Lower Back Pain

Precision diagnosis with specialised lower back pain treatment pathways on the Gold Coast

About Lower Back Pain | Gold Coast

Persistent lower back pain? Start with the diagnosis.

If your lower back pain is not improving, repeatedly returns, causes sciatica or neurological symptoms, or has already failed treatment, the next step may be a more precise assessment of what is actually causing it.

MBR Health combines advanced 3T lumbar MRI, high-resolution spinal imaging, NerveVIEW MR neurography, non-invasive MR Discography, specialist spinal radiologist interpretation and precision-guided intervention where clinically appropriate.

Do not start with the injection. Start with the diagnosis.

Upload your referral or contact MBR Health

Common Questions

Lower Back Pain

Find answers to common questions about lower back pain, specialised lower back scanning and treatment options.

What can cause persistent lower back pain?

Lower back pain is a symptom – not a diagnosis.

Pain may potentially arise from:

  • an intervertebral disc
  • a spinal nerve or nerve root
  • a facet joint
  • the sacroiliac joint
  • spinal stenosis
  • ligamentous or other soft-tissue injury
  • post-operative change
  • bone pathology
    or several abnormalities at the same time.

This is why simply providing the same “back injection” to everybody with lower back pain makes little anatomical sense.

Two patients may feel pain in almost exactly the same location while requiring completely different treatment.

At MBR Health, the objective is therefore to identify the most plausible pain generator before choosing the treatment.

When should I have an MRI for lower back pain?

Not everybody with lower back pain needs an MRI.

Routine imaging is generally discouraged for uncomplicated acute lower back pain without concerning clinical features.

  • MRI becomes more useful when there is a specific clinical question, such as:
  • persistent or worsening symptoms
  • sciatica
  • leg numbness or tingling
  • weakness
  • previous spinal surgery
  • suspected structural pathology
  • failed treatment
  • or when an injection or surgery is being considered.

The question is therefore not simply:
“Can I get an MRI?”

It should be:
“Will this MRI answer the clinical question properly?”

Explore Lumbar Spine MRI at MBR Health

What is different about lumbar spine MRI at MBR Health?

Not every scan labelled “lumbar spine MRI” contains the same information.

MRI quality depends on more than whether the scanner is 1.5T or 3T.

It also depends on:

  • protocol design
  • source resolution
  • sequence selection
  • patient positioning
  • motion control
  • nerve-specific imaging
  • and specialist interpretation.

At MBR Health, selected advanced lumbar protocols include source imaging acquired below 1 mm where clinically appropriate.

There is an important difference between resolution actually acquired by the scanner and resolution produced later through reconstruction.

Post-processing can improve image appearance and sampling, but it does not make a lower-resolution source dataset identical to genuinely high-resolution acquired information.

This can be particularly valuable when assessing small structures around the:

  • neural foramina
  • nerve roots
  • disc margins
  • spinal canal
  • facet joints
  • and surrounding soft tissues.

Explore Lumbar Spine MRI

What is NerveVIEW MRI?

Some patients with lower back pain also experience:

  • sciatica
  • burning pain
  • tingling
  • numbness
  • altered sensation
  • or weakness.

These symptoms raise an additional question:

Is a nerve involved?

Routine lumbar MRI can demonstrate structural causes of nerve compression, including disc herniation, foraminal narrowing and spinal stenosis.

For selected patients, MBR Health can also incorporate NerveVIEW MR neurography.

NerveVIEW is an advanced MRI technique designed to provide more dedicated visualisation of selected neural structures and nerve-related abnormalities.

It does not replace conventional lumbar MRI or clinical neurological assessment.

It provides another layer of information when the clinical question specifically involves the nerve. Your existing lower-back-pain draft already positions NerveVIEW in exactly this role.

Explore Nerve Pain and NerveVIEW MRI

What is MR Discography?

A degenerative disc on an MRI is not automatically a painful disc.

Disc degeneration, annular changes and disc bulges are common and may also be present in people without significant symptoms.

