Here under are the CPT Codes for MRI Lumbar spine that are usually used for the purposes of billing and coding of Lumbar spine MRI procedures: CPT 72148 MRI Lumbar Spine Without Contrast. To some, the MRI procedure will seem too long in time (if compared with a conventional X-ray), but this is necessary to obtain a three-dimensional image consisting of many separate flat images taken in 0.5-5 mm increments. Please make sure to notify your doctor, our scheduling department or your technician if you have any implanted medical device or metallic shrapnel in your body. The cost of a lumbar MRI can vary widely, depending on various factors, such as: In some cases, insurance may cover all or part of the cost. Vargas M, Delattre B, Boto J et al. Gadolinium is particularly useful, for example, in distinguishing recurrent disc herniation from epidural scarring in the postoperative spine. Diffusion-weighted images distinguish metastasis from osteoporotic bone. does it matter if its done without contrast? MRI machines do not use ionizing radiation, which can cause various complications after the procedure. An MRI without contrast will show dark areas that may be areas of permanent damage. They may provide the physician with more information on the size and location of the tumor and the presence of other tissues involved. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. Theyll be able to communicate with you through a speaker in the machine. In general, without contrast cannot be used to assess the state of a tumor under consideration. MRI allows you to control the quality of the metastasis removal process. All rights reserved. 70554. MRI without contrast remains the primary imaging modality to assess these patients. TheMRI lumbar spine protocolencompasses a set of MRI sequencesfor the routine assessment of the lumbar spine. These MRI findings are more common in older people but a young person with history of neck injury may have the same findings. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. You doctor will ask you to remove all jewelry and piercings and change into a hospital gown before the scan. But this is only if an MRI is performed without contrast injection. An MRI can be performed on any part of your body. At least one T1-weighted sequence should be included to ease the assessment and interpretation of bone marrow and/or soft tissue lesions. If this is the case, the doctor may prescribe an antianxiety medication or sedative to help the person relax during the scan. They will also add the MRI results to the persons medical file. Being in another room, the examinee hears all the doctors instructions about the correct behavior during the procedure. 1,2. And in most cases of sports injuries, back pain, and work-related injuries, a health professional usually wont recommend an intravenous contrast MRI exam. MRIs without contrast is also useful for visualizing the bodys internal organs. Learn how to treat lower back spasms and how to prevent the pain in this article. D Having an mri of spine. The imaged distal spinal cord is unremarkable. There is no difference between MRIs with and without contrast when it comes to diagnosing stroke. This is because gadolinium dye has been linked to elevated dangers for the fetus. Those with allergies or kidney problems may experience additional symptoms. Can poor sleep impact your weight loss goals? https://www.acr.org/-/media/ACR/files/clinical-resources/contrast_media.pdf, https://www.fda.gov/Radiation-EmittingProducts/RadiationEmittingProductsandProcedures/MedicalImaging/MRI/ucm482765.htm, https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/cw-back-pain.html, https://www.nibib.nih.gov/science-education/science-topics/magnetic-resonance-imaging-mri, https://www.ccjm.org/content/84/5/348.long, https://www.nhs.uk/conditions/mri-scan/what-happens/, https://www.racgp.org.au/afp/2012/november/making-sense-of-mri-of-the-lumbar-spine/, Cardiovascular health: Insomnia linked to greater risk of heart attack. Here, gain a detailed understanding of the procedure. MRI lumbar spine without IV contrast : May Be Appropriate O . Kleefield, J. Injury-related pain, disease, infection, or other factors could be causing your condition. For these, please consult a doctor (virtually or in person). The use of routine magnetic resonance imaging (MRI) to potentially assess skeletal fragility has been widely studied in osteoporosis. A herniated disk will usually reabsorb within 8 weeks. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. pathology of the intervertebral discs (their removal, hernia, protrusion, a chronic pain syndrome in the spine or dorsopathy, inflammation and fusion of the intervertebral joints or ankylosing spondylitis). Certain tissues can be readily seen throughout the imaging procedure due to a contrast agent. 