Imaging After a Work Injury: When X-rays and MRI Are Ordered
By Work Comp Chicago Editorial Staff · Published · Last reviewed
Why imaging is not automatic
Many work injuries are strains and sprains that are diagnosed by history and examination and treated the same way whether or not a picture is taken. Ordering imaging for every injury adds time without changing the plan.
When an X-ray is ordered
An X-ray shows bone. It is ordered when the exam raises concern for a fracture or dislocation, after a significant fall or impact, or when there is deformity, inability to bear weight, or point tenderness over bone.
When an MRI is ordered
An MRI shows soft tissue: discs, ligaments, tendons and cartilage. It is ordered when symptoms suggest a disc problem with nerve involvement, a ligament or cartilage tear, a tendon tear, or when a strain is not improving on a reasonable plan.
What happens after imaging
The provider reviews the results with you, adjusts the treatment plan, and refers to a specialist when the findings call for it. Results are documented in your file and, with your written authorization, sent to the parties handling your claim.
Common questions
Can I ask for an MRI?+
You can always ask. The provider will explain whether the exam supports it and what it would change about your treatment.
Who pays for imaging on a work injury?+
For a covered work injury, the provider bills the employer or its insurer directly. Imaging ordered as part of your treatment follows the same process; staff can explain how it applies to you.
Does imaging delay treatment?+
Usually not. Treatment for pain and movement can begin while imaging is scheduled, unless the provider needs the result before starting.
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This page is general information and is not medical or legal advice.