FAQ: MRI for Chronic Back Pain With Normal X-rays

What does “chronic back pain with normal X-rays” mean?

This describes back pain that persists for weeks or months, yet X-ray findings do not explain the symptoms. X-rays mainly show bones and alignment; they often miss problems involving discs, nerves, ligaments, and other soft tissues.

If my X-ray is normal, does that mean nothing is wrong?

Not necessarily. A normal X-ray does not rule out:

• Disc degeneration or bulge

• Nerve irritation or compression

• Facet joint inflammation

• Ligament or soft-tissue injury

MRI is designed to evaluate these structures in detail.

When should an MRI be considered for chronic back pain?

An MRI is commonly considered when:

• Pain persists beyond 4–6 weeks

• Symptoms keep recurring

• Pain affects work, sleep, or daily function

• X-rays do not explain the severity of symptoms

• Treatment decisions depend on knowing the exact pain source

Why is MRI more useful than X-ray in this situation?

MRI can visualise:

• Intervertebral discs

• Nerve roots and spinal canal

• Soft tissues and ligaments

• Inflammatory or degenerative changes

This helps identify hidden causes of pain that are invisible on X-rays.

What symptoms suggest MRI is especially helpful?

MRI is often useful when chronic back pain is associated with:

• Leg pain, numbness, or tingling

• Weakness

• Pain that worsens rather than improves

• Poor response to physiotherapy or medication

These features suggest the pain may not be purely muscular.

How long does it take to get an MRI in Singapore?

This depends on where you go:

• Public hospitals:
  Non-urgent outpatient MRI appointments may take weeks or more, depending on demand and prioritisation.

• Private or clinic-based options:
  MRI scans are typically arranged much faster.

At The Pain Relief Clinic, spine MRI scans for chronic back pain can typically be arranged within one working day, subject to clinical assessment.

How much does an MRI cost for chronic back pain?

Costs vary by provider and scan complexity:

• Public hospitals:
  Lower out-of-pocket cost due to subsidies, but longer waiting times.

• Private hospitals / imaging centres:
  Higher and often variable pricing.

• The Pain Relief Clinic:

  • Clear upfront pricing, typically under S$1,000 for common outpatient spine MRI scans

  • Costs explained before proceeding, reducing uncertainty

Do I need to go to a separate imaging centre?

Often, yes. Many patients need to:

• See a doctor at one location

• Travel to a separate imaging centre

• Return later for review

At The Pain Relief Clinic:

• MRI coordination is handled within the same clinic system

• No off-site imaging travel

• Faster review and smoother coordination

Can Medisave be used for MRI in chronic back pain cases?

Yes. Medisave can be used for outpatient MRI scans, subject to prevailing outpatient diagnostic limits.

Patients can clarify:

• Eligibility for Medisave usage

• Expected out-of-pocket cost
  before proceeding.

Are insurance claims or instalment options available?

Depending on coverage, patients at The Pain Relief Clinic may access:

• Insurance claim support (corporate and personal plans, subject to insurer rules)

• Cashless arrangements where applicable

• Interest-free instalment plans

• Cash and card payments

This flexibility helps manage ongoing medical expenses.

What happens after the MRI?

After imaging:

• Findings are reviewed alongside symptoms and examination

• The underlying cause of pain is explained clearly

• Next steps may include targeted conservative care, further evaluation, or referral if needed

Accurate imaging helps avoid prolonged guesswork and ineffective treatment cycles.

Key Takeaway

Chronic back pain with a normal X-ray does not mean the problem is “all in the muscles.” MRI often provides the missing information needed to guide appropriate care.

In Singapore:

• Public hospitals offer subsidised scans but may involve waiting weeks or more

• Private hospitals provide faster access with variable pricing

• The Pain Relief Clinic offers a practical option with:

  • Clear upfront pricing under S$1,000

  • Fast MRI arrangement

  • No off-site imaging

  • Flexible payment options, including Medisave, insurance, cashless and instalments