People with osteoarthritis may have ongoing issues that are not completely managed by the interventions prescribed. While there are times where imaging is clearly indicated (e.g. with a history or worsening symptoms triggered by trauma) it is not apparent whether it provides any benefit using it more widely as management plans are made predominantly on the basis of symptoms and function. There is concern about the resource impact for the NHS if imaging is widely used without leading to a change in the person’s management.