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Still have back pain even though your MRI looks normal? Or physio didn’t work? Here’s why it might not be your disc — and what you need to know. In this episode of The Pain Diaries Podcast, Melbourne-based pain specialists explain the real causes of chronic back pain. You’ll learn about 15 potential contributors — from structural issues like discs and joints to overlooked causes like nerve irritation, muscle dysfunction, and central sensitisation. This is a clear, expert-led breakdown of what’s really behind persistent back pain — and what you can do about it. In this video, we cover: • Discogenic back pain (even when scans look normal) • Facet joint and sacroiliac joint pain • Muscle and tendon-related back pain • Multifidus muscle dysfunction and spinal stability • Radicular pain and neurogenic claudication • Peripheral nerve pain, including cluneal nerve entrapment • Age-related spinal changes such as spondylosis • Referred pain from non-spinal sources • Red flags: when to worry about your back pain • Back pain after surgery: what might have been missed • Central sensitisation and non-structural pain • Fibromyalgia and widespread pain • Multidimensional approaches to chronic pain • When you should (and shouldn’t) get a scan • Whether injections and other interventions are worth considering This episode is part of The Pain Diaries Podcast, created by Pain Specialists Australia — a Melbourne-based team of doctors helping people find clarity, hope, and evidence-based care for complex pain conditions. Chapters 00:00 Intro clips 01:20 Introduction: Why back pain persists 01:54 Understanding chronic back pain 05:09 Discogenic pain 13:41 Facet joint pain 17:24 Sacroiliac joint pain 19:54 Muscle and tendon pain 21:57 Multifidus muscle function 22:17 Nerve pain overview 22:57 Central nerve pain (radicular, claudication) 24:38 Peripheral nerve pain (cluneal) 26:43 Spondylosis and ageing 29:25 Referred pain to the back 30:57 Red flags and when to worry 34:58 Post-surgery back pain 40:09 Non-structural pain 41:23 Central sensitisation 44:07 Fibromyalgia and pain amplification 46:36 Multidimensional pain management 49:57 Navigating diagnosis and treatment 52:14 Should you get a scan? 53:00 Can injections help? 53:24 Final key points For more information or to book an appointment in Melbourne, visit https://painspecialistsaustralia.com.... Follow us on the following channels. / painspecialistsaustralia / pain_specialists_australia / pain-specialists-australia / @painspecialistsaustralia And finally, a reminder, the information in these videos are not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in these videos are for general information purposes only and does not replace a consultation with your own doctor/health professional.