For selected patients, MBR Health can incorporate non-invasive MR Discography.

This is different from traditional invasive provocative discography.

Traditional discography involves placing a needle into the intervertebral disc and injecting fluid or contrast under pressure.

MBR Health’s MR Discography is an MRI-based technique that provides additional information about disc and annular pathology without puncturing or pressurising the disc.

It does not independently prove that a disc is responsible for someone’s pain.

Instead, the findings can be interpreted alongside:

  • the symptoms
  • clinical history
  • conventional MRI
  • nerve anatomy
  • and other imaging abnormalities.

That can provide additional information in selected patients where the disc itself is an important clinical question.

Read about PRP for Disc-Related Back Pain

What happens if my MRI shows an abnormality?

An abnormal MRI does not automatically mean you need an injection or surgery.

Many people have disc degeneration, facet-joint change and other abnormalities that are unrelated to their symptoms.

For some patients, the appropriate next step after MRI remains:

physiotherapy
rehabilitation
activity modification
observation
or clinical review.

For others, the imaging and symptoms may identify a plausible target that can be investigated or treated more specifically.

That may lead to:

  • a diagnostic injection
  • anti-inflammatory treatment
  • an epidural or nerve-root procedure
  • a facet or medial-branch procedure
  • selected regenerative treatment
  • or surgical assessment where appropriate.

At MBR Health:

The treatment should follow the diagnosis — not the other way around

What spinal injections does MBR Health perform?

Depending on the diagnosis, MBR Health can perform selected image-guided spinal procedures including:

  • epidural injections
  • nerve-root injections
  • facet-joint procedures
  • medial-branch procedures
  • sacroiliac-joint procedures
  • intradiscal injections
  • diagnostic spinal injections
  • local-anaesthetic procedures
  • and corticosteroid injections.

These procedures do not all treat the same problem.

For example, an epidural designed to reduce inflammation around an irritated nerve has a different purpose from a diagnostic facet-joint injection.

The appropriate injection depends on which structure is thought to be responsible for the symptoms.

Read about CT-Guided Epidural Injections for Sciatica

Why does MBR Health use CT guidance for many spinal injections?

The spine contains nerves, blood vessels, discs, joints and bone separated by very small distances.

For many deep spinal procedures, MBR Health generally favours CT guidance because it provides direct cross-sectional visualisation of:

  • the patient’s anatomy
  • the planned needle trajectory
  • the treatment target
  • the needle tip
  • and surrounding structures.

This can be particularly valuable in patients with:

  • previous spinal surgery
  • severe degenerative change
  • distorted anatomy
  • marked disc collapse
  • or technically difficult targets.

Different anatomical targets may appropriately require different guidance techniques.

Ultrasound is excellent for many superficial structures, and fluoroscopy is an established technique for many spinal procedures.

The important question is not:

“Which guidance method is always best?”

It is:

“Which guidance method is best suited to this particular target?”

How can I check whether my spinal injection was in the right place?

A spinal procedure should leave an objective record.

At MBR Health, where technically possible, a permanent digital record of final needle placement is retained within the patient’s imaging record.

This means that if treatment does not work, symptoms recur or another clinician subsequently reviews your case, the previous procedure can be assessed.

It may help answer:

  • Which structure was actually treated?
  • Where was the needle positioned?
  • Should that target be treated again?
  • Should a different structure be considered?

Precision should be documented — not simply assumed.

How Do I Know If My Injection Was in the Right Spot?

Does MBR Health offer PRP for lower back pain?

Selected spinal conditions may be considered for image-guided PRP or other regenerative approaches, depending on the diagnosis, anatomical target, regulatory requirements and available evidence.

PRP should not be considered a universal treatment for back pain.

Evidence differs substantially depending on whether the target is a:

  • disc
  • facet joint
  • sacroiliac joint
  • epidural space
  • or another structure.

At MBR Health, regenerative treatment follows the same diagnosis-first approach:

Identify the pathology → identify the target → characterise the biology → deliver it precisely → document the procedure → measure the outcome.

