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Posted on 06-13-2018

According to new recommendations from the American Chiropractic Association it is unnecessary to obtain spinal imaging (X-rays, MRIs) for patients with acute lower back pain during the first six weeks after the onset of pain. 

It is my opinion that special tests can often be misleading.  The problem that may be visualized on an MRI or X-rays may not be what is generating the patients acute pain and often can lead to unnecessary care and additional tests. 

In addition, mentally seeing a spine with multiple levels of disc degeneration and arthritis can scare patients.  Having fear based on an X-ray does not help people recover from injury.  This is not to say that x-rays are not necessary and there are good reasons to send patients for imagining.   

When special tests are required I am able to send my patients locally to a radiology center where the films are read by a radiologist and can easily be shared with other healthcare practitioners. 

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