What is an X-ray?

An X-ray is a powerful kind of light that goes through your body so doctors can take pictures of your bones and inside parts.

X-rays are quick, painless, and usually done in a hospital or clinic. A trained professional called a radiographer operates the X-ray machine. The pictures taken are then looked at by a specialist doctor called a radiologist, who writes a report for the doctor who sent you for the test.

How an X-ray Works

An X-ray machine sends a small dose of radiation through your body. Different parts of your body absorb the X-rays in different amounts. Dense materials like bone absorb more X-rays and appear white on the image. Softer tissues, like muscles and skin, absorb fewer X-rays and look darker.

You cannot feel X-rays passing through you, and the test is over in seconds. The machine captures the image and sends it to a computer or develops it onto film so the medical team can view it.

What can an X-ray detect?

X-rays are extremely versatile and can be used to detect or monitor a wide range of conditions. In some cases, X-rays are also used as a guide during certain treatments, such as checking the placement of medical devices or feeding tubes

When would I need an X-ray?

Doctors may suggest an X-ray for many reasons. It can help check for broken bones after an accident, look for infections, or see changes in joints. X-rays are also used to:

  • Find problems in teeth and jaw.

  • Look for chest infections like pneumonia.

  • Check bone alignment after treatment.

  • Spot certain tumours or growths.

Sometimes an X-ray is the first test a doctor orders before deciding if more detailed scans are needed.

What Happens Before the X-ray

Before the X-ray, you may be asked to remove jewellery, glasses, or anything metal that could affect the image. You might need to wear a hospital gown if the area being checked is covered by clothing with zips or buttons.

If you are having an X-ray of your chest or limbs, you will be shown exactly how to stand, sit, or lie down so the machine can take a clear picture. For some types of X-rays, a special dye called a contrast medium might be used to highlight certain areas, but this is less common than with other scans.

During the X-ray

The radiographer will position you so the part of your body being examined is between the X-ray machine and a detector or plate. You may be asked to stay still or hold your breath for a few seconds to avoid blurring the image.

The radiographer will usually step behind a screen or into a control room when the X-ray is taken, but they can still see and hear you at all times. The process is quick, and you will not feel anything while it is happening.

After the X-ray

You can normally go home straight after the test and carry on with your day as usual. If a contrast dye was used, you may be advised to drink more fluids to help flush it from your system.

A radiologist will review the X-ray and send a report to your doctor. Your doctor will then explain the results to you and, if necessary, discuss any next steps in your care.

Simple carousel diagram to show the X-ray scan procedure.

Are there different types of X-rays?

Yes — X-rays can be adapted for different medical needs:

  • Standard X-ray – Most often used for bones, chest, and joints.

  • Dental X-ray – Used in dental practices to check teeth and jaw health.

  • Fluoroscopy – A moving X-ray that allows doctors to see inside the body in real time, often used during certain procedures.

  • Mammogram – A special X-ray for breast screening.

  • Contrast X-ray – Uses a special dye to highlight specific areas such as the digestive tract or blood vessels.

Your healthcare provider will choose the most appropriate type based on your symptoms.

Safety and Risks

X-rays use a small amount of radiation. For most people, the amount is low and considered safe. Doctors only recommend an X-ray when the benefits outweigh the risks.

Pregnant women are usually advised to avoid X-rays unless absolutely necessary, to protect the baby. If you think you might be pregnant, it is important to tell the radiographer before the test. You can read more about X-ray safety on the NHS website.

X-ray Scan Totals in the UK

Total number of X-rays conducted in the UK between 2022 and 2024.

From 2021 to 2024, NHS England X-ray numbers rose from about 16.8 million to an estimated 22.2 million. The sharp increase after 2021 reflects recovery from COVID-19 disruptions, with activity stabilising at high levels in 2023 and 2024.

Alternatives to X-rays

In some cases, another type of scan may be more suitable:

  • MRI scan – No radiation, better for soft tissue detail.

  • Ultrasound – Good for examining soft tissues and blood flow.

  • CT scan – More detailed than a standard X-ray but with a higher radiation dose.

Some quick key facts to take away

  • X-rays are quick, painless, and widely used in healthcare.

  • They help detect broken bones, chest conditions, and dental issues.

  • They involve a small dose of radiation, with extra precautions for children and pregnant women.

  • Available through the NHS for free, or privately for a fee.

  • Different types exist for different medical needs.

Disclaimer: Seonat provides general health information for educational purposes only. This content is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your GP or another qualified health provider with any questions about a medical condition or before making health decisions.

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Please note: we are not medical professionals, and the content on this website is for general information only. Always speak to a qualified healthcare provider for medical advice.

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