i'm here with dr di meo he's a doctor for sports medicine and the head of the department for health and fitness at the spot and he consented to them thanks for having me today when i see patients with lower back pain they often ask me to think head and get some x. rays or an m.r.i. scan but and when do they have to do an american is a doctor in most of the cases it's not necessarily cause lower but pain is limited and last for only a couple of days it can be severe but in most of the cases it less just for a short time but if it does not receipt after a some days or repeated after a certain time or if the doctor suspects structural change in this case is indicated to carry on for their examinations for example with. x. rays why do so many patients problems in the lower back if there's a problem that mother nature just messed up. really not but right now we are observing that about eighty percent of the patients reporting back pain have some kind of mental or social stress and that means that this the sort of this excess of tension is reparable on the back but most of the patients also p