What is a spine x-ray called?
A spinal x-ray will be categorized by the area of the spine that is being evaluated. There are three main parts of the spine.
- Cervical or neck
- Thoracic or mid-back
- Lumbar or lower back
Your spinal x-ray order will specify which area of the back your doctor orders for imaging.
What do spinal x-rays look for?
Spinal x-rays evaluate the cause of back or neck pain. Your healthcare provider may order a spinal x-ray if you’ve been having pain in these areas or if you’ve had an injury to your back or neck. Spinal x-rays may find:
- Fractures or breaks
- Tumors
- Arthritis
- Disc problems
- Problems with the curve of the spine
- Osteoporosis
- infection
How is a spinal x-ray taken?
During a spinal x-ray, a technologist will position you for a clear image of the spine area that is of concern. X-rays of the upper and lower spine are often taken with you lying on an x-ray table. Sometimes you may be asked to stand. You may be instructed to change positions for different views or to move your arms. If you are having an x-ray of your neck, you may be asked to open your mouth, so your teeth are moved out of the way, and there is a clearer image of the upper neck.
You will be asked to hold your breath very briefly while the x-ray is taken. This ensures that the picture is clear and not blurred from movement.
How long does a spinal x-ray take?
A spinal x-ray is very quick. The x-ray itself takes only seconds. Positioning you for the x-ray will take a few minutes. You may be asked to wait for a few minutes while the technologist checks the images to ensure the x-ray is clear. Sometimes additional x-rays may be taken to obtain a clearer view of the area.
Do I really need an x-ray for back pain?
If you have back pain that did not result from an injury, your healthcare provider may not immediately order an x-ray. Conservative management involves medication, rest, and physical therapy. Often, back pain will resolve with a few days or weeks with conservative management. However, if your back pain persists or you have had a direct injury, an x-ray can help guide treatment.
What is the best imaging for back pain?
When back pain has not responded to conservative management, an MRI (magnetic resonance imaging) is the best imaging study to determine the cause of the pain. Your healthcare provider may order a spinal x-ray initially. X-rays are best at detecting problems with the bony structure of the spine, while an MRI gives more detail of soft tissue.
