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Physio BEFORE Imaging
Should You Get Imaging BEFORE You Start Physiotherapy?


Should You Get Imaging BEFORE You Start Physiotherapy?
Erin Shapcott
November 13, 2024
Injury treatement
Many people believe that they should wait to get imaging before starting any physiotherapy treatment. This common misconception stems from the idea that a diagnosis from imaging, like an MRI or X-ray, is essential to determine the next steps for treatment and recovery. However, this approach can lead to unnecessary delays, allowing symptoms to worsen or prolong the recovery process.

The purpose of this article is to explain why early intervention with a physiotherapist can be highly beneficial for most musculoskeletal issues. By understanding the benefits of starting physiotherapy early and not waiting for imaging results, you can make informed decisions that support a faster recovery.

Common Myths About Imaging
Common Myths About Imaging Individualized Therapeutic Exercise Programs Oakville

Myth 1: “I need imaging before starting treatment.”
Delaying treatment until getting imaging can unnecessarily slow your recovery. Physiotherapists are skilled primary healthcare providers trained to assess, screen, and refer patients as needed. They can recognize urgent medical issues and coordinate with doctors when imaging is necessary. Starting physiotherapy early can prevent complications and speed recovery, while imaging (such as MRIs) may not always reveal the root cause, potentially delaying effective treatment.

Myth 2: “Imaging results give a definitive answer for my diagnosis.”
Imaging is just one component of diagnosing a condition and often shows abnormalities that may not be the source of your symptoms. For example, a study by Modic et al., (2005) investigated the role of MRI findings in patients with acute low back pain. Their study found that:

MRI results often showed structural abnormalities, such as disc degeneration, herniation, and other changes. However, these findings did not consistently correlate with patients’ pain levels or symptoms.
Other studies have shown that many individuals without symptoms have findings on imaging.
Not all injuries are visible on imaging, but can still be effectively identified and treated through a thorough clinical assessment.
As such, a comprehensive clinical assessment by a physiotherapist is crucial for identifying the true cause of your symptoms and determining the most effective treatment. Over-relying on imaging can lead to unnecessary interventions and may not improve outcomes.

The Role of Physiotherapy in Early Diagnosis and Treatment
The Role of Physiotherapy in Early Diagnosis and Treatment Individualized Therapeutic Exercise Programs Oakville



Physiotherapists are trained to perform comprehensive clinical assessments that often provide the information needed to begin an effective treatment plan. During these assessments, physiotherapists evaluate a patient’s movement patterns, muscle strength, flexibility, and joint function. They also consider the patient’s symptoms, medical history, and lifestyle factors that could be contributing to the issue. This thorough approach allows physiotherapists to gain an holistic understanding of the condition and create a treatment plan tailored to address both symptoms and underlying causes.

In addition, physiotherapists are trained to recognize when symptoms may require further medical evaluation or imaging. If they suspect a more complex issue or identify any red flags—such as signs of infection, fractures, or other serious conditions—they will promptly refer the patient to the appropriate specialist or for imaging to ensure timely and accurate diagnosis. This ability to screen and refer as necessary ensures that patients receive the appropriate level of care without delay.

Benefits of Starting Physiotherapy Early
Benefits Physiotherapy Early Individualized Therapeutic Exercise Programs Oakville

Prevent Worsening Symptoms
Early intervention in physiotherapy plays a crucial role in preventing further injury or complications. When symptoms are addressed promptly, physiotherapists can work to reduce pain, improve mobility, and correct movement patterns before they worsen or lead to secondary issues. For example, untreated joint or muscle pain can lead to compensatory movements, where other muscles or joints bear the load, eventually causing new areas of discomfort or strain. By starting treatment early, physiotherapists can address these symptoms directly, reducing the likelihood of additional complications.

Accelerate Recovery
Beginning physiotherapy soon after an injury or the onset of symptoms can significantly speed up recovery times and improve overall outcomes. Early treatment enables physiotherapists to implement tailored exercises, manual therapy, and mobility work that directly address the injured area, promoting blood flow, reducing inflammation, and preventing stiffness. This proactive approach supports the body’s natural healing processes and helps restore function more quickly. Patients who start physiotherapy early often experience faster improvements in strength, range of motion, and pain reduction, leading to a quicker return to daily activities and reducing the risk of chronic pain or prolonged recovery.

Reducing Dependence on Imaging for Recovery
While imaging can be a helpful diagnostic tool, it is not always necessary for effective recovery and, in some cases, can lead to unnecessary treatments. Imaging results may show structural abnormalities—such as minor tears or disc degeneration—that are not actually the cause of the patient’s symptoms. By focusing on clinical assessment and functional movement patterns, physiotherapists can often develop a precise and effective treatment plan without needing imaging. This approach reduces the risk of over-relying on imaging findings, which can sometimes result in unnecessary medical interventions.

Conclusion
Delaying treatment until imaging can result in unnecessary setbacks, allowing symptoms to worsen and prolonging the recovery process. Early intervention with a physiotherapist offers a proactive approach, addressing pain and dysfunction quickly while helping to prevent complications. Physiotherapists are skilled primary care providers who can assess, diagnose, and treat a wide range of musculoskeletal issues, as well as identify cases that require further medical evaluation.

If you’re experiencing pain or mobility issues, consider consulting a physiotherapist at Sheddon Physiotherapy and Sports Clinic to discuss your symptoms. Beginning treatment early not only helps speed up recovery but also supports a smoother and more complete healing journey. Taking action now can make a significant difference in your long-term health and well-being.

Lemmers, G. P. G., van Lankveld, W., Westert, G. P., van der Wees, P. J., & Staal, J. B. (2019). Imaging versus no imaging for low back pain: A systematic review measuring costs, healthcare utilization and absence from work. European Spine Journal, 28(5), 937–950.

Modic, M. T., Obuchowski, N. muscoskeletal system, back, neck, headaches, whiplash, sprains, strains, tension relief, posture adjusting , Ross, J. S., Brant-Zawadzki, M. N., Grooff, P. N., Mazanec, D. J., & Benzel, E. C. (2005). Acute low back pain and radiculopathy: MR imaging findings and their prognostic role and effect on outcome. Radiology, 237(2).

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