This question was submitted via our Ask a TMS Therapist program. To submit your question, click here. Question Hello, The book mentions you should rule out structural problems (at the beginning of the book). But later in the book he says structural problems like herniated discs don't matter. I'm a bit confused by this?? Do they matter or not for pain? For example I have gotten MRI that says I have things like spinal stenosis, herniated discs, potential contact with nervelet (these are from Cervical MRI). I do not have the MRI for other parts like thoraccic or lumbar but I have similar pain symptoms in other regions so I believe I probably have herniated discs in those regions too [combinations of aches, burning pain, sometimes sharp shooting nerve pain, etc]. With my lower back it obviously hurts if I sit for too long, but when standing for too long it hurts as well. Just got back into town after hours of driving to evacuate for hurricane and my lower back is hurting more than it ever has before. My normal dose of NSAID and Muscle Relaxer is not working. I work with computers so I have had low back pain for a while (couple years). I turned 30 this year, and in combination with multiple lifting injuries (picking up heavy subwoofer from ground) I have developed the pains and problems in the other areas (thoraccic and cervical). I did not have pains in T & C before this year. Would love some insight on this as it's really quite terrible.