08/27/2021
An MRI can be very valuable in certain instances & is an excellent technological development . However, when it comes to Musculoskeletal problems, in many cases they are unnecessary.
SO "TO DO OR NOT TO DO?":
At the MMCLINIC, we conduct an in depth analysis of your Musculoskeletal System, which gives you a less expensive, easier and more accurate alternative to an MRI, if you are looking for answers as to what's really causing your PAIN.
Your individualized treatment plan is based on this analysis, rather then being diverted by "red herrings" which may be normal ageing characteristics or benign abnormalities that an MRI shows.
Inappropriate and overuse of MRI imaging is not only likely to make you more fearful, but often leads to unnecessary surgeries and is far more expensive in the long run.
Recurring back pain episodes are common. Not surprisingly, many sufferers end up in a doctor’s office. According to medical guidelines, the physician should examine them for red flags that suggest infection, fracture, or another urgent problem. If none are seen, the cause of the patient’s pain is most likely muscle strain, herniated disc, or degenerative disc disease, a term that describes the signs of wear and tear on the spinal discs as they age, says Wetzel, who is chief of orthopedics at Bassett Medical Center in Cooperstown, New York.
“Ninety percent of patients with low back pain will respond to things like medication and goal-directed physical therapy, and they do not need imaging at all,” Wetzel says.
MRI imaging is expensive and can actually provide too much information. David C. Levin, a radiologist at Thomas Jefferson University Hospital in Philadelphia, explains: “If you took a whole bunch of people who had no symptoms and did MRIs of their low back, you’d find all kinds of disc herniations and protrusions and all sorts of other things that really aren’t causing symptoms.” The majority of adults over 60, for example, have some disc degeneration — but it may not be the cause of low back pain.
MRIs frequently lead to surgery for benign abnormalities, says Wetzel, who has researched why back surgeries so often fail to alleviate symptoms. “The MRI provides so much information that oftentimes it’s difficult to realize that much of it may be irrelevant to the problem that brought the patient to your doorstep,” he says.
A paper published recently by the National Library of Medicine is entitled "No association between MRI changes in the lumbar spine and intensity of pain, quality of life, depressive and anxiety symptoms in patients with low back pain" refers to one of many studies that bears this out*
* https://pubmed.ncbi.nlm.nih.gov/30614517/