Does everyone who sees a chiropractor or other allied health professional need an X-ray or diagnostic imaging?

No. X-rays are not routinely ordered and only needed when clinically indicated. Indications for ordering an X-ray or other diagnostic imaging would include a history of acute trauma, cancer, infection, worsening pain of over 6 weeks duration or a failure to respond to conservative management. If this is not the case then in the vast majority of cases X-rays are not necessary as they will not alter the diagnosis or conservative management of the condition.

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