Since the causes that produce back pain, as we have seen, are numerous, as are many factors that predispose to this disease, we can then be fully in agreement with recent studies which claim that the majority of low back pain does not require tests of any kind (even if there is a root involvement) because of their success does not necessarily follow a different therapeutic strategy.
effects even if the hernia, as we know, can cause back pain, sciatica and functional impotence, degeneration of the disc can also occur without symptoms. Indeed, in several clinical trials
disc herniations are found with high frequency even in asymptomatic people, in other words people who had never had pain or functional impairment.
In the study by Boos (found in Bibliography) 76% of asymptomatic controls was a carrier of a herniated lumbar disc.
Therefore, diagnosis with imaging tests (X-rays, CAT scan or MRI) herniated disc or a disc protrusion or narrowing of the spinal canal final test only one thing: that the patient has a herniated disc or a bulging or canal stenosis, but not necessarily his back pain depends on one of these diseases. also determined dall'ernia symptoms may resolve spontaneously or with conservative treatment that there is no need to resort to surgery: a number of imaging studies have shown that the herniated lumbar disc in a high proportion of cases , regress completely or largely, after a rehabilitation treatment (osteopathy and / or postural exercises).
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