73219 - w/contrast 73220 - w/o & w/contrast MRI CPT CODING GUIDE TAKING THE PICTURES OF HEALTH SINCE 1949 Thigh, Lower Leg, Foot (Lower extremity, other than joint) . When MRI is performed with contrast and the introduction of chemicals into the body is required, patients may experience headaches, nausea or vomiting after the procedure, which are associated with the action of chemistry, and not a magnetic field. You can learn more about how we ensure our content is accurate and current by reading our. Bones themselves cannot hurt, but in addition to bone structures in the form of vertebrae and intervertebral discs, the lumbar-sacral section includes ligaments, tendons, nerves, muscles, blood vessels that can be injured as a result of vertebral displacement or degenerative changes in bone-cartilage structures. Another complication is an allergic reaction to contrast dye. Protocol specifics will vary depending on MRI scanner type, specific hardware and software, radiologist and perhaps referrer preference,patient factors e.g. An MRI uses magnets that can sometimes attract metals. ),degenerative changes in bone-cartilage tissue (thickening or thinning of cartilage, destruction (decrease in density) of bones, the appearance of growths, reducing the distance between vertebrae, etc.). They usually wear off within an hour or so. In most cases, everything is limited to 15-20 minutes, but in some cases, the diagnosis may take even 30-40 minutes, depending on the complexity of the pathology. However, your physician can assess TIA, thrombosis, and venous insufficiency using a gadolinium-based agent. An MRI (magnetic resonance imaging) scan of the spine usually means a lumbar scan, although it can also mean scanning the upper parts of the spine (cervical and thoracic) depending upon the symptoms and what your healthcare practitioner wants to see. Our website services, content, and products are for informational purposes only. According to the American Academy of Family Physicians (AAFP), low back pain is one of the most common reasons for outpatient visits to hospitals, clinics, or other healthcare facilities. radiologists can better identify tiny tumors and learn the exact position of the mass. Side effects from MRI scans are rare, but they can happen. A lumbar MRI is a powerful diagnostic tool that doctors may use to: A doctor will not usually carry out a lumbar MRI during the first 6 weeks that a person experiences pain unless the person has: The reason for delaying a lumbar MRI is that most cases of back pain resolve within a few weeks, according to the AAFP. With contrast, its easier to see which areas of the body may have issues. Therefore, it is possible to compare and contrast dark and bright regions on the scan to identify aberrant or healthy tissue. But some pacemaker models can be reprogrammed before an MRI so theyre not disrupted during the scan. So you mean spinal aneurysms? In the diagnosis of intervertebral hernia and spinal instability in the places of transitional vertebrae, MRI with verticalization is very indicative. see full revision history and disclosures, chronic inflammatory demyelinating polyradiculopathy, red and yellow flags for guiding imaging of lower back pain, acute inflammatory demyelinating polyradiculopathy (, follow up of findings on other examinations, in-plane spatial resolution: 0.7 x 0.7 mm, field of view (FOV): 300-380 (sagittal/coronal) 150-250 (axial), angulation: parallel to the lumbar spinal axis and spinous processes, volume: includes the whole vertebral bodies and the facet joints, angulation: parallel to the lumbar spinal axis and transverse processes, volume: includes the whole vertebral body spinal canal and posterior laminae, angulation: perpendicular to the lumbar spine, volume: variable depends on the clinical question and/or the visible pathology, purpose: bone and/or soft-tissue characterization, purpose: bone and/or soft-tissue characterization, detailed anatomy, including ligament and tendon anatomy, purpose: bone and soft tissue characterization, assessment of inflammatory changes, fractures, purpose: bone and soft tissue characterization, tumors, technique:T2 Dixon / T1 Dixon, T1 gradient-echo (, purpose:for inflammatory conditions, suspected tumors, the protocol can and should be tailored to the specific indication or clinical question, as with joints and organs, the examination will benefit if three planes are imaged, a typical native protocol will consist of 4-5 sequences, nowadays fat saturation and in-and-out of phase imaging can be conveniently achieved by T2 Dixon images, which can save a separate acquisition, contrast administration is typically reserved for spinal tumors or vascular malformations. MRI Scans of the Spine MRI (Magnetic Resonance Imaging) scans are often used when a physician is trying to diagnose a spinal injury or condition. Anyone who has concerns should seek guidance from a doctor. Though it doesnt employ contrast dye, it is