Explore Platelet-Rich Plasma at MBR Health

Read: Treating Spinal Pain – PRP and Biologic Spine Treatments

Who reviews complex lower back pain at MBR Health?

Spinal imaging and image-guided spinal intervention are particular clinical areas of interest and expertise for Dr Zane Sherif, specialist radiologist and Principal Radiologist at MBR Health.

Before specialising in radiology, Dr Sherif completed approximately three years of orthopaedic surgical training, including substantial exposure to spinal disease and spinal surgery.

His current spinal practice combines specialist MRI interpretation with cervical, thoracic and lumbar image-guided intervention.

This combination can be particularly useful where the question is not simply:

“What abnormalities are present?”

but:

“Which abnormality is most likely to matter — and can it be safely targeted?”

Read about Dr Zane Sherif’s spinal imaging and intervention experience

Do I need a consultation with Dr Zane Sherif after my MRI?

Usually not.

Most lumbar spine MRIs are interpreted and reported for the referring doctor, with relevant recommendations included where appropriate.

However, some patients have considerably more complicated histories.

A dedicated post-MRI spinal consultation may be considered where there is:

  • previous spinal surgery
  • several possible pain generators
  • conflicting previous imaging
  • repeated unsuccessful injections
  • persistent unexplained symptoms
  • complex nerve symptoms
  • or uncertainty regarding the next treatment pathway.

The purpose of that consultation is not to assume that another procedure is required.

It is to review the imaging in context and help identify reasonable next steps.

That may include continued rehabilitation, further investigation, a diagnostic injection, targeted pain treatment, selected regenerative therapy or referral to another specialist.

When is lower back pain an emergency?

Most lower back pain is not caused by serious disease.

However, urgent medical assessment should be sought for symptoms such as:

  • new bladder or bowel dysfunction
  • numbness around the saddle or
  • genital region
  • rapidly progressive weakness
  • significant neurological
  • deterioration
  • major trauma
  • fever or suspected spinal
  • infection
  • or concerning symptoms in somebody with a history of cancer.

Where a spinal emergency is suspected, arranging a routine outpatient scan should not delay emergency assessment.

Can patients from Brisbane attend MBR Health for lower back pain?

Yes.

MBR Health is located in Mermaid Beach on the Gold Coast, rather than Brisbane.

Patients travel from Brisbane, northern New South Wales and all over Australia for complex spinal imaging and intervention.

If you are travelling some distance, you can submit your referral before attending so the requested examination or procedure can be reviewed in advance to ascertain if additional time on the Gold Coast may be required for recovery.

Contact MBR Health and plan your visit

DIAGNOSIS FIRST. PRECISION TREATMENT WHEN IT IS NEEDED.

Is your lower back pain not getting better?

Lower back pain is extremely common. Most new episodes improve with time, appropriate activity and conservative treatment, without the need for an injection, MRI or surgery.

The World Health Organization estimates that 619 million people were living with low back pain in 2020, making it the leading cause of disability worldwide. Most presentations are classified as non-specific low back pain. MBR Health

Australian guidance similarly recommends that uncomplicated acute lower back pain is initially managed with appropriate activity, avoidance of prolonged bed rest and sensible conservative care rather than routine imaging.

But persistent lower back pain is different.

If your pain is not improving, repeatedly returning, travelling into your leg, causing numbness or weakness, or has already failed appropriate physiotherapy or other treatment, the important question becomes:

What is actually causing the pain — and is there something that can be treated?

At MBR Health on the Gold Coast, our spinal pathway is built around:

Clinical Question → Advanced Imaging → Pain Generator → Precision Treatment

The aim is not simply to identify abnormalities.

It is to determine which findings matter, which may be incidental and which may actually be treatable — the same diagnosis-first principle used across the MBR Health Pain & Injury pathway. MBR Health

Explore Pain & Injury at MBR Health

Submit Your Referral
Speak To Our Team

The MBR Health Difference

More Than Just a Spinal Injection

A spinal injection is only as useful as the diagnosis, target and treatment behind it.

