4 More Facts About Back Pain 1. Lots of Factors Contributors to persisting symptoms include stress, poor sleep, work and family issues. 2. All Movements are Safe Sometimes certain movements can be deloaded or modified, but no movements are off limits. 3. MRI's Don't Show Pain Scans don't show the cause of your pain, they instead are used only if clinically indicated (which is rare) to rule out fractures, cancer and red flags. 4. Our Reactions Matter Catastrophising, magnification of symptoms and rumination can lead to anxiety, fear and hypervigilance.