Introduction #
A Pelvis or Hip X-ray is a quick, non-invasive imaging test that uses a low dose of radiation to capture pictures of the bones in the pelvic region. It is often requested to assess fractures, dislocations, degenerative changes, or developmental problems involving the hip joint and surrounding bones.
Although CT scans and MRI provide more detailed images, a Pelvis X-ray remains a first-line investigation because it is fast, inexpensive, and very effective in evaluating bone structures.
This article explains why doctors may recommend a Pelvis X-ray, how the procedure is performed, what to expect, and important safety considerations.
Common Indications for a Pelvis (Hip) X-ray #
Doctors may order this type of X-ray for different reasons, including:
- Detecting fractures or dislocations after trauma
- Investigating persistent hip or pelvic pain
- Monitoring degenerative joint diseases such as osteoarthritis
- Evaluating congenital or developmental problems (e.g., hip dysplasia)
- Assessing possible bone infections or tumors
- Checking bone alignment after surgery or hip replacement
- Identifying changes related to osteoporosis or bone density loss
What parts of my body does a Pelvis X-ray show? #
A Pelvis X-ray gives images of the pelvic bones, hip joints, sacrum, coccyx, and the upper portion of the femur (thigh bone). It also outlines the socket (acetabulum) where the thigh bone fits into the pelvis.
Do I need to prepare for a Pelvis (Hip) X-ray? #
In most cases, no special preparation is needed. You may, however, be asked to remove items such as belts, jewelry, or clothing with metal fasteners around the waist, as they can interfere with the image. A hospital gown may be provided if required.
If you are pregnant or suspect that you might be, it is important to inform your doctor and Radiographer before the test.
Can a pregnant woman do a Pelvis X-ray? #
To protect your baby’s development, we generally avoid X-rays of the pelvic area during pregnancy. If an X-ray is vital for your care—for instance, to check for a fracture after an injury—your team will take every precaution, such as using protective shielding, to ensure the lowest possible radiation exposure.
In less urgent situations, doctors often consider safer alternatives such as ultrasound or MRI, which do not use radiation. The decision is made after careful discussion between the doctor, radiologist, radiographer, and the patient.
What are the common Pelvis X-ray views? #
Depending on your condition, the Radiographer may take one or more of the following views:
- Anteroposterior (AP) view: Taken from front to back; the most common view for showing the entire pelvis and both hips.
- Lateral or frog-leg view: Highlights the hip joint and upper femur more clearly.
- Oblique views: Sometimes used to detect subtle fractures or abnormalities that are not obvious in standard views.
Is a Pelvis (Hip) X-ray uncomfortable or invasive? #
No. A Pelvis X-ray is painless and non-invasive. You will only need to remain still for a few seconds while the image is taken. The Radiographer may adjust your position for clearer views, but the process itself is not uncomfortable.
Can a Pelvis X-ray detect all causes of hip or pelvic pain? #
Not in every case. A Pelvis X-ray can reveal fractures, arthritis, infections, or tumors involving the bones, but it cannot show soft tissues such as ligaments, muscles, or cartilage in detail. If your doctor suspects a soft tissue condition, they may request an MRI or ultrasound for further evaluation.
How often can I do a Pelvis X-ray? #
There is no fixed schedule for Pelvis X-rays. They are only performed when your doctor considers them necessary. Since X-rays involve radiation, repeated or unnecessary scans should be avoided. Your healthcare provider will weigh the benefits against the risks before recommending another X-ray.
Conclusion #
A Pelvis X-ray is a safe, quick, and valuable tool for evaluating bone injuries, hip joint conditions, and certain developmental abnormalities. While it cannot diagnose every pelvic problem, it often serves as the first (useful) step in medical imaging before more advanced scans are considered.
If your doctor recommends this test, rest assured that it is being done to provide essential information for your treatment while prioritizing your safety.