Significant fatty infiltration in muscles can cause debilitating pain due to inactivity and instability, even with healthy discs.

“she goes look at the difference in the musculature of your soas your ql your erector spine a like these are Big beefy muscles Here and Now compare it to this other patient they look the first of all the muscles are about half the size and they look like wagu they're very fatty and you know the way she was explaining it to me she goes there's a this is a person who's never lifted anything in their life and they don't have any of the disc pain you know they don't have the their discs haven't been decimated like yours have but they're more debilitated their inactivity has led to instability and tremendous pain”