Or back pain could be associated with spinal cord damage. Once in a while back pain is a warning sign of cancer or an autoimmune disease. There are cases of low back pain that have alarming causes, but it’s rare. Or you could be dying! What are the odds that back pain is something scary? The power of justified, rational confidence is huge. Most patients are much better off when they feel confident about these things. MRI and x-ray for low back pain are surprisingly useless, because things like herniated discs aren’t actually that big a deal, 1 most back pain goes away on its own, 2 and trigger points (“muscle knots”) are common and can be alarmingly intense but aren’t dangerous. The pain almost always makes it seem worse than it is. The bark of low back pain is usually much worse than its bite.
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