Low back pain is something many people experience at some point. While it can be uncomfortable, here’s what you should know to help you manage it effectively.
In light of recent findings, it’s important to understand that you don’t need routine imaging for uncomplicated low back pain. According to a study published in the BMJ in February 2021, imaging isn’t necessary and may not provide any additional benefit for most cases. This perspective emphasizes that many patients can manage their pain effectively without the added expense and potential delays caused by unnecessary scans. Instead, focus on effective treatments like physiotherapy, which can help with pain relief and rehabilitation.
Key Points About Low Back Pain
What Causes It: Most cases of low back pain are just strains or sprains, similar to a sprained ankle. These usually get better quickly with the right care.
Imaging Isn’t Always Helpful: You might think you need an X-ray, CT scan, or MRI to figure out what’s wrong. However, a study published in the BMJ in February 2021 indicates that routine imaging is not necessary for uncomplicated low back pain. In fact, these tests often don’t help with diagnosing or treating LBP and can even slow down recovery.
Risks of Unnecessary Imaging: Getting scans can expose you to radiation and might delay you getting the right treatment. It can also lead to worse outcomes and even unnecessary surgeries.
Normal Changes on Scans: Sometimes, scans show “changes” in your back. Many of these changes are normal and become more common as you age, just like getting grey hair. These findings don’t always mean there’s a serious problem.
If you’re dealing with low back pain, remember that most cases improve with time and proper treatment, often without the need for scans. Physiotherapy can be a vital part of your recovery, helping you manage pain and improve function. Talk openly with your doctor and physiotherapist about your concerns, and work together to find the best way to manage your pain. Good communication can help both you and your healthcare team enhance your treatment experience.
Reference:
Do not routinely offer imaging for uncomplicated low back pain BMJ 2021; 372 doi: https://doi.org/10.1136/bmj.n291
