Nothing speaks louder to the pathetic state of our diagnostic infrastructure then a doctor avoiding using this amazing technology to perform a proper diagnosis. Why not just say, its too expensive and you're not worth the bother? No doubt, reducing  tummy fat, exercise and eating right are long term lifestyle changes that can contribute to a healthy, pain free back but to prescribe more suffering and expect the patient to buy into it the 'treatment program' is arrogant, dismissive and the true waste of our health care dollars.