Why it is done this way
Pain that has already been imaged still has a cause worth finding
Most people arriving here have had the scan, taken the anti-inflammatories, and been told to live with it.
Structure is part of the story and often not the whole of it. Thyroid disease, low estrogen or testosterone, systemic inflammation and nutrient deficiency all change how much pain a body produces and how well it repairs.
Those are measurable. Testing for them alongside conventional pain treatment frequently explains why the conventional treatment alone did not work.