Low back pain has been a problem since the beginning of man’s standing on both feet. 80% of the adult population suffers from low back pain that is severe and long-lasting (1-3 weeks) enough to require seeing a doctor at least once in their lifetime and having further examinations (MR, CT, etc.). However, in 60-65% of patients who apply to a doctor with low back pain, no examination and imaging findings can be detected. In 15-20% of them, various types of rheumatic diseases such as spinal compression fracture, waist slip-lysthesis, infection, spondylitis, Rheumatoid Arthritis, Ankylosing Spondylitis, benign or malignant tumors of the spine or spinal cord structures, metabolic and congenital diseases , etc.) findings obtained by radiological methods are determined. In 10% of the population, low back pain is due to lumbar disc herniation and lumbar disc herniation, and only 1-2 of these patients require surgical treatment. As seen in the population applying for low back pain, the possibility of a herniated disc to cause this problem is very low. In addition, very large lumbar disc hernias were detected in 35% of a Lumbar MRI scan performed in adults aged 35-40 years without any clinical complaints. However, since these patients do not have any complaints, they do not require any intervention (such as medication, surgery). As it can be understood, since low back pain may be more important and serious than a herniated disc, it is possible not to mention low back pain and to show whether this pain is due to a serious cause with MR, which is a non-invasive imaging.
Likewise, most of the neck pains are not related to neck hernia. The above-mentioned information is also valid in the clinical diagnosis and treatment of patients with neck pain and can be adapted to this category.