At MBR Health, spinal procedures are integrated with specialist spinal imaging and radiologist-led assessment. Advanced 3T MRI, NerveVIEW, MR Discography, Spectral CT and image guidance can be used where appropriate to define the likely pain generator before treatment is selected.

If an injection is required, we focus on the right diagnosis, the right target, the right treatment and documented needle placement — not simply placing a needle where the patient feels pain.

Disclaimer

Individual examinations, imaging protocols and reporting timeframes may vary depending on the clinical indication and patient circumstances. Additional imaging or investigations may still be recommended where clinically appropriate.

  • Diagnosis Before Treatment
  • Specialist Spinal Radiologist Expertise
  • Advanced Lumbar MRI & Nerve Imaging
  • CT-Guided Spinal Injections
  • Cortisone & Regenerative Treatment Options
  • Digital Record of Final Needle Placement
  • Complex Spine Assessment & Consultation

Common Questions from Patients

Frequently Asked Questions

Do I need to fast before my scan?

Fasting depends on the type of scan and whether contrast is required. Some MRI, CT and ultrasound studies require fasting, while others do not. Our patient support team will give you clear, scan-specific instructions.

What should I wear for my scan?

Comfortable clothing is best. For MRI, please avoid clothing with metal zips, buttons or underwire. If needed, appropriate attire can be provided on the day. Our staff will ask safety questions prior to your MRI scan.

What if I'm claustrophobic or anxious?

Claustrophobia and scan anxiety are common concerns and our team is experienced in supporting patients through their examination comfortably. Please let us know when booking so we can take extra care to prepare you for your visit. Our in-scanner audio-visual platform allows you to watch a movie or your favourite TV show throughout your examination, which many patients find significantly reduces anxiety. For patients with more significant claustrophobia, GP-prescribed mild oral sedation may be appropriate — please speak with your GP prior to your appointment and note that a support person will be required to accompany you home if sedation is taken.

How long will my scan take?

Scan times vary depending on the type of imaging. CT scans typically take around 5–10 minutes. MRI scans take 30–45 minutes for most standard studies, while a comprehensive Whole Body MRI™ can take up to 100 minutes. DEXA scans take around 10 minutes. X-rays typically take around 5 minutes. Ultrasound typically takes around 30 minutes. Our patient support team will confirm the expected duration when scheduling your scan.

When will I receive my report?

Most reports are available within 48 to 72 hours and sent directly to your referring doctor. Clinically urgent scans are prioritised for reporting. Some complex or subspecialty studies, such as Whole Body MRI ™ or cardiac studies, may take longer — please allow up to 5 to 7 business days for more detailed examinations. Some scans may be eligible for elective expedited reporting for a small fee, please speak to our team before or after your scan to learn more. Your report and images will also be accessible through the MBR Health patient portal once finalised. If you require your results sooner, please let our team know at the time of booking and we will do our best to accommodate your request.

Can I get a copy of my images?

Yes. Your images are available in the patient app as soon as your referring doctor receives the results. You can view and download them directly from the app, and our patient support team can also assist if you need help.

Will I need IV contrast or injection?

Maybe — many MRI scans can be performed without contrast. Our research-grade 3T MRI is highly sensitive, which often means less or even no contrast is needed. Contrast is used when it will provide meaningful additional diagnostic information. The decision is based on your referral, clinical details and imaging findings. If contrast is recommended, we carefully assess safety, kidney function and clinical need to ensure the best outcome for you.

Do I need to fast before my MRI?

Fasting depends on whether contrast is required. We recommend fasting for 2 hours before any CT that requires contrast. Our patient support team will give you clear, scan-specific instructions.

What should I wear for my MRI?

Comfortable clothing is best. For MRI, please avoid clothing with metal zips, buttons or underwire. Our staff will ask safety questions prior to your MRI scan.

Do I need to fast before my CT?

Fasting depends on whether contrast is required. We recommend fasting for 2 hours before any CT that requires contrast. Our patient support team will give you clear, scan-specific instructions.

