When Imaging May Support Spinal Care

Imaging is recommended when it meaningfully contributes to your clinical care.

Imaging is not a routine part of every chiropractic visit. It is recommended selectively when the clinical picture suggests that a clearer view of your spinal structures will lead to better care decisions for you.

Clinical indicators for imaging

Persistent or worsening pain that has not responded to initial treatment
Symptoms that suggest nerve involvement, such as radiating pain, numbness or tingling
History of trauma, accident or significant spinal injury
Clinical findings during examination that require confirmation
Presentation that may indicate a structural cause requiring accurate assessment
Monitoring of a known spinal condition over time

What imaging is not

Imaging is not recommended as a screening tool, as a routine check-up, or to justify treatment that would proceed regardless. Clinical guidelines are clear:
imaging adds value only when its findings will genuinely influence how your care is delivered.

How the decision is made

1. Clinical history

Your chiropractor reviews your symptoms, onset, duration and any previous investigations.

2. Physical assessment

Examination findings help identify whether imaging will add meaningful information.

3. Clinical reasoning

The decision to refer for imaging is based on evidence-based guidelines and your specific presentation.

4. Informed discussion

Your chiropractor will explain the reason for any imaging recommendation and answer your questions.