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Patient Questions  /  MRI for back pain

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Do I Need an MRI for Back Pain?

Usually not at first. Medical guidelines advise against routine imaging for new back pain unless there are warning signs, because most back pain improves with time and active treatment, and scans often show changes that aren't causing the pain.

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Why doctors often don't order an MRI right away

For back pain without warning signs, an MRI rarely changes the treatment. Most people improve over a few weeks with staying active, exercise and hands-on care, whatever a scan would show.

MRIs are very sensitive. They often show things like disc bulges, disc wear and arthritis in people who have no pain at all, and these findings become more common with age. Seeing them on a report can be worrying, even when they aren't the reason you hurt.

When imaging does make sense

Your doctor may order an MRI or X-ray if you have warning signs (listed below), if pain isn't improving after several weeks of good treatment, or if you and your doctor are considering an injection or surgery.

If you already have an MRI report

Bring it to your visit. A physical therapist can help explain what the words mean in plain language, and how they fit with your symptoms and how you move.

When to see a doctor

See a doctor promptly if you have:

  • Numbness in the groin or inner thighs, or new trouble controlling your bladder or bowels: get emergency care
  • Leg or foot weakness that is getting worse
  • Fever, unexplained weight loss or a history of cancer
  • Back pain after a serious fall or accident, or with osteoporosis

How physical therapy at ARI can help

A physical therapist examines how your back moves, checks your nerves and strength, and screens for warning signs that need a doctor. For most people, treatment can start right away, without waiting for a scan.

At ARI Physical Therapy in Bakersfield, every visit is one-on-one and in person with a licensed physical therapist, and our clinic director, Deepa Konnur, PT, MPT, OCS, is a board-certified Orthopedic Certified Specialist. We accept most private insurance plans and Medicare, and we have staff who speak Spanish and Hindi.

Read our full guide: Sciatica and back pain →

No referral needed to start. In California, you can see a physical therapist directly for up to 12 visits or 45 days, whichever comes first. Some insurance plans still require a referral for coverage; call us at (661) 282-8584 and we'll help you check.

Related questions

Ready to feel better?

Talk to a licensed physical therapist at ARI, one-on-one. Request an evaluation and we'll get back to you, usually within one business day.

Request an EvaluationCall (661) 282-8584

This page is general information, not a diagnosis. If you have symptoms, a licensed clinician should evaluate you.

Clinically reviewed by Deepa Konnur, PT, MPT, OCS, board-certified Orthopedic Certified Specialist · Reviewed September 2026