“Everything looks fine” — but you still feel off?

Name: “Everything looks fine” — but you still feel off?
Uploaded: 2025-07-30T17:01:05+00:00
Duration: 55 s
Channel: Claudia von Boeselager
Description: In this excerpt, the speaker highlights the problem of excessive reliance on imaging studies—particularly MRI—for low back pain. They cite data showing…

30 Jul 2025 · 1 min

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In this excerpt, the speaker highlights the problem of excessive reliance on imaging studies—particularly MRI—for low back pain. They cite data showing that about 50% of 30‑year‑olds have disc bulges or herniations on MRI yet are asymptomatic, illustrating that imaging findings often do not correlate with pain. The speaker argues that clinicians frequently treat the imaging results rather than the patient, leading to unnecessary restrictions and a rigid mindset. They stress that effective pain management must be holistic and integrative, addressing underlying contributors such as diet, exercise, and systemic conditions (e.g., diabetic peripheral neuropathy) rather than focusing solely on peripheral findings. This approach aims to prevent long‑term disability and promote true recovery.

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Data shows that we have many imaging studies that we do for, let's say, low back pain. And the study shows that at 50% of people that are 30 years old have some type of MRI imaging showing a disc bulge or herniation, but they're asymptomatic. So what ends up happening with science and technology is we have all these great tests, but now we're treating the imaging results and not the person. And so for us, it's really understanding how they got here, because if we're just treating, let's say, you know, a peripheral neuropathy related to diabetes, but not actually talking about their diet and exercise, then we're not really helping them long-term. So now they're stuck in this mindset that they can't do certain things and they're restricted. And then that's where the rigidity plays in. So it's a, it's really a very holistic integrative approach to treating pain.