This very much depends on your individual presentation, including age and any existing health conditions, as well as what your presenting complaint is (ie. why are you going to see the chiropractor), and what type of care the chiropractor is recommending to provide.
X-rays are very useful in diagnosing many skeletal pathologies as well as assessing biomechanical changes and appropraiteness for certain treatments.
In most cases, radiographs will not diagnose a cause for non-specific low back pain (acute or chronic), but there can often be other things on your x-ray which may significantly impact the type of adjustments a chiropractor does on you. Some abnormalities can be present which would contraindicate chiropractic manual adjustments, but you may not know they exist. In such cases, chiropractors may modify the care they intend to provide or refer you to another provider. Examples may include:
1. osteoarthritis where the chiropractor may need to modify their adjustments, including the level of adjustment and how often they need to see you which can affect your overall prognosis - ie. how long it will take to make you feel better and whether the pain is likely to return.
2. osteoporosis - conditions like this and other metabolic conditions may affect the type of care a chiropractors provides.
3. History of inflammatory diseases. sometimes the chiropractor may require an x-ray, not to diagnose a new problem, but merely to assess suitability of care. If you have ankylosing spondylitis or rheumatoid arthritis, there are many factors which must be identified on x-ray to prevent an adverse effect from a manual chiropractic adjustment. In such cases, your chiropractor may modify the care proposed.
To answer your question, it depends on the individual.
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