Back Pain Myths

Rachael Burke15 December 2019
Debunking common back pain myths

Most people will experience back pain at some point in their lives. Here we debunk seven common misconceptions about back pain management and treatment.

Myth 1: Surgery Is Inevitable

The majority of back pain resolves naturally without surgical intervention. Research indicates that at the 18-month mark, people who have had surgery and people who haven't are usually pretty much at the same functional level. Approximately 80% of people experience back pain during their lifetime.

Myth 2: MRI Scans Are Necessary

A significant study found that pain-free individuals showed disc degeneration (91%), disc bulges (64%), and other changes commonly seen in imaging. These findings have nothing to do with the pain in most cases. Additionally, receiving MRI results may worsen outcomes by creating unnecessary fear about spinal vulnerability.

Myth 3: Vertebrae Can Be "Out of Place"

The spine is a strong supple structure capable of withstanding substantial forces. Minor asymmetries in body alignment are completely normal and unrelated to pain development.

Myth 4: Exercise Should Be Avoided

Exercise represents one of the most effective pain treatments available. Activities like walking, cycling, or swimming help reduce muscle tension, improve mood, and strengthen immunity, all contributing to pain reduction.

Myth 5: Abdominal Bracing Provides Protection

Excessive bracing restricts breathing and movement quality. Instead, gentle engagement of deep abdominal muscles during activity is preferable to rigid tension.

Myth 6: Proper Lifting Requires Rigid Spine Position

Research demonstrates that allowing the spine to bend during lifting is more efficient and less injury-prone. Natural, comfortable movement patterns prove more protective than forced rigidity.

Myth 7: Posture While Sitting Matters Greatly

Research reveals minimal correlation between sitting posture and back pain. Position variety matters more than maintaining perfect alignment; slouching is acceptable as long as positions change regularly.