Chiropractic: Advanced Diagnostic Imaging for Seniors with Back Pain?

While most treatment guidelines generally advise against CT/MRI scans for younger adults with new onset back pain, guidelines for older adults allow for early imaging. However, it’s unknown if this improves outcomes or possibly worsens them if such imaging leads to treatments that may have serious adverse effects. To find out, researchers followed 5,239 seniors for the year after their initial visit regarding back pain. Of the group, 349 received either a CT or MRI scan within six weeks of their first appointment. One year later, outcome assessments focused on measuring disability found that early advanced imaging was not associated with better treatment outcomes. JAMA, March 2015