MRI Scan of Lower Back pain can make you worse!
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- Опубліковано 19 лип 2024
- MRI scans performed on the lower back when someone is in acute pain can actually make things worse!
Lower back pain can be scary for people and often patients with lower back pain assume that the best thing to do when in severe acute pain is to have an MRI scan to check whats going on.
In this video I talk about when you need to have an MRI scan on your back in cases like CES (Cauda equina syndrome) : www.dgft.nhs.uk/wp-content/up...
I then go on to talk about when you do not need to have an MRI scan. In fact some studies show that if you have an early MRI scan in the absence of red flags of sinister pathology, you actually have a worse outcome if you have an early scan vs those who do not have a scan.
I discuss the reason for why the studies show these unusual findings and whether you should have an MRI scan or not.
Hopefully it will help you make a decision on whether to have an MRI scan or not and when you should be worried and when you should focus on rehabilitation and your recovery of your back pain.
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Hi, my name is Chris Lendrum (Lenny to my mates) And if you’re a physiotherapist wanting to learn about physio, rehabilitation and performance, then this is DEFINITELY the place for YOU! On this channel, I upload videos every week surrounding topics such as physiotherapy, rehabilitation and fitness. I help you get a better understanding of how to help physio patients, or how to rehabilitate from an injury. I basically answer any and all questions any physio could have about injury and performance, first to get educated myself and also to share this with you guys.
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I've just had an MRI scan today. I've been in pain for a very long time. X ray showed early signs of spondylitis, so I was in the machine for 1 hour and 5 mins
Oh my God that's a long time.
I have pretty significant back issues and have had at least a half dozen MRI's. I can count on 3-6 month of severe lower back pain from walking that is so intense I have to squat down and stretch every 500 feet and even then it's at the absolute limit of my tolerance. I literally begin considering (and having people recommend) a wheel chair 3-6 months after each MRI (I can normally walk for miles and was walking at least 3 miles a day until the mri's in 3 cases) In every case the pain is gone completely in 6-12 months and does not return until I get an MRI.
I don't know if it's nerve or muscle related but It can't be mental because it's unrelated to what we were looking for and was impossible to see until we were looking back at patterns. I would still get MRI's for significant problems but it would have been really easy to make a decision based on an MRI side effect and to be honest, most people probably have to do something when they suddenly can't walk or stand up for months at a time.
I'm sure I have a rare underlying condition that's getting aggravated but it can't be rare enough to have the only medical discussion of the problem as being psychosomatic.
I do wonder how much more damage is done by people not knowing the exact nature of their injury vs how much is done by overreacting to perceived damage.
How you are feeling now ?
I was told today after an mri that my arthritis has made my stenosis so much worse. I have pain, spasms and leg pain. I don’t want to get surgery. I am getting my core stronger . Do you think severe stenosis is dangerous?
Just came back from one and seeing this :(
Same here🥺🥺
how are you feeling now?
Sound only comes from the right speaker.
Sounds like a load of horse 💩to me
talking complete nonsense
How so?
@@Physioplusfitness " Doing the wrong exercises or lifting incorrectly and Poor Posture can make you're Pain worse Having How can having an MRI can make you're Pain worse is Baffling a scan is trying to identify the cause of you're Pain which in the vast majority of back cases is lower back and L4/L5 disc area which leads to sciatica I'm Baffled how you're claim an MRI can make the Pain worse not having a Personal jab at you just find you're conclusion strange "
@@reactionfan1448 I say it can make you worse as there are studies which show that in two groups with back pain, one group who had scans and one group who did not, the group who had scans had a WORSE prognosis than those who did not have a scan.
Why this is, isn’t totally clear, but the hypothesis would be that often scans pick up issues in the discs which patients then worry about and this actually has a negative impact on their rehabilitation and pain.
It’s also interesting to note that L4/5 disc issues are very common in people who have absolutely no back pain at all. (Studies done on people of different ages with no history or symptoms of back pain)
I am not saying scans are not useful and I refer for scans myself on occasions, but I think we have to be careful with them and only do them when it is actually necessary and clinically reasoned through 👍🏻