Connect with others who understand.

  • Learn from expert-reviewed resources
  • Real advice from people who’ve been there
  • People who understand what you’re going through
Sign Up Log In
Powered By
Real members of MyChronicPainTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A MyChronicPainTeam Member asked a question 💭
Paris, TN

I went to the doc the other day i wanted to get an MRI on my lower back the doc told me that i have to have an x-ray first (which i understand that) then she said i needed to take 6 weeks of physical therapy then i could get an mri i have cervical stenosis and myelopathy. Is it standard to have physical therapy before getting an mri

August 5, 2018
 · 
Reactions

Answer Summary

Members overwhelmingly agreed that the requirement for physical therapy before an MRI is likely an insurance mandate rather than medical... Read more

Members overwhelmingly agreed that the requirement for physical therapy before an MRI is likely an insurance mandate rather than medical necessity, with many expressing frustration that insurance companies now dictate care protocols even when doctors know what tests are truly needed. Several members shared similar experiences of being required to complete less expensive treatments or tests first, including X-rays and physical therapy, before insurance will approve more costly imaging like MRIs, even in cases of serious injury such as torn knee tendons. A recurring theme was empathy for the original poster's situation and encouragement to persist in advocating for needed care, with members acknowledging the added difficulty of navigating these barriers without insurance coverage.

A MyChronicPainTeam Member

Physical therapy is one way to try and get ahead of the pain and to see what your tolerance is. Sometimes just working those muscle groups and or areas of pain with a exercise routine can be very beneficial. It’s one more way for your doctor to try and help with pain management.

September 3, 2018
A MyChronicPainTeam Member

It’s true 😞 unfortunately most things just won’t show up on an X-ray but insurance companies want it done first before an MRI can be ordered. Hang in there!

September 2, 2018
A MyChronicPainTeam Member

They have different protocols and they’re using them more these days. It also depends on what you’ve had done before. If you try physical therapy and it’s too painful I’m sure they would then do the MRI right away!

August 26, 2018
A MyChronicPainTeam Member

@A MyChronicPainTeam Member, your insurance may not have same rules. It is very plan specific and insurance specific.

August 6, 2018
A MyChronicPainTeam Member

@A MyChronicPainTeam Member, in this situation, the new Dr won't help. Many insurances have a hierarchy of tests in an order they must be done or insurance won't pay. The Dr may know that he needs a certain test. The X-ray won't tell him what he needs to know, but the insurance will not pay for the other test unless you take the X-ray first. It is crazy because it ends up costing more money. Maybe they figure you will give up and they won't have to pay for the MRI. However, in order to get insurance to pay, the X-ray must be done first.

August 5, 2018 (edited)

Related Questions

View All
A MyChronicPainTeam Member asked a question 💭
Rigby, ID

A MyChronicPainTeam Member asked a question 💭
Pontypridd, UK

A MyChronicPainTeam Member asked a question 💭
Calgary, AB

Continue with Facebook
Continue with Google
By joining, you accept our Terms of Use, and acknowledge our collection, sharing, and use of your data in accordance with our Health Data and Privacy policies.
Already a member? Log In