It is not systematically necessary to have an X-ray for back pain, as pain is not always synonymous with a visible lesion. In the absence of warning signs (trauma, fever), a thorough physical examination and an approach based on movement and physical activity are to be prioritized.

noli's read

Marine's advice aligns perfectly with scientific data and the recommendations of health authorities. Indeed, the Haute Autorité de Santé (HAS) specifies in its clinical recommendations that in the absence of specific warning signs (such as fever or trauma), imaging is not useful as a first-line diagnostic. Furthermore, a meta-analysis by the Cochrane collaboration demonstrates that performing routine imaging exams does not improve physical well-being or long-term recovery in any way. On the contrary, it can generate unnecessary anxiety by revealing natural wear and tear of the body that is not painful. Finally, the importance of movement and guidance from posture or sports specialists is widely supported by observational studies for regaining mobility. It is a reassuring message that encourages staying active safely.

the sources

1. 1Brinjikji W, Luetmer PH, Comstock B, et al. 2015
2. 2Hartvigsen J, Hancock MJ, Kongsted A, et al. 2018
3. 3Foster NE, Anema JR, Cherkin D, et al. 2018