I want to encourage all of you therapist to get in the habit and ask for the patients MRI report and learn to understand the impression. There are too many reasons for hip pain, back pain, shoulder pain, cervical, etc. When the patient brings you the MRI report, you can give an honest opinion if massage therapy will really help or if it will be temporary and they should seek further medical care. I know we all want to help and want to do it holistically, but sometimes it truely is a medical case that needs allopathic help. We can love and support our clients no matter what, lend an ear when no one else will listen. They believe in you, so take the time to really understand their condition. Knowing is far superior than guessing.