Do I Need Scans for Back Pain?

Do I Need Scans for Back Pain? What the Evidence Actually Says

Back pain is incredibly common, and when it strikes, many people wonder whether they need an X-ray, CT scan or MRI to find out what’s wrong. The truth is that most back pain does not require imaging, and in many cases, scans don’t change the recommended treatment at all.

At Midland Chiropractic Care, we follow current clinical guidelines and provide a clear explanation of when imaging is helpful, and when it isn’t.

When Scans Are Not Needed

For most people experiencing:

• General back pain
• Postural soreness
• Strain after lifting
• Gradual onset stiffness
• Pain without numbness or weakness

…scans do not improve outcomes.

This is because:

• Many “abnormalities” on scans are normal changes (like wrinkles on the inside)
• Findings don’t always match symptoms
• Good manual assessment + movement tests provide more useful information

In fact, early imaging can sometimes increase worry and slow recovery.

When Scans May Be Helpful

Scans may be appropriate when symptoms involve:

• Loss of strength in the legs
• Significant numbness or pins and needles
• Loss of bladder/bowel control
• History of serious trauma
• Fever or unexplained weight loss
• No improvement after appropriate care

If your chiropractor sees any of these signs, they’ll explain what type of imaging is needed and help you communicate with your GP.

How Chiropractors Assess Back Pain Without Scans

A proper assessment includes:

• Detailed history
• Movement testing
• Muscle and nerve checks
• Joint mobility examination

This gives us the information we need to create a personalised treatment plan using:

• Gentle adjustments
• Manual therapy
• Rehabilitation exercises
• Activity modification

The Bottom Line

Most back pain improves without needing scans. What matters more is understanding the underlying movement and muscular factors—and receiving the right treatment at the right time.

If you’re unsure whether your back pain needs imaging, we’re happy to help.
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Book online today for a clear and thorough assessment.