Thanks very much for the responses. The person reading the XR was the on call doctor who ordered the XR when we went to the ER and she looked at the film during our ER visit. In our small town of 30,000 we don’t have a radiologist. The ER doc never mentioned going beyond an XR so I didn’t feel that I could ask her whether the situation warranted an MRI. I like the possibility presented - that my wife’s situation could be one that might be alleviated by myofascial release so I think we’ll explore that option as it’s a fairly simple one to pursue. Thanks again for your input - it was appreciated.