What are structural diagnoses of chronic back pain?

I typically see back problems such as herniated or bulging disks, spinal stenosis, arthritis, facet syndromes, and others. I call these structural diagnoses because they describe a physical problem that can be seen on an MRI or other scan. Because these physical problems can be seen with a scan, the conclusion is that the structural damage is the cause of your pain.

Functional problems of the body -- those in which muscles or joints do not move optimally, creating stress to the tissues -- often lead to structural diagnoses and pain. I believe the repeated stress from functional problems leads to physical changes in the body such as degenerative disks, arthritis, or disk bulges -- in other words, structural diagnoses. Structural diagnoses do not describe the roots of the pain but are instead symptoms the root problems create.

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