Doctors often begin spinal evaluations with a lumbar spine x ray to examine bone structure and alignment. If the results show a lumbar spine normal x ray but symptoms such as persistent pain or tingling continue, further imaging may be necessary. An mri lumbar spine provides a more detailed view of discs, nerves, and surrounding tissues. MRI scans help doctors identify conditions such as herniated discs, spinal stenosis, or inflammation that may not appear on x-ray images. These diagnostic tools work together to provide a complete understanding of spinal health, allowing physicians to develop treatment plans that address the root cause of pain.