still fairly precise. Pregnant women are typically encouraged to have non-contrast magnetic resonance imaging unless their doctor advises otherwise. should i make sure its done with and without? Insights Imaging. Radiology.can stress loading mri of spine show up how the c-t-l spine really work under normal movement and affect head brain and movement? The procedure is painless, and there are very few side effects or risks. However, clinical adoption remains elusive due to complex acquisitions, cumbersome analysis, limited reliability, and wide ranges of normal values. MRI scan is the best non-invasive test available to find herniated and bulging discs and annular tears. You wont feel anything during the test. Tomographs used for MRI diagnostics can have a closed or open contour. Causes of hip and leg paim shooting down to calf most (both sides) the day not severe mri of spine and blood wok clear!? Its considered a safer alternative, especially for pregnant women and growing children. It is possible that additional dedicated vascular . While more research is needed, the FDA has not yet decided to regulate the contrast dye. Learn what it involves. Magnetic resonance imaging (MRI) uses a magnetic field, radio waves and a computer to create detailed image slices (cross sections) of the various parts of your spine. Both MRI with and without contrast are non-invasive and painless. 2. Can diet help improve depression symptoms? Medical specialists can more easily examine and understand pictures obtained by MRI with contrast because of the great clarity with which they are obtained. History of Lumbar Surgery Yes MRI Lumbar With and Without Multiple Sclerosis Yes MRI Cervical or Thoracic . Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Also conducted a study of the cervical spine, taking advantage of intrathecal injection of contrast. BACKGROUND AND PURPOSE: DTI, magnetization transfer, T2*-weighted imaging, and cross-sectional area can quantify aspects of spinal cord microstructure. Radiologists can better interpret MRI contrast scans because they are clearer and provide higher-quality pictures. In this report, we present a case of conjoined right L5-S1 nerve root in a patient with lumbar disc herniation, accompanied by spina bifida occulta, which . Magnetic resonance imaging (MRI). MRI Brain during open surgery on brain : without contrast material. Usually, a study of the spine is required if the patient complains of back pain closer to the lower back, which prevent a change in the position of the trunk. that can interact with the magnetic field, making undesirable changes and threatening to burn tissues. It can also monitor your response to treatments for tumors, cirrhosis (diseases of the liver), etc. Summary. If your physician has requested an MRI, you likely have a lot of questions about the procedure. Each patient is provided their own private locked dressing room which has an area to hang their clothing. But even if a person does not have all these documents with him, this is not a reason for refusing to conduct an MRI diagnosis. ct. Sagittal bone window. J Comput Assist Tomogr. Unlike an X-ray or CT scan, an MRI doesnt use ionizing radiation. A typical MRI of the lumbar spine might look as follows: The mainstay in spinal imaging is T1 weighted and T2 weighted images 2. Duration of follow-up ranged from 3 weeks to 2 years. If we are talking about MRI with contrast, then it is not carried out to diagnose spinal pathologies in pregnant women at any time (contrast agents can affect fetal development), in patients with hemolytic anemia and severe renal insufficiency (the half-life of the chemical increases and, accordingly, its negative effect on the body). More modern machines display images on a computer so your doctor can view them quickly. Be sure to consult a doctor! impaired limb mobility in the sacral region, leg pain and back pain of unknown etiology. Now that you know the differences between an MRI with and without contrast, lets see how you could prepare to get your screening. You must start with an examination by your primary care MD & only then can appropriate testing and r An abnormality of the SI joint such as an inflammatory condition, for example can cause a "sciatica". This scan can detect medical conditions on different parts of your body, such as the brain, heart, blood vessels, bones, breasts, liver, kidneys, pancreas, ovaries (in women), and prostate (in men). This could damage the scanner or even injure the person undergoing the scan. