We all have wear and tear on the spine, it is part of the ageing process. But not all wear and tear will cause pain or discomfort.
If we looked at an MRI of a 27 year old spine and that of a 50 year old spine, they can look very similar, with wear and tear showing in the same places. Yet only one of these people may feel back pain and it isn’t necessarily going to be the 50 year old.
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