Alison\’s Physical Therapy Blog

Back pain advice from a physical therapist

Basic MRI information…

Posted by Alison on September 18, 2006

I just wanted to put up a little basic information about the purpose of MRI’s and other investigations which can be done in addition to more standard proceedures (ie – xrays). Many of my patients have an injury and want to know why the doctor only ordered xrays when they think they should have an MRI. Xrays will show only the bones – no soft tissue. Therefore x-rays will only show a fracture, dislocation or other bony injury. X-rays will show the spaces where the discs in the spine are but not the actual discs – whatever anyone may tell you, a “slipped disc” cannot be seen on an xray. Probably 80-90% of people will recover from their injuries without needing surgery or any other intervention. In most cases, the doctor will rule out a fracture and then send the patient to therapy to try conservative treatment first. If the PT doesn’t help or if the therapist notices any other unusual symptoms, an MRI will be ordered at that time. Usually this is 2-3 weeks from the original injury. Give your symptoms a chance to heal by themselves before making an ass out of yourself and demanding unnecessary tests. If you don’t get better, by all means, ask for additional investigations but give nature a chance first.

32 Responses to “Basic MRI information…”

  1. Kathy said

    Hey bro! Well Done! Please also visit my site:

  2. Rose said

    One of the best locations I’ve come across lately!!! Definately a permanent bookmark! Would you please also visit my homepage?

  3. For Physical therapy continuing education visit

    http://ptabstract.blogspot.com/

  4. alita said

    Great discussion topics. Check out http://www.connectedtherapy.com

  5. Clint said

    Contract work for all Therapists 42-47 an hour and Assistance 31-34 an hour 877-896-3660 ext 6025

  6. Great advice to “give nature a chance”. Investing in one’s health offers great returns.

    For physical therapists eager to boost their careers I invite them to visit:

    http://www.cashpracticesecret.com (for a free download) You’ll thank yourself.

    It’s an honor and pleasure to be part of this highly informative blog.

  7. erik said

    um…as a health care professional you might want to rethink using phrases like “before making an ass out of yourself”

  8. Great Article !!!

    The Science Of Healing and The Art Of Caring

  9. Carrie said

    The heart rate monitor link only took you to Dicks Sporting Goods main page. What brand do you use??

  10. Eric Hollins said

    I see that this post was put up nearly 2 and a half years ago. How come you didn’t keep up with this blog?

  11. Great posts Alison!

    Check out my blog, cirrusalliedblog.com, for other physical therapy discussions. We also post great job opportunities across the U.S. for PTs, OTs, and SPs.

  12. Let the physician decide – avoid the litigious issues

  13. mila oshman PT said

    Let the physician decide – avoid the litigious issues http://www.oshmanbarteck.com

  14. Check out this excellent article on how Physical Therapist need to be part of the Healthcare Reform. http://www.lighthousecareeragents.blogspot.com

  15. Great affair, did not thought reading it would be so stunning when I looked at your url!!

  16. Nice Topic. Thanks for all.
    I really appreciate the fact that you approach these topics from a stand point of knowledge

  17. Jaylene said

    Great post. Thanks for sharing!

    physical therapy logo

  18. Great post on MRI scan, Thanks for sharing.

  19. David said

    MRI is more expensive than x-ray. It is always good for patients to ask their doctor what the tests are for.

  20. Great information on MRI. Thanks for sharing…

  21. A good rule of thumb i use for ordering MRI for radicular symptoms are:
    1. Pain unbearable
    2. Failure of Active conservative care 6 wks
    3. A red flags of serious disease.(weight loss, fever, etx)
    4. Rapid onset neurogenic wkness
    5. Obvious signs of myelopathy
    6. Progressive wkness or atropthy.
    You can check my website out at Chiropractor in Northern Va

  22. fituniverse said

    Just found a damn good physical therapy site — http://www.physicaltherapyfacilities.com

  23. Peter Levy said

    This is great basic information and people should be more away of the advantages and disadvantages of MRI’s before being imaged. There are surely a number of alternative methods for healing soft tissue injuries but when the risk is high, an MRI is a great way to find out what is going on.

  24. Gorby said

    I like to part “but give nature a chance first”. very nice.. If you have time, can you visit my newly constructed site? http://www.physicaltherapyworld.wordpress.com

  25. Thanks for this article, this is great information for patients.

  26. pat norton said

    I the topic of back pain is one of the most difficult to measure and pinpoint. The use of a MRI is a solid tool to discover some possible causes.

    Physical Therapy Equipment

  27. Here’s is a great new article in the November 2011 JOSPT by Tim Flynn, PT, PhD et al. The article is called Appropriate Use of Diagnostic Imaging in Low Back Pain: A Reminder That Unnecessary Imaging May Do as Much Harm as Good.

    Also, I describe Critical Pathways for Lower Back Pain used in large institutions at…
    http://physicaltherapydiagnosis.blogspot.com/2011/10/how-clinical-decision-support-can-help.html

    Critical Pathways, however, are not used and haven’t been well described in small practice settings, where 70% of American healthcare takes place.

    One question is still have is how can Private Practice Physical Therapists optimally use MRI, CAT scans and x-ray in treating our patients?

    Should we recommend more, or less, imaging?

    Thank you for this stimulating discussion.

    Tim

  28. Alfred Isac said

    Check out this informative and helpful website on how Physical Therapist need to be part of the Healthcare Reform. http://www.medicalirehab.com/home

  29. siatic nerves…

    [...]Basic MRI information… « Alison’s Physical Therapy Blog[...]…

  30. Phone Therapy…

    [...]Basic MRI information… « Alison’s Physical Therapy Blog[...]…

  31. Nice and GO ON

  32. Matt said

    Allison, I work for HGI Healthcare and was wondering if you’d like to guest post on our blog? Please email me if your interested at mharding@e-dreamz.com

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