Dr. Jodie Schultz
I utilize x-rays in my practice and am of the opinion that they are a vital factor for guiding and dispensing the treatment method I use as well as evaluating and educating the patient about themselves.
required. Just like a dentist, taking a set of X-Rays allows us to see
anything under the gums or muscles that may be contributing further for a
patient's problem. Also allowing us to see any underlying problems before
it manifests into an injury. It is very common practice to have an initial
set of X-Rays taken if you are new to a doctor's practice.
abnormality. Some Chiropractors do not take x-rays but I feel it is good to
Christopher A. Bowers, D.C., C.C.E.P
Chiropractic Clinic Of Iowa
214 Blairs Ferry Rd NE
Cedar Rapids, Iowa 52402
Phone: (319) 378-1515
Fax: (319) 378-9292
Cell: (319) 651-2165
Michael LoGiudice, DC
or to create more of a clear understanding of what the issue may be.
Sometimes there are things going on that the doctor is unable to feel with
his or her hands on examination. Some chiropractors routinely take x-rays
if they are working on spinal curvature correction.
for no other reason than knowing and understanding the underlying
structure. About 95% of my patients will require films before any treatment
is performed. The other 5% fall into the too young to justify or muscular
condition which is expected to resolve with care. Some of my chronic pain
cases will get xrays so I can know how much wear and tear
(arthritis/degeneration) has developed of the years, others with acute
traumatic injuries will receive films also.
they move the bones in your spine, and if any of them have congenital
abnormalities (birth defects that are considered normal) then it may alter
the course of treatment. So, I use x rays to help determine the safety of
treatment when patients have any history of congenital abnormalities or if
they have severe pain patterns and/or neurological conditions such as
sciatica. Usually if the doctor does not take x rays on the first visit
they may wait and see how the patient responds to care before determining
the need of more advanced imaging such as x rays. The only exception to
this rule is trauma like a motor vehicle accident or fall and x rays are
almost always used to rule out any type of fracture, dislocation or other
serious damage that would require immediate medical attention.
*Yours in Health,*
*Dr. Weston Zenner, D.C.*
Indian Creek Natural Medicine
10464 Metcalf Ave
Overland Park, KS 66212
We are well trained in the physics and
positioning for x-Ray procedures.
Also we are extremely qualified in the interpretation
of the film.
must take films to see what the problem is and how bad it is. This is the
resoonsible thing to do. I will not put my hands in anyone without proper
films first as that would be guessing and therefore subpar care.
There is a lot to learn about your body from xrays and they are the key to
unlocking the best healing potential out of wach patient.
I am glad you found a doctor that is not willing to guess with your health.
Good for you...
Dr Robert Arnone
St Charles, MO
individual patient's presenting complaint and a thorough health history.
In most situations, xrays are performed in the office. If an office
doesn't have in house xray machine, then a patient is referred to a
Yours in health,Dr. Chris
Dr. Juanee Surprise, DC. NMD, DCBCN, BCIM, IMD
conditions, but also to see the health of your spine, alignment if your
vertebra and other possible complications to your adjustment.
Some chiropractors do, some don't. Personally I choose not to x-ray everybody on intake because an x-ray will usually not change the treatment protocol, and I do everything I can to avoid radiation exposure for myself and patients. If there is a history of cancer, osteoporosis, or an injury which may have caused a fracture or some type of damage to the spine, or the patient is not responding to treatment as expected, then x-rays are indicated and I send patients off site to get them. I take a very detailed health history and do very gentle chiropractic adjustments, usually with an activator which has no history of injuring the spines of patients. Some chiropractors are more "rack and crack" docs who rush you in and out with a heavy handed adjustment and probably are wise to X-ray. Some do it to show the patient scoliosis or other problems in curvatures of the spine in order to show the patient why they need chiropractic care. The problem with using it to identify curvatures or educate their patient is that x-rays don't show everything. Also curvature can be changed dramatically depending on how a person stands during the x-ray. A disc herniation which is a very common problem seen in practice is not seen on x-ray, you must get an MRI for that. Also, osteophytes or arthritic changes may or may not affect the outcome of treatment. In my experience, function does not always follow structure, meaning that you can have a pretty "ugly" arthritic spine on x-ray and still have full range of motion and be pain-free, or you can have a very "clean" looking spine and be unable to move.. If X-rays did not subject the patient to radiation I would say it's ok to do them without cause if the patient wants to pay for them, but for me the risk of subjecting a patient to radiation outweighs the risk of missing a pre-existing condition. I hope that helps!
Great question. Yes, it is very common. It is best to determine if you are a chiropractic patient. Also, to determine if we need to refer you out to a specialist or co-treat with your PCP. Usually with children and preganant women I will not do xrays, unless it's the cervical or upper thoracic region. For MVA (motor vehicle accidents) then its an x ray for that patient. No way around it.
diagnostic tool, when clinically indicated. Most routine x-rays that are
taken in the absence of clinical signs and symptoms will be negative and
yield little additional evidence or information that might impact clinical
decision making. Routine x-rays by Chiropractors, in the absence of solid
clinical indications, are much less common than they were two or three
decades ago. Generally, in the absence of trauma, chronicity or severe
symptoms an adequate history and examination will allow an experienced
doctor to arrive at a diagnosis and formulate an appropriate treatment
plan. Should the patient fail to respond to the treatment as expected, an
x-ray would then be appropriate for further investigation. The use of
x-ray as a routine screening tool exposes the patient to doses of ionizing
radiation that are unnecessary and potentially harmful, and adds to the
cost of care. Not having any more information about your own reasons for
visiting the Chiropractor I can not comment on the efficacy of the x-rays
taken or the doctors reasoning for doing so. Something noted in your
health history or current clinical symptoms might have prompted the DC to
obtain the x-rays to aid in the diagnosis or formulate a treatment plan. I
hope you are getting the help you need.
J.L.Harris DC, FACO
pay for an X-ray. The criteria has changed drastically in the past few years, mainly as a means to save money in my opinion. X-rays are very inexpensive in light of the information they give....a picture is worth a thousand words!! I feel
I can serve my patients more efficiently when I see their X-ray. Many findings are not palpable, and I wouldn't know without the X-ray. I do what is best for my patients, which isn't always what insurance covers, but most people choose to pay for these beneficial services out of their pocket if necessary!
Dr. Neil K. Pai, D.C., F.A.S.A.