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Credit card and ATM card magnetic codes will be erased by the MRIs magnetic field if brought into the room. However, with a gadolinium-based agent, your physician can determine TIA (a brief stroke), thrombosis (a blood clot in the circulatory system), and venous insufficiency (a condition in which the veins in the legs fail to pump blood back to the heart). MRI of Acute Spinal Epidural Hematoma. All rights reserved. In this case, the surgical team uses the results of the lumbar MRI to help plan the operation. The procedure is not performed in patients whose body has ferromagnetic implants or metals that can interact with a magnetic field or can cause tissue burns, and electronic devices that support the patients vital activity (a magnetic field can have a bad effect on the operation of pacemakers and other similar devices). MRI Lumbar Spine With and Without Contrast (Gadolinium) The MRI will be performed on one of our high-strength GE 1.5/3.0T MRI scanners which provide the optimal image quality for this particular type of exam. Gadolinium has the potential to cause an allergic response. Spinal decompression therapy is a broad category of treatments designed to provide pressure and pain relief along the spine. identification of the causes of circulatory disorders in the lower extremities (risk factors for such disorders may be injuries, inflammatory and degenerative processes in the vertebral region, as a result of which blood vessels are squeezed). MRI Lumbosacral Spine without Contrast About Test MRI (magnetic resonance imaging) is an imaging modality that uses a magnetic field, the energy of radio waves, and a computer to create images of internal body organs, bones, and soft tissues. If contrast is introduced, the duration of the procedure will be slightly longer than an MRI without contrast. The readings of the tomograph will not depend on what a person ate on the eve of the research or when he visited the toilet. One trial excluded patients with sciatica or other symptoms of radiculopathy, and 1 did not report the proportion of patients with such symptoms. A lumbar magnetic resonance imaging (MRI) scan uses energy from strong magnets to create pictures of the lower part of the spine (lumbar spine). A contrast MRI uses a contrast agent while non-contrast MRIs dont. You may receive a pillow or blanket if you have trouble lying on the bench. The patient is warned in advance that during the procedure he will be alone in the office where the tomograph is located (although in some cases the presence of relatives or clinic staff is allowed). MRI pelvis without IV contrast : May Be Appropriate O . In Contrast MRIs have certain safety risks for those who are allergic to the dyes primary constituent. In addition, there is a possibility of a false-positive result, where a scan suggests that a problem is present when it is not. An MRI scan creates detailed pictures of your spine. Unlike CT scans and X-rays, an MRI does not use, A doctor may use a head and brain MRI scan to check for a range of injuries and abnormalities. Discrete anterior impressions on dural sac without significant stenoses. There are risks for people who have implants containing metal. An MRI picture is made up of a range of grays, from white to black. When Doctore suggests MRI with and without contrast then there is confusion between both of them With the improvements in medical imaging technology and a growing prevalence globally, you may have grown more acquainted with magnetic resonance imaging (MRI) and the value it provides to health care. The Central Canal in the MRI Lumbar Spine. An MRI (magnetic resonance imaging) uses magnets and radio waves to create 3D images of your bodys organs and structures. So, your medical caregiver should only suggest you take a contrast MRI during your pregnancy if its expected to improve the fetal and maternal outcome (ACOG). Patients with poor renal function, who cannot undergo conventional MRI medical imaging due to their condition, are strongly advised to have non-contrast MRIs. If you're dealing with lower back pain, you know how difficult it can be to get a good night's sleep. The lumbosacral spine is made up of the five lumbar vertebral bones (L1 thru L5), the sacrum (the bony shield at the bottom of your spine), and the coccyx (tailbone). : Contrast MRIs use a contrast dye such as gadolinium or iodine, while non-contrast MRIs don't. A contrast MRI scan is safe for patients who aren't pregnant and don't have pre-existing medical conditions like kidney abnormalities. The device with an open circuit allows the procedure to be performed by both patients with relative contraindications. MRI Preparation - Lumbar Spine Options: Without Contrast With and Without Contrast Preparation Instructions: Please do not wear jewelry, hairpins, or any metal objects. Most of the time, back and neck pain are not caused by a serious medical problem or injury. