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Quick Summary Many People Wonder... "Do I need an MRI for my back painn?" Truthfully, Most people with lower back pain do not need an MRI right away. Research shows that disc bulges, degeneration, and other spinal changes are common even in people who have no back pain. Medical guidelines generally recommend starting with a thorough history, physical examination, and appropriate conservative care when there are no warning signs of a serious condition. However, an MRI can