08/27/2026
Your MRI Is Not Your Diagnosis 🧠🦴
Seeing words like “disc degeneration,” “disc bulge,” “disc protrusion,” or “arthritis” on an imaging report can be scary—but an imaging finding does not automatically mean it is the source of your pain.
Research examining 3,110 asymptomatic individuals found that many spinal changes are common in people who report no back pain at all. For example:
• Disc degeneration: 37% at age 20 → 96% at age 80
• Disc bulging: 30% at age 20 → 84% at age 80
• Facet degeneration: 4% at age 20 → 83% at age 80
The takeaway? Your MRI is one piece of the puzzle—not the whole picture.
Your symptoms, physical examination, movement, strength, function, and goals all matter when determining what may actually be contributing to your pain.
So if you’ve been told, “Your spine is degenerating,” don’t automatically assume you’re broken or that you need to stop moving.
Let’s look at the whole person—not just the picture.
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Source: Brinjikji et al. Systematic Literature Review of Imaging Features of Spinal Degeneration in Asymptomatic Populations. AJNR Am J Neuroradiol. 2015;36(4):811–816.
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