What should I wear for my CT?

Comfortable clothing is best. For CT, please avoid clothing with metal zips, buttons or underwire in the field of view. If needed, appropriate attire can be provided on the day.

Do I need to fast before my Ultrasound?

Fasting depends on the type of ultrasound. Typically fasting will be required for scans of the abdomen, pelvis and some of the ultrasound dopplers. Our patient support team will give you clear, scan-specific instructions.

What should I wear for my Ultrasound?

Comfortable clothing is best that allows easy access to the area of interest by the sonographer.

Will I need IV contrast or injection for my MRI?

Maybe — many MRI scans can be performed without contrast. Our research-grade 3T MRI is highly sensitive, which often means less or even no contrast is needed. Contrast is used when it will provide meaningful additional diagnostic information – typically for diagnostic oncological, nerve or vessel imaging contrast is required. The decision is based on your referral, clinical details and imaging findings. If contrast is recommended, we carefully assess safety, kidney function and clinical need to ensure the best outcome for you.

Will I need IV contrast or injection for my CT?

Maybe — many CT scans can be performed without contrast however CT imaging assessing oncology, or vessels (including for pulmonary or cardiac) will require contrast. The decision is based on your referral, clinical details and imaging findings. If contrast is recommended, we carefully assess safety, kidney function and clinical need to ensure the best outcome for you.

What makes MBR Health different from other radiology practices?

At MBR Health, every scan is radiologist-led and personalised, not a one-size-fits-all approach. We pair some of Australia’s most advanced medical imaging, including our research-grade 3T MRI and Spectral CT, with cutting-edge regenerative and cellular therapies, customising imaging sequences to your clinical needs, anatomy and personal health history. Our focus is on precision, clarity and actionable insights, enabling proactive preventive care rather than reactive treatment, and supporting confident clinical decision-making.

Who reports my scan?

All scans at MBR Health are carefully reviewed and reported by our specialist radiologists, with expertise specifically matched to the type of study being performed. We do not rely on AI-only reporting — every scan receives expert, personalised interpretation, ensuring the highest level of diagnostic accuracy and providing actionable insights for your healthcare team.

Who owns MBR Health?

MBR Health is a clinician-led, family owned medical imaging and precision health group founded by Dr Zane Sherif, Specialist Radiologist. The practice has been developed around a simple principle: imaging should not be treated as a generic commodity, but as a critical diagnostic step that can shape prevention, treatment planning and long-term health decisions. Based on the Gold Coast, MBR Health brings together advanced diagnostic imaging, specialist radiology oversight and selected image-guided therapies within a personalised clinical framework.

What makes MBR Health different from other radiology practices?

MBR Health is designed around precision, personalisation and diagnostic depth. Rather than applying a one-size-fits-all scanning approach, our imaging is radiologist-led and tailored to the clinical question, the patient’s anatomy, prior imaging and health history. Our services include advanced medical imaging such as 3T MRI, Spectral CT, ultrasound, X-ray and dental imaging, alongside selected regenerative and image-guided therapies where clinically appropriate. The focus is not simply on producing images, but on delivering clear, clinically useful information that supports confident decision-making.

Who reports my scan at MBR Health?

Your scan is reviewed and reported by a specialist radiologist. At MBR Health, imaging is interpreted by doctors with expertise matched to the type of study being performed, whether that involves musculoskeletal imaging, oncology, neurological imaging, dental imaging, CT, MRI, ultrasound or X-ray. We do not use AI-only reporting. Every report is prepared with specialist medical oversight, helping ensure your referring doctor receives clinically meaningful information to guide the next step in your care.

Where is MBR Health located?

MBR Health (previously Mermaid Beach Radiology) is located at 2469 Gold Coast Highway, Mermaid Beach QLD — on the corner of Ocean Street and the Gold Coast Highway. Free on-site parking is available at the rear of the building, accessed via 46 Ocean Street. Our clinic is easily accessible by public transport along the Gold Coast Highway corridor. Please contact our friendly team for specific directions or any questions about finding us.

