Book Now

X-rays, CT Scans and MRIs: Key Differences You Need to Know

Back Pain & Injuries

Published: January 28, 2025
Last Updated: September 3, 2025

When it comes to understanding X-rays, CT scans, and MRIs, imaging tools play a vital role in assessing your body’s health. These methods, including X-rays CT scans MRIs, help healthcare providers—including chiropractors—identify potential issues and create effective treatment plans. However, each tool works differently, shows unique details, and is used for specific purposes.

This blog will explain the differences between these imaging techniques, including X-rays, CT scans and MRIs, the levels of radiation involved, and why chiropractors primarily use X-rays while referring out for CT scans or MRIs when further testing is necessary.

X-rays, CT scans and MRIs: Which Imaging Tool Is Right for You?

2 X-ray views of the spine

X-rays, CT scans and MRIs

X-rays are the most commonly used imaging tool, especially in chiropractic care. They use a small dose of radiation to create a two-dimensional image of the bones and joints.

Best for:

  • Evaluating bones and detecting fractures.
  • Assessing spinal alignment and curvature.
  • Identifying arthritis or other degenerative changes.

CT Scans

CT (computed tomography) scans combine multiple X-rays taken from different angles to create a detailed, three-dimensional image of the body. These are more detailed than standard X-rays and are typically used to investigate complex issues.

Best for:

  • Examining fractures or bone abnormalities in greater detail.
  • Detecting tumors or internal injuries.

MRIs

MRI (magnetic resonance imaging) uses magnetic fields and radio waves to create detailed images of soft tissues, such as muscles, discs, and nerves. Unlike X-rays or CT scans, MRIs don’t involve radiation.

Best for:

  • Diagnosing disc herniations, nerve compression, or soft tissue injuries.
  • Examining muscles, ligaments, and other soft tissues.

Understanding X-rays, CT Scans, and MRIs in Chiropractic Care

At Sante Chiropractic, X-rays are commonly used during the initial evaluation. CT scans and MRIs are referred out when more detailed imaging is required.

X-rays

Chiropractors frequently use X-rays to assess spinal alignment, identify degeneration, and rule out serious conditions.

Why chiropractors use X-rays:

  • To evaluate spinal alignment and curvature.
  • To identify fractures or other conditions that could affect treatment.
  • To understand the degree of degeneration, such as arthritis or disc thinning.

CT Scans and MRIs

CT Scan showing the details of the head, neck and upper shoulder area

CT scans and MRIs are typically not part of routine chiropractic care but are recommended in more complex cases. Chiropractors refer patients to specialists for these imaging methods.

When they are needed:

  • CT scans: When examining a complex fracture or structural abnormality.
  • MRIs: To diagnose soft tissue injuries like herniated discs or nerve compression.

Radiation Levels: X-rays, CT Scans and MRIs

When understanding X-rays, CT Scans, and MRIs, knowing the radiation exposure levels is important.

X-rays

  • Radiation dose: A spinal X-ray involves 0.2-1.5 millisieverts (mSv), which is equivalent to 1-6 months of natural background radiation.

CT Scans

  • Radiation dose: CT scans involve higher radiation exposure, typically 6-10 mSv, equivalent to 2-3 years of background radiation.

MRIs

MRI results with a doctor pointing his finger at the lower back vertebrae
  • Radiation dose: None! MRIs use magnetic fields and radio waves instead of radiation, making them a safer choice for imaging soft tissues.

Why Do Chiropractors Use X-rays on the First Visit?

At your first visit to Sante Chiropractic, an X-ray may be recommended to ensure the best possible care. Here’s why:

To Rule Out Serious Conditions

X-rays help chiropractors detect fractures, tumors, or infections that could impact your treatment plan.

To Assess Spinal Alignment and Curvature

Your spine’s natural curves are essential for balance and movement. X-rays allow chiropractors to evaluate whether these curves are normal or if there are misalignments.

To Understand Degeneration

Wear and tear on the spine can lead to conditions like arthritis. X-rays provide insight into the level of degeneration to guide personalized care.

When Are CT Scans and MRIs Necessary?

If your chiropractor suspects a more complex issue, such as severe nerve compression or a herniated disc, they may recommend additional imaging through a CT scan or MRI. These tools are ideal for:

  • Diagnosing soft tissue injuries (MRI).
  • Detailed examination of bone structure (CT scan).

In these cases, your chiropractor will refer you to a trusted imaging center or physician for further evaluation.

Your Takeaway

Understanding X-rays, CT Scans and MRIs is essential for making informed decisions about your health. At Sante Chiropractic, X-rays are used to gain a clear understanding of your spine’s health and to rule out any underlying conditions. CT scans and MRIs are reserved for more complex cases and are performed by specialists.

a chiropractor reviews x-rays, CT Scans and/or MRIs to assess your spine - demonstrate the misaligned vertebrae with a model

If your chiropractor recommends an X-ray, rest assured it’s a safe and effective tool to get a complete picture of your spinal health. Curious about what imaging might be right for you? Contact us today at Sante Chiropractic to schedule a consultation.

Recent Posts

Can Poor Posture Cause Fatigue? How Posture May Affect Your Energy

By Dr. Nathalie Beauchamp, B.Sc., D.C., IFMCP | Founder, Santé Chiropractic and Wellness Centre, Ottawa Quick answer: Yes, poor posture can contribute to fatigue. When your head and shoulders shift forward, the muscles supporting your neck and upper body may have to...

Is Your Mattress Causing Back Pain? Here’s How to Tell

Have you ever climbed out of bed thinking, "I must have slept wrong"? If you regularly wake up with back pain, you're not alone. One of the first things many people blame is their mattress. A mattress can absolutely contribute to discomfort, but it's often just one...