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. CT. Sagittal bone window. Heart failure: Could a low sodium diet sometimes do more harm than good? The technician may also ask the person to fill out a medical questionnaire and sign a consent form. The doctor will then share the findings with the individual. Contrast-enhancing MRIs are better at measuring and analyzing cancers. As a result, the latter may require additional follow-up procedures to clarify abnormalities. I consider it necessary to constantly educate myself and improve my skills, I adhere to the principles of evidence-based medicine in my work, I am guided by the well-known rule "Do no harm". Effective January 1, 2017 separate payment for the contrast media and the need to use the appropriate HCPCS "Q" code (Q9945 - Q9954; Q9958-Q9964) for the contrast medium utilized in performing the service. Due to possible side effects, you shouldnt have a contrast MRI without your physicians advice. Again, because the MRI machine emits a strong magnetic field, it can cause metal implants inside the body to move. COMPARISON: MRI lumbar spine without contrast 8/22/2019. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. MRI is usually the preferred test to diagnose tumors of the spinal cord and surrounding tissues. Pregnant women are generally advised to take non-contrast MRIs unless their physician says otherwise. Both MRI with and without contrast are non-invasive and painless. They can give the physician more details about the location and size of the tumor and other tissues involved. And our MRI is radiation-free. CT Cervical spine myelography. the appearance of spiny growths on the edges of the vertebrae and their proliferation, which violates the mobility of the spine and leads to narrowing of its canal (spondylosis). For instance, a non-contrast imaging test is as capable as a contrast MRI in diagnosing a stroke. Spinal magnetic resonance imaging (MRI). MRI is the most frequently used imaging test of the brain and spinal cord. Examinations of the spine are generally done on both 1.5 and 3.0 tesla. havent done a mri of spine yet. When you undergo a contrast MRI, a contrast injection such as gadolinium or iodine is given to you intravenously (injected into your veins). 2016;207(3):614-20. what's the difference? does it matter if its done without contrast? Doctors will assess the risk on an individual basis. Talk to your health practitioner about whether a contrast MRI is right for you. MRI can accurately assess for degenerative disc disease as well as disc herniation. Note: This article aims to frame a general concept of an MRI protocol for the assessment of the lumbar spine. Placing a spinal needle in the lumbar subarachnoid space either under fluoroscopy in lateral decubitus position or on the CT scanner table in prone position. . Most lower back pain is a result of stress or, Whether you lift heavy items for your job or have a slipped disk from a pesky athletic injury, lower back pain can plague you at some point. They will inject the contrast dye before the scan through an intravenous line into a vein in either the hand or the arm of the person. Because the spatial resolution of spinal anatomy can be defined to 0.5mm with an MRI scan, doctors can identify with over 95% accuracy the herniated discs in the spine. cartilage damage of the joints with the involvement of soft tissues, tendons and bone (osteoarthritis). Contrast-enhanced fat-suppressed images help to differentiate metastasis from degenerative bone marrow. Had mri of spine in june 2014 lumber spine fine, now got buzzing in foot and calf with some pain in thigh, can a disk bulge develop in 6 months? Ulster Med J. After the patient tells about the symptoms that have appeared, the doctor already has suspicions about possible pathological processes in the body that cause the appearance of the described clinical picture. The body part being studied will be located in the center of the MRI machine. With ezra, it can take up to an hour for a full-body scan, but once our AI technology is cleared by the FDA, this would come down to 30 minutes. We offer the quickest and the most affordable full-body MRI service that screens for potential cancer in up to 13 organs. An MRI will not definitely show that a person has a specific problem, and the person may need further tests. What is cerebral spinal fluid analysis and what conditions does cerebral spinal fluid analysis diagnose? Your doctor may order an ultrasound if youre experiencing pain, swelling, or other symptoms that require an internal view of your organs. As a result, it will also reveal whether anything is pressing against your spinal cord or nerves. In all these body parts, the MRI is especially useful for looking at soft tissues. MRI is . Contrast-enhanced . Renal arterial obstruction (complete blockage of blood to the kidney), Renal vein thrombosis (acute kidney injury), Glomerulonephritis (a condition in which the glomeruli of the kidney gets inflammation), Hydronephrosis (enlargement of kidney from urinary reflux), Acute tubular necrosis (a kidney disorder in which the tubule cells get damaged, leading to acute kidney injury). MRI does not use radiation and may require an injection of gadolinium contrast material. With companies like ezra, you can get screened without a physicians advice and stay on top of your health. I believe they mean the same thing. The technology is safe because it does not use ionizing radiation, which can kill or damage cells, and a person cannot feel the magnetic field or the radio waves. A contrast MRI scan is safe for patients who arent pregnant and dont have pre-existing medical conditions like kidney abnormalities. 