Do I need a referral?

In most cases, yes. A referral from your GP or specialist is required for all MRI, CT, ultrasound, X-Ray and diagnostic procedure appointments at MBR Health. A referral ensures the correct examination is performed for your clinical needs and allows your results to be communicated directly to your treating clinician. Some services do not require a referral — including DEXA body composition or MRI Brain or Liver Quantification studies. Please contact our friendly bookings team if you are unsure whether a referral is required for your specific examination and we will be happy to assist.

Can I bring my referral to MBR Health?

Yes — your referral is yours to take anywhere. If you have been referred for imaging by your GP or specialist, you are not required to attend the facility named or printed on your referral. You are free to choose where your imaging is performed and are welcome to bring your referral to MBR Health regardless of which practice, hospital or imaging provider is named on the referral form. We accept referrals in all formats including handwritten, printed and electronic referrals from all registered medical practitioners. If you have any questions about your referral or would like to book an appointment, please contact our friendly bookings team who will be happy to assist.

Will Medicare cover my scan?

MBR Health is a mixed billing clinic. Medicare coverage depends on the type of examination, your individual eligibility and the clinical indication for your scan. Some scans and procedures — such as advanced Spectral CT imaging or regenerative medicine procedures — use specialised technology that goes beyond standard Medicare rebate inclusions.

* Spectral CT and X-ray — many diagnostic examinations are bulk billed for eligible Medicare cardholders with a valid referral.
* Ultrasound — a Medicare rebate applies for eligible examinations with an out-of-pocket fee payable
* MRI — Privately billed. To understand why MRI at MBR Health is privately billed, please read our article: Understanding MRI and Medicare Rebates.

Our team will always confirm your out-of-pocket costs clearly before your appointment. Please contact our bookings team to discuss the costs associated with your specific examination prior to booking.

Will Medicare cover my scan?

Some scans may be bulk billed when Medicare criteria are met. However, MRI, advanced Spectral CT and regenerative medicine procedures use specialised technology and protocols that go beyond standard rebate models. Our priority is diagnostic accuracy and minimising repeat imaging. Any rebates and out-of-pocket costs are discussed with you before your appointment.

Do you offer bulk corporate scans?

Yes. MBR Health offers the Executive Preventive Health Program for organisations looking to provide executive health screening for their leadership teams. The program uses precision, multi-modality whole-body imaging to screen for cancer, cardiac, metabolic, neurological and musculoskeletal conditions within a single, integrated pathway. Tailored group offerings are available for organisations. Please enquire directly to discuss your team’s requirements.

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Journal Publications

Published research from MBR Health.

Selected peer-reviewed publications and clinical case reports from the MBR Health research and diagnostic innovation program.
Prostate Cancer Shown on Spectral CT, MRI and PSMA PET 2026
Case Study Illustrating Prostate Cancer Shown on Spectral CT, MRI and PSMA PET
Non-Surgical ACL Repair in 65yo 2026
MRI-Documented Re-continuity of a Complete Anterior Cruciate Ligament Rupture After Delayed Platelet-Rich Plasma Treatment in a 65-Year-Old Male: A Case Report
CT-guided Intradiscal PRP 2026
Intradiscal Platelet-Rich Plasma Delivery Via Modified Transdural Interlaminar Computed Tomography-Guided Access in Severe L5-S1 Disc Collapse: A Technical Case Report.
Contrast-enhanced US Hip PRP 2026
Novel Use of Ultrasound (US) Arthrogram to Increase Robustness of Payload Delivery of Platelet-Rich Plasma (PRP) in the Hip Joint
Non-surgical ACL Repair PRP 2026
Case Study of Rapid Recovery of a Complete Anterior Cruciate Ligament (ACL) Rupture Through Orthobiologic-Driven Regeneration: Magnetic Resonance Imaging (MRI) Validation
Nebulized platelet-rich plasma 2026
Nebulized platelet-rich plasma facilitates resolution of post-infective pulmonary consolidation and cavitation in a lung cancer survivor.
Read All Publications

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