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Does severe back pain mean that something is dramatically wrong?

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Does severe back pain mean that something is dramatically wrong?

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While it might seem obvious to assume this, the severity of pain does not necessarily relate to the likelihood of having a serious condition requiring intensive treatment. Most cases of back and even leg pain resolve on their own. There are many instances where a patient can have symptoms suggesting a surgical problem, yet the studies will be normal. For this reason, except in certain circumstances, non-operative treatment is usually recommended first.

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