No, not to begin with, unless your back has suffered a blow in connection with a fall or an accident. Today, we know that symptoms are rarely linked to changes inside the body. This makes the diagnosis more clinically oriented, which means that it is based on your symptoms and the description of your problems. In this way, the treatment also becomes more centered around reducing symptoms and problems in everyday life, and less focus is placed on what is seen – or not seen – on X-rays. You do not need to have had an X-ray to start treatment with Joint Academy.