> Given only x-rays images, spine specialists completely fail to identify the individuals who report back pain.
I'm not surprised. X-rays are not the most reliable in identifying all spinal issues. X-rays are more for finding problems with the vertebra or curvature of the spine, not the discs. An x-ray showing mild degeneration could be produced from the same individual who on an MRI could show a severe disc herniation. I'm not a doctor, but I've worked on developing legal cases for disabled individuals, and an MRI is pretty much mandatory.
Anecdotally, I have a relative who suffered from severe back pain after a lifting accident, but the x-rays didn't show anything. I told him to ask his doctor for an MRI after a number of months, which indeed demonstrated the herniation.
I'm not surprised. X-rays are not the most reliable in identifying all spinal issues. X-rays are more for finding problems with the vertebra or curvature of the spine, not the discs. An x-ray showing mild degeneration could be produced from the same individual who on an MRI could show a severe disc herniation. I'm not a doctor, but I've worked on developing legal cases for disabled individuals, and an MRI is pretty much mandatory.
Anecdotally, I have a relative who suffered from severe back pain after a lifting accident, but the x-rays didn't show anything. I told him to ask his doctor for an MRI after a number of months, which indeed demonstrated the herniation.