Should i do an investigation X-ray or mri or do physiotherapy first

X-radiation, X-ray in short, is a form of electromagnetic radiation which is used to identify bony structures in the body and disease processes in the soft tissue of the body. It is the most basic form of imaging and does not have the ability to discern soft tissue from bony structures.

MRI (magnetic resonance imaging) is a medical imaging technique used in radiology to investigate the anatomy and function of your body to confirm or find the cause of a pathology. It uses a strong magnetic fields and radio waves to produce an image of the body. It is considered the gold standard in modern medical imaging and is widely used in hospitals to diagnose and stage a disease. The best feature of the MRI is that it does not expose you to any ionising radiation that an X-ray does.

X-ray or MRI?

Your physician will have their clinical reasoning which helps them decide to send patients for investigations in order to diagnose orthopaedic problems. X-rays are used mainly to suss out bony alignments and rule out any fractures and MRIs are often used to identify any soft tissue pathology like a muscle/tendon tear.

However, due to the high level of detail that the MRI is able to produce, it is much more costly than the X-ray and is prone to being overused for diagnosis by physicians when often a simple X-ray with clinical finding correlation is enough to make an accurate diagnosis. Due to its cost, medical societies does not recommend MRI to be the first procedure for diagnosing patients.  A common case is to use MRI to seek a cause of low back pain; the American College of Physicians, for example, recommends against this procedure as unlikely to result in a positive outcome for the patient.

An MRI is only a diagnostic tool, not a treatment. While itt is true that an MRI may help guide which is the best course of treatments to be effective and gives some people peace of mind, it will do nothing to change the symptoms of your condition. Many people say “I need an MRI because it still hurts.” Keep in mind, the problem does not change because an MRI is done. After the MRI is done, the pain level will still be the same.

If you think you need an MRI, ask your physiotherapist or doctor. He or she should be able to explain to you why you do, or don’t, need an MRI.

 We have treated many cases successfully to a full recovery without a need of going through an MRI or X-ray and save you the  time and effort to do one.



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