Many clients ask us at Sports & Spinal: “Shouldn’t I get an X-ray or MRI?” It’s a reasonable question with a nuanced answer.
Why People Want Imaging
Clients typically request imaging for:
- Accurate diagnosis
- Better understanding of their condition
- Improved recovery planning
- Validation that their pain is “real”
These concerns are valid. After all, imaging has traditionally been used to assess internal structures and identify problems.
The Evidence Tells a Different Story
Research shows that imaging often doesn’t improve outcomes. A 2020 study of over 400,000 people found those who had early MRIs were more likely to have surgery, use more pain medication, and report higher pain levels a year later.
Why This Disconnect Exists
Several factors contribute to our overreliance on imaging:
Outdated Thinking
We’ve long approached the body like a machine: find the “broken part,” fix it, and pain should disappear. But our bodies are far more complex.
The “Elite Athlete” Effect
Professional athletes get immediate scans, creating the impression that scans are always necessary. However, elite sports involves different risk management approaches than everyday care.
Practitioner Education
Without staying current with research, practitioners may continue outdated practices that don’t serve patients best.
The Most Surprising Fact
Many people without any pain have “abnormal” findings on scans:
- Disc bulges in pain-free individuals
- Shoulder “tears” in active people without symptoms
- Knee “abnormalities” in marathon runners with no issues
When Is Imaging Actually Necessary?
Imaging remains valuable when:
- Signs of serious pathology/injury exist (cancer, infection, fracture)
- Neurological symptoms are progressive
- Conservative treatment hasn’t helped after an appropriate trial
- Specific treatments requiring imaging guidance are being considered
The Sports & Spinal Approach
At Sports & Spinal, we believe in evidence-based care that considers the whole person. We recommend imaging when truly needed, but won’t rush to scans that might lead to unnecessary interventions.
We focus on thorough clinical assessment, understanding your unique circumstances, and developing treatment plans based on current evidence—not just what shows up on a scan. Would you like to make an appointment? Call us today 60211975 or click here to book online
