X-ray or MRI scan

Most people with back pain do not need to have x-rays or scans. Research shows that the changes in the back that we can see on x-rays and scans in people with back pain can also be seen in those who do not have pain. X-rays and scans do not show what is causing the pain. X-rays and scans cannot be used to see how your back will feel in the future. And often they do not help when it comes to selecting the right treatment. In fact, they can sometimes cause more harm than good. You might be worried about what the images show even if this doesn't affect your health. There is a difference between what can be seen on x-rays and MRI scans. An x-ray of the back shows bones and shadows of other structures. X-rays show whether there is arthritis, also known as osteoarthritis, whether there is vertebral collapse or a fracture of the spine. Congenital malformations and signs of infection can also be seen. Many people think that you can see a herniated disc on an x-ray, but this is not the case. An x-ray of the back uses a very small dose of x-rays, so the risk when having an X-ray taken is very small. An MRI scan shows both bones and soft tissues such as muscles, nerves and cartilage. An MRI scan therefore provides more information about the condition of the back than an x-ray. For example, an MRI scan shows herniated discs, nerves and muscles in addition to the things you can see on the x-ray. This is why MRI is the preferred examination of the back today. If infections or cancer are suspected, an MRI scan can be a good tool to get answers. There is no known risk of having an MRI scan of your back. A thorough examination of your back and general health will for most people be sufficient to choose the correct treatment. Treatment is then started immediately. This can be exercises or manual therapy. If you have had prolonged back pain or if the pain does not improve with the treatments offered to you, x-rays or scans will be considered. If your doctor, chiropractor or physiotherapist suspects that you have a serious medical condition such as bone fracture, arthritis or infection, you will also be referred for an x-ray or scan immediately.