This is the single best video I’ve ever seen on why ‘routine imaging’ is a bad idea.
Did you know that nearly every study done on back and neck pain imaging shows us what is found in an Xray and MRI has no relationship to the pain people feel?
They show that upwards of 98% of people have arthritis in their neck – and most have no pain. They show that up to a third of people under 30 — with no pain — have disc prolapses. Incidental findings are often a reason we don’t do routine imaging – it’s not helpful. In fact, it can be harmful.
What is most fascinating about this: if you tell people who aren’t in pain about these ‘incidental’ findings, they may start to develop abnormal movement patterns, fear avoidant behaviours and ultimately – pain. And if you tell people with pain the details of what was found in their XRay or MRI, they tend to do worse and are more likely to develop ongoing pain than if you focus on their functional daily needs during treatment.