Getting an MRI scan for back pain might seem like the logical next step, especially when you’re in pain and want answers fast. But is it always the right choice? Let’s break it down:
When an MRI is the right choice
An MRI is helpful if your doctor suspects serious underlying issues like:
- Herniated disc with nerve compression
- Spinal infections
- Tumors or cancer
- Fractures (especially if you’ve had trauma)
- Spinal cord compression
- Unexplained weight loss or fever
- Pain lasting >6 weeks and not improving with treatment
These situations often come with “red flag” symptoms, such as:
- Numbness/tingling in the legs
- Weakness or trouble walking
- Loss of bladder or bowel control
Steps to prepare before MRI Scan
When it might not be necessary
If your back pain is:
- New (less than 6 weeks)
- Muscle-related
- Caused by poor posture or strain
- Improving with rest, physio, or medications
Then an MRI might not add value and could even lead to unnecessary treatments.
What you need to do
- Talk to your doctor. Don’t rush into scans just for peace of mind.
- Use MRI when it guides treatment, not just to “see what’s going on.”
- Conservative care first (rest, PT, stretching) works for most people.
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