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.
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?”
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.
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.
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.
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.
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.
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.
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
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.
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
Lower back pain can arise from discs, nerves, facet joints, sacroiliac joints or other structures. We focus on identifying the most plausible pain generator before selecting an injection or treatment. Explore Lower Back Pain diagnosis.
- Specialist Spinal Radiologist Expertise
Your imaging and treatment can be reviewed by Dr Zane Sherif, specialist radiologist, whose background includes orthopaedic training with spinal surgical exposure and a particular interest in spinal imaging and intervention. Learn more about Dr Zane Sherif.
- Advanced Lumbar MRI & Nerve Imaging
Our advanced 3T lumbar MRI can incorporate high-resolution sub-1 mm source imaging, NerveVIEW MR neurography and non-invasive MR Discography where clinically appropriate. Explore Lumbar Spine MRI.
- CT-Guided Spinal Injections
For many deep spinal procedures, MBR Health uses CT guidance to directly visualise the anatomy, treatment target and final needle position with cross-sectional imaging. Learn about CT-guided spinal injections
- Cortisone & Regenerative Treatment Options
Treatment can be matched to the diagnosis, from conventional local anaesthetic and corticosteroid injections to selected PRP and regenerative treatments where clinically appropriate. Explore Pain & Injury treatment options
- Digital Record of Final Needle Placement
Where technically possible, MBR Health retains a permanent digital image or procedural record of final needle placement, allowing treatment to be reviewed if symptoms persist or recur. How to check if your injection was in the right spot.
- Complex Spine Assessment & Consultation
For previous spinal surgery, multiple abnormalities, failed treatment or an uncertain pain generator, a post-MRI spinal consultation with Dr Sherif can help clarify the findings and possible next steps. Read about specialist spinal assessment.