This is the first time i've hadlow back pain. will i have to have x-rays on my first visit to the doctor?

No: The recommendations for treatment of low back pain involve identifying a trigger and conservative treatment. Things like anti-inflammatories, muscle relaxants, heating pads or ice packs, and stretching are first line therapy. If your pain fails to improve then an xray would be considered. Of course, if you have numbness or loss of bladder/bowel control you will most definitely need imaging.

No: Generally an x-ray is not necessary for your first visit for back pain. The exception might be if you had trauma to your back (car accident, fall from a ladder, etc.) the great majority of the time only conservative measures are needed for back pain, such as anti-inflammatory medications, rest, stretching, and physical therapy. Consult your doctor if your symptoms worsen.

No: If your doctor determines that you need imaging to better understand your back pain, i strongly recommend getting an MRI rather than xray. Mri is much better at finding the cause.

Depends: Every person with back pain presents differently. if needed the Dr. will order them.