Back Imaging & Herniations: Why Pictures Don’t Always Tell the Full Story

When it comes to back pain and herniations, imaging like X-rays, CT scans, and MRIs can provide valuable insights. But here’s the catch: what you see on a scan doesn’t always match what you feel.

Many people panic when they hear terms like “herniated disc” or “degeneration” after an MRI. But the truth is, these findings are incredibly common—even in people with zero pain.

So, let’s break down what imaging really tells us (and what it doesn’t).

1. What is a Herniation?

A herniated disc happens when the soft, jelly-like center of a spinal disc pushes out through a tear in its tougher outer layer. This can irritate nearby nerves, sometimes causing pain, numbness, or weakness.

But here’s the kicker…

Not all herniations cause symptoms. In fact, most don’t.

Studies show that many people over 30 have disc herniations or degeneration—but feel perfectly fine. It’s often just a normal part of aging, not necessarily a cause for concern.

2. The Limitations of Back Imaging

Imaging is useful, but it has its flaws. Here’s why:

✅ It’s Static, But Pain is Dynamic

• MRIs are taken while lying down, but back pain often occurs during movement (bending, lifting, twisting).

• A scan can’t show how your body reacts under load—which is often the key issue.

✅ Findings Don’t Always Equal Pain

• Just because an MRI shows a herniation doesn’t mean it’s the cause of your pain.

• Many people have disc bulges but feel zero discomfort.

• Your pain might actually be due to weak core muscles, poor movement patterns, or nerve sensitivity—not the herniation itself.

✅ It Can Create Unnecessary Fear

• Seeing words like “degeneration” or “bulging disc” on a report can make people fear movement, which actually worsens their condition.

• Many back issues improve with the right exercises—not just rest or surgery.

3. The Real Key to Recovery: Movement, Not Just Imaging

If imaging doesn’t always explain pain, what does? How you move, stabilize, and load your body.

Here’s what matters more than a scan:

✅ Correct Exercises

• The right movements can reduce pain and prevent future issues.

• Generic stretches won’t cut it—you need a personalized approach.

✅ Core Strength & Bracing

• A strong core protects the spine and absorbs stress.

• Learning when and how to brace can be a game-changer for back pain.

✅ Load Management

• Pain often comes from poor movement habits, like lifting with a rounded back or overloading one side.

• Learning proper lifting mechanics is more important than what your MRI says.

Final Thoughts

Yes, back imaging has its place. But it’s just one piece of the puzzle.

What really matters?

✔️ Strengthening the right muscles

✔️ Improving movement patterns

✔️ Managing load properly

If you’re dealing with back pain, don’t just rely on an MRI—focus on what your body actually needs. Often, the best treatment isn’t just looking at a scan—it’s moving smarter. message me to start that smart journey.