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Back pain

There are two things to know about back pain and
1. Sooner or later, all adults will experience neck and lower back pain.
2. You do not need to do an MRI of the spine, if the doctor has not directed you to this procedure!

There are very clear indications for MRI / CT of the spine – “red flags” indicating a more serious problem than simple back pain.

🎗️ Chest pain radiating to the back;
🎗️ Fever;
🎗️Losing weight;
🎗️ Dysfunction of the pelvic organs, walking disorders, lack of sensitivity in the groin area;
🎗️Oncological disease now or in history;
🎗️ Older age + osteoporosis;
🎗️ HIV infection and other immunodeficiencies.

Conclusion MRI and often DOES NOT affect the treatment you will be prescribed.


95% of back pain is a problem with muscles, ligaments and joints. 4% – herniated discs. 1% – an inflammatory or other serious disease of the spine.

As a rule, the doctor is able to suspect the very 5% of serious changes even without an MRI.

How does the treatment begin?

If back pain is nonspecific (remember, in 95% of people it is caused by muscle spasm), most often the treatment is standard. In addition to anti-inflammatory drugs and muscle relaxants in a SHORT course (vitamins of group B are not included in the first line of treatment!), The treatment is based on exercise therapy. Simply put, exercises to relax your back muscles.

If you don’t constantly exercise – even without exacerbation – back pain will not disappear.

⛔ Exercise should not cause pain.
⛔ We do the exercises every day, at least once a day, preferably 2-3 times a day for 10-15 minutes.
⛔ Lying in bed and not lifting weights is bad advice. Walk, do daily work (if this does not sharply increase the pain), carry light bags – all this is possible, unless your doctor says otherwise.

If after 7-10 days of complex treatment there is no improvement, it is imperative to consult a therapist for further examination, correction of treatment and, possibly, consultation of a neurologist.