X-ray technicians specializing in diagnostic imaging of skeletal illnesses can perform such procedures using radiographic imaging. Such a comprehensive analysis draws attention to X-ray technicians' multidimensional obligations and contributions, pointing out their efforts to ensure early detection, accurate diagnosis, and effective therapy of any skeletal disorder. This review aims to explain the difficulties, innovations, and best practices associated with the role of an X-ray technician and skeletal imaging while thoroughly reviewing the primary literature. Similarly, recommendations are made to improve the effectiveness and efficiency of X-ray technicians in delivering this kind of imaging service, thus increasing the competence of medical treatment and reducing the strain on the medical system.