Do You Really Need That X-Ray or MRI?

When pain lingers—whether it’s your back, shoulder, or knee—it’s easy to think: Should I get an X-ray? Maybe an MRI? After all, don’t we need to see what’s wrong to fix it?

But here’s the truth: imaging isn’t always the best next step. In fact, it can sometimes lead to unnecessary worry, delays in treatment, or even interventions you don’t need. Let’s clear up a few myths.

Myth #1: Imaging Always Gives a Clear Answer

Many people are surprised to learn that things like disc bulges, meniscus tears, and joint degeneration are extremely common—even in people with no pain at all. Studies show that over 50% of people over 30 will show something on an MRI, whether or not they feel symptoms.

So, that “something” on the scan? It might not actually be what’s causing your pain.

Myth #2: You Can’t Start Treatment Without a Scan

A skilled physiotherapist can usually identify the likely cause of your symptoms through a thorough movement-based assessment—without any imaging. We look at strength, posture, joint mobility, and movement patterns, which often paint a much clearer picture than an image ever could. If deemed necessary, we'll recommend a scan.

In fact, early physiotherapy often leads to better results than waiting weeks (or months) for imaging.

Myth #3: Imaging Speeds Up Recovery

The opposite is often true. Waiting for an MRI can delay the treatment your body actually needs. And sometimes, seeing a scary-sounding report (like “degeneration” or “tear”) can increase fear and make you move less—which slows down healing.

Movement heals. The sooner you get started on the right plan, the faster your body can adapt and recover.

Myth #4: “It’s Just Good to Know What’s Going On”

It’s tempting to think an X-ray or MRI is harmless—just good information to have. But in Canada, we’re already over-imaging many conditions that can be managed without scans. Every unnecessary test adds to the backlog in our healthcare system, making it harder for those who truly need imaging to access it quickly.

Unless there’s a clear reason (like trauma, worsening symptoms, or signs of something serious), your best move is to start with a physiotherapy assessment. You’ll get answers faster, start treatment right away, and help keep our healthcare system running more efficiently.

When Imaging Is a Good Idea

There are times when imaging is helpful, including:

• After major trauma (like a car accident or fall)

• When there’s a concern about a fracture, infection, or serious disease

• If symptoms aren’t improving despite good rehab

• When surgery is being considered and detailed imaging is needed

In these cases, imaging can guide better decisions—but it’s not the first step for most common aches and pains.

What You Should Do Instead

Before jumping to imaging, consider booking a visit with a physiotherapist. We can often:
✅ Identify the root cause of your pain
✅ Start treatment right away
✅ Reassure you that your condition is manageable
✅ Help you avoid unnecessary scans or referrals

Final Thoughts

Getting an X-ray or MRI feels proactive—but it’s not always productive. In many cases, your body doesn’t need a picture. It needs a plan.

If you’re in pain, your best first step is to get assessed by a movement expert. You may be surprised at how quickly things can improve—without the wait, cost, or stress of imaging.