2020;30(5):2583-93. For potential or actual medical emergencies, immediately call 911 or your local emergency service. The most common type of contrast dye is gadolinium. During the scan, a contrast in your bloodstream makes the tissues of interest seem to be shining brilliant white, making their detection and evaluation easier and more accurate. BR39Z None. Gadolinium dye is associated with increased risks to the fetus. Ogden, UT 84405 / Suite 100 Gadolinium-based contrast agents (GBCAs), a kind of MRI dye, are used in MRIs to enhance the clarity and decipherability of your Magnetic resonance imaging picture compared to other imaging modalities. Postoperative examinations in patients with metallic implants, however, should be done on 1.5 tesla with a metal artifact reduction sequence (MARS). Accordingly, contrast is unacceptable in patients with allergic reactions to the administered drug. Guidelines for MR Imaging of Sports Injuries. Ezra 5-Star Review in Cleo Abrams HUGE If True: A Look at The Hidden Cure For Cancer, Hello, Las Vegas. EXAM TO ORDER SYMPTOMS/CONCERNS CPT CODE Tell your doctor about this so they can prescribe anti-anxiety medications. Metastasis on routine lumbar spine MRI Case contributed by Bassem Marghany Diagnosis certain Share Add to Citation, DOI & case data Presentation Low back pain and right sciatica. Contrast MRI scans comprehensively investigate possible medical diagnoses from contrast MRIs that include cancer, vascular malformations, pituitary illness, acoustic neuromas, central nervous system aneurysms, and seizure causes. Therefore, condoliase causes less damage to . Specific sequences include a three plane localizer, sagittal T1, T2, and STIR, and axial T2 (repeated) and proton density sequences. You may be acquainted with an MRI machine as a huge, cylindrical piece of equipment creating a strong magnetic field around you. At the time the article was last revised Joachim Feger had The images can be stored on a computer or printed on film. 70557. It will help your radiologist report accurately on how your body is working to identify an abnormality or disease. Unable to process the form. That. thermal injuries, such as second degree burns, injuries from metal objects becoming projectiles, the extent of the area that needs scanning, whether a person needs sedation to help them stay still. An X-ray is a common imaging test that can help your doctor view the inside of your body. MRI pelvis without and with IV contrast : May Be Appropriate O . Diagnosis: Post operative pyogenic discitis with epidural phlegmon and paraspinous inflammation. There are not so many absolute contraindications to performing an MRI of the lumbar spine without contrast. Quantitative textural analysis obtained from magne To date, here have been no documented side effects from the radio waves and magnets used in the scan. Your doctor may suggest another method for inspecting your lumbar spine, such as a CT scan, depending on the type of pacemaker. Functional MRI of brain not requiring physician or psychologist. CPT 72149 MRI Lumbar Spine With Contrast. 2020.v1_3. Sayah A, Jay A, Toaff J, Makariou E, Berkowitz F. Effectiveness of a Rapid Lumbar Spine MRI Protocol Using 3D T2-Weighted SPACE Imaging Versus a Standard Protocol for Evaluation of Degenerative Changes of the Lumbar Spine. 4. Cervical Spine MRI. To learn more, please visit our. Clinical indications for ordering MRI with contrast may include but are not limited to the following: Extremities. Technical parameters Coil posterior coil anterior coil Scan geometry in-plane spatial resolution: 0.7 x 0.7 mm field of view (FOV): 300-380 (sagittal/coronal) 150-250 (axial) Prior surgery: MRI without and with . They will maintain verbal contact with the person they are examining through a microphone. The lumbar spine is the area where most back problems, like lower back pain, usually originate. Youll be completely safe in and around the machine if youve followed your doctors instructions and removed all metal. Zanchi F, Richard R, Hussami M, Monier A, Knebel J, Omoumi P. MRI of Non-Specific Low Back Pain And/Or Lumbar Radiculopathy: Do We Need T1 when Using a Sagittal T2-Weighted Dixon Sequence? A lumbar spine MRI can offer your healthcare provider valuable clues about what is causing your back pain and effective ways to help you find relief.
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