About 4-5 years ago (pre-menopausal at the time), I was experiencing some very low back pain. I did everything under the sun to find out the source of the pain and correct it. A spinal specialist took x-rays and an MRI. She said I had one of the healthiest spines she had ever seen. My height has never changed. In fact, at my last check-up, I grew 1/4 inch - lol! After quite a while, the pain finally went away, but my question is, is an MRI a pretty good indicator of bone issues if there were any? I know it doesn't give bone density, but wouldn't it show any small fractures, etc.? Also, after reading some past discussions, I'm confused about small-boned women, which I am one. Yes, the bone is small, but it seems wrong to compare a naturally small-boned person to a large-boned person. It sounds like having small bones doesn't necessarily equate to brittle bones. So why would a small-boned person begin treatment if that is just their natural bone size? It just seems like a lot of unnecessary worry for us small-boned women. My 92-year old mother and 75-year old sister have never had a broken bone. I know my mother has never had a bone density test, and I doubt that my sister has either. I'm beginning to wish I'd never had it done. The worry is going to kill me before the osteoporosis.