To start my pondering about physio/med stuff I will leave this here:
"Treat the patient not the scan"
One of my most cited articles in this regard is W Brinjikji et al. 2015:
https://pubmed.ncbi.nlm.nih.gov/25430861/
Share your experiences/thoughts/views on the topic below
Systematic literature review of imaging features of spinal degeneration in asymptomatic populations - PubMed
Imaging findings of spine degeneration are present in high proportions of asymptomatic individuals, increasing with age. Many imaging-based degenerative features are likely part of normal aging and unassociated with pain. These imaging findings must be interpreted in the context of the patient's cli …