Horschig breaks down why you shouldn't place your complete trust in MRI results for low back pain. Research has estimated that almost a third of healthy pain free 20-year-olds currently have a disc bulge in their spine! (Brinjikji W, Luetmer PH, Comstock B, et al. Systematic literature review of imaging features of spinal degeneration in asymptomatic populations. Am J Neuroradiol. 2015;36:811-16)

This number increases 10% every decade, meaning 45-50% of people between the ages of 40-50 have a disc bulge but with no back pain at all. It is highly likely to have abnormal scary findings on the MRI if you’re above the age of 60 but many of these individuals have no low back pain at all.

Can a disc bulge create back pain? Sure. But just because there is one that is picked up on an MRI does NOT necessarily mean it is the root cause of your pain.

Check out these referenced articles:

Jensen MC, Brant-Zawadzki MN, Obuchowski N, et al. Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med. 1994;331(2):69-73
Carragee E, Alamin T, Cheng I, et al. Are first-time episodes of serious LBP associated with new MRI findings? Spine J. 2006; 6(6):624-35
Fukuda K & Kawakami G. Proper use of MR imaging for evaluation of low back pain (radiologist’ view). Semin Musculoskelet Radiol. 2001;5(2):133-6

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Transcript

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0:00.0	Class is in session. You're listening to Squat University by Dr. Aaron Horshick.
0:06.6	Let's go! Now, let's start the show.
0:13.6	Hey, what's up, podcast listeners? Thank you so much for checking out today's show. This is episode
0:17.5	68 of the Squat University podcast. The goal with each and every one of these
0:21.3	shows is to bring you as much value-pat content to help you move better in the gym and in life,
0:26.7	decrease your body's aches and pains and help you reach your true athletic potential.
0:30.8	Now, if you ever heard the expression, a picture is worth a thousand words. It means the meaning
0:36.3	or idea behind something can be summed up better
0:38.8	in a single image than a lengthy description. Now, the phrase itself should not have any place
0:45.8	in the diagnosis of back pain. However, the way in which our current medical society works
0:53.1	as far as diagnosing pain is often used with this phrase.
0:57.5	And we'll talk about that today. Tell me if the story sounds familiar to you. You're lifting at
1:03.0	the gym one day, trying to go heavy, and all of a sudden you have this back injury. Something just
1:07.3	feels like it pops. You're hung up with back pain for a couple days, sometimes even weeks. So what do you do? You decide to go to the doctor. Now, first off, usually takes a little bit of time to get it into the doctor. Usually don't just go straight to the doctor unless you have a great relationship with one. Or you go to the emergency room. For most of us, we're not going to the emergency room with just back pain.
1:27.8	Things start hurting.
1:28.6	You call up a doctor.
1:29.5	You make an appointment.
1:30.3	It takes a little bit.
1:31.0	You get in.
1:26.5	Finally see a doctor after waiting for like an hour in the wait room. They look at you. They ask you a couple questions. They don't even touch you. and then you go, all right, well, let's order an MRI and see what you find.
1:30.3	So then you have to wait a little bit to finally get your MRI scheduled.
1:47.0	First off is now. and then I go, all right, well, let's order an MRI and see what you find. So then you have to wait a little bit to finally get your MRI scheduled,
	...

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