10/11/2025
MISCONCEPTION MONDAYS EPISODE 35 - BACK PAIN IN OLDER ADULTS NEEDS A SCAN TO CONFIRM THE DIAGNOSIS?
In most cases for all adults, imaging (X-ray, CT, MRI) is not advised unless red flag symptoms or signs are present. Last week I told you that less than 5% of back pain cases are due to a serious condition. So we are rarely getting scans as they provide minimal benefit to recovery for the majority of back pain cases.
Furthermore, a good practitioner looks and assesses you holistically (osteopathy approach) and educates you on other factors that are contributing to the back pain experience. Sleep, stress, lack of exercise, fear on movement etc.
Why we don’t order scans:
1. Scans don’t tell us why the individual is in pain (rarely can identify a potential source as pain is multifactorial).
2. Abnormal findings or “pathological” findings are very common in asymptomatic people - especially as we age.
3. The degree of structural abnormality (if person is symptomatic) does not correlate with the severity of symptoms.
4. Does not change our management if low back pain is considered to not be from a rare serious cause. We would treat the same and have the same prognosis.
5. Normal variants or asymptomatic findings can often result in more expensive pointless tests.
6. The report of the findings can trigger stress, fear, and anxiety in the individual which actually can worsen pain/recovery. Also remember that these findings are largely asymptomatic or normal variants.
I hope this misconception helps you reduce your fear on needing a scan. As you can see, you more than likely do not. Listen to your osteo, do your rehab, sleep well, stress less and you’ll kick goals.
As always get a qualified evidenced based osteo/coach to help you with your training. If you want to be reformed in the lab, I’m here to help 🤝
📍181-183 Wellington Rd, East Brisbane QLD 4169
📞 0419 698 799
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