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Low back pain and medical Imaging: The role of physiotherapy


Low back pain, or lumbalgia, is a common health issue affecting millions of people. These pains in the lumbar region of the back can be debilitating, leading to work absences and a decreased quality of life. It is common to think that medical imaging, such as MRI or CT scans, can reveal the underlying cause of these pains. However, this article explores the role of physiotherapy in managing low back pain and explains why, in many cases, imaging is not always necessary.


Low back pain: a major health Issue

Low back pain is a significant public health problem, affecting a considerable percentage of the population. Statistics show that 84% of individuals will experience at least one episode of low back pain in their lifetime. Furthermore, it is the leading cause of work absences before the age of 45, with 30% of work absences lasting more than 6 months being linked to chronic low back pain. These figures highlight the importance of understanding and effectively managing low back pain.


Medical reasoning for low back pain

Understanding low back pain requires a complex medical approach. It is essential to look for signs of serious illnesses since low back pain can sometimes be a symptom of a broader and severe medical issue. It is crucial to rule out these serious causes first.


The role of physiotherapy

When signs of serious illnesses are absent, healthcare professionals turn to physiotherapy to diagnose and treat low back pain. Physiotherapy is a comprehensive approach that involves assessing a patient's mobility, muscle strength, and lifestyle habits. The physiotherapist can determine factors contributing to low back pain, such as muscular imbalances, joint stiffness, and improper movements.


Medical Imaging: when Is It necessary?

The question of medical imaging arises when low back pain persists despite initial treatments. In such cases, medical imaging tests, such as MRI, may be considered. However, it is essential to understand that imaging does not reveal the pain itself. It can show anatomical anomalies, but this does not necessarily mean they are the cause of the pain.


The limits of medical Imaging

Medical imaging, although valuable in many areas of medicine, has limitations when it comes to low back pain. Many individuals may have anomalies in imaging without experiencing low back pain. For example, a herniated disc may be detected, but it will only cause symptoms if it compresses a specific nerve. This means that imaging alone cannot provide a complete picture of pain.


The key role of Physiotherapy

Physiotherapy plays a crucial role in managing low back pain. Physiotherapists are trained to deeply assess a patient's condition, taking into account anatomical, muscular, postural, and behavioral factors. They can design personalized treatment plans aimed at correcting imbalances and improving mobility and strength. Additionally, they can educate patients on how to prevent recurrences.



In conclusion, low back pain is a significant public health issue, but it does not always require medical imaging for effective diagnosis and treatment.



Physio & Co. is here to provide you with the highest level of in-home physiotherapy care. Contact us today at 819-943-7745 to benefit from the numerous advantages of personalized, convenient, and effective physiotherapy in the comfort of your home.





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