Many people with back pain, neck pain, or sciatica wonder whether they need an MRI. In most cases, deciding to have an MRI should not be a random choice. A careful history and clinical examination are usually the most important first steps.
MRI can be very helpful in the right situation, particularly when symptoms are severe, persistent, or suggest nerve involvement. However, not every episode of spinal pain needs imaging straight away. The key question is whether the scan is likely to change diagnosis, management, or referral decisions.