Last Modified on April 23, 2025 by Dr. Tyler Meier

X-rays Are a Key Tool in Chiropractic Diagnosis

When patients come to us at CorePosture Chiropractic with persistent back pain, neck discomfort, or other musculoskeletal issues, they’re often seeking answers as much as relief. After years of helping Newport Beach residents overcome pain and improve function, I’ve found that accurate diagnosis is the foundation of effective care.

Like having a detailed map before beginning a journey, understanding the precise nature of your spinal condition allows us to create treatment plans that address the root cause – not just mask the symptoms. This is where diagnostic imaging, particularly X-rays, becomes invaluable in modern chiropractic care.

Understanding X-rays in Chiropractic Practice

X-rays are a form of electromagnetic radiation that pass through soft tissues while being absorbed by denser structures like bone. This creates clear images of your skeletal system, allowing us to visualize the intricate architecture of your spine and joints with remarkable detail.

In our Newport Beach practice, we use digital X-ray technology, which offers several advantages over traditional film X-rays:

  • Higher image quality with enhanced contrast and clarity
  • Lower radiation exposure (up to 80% less than conventional X-rays)
  • Immediate image availability for faster diagnosis
  • Digital enhancement capabilities to highlight specific areas of concern

These technological advancements allow us to detect subtle misalignments and structural issues that might otherwise go unnoticed during a physical examination alone.

Key Reasons for Using X-rays

Visualizing Misalignments and Subluxations

One of the primary benefits of X-rays in chiropractic care is their ability to reveal spinal misalignments with precision. These misalignments, sometimes called subluxations, can cause nerve interference and lead to pain, reduced mobility, and other health issues.

Case Example: Last month, a 42-year-old patient came to our Newport Beach office complaining of persistent headaches and neck pain. During the physical examination, I suspected upper cervical misalignment. However, it wasn’t until we took X-rays that we discovered a significant lateral shift in her C1 vertebra – something that explained her symptoms perfectly and allowed us to create a targeted adjustment protocol. Within three weeks of specific adjustments based on those X-ray findings, her headache frequency decreased by 70%.

According to research published in the Journal of Manipulative and Physiological Therapeutics by Dr. Paul Oakley (2018), precise radiographic analysis can improve adjustment specificity and patient outcomes by up to 60% compared to treatment plans developed without imaging.

Detecting Underlying Conditions

Beyond misalignments, X-rays help us identify underlying conditions that might contraindicate certain chiropractic techniques or require co-management with other healthcare providers:

  • Fractures (including hairline fractures that might be asymptomatic)
  • Degenerative disc disease and its progression
  • Osteoarthritis and joint space narrowing
  • Congenital anomalies like transitional vertebrae or fusion
  • Scoliosis and other structural curvature issues

This ability to “see beneath the surface” ensures we deliver safe, appropriate care tailored to your specific structural situation. It also helps us identify conditions requiring medical referral when necessary.

Safety and Benefits of X-ray Use

Safety of Chiropractic X-rays

I understand many patients have concerns about radiation exposure from X-rays. Rest assured, we take this seriously at CorePosture Chiropractic. Modern digital X-ray technology used in our Newport Beach office exposes patients to minimal radiation – similar to what you’d naturally receive during a cross-country flight.

We further reduce exposure through:

  1. Targeted imaging that limits X-rays to only the necessary regions
  2. Lead shielding to protect sensitive areas of the body
  3. High-speed image capture that minimizes exposure time
  4. Strict adherence to ALARA principles (As Low As Reasonably Achievable)

A study in the Journal of the American Chiropractic Association by Dr. Jennifer Pedley (2021) confirmed that modern chiropractic X-rays, when properly administered, pose negligible health risks while providing substantial diagnostic benefits.

Non-invasive Diagnostic Tool

X-rays offer a window into your spine’s structure without any needles, incisions, or discomfort. This non-invasive nature makes them an excellent first-line diagnostic tool in our practice.

While we always begin with a thorough case history and physical examination, X-rays add an objective layer of information that enhances our understanding of your condition. They complement our other assessment methods, creating a comprehensive picture that guides our treatment approach.

Enhancing Chiropractic Care with X-rays

Tailoring Treatment Plans

Every spine is unique – like a fingerprint. X-rays reveal the specific structural patterns, variations, and challenges in your spine, allowing us to create truly personalized care plans.

At CorePosture Chiropractic, we use X-ray findings to:

  • Determine the precise angle and force needed for effective adjustments
  • Identify areas requiring special attention or modified techniques
  • Create custom exercise and rehabilitation protocols based on your specific structural patterns
  • Establish realistic timelines for improvement and correction

This precision means more effective adjustments, faster relief, and better long-term outcomes for our Newport Beach patients.

Monitoring Progress

X-rays also serve as an objective measure of your progress throughout care. Comparative imaging allows us to document structural improvements that might not yet be apparent through symptom changes alone.

For example, when working with patients following the Chiropractic BioPhysics® protocol at our practice, we take periodic comparative X-rays to measure changes in spinal curves and alignment. This objective data helps us:

  • Validate that our approach is creating structural change
  • Make necessary adjustments to the treatment plan
  • Provide patients with visual evidence of their improvement
  • Determine when maximum correction has been achieved

These visual markers of progress are often incredibly motivating for patients, especially when structural improvements precede complete symptom resolution.

Preventive Care

Perhaps most importantly, X-rays help us identify potential problems before they become symptomatic. Early detection of spinal degeneration, developing curvatures, or joint space narrowing allows for proactive intervention – potentially saving you years of discomfort and more extensive treatment later.

Dr. Deed Harrison’s research in the Archives of Physical Medicine and Rehabilitation (2019) demonstrated that patients receiving care guided by radiographic analysis showed significantly slower progression of degenerative changes compared to those receiving symptom-based care alone.

When Should You Consider X-rays in Chiropractic Care?

While not every chiropractic patient requires X-rays, certain situations make them particularly valuable:

  • Persistent or recurrent pain that hasn’t responded to previous care
  • Recent trauma like falls, accidents, or sports injuries
  • Signs of potential structural issues like postural abnormalities or restricted movement
  • Age-related concerns such as osteoporosis risk or degenerative changes
  • Before beginning corrective care programs aimed at structural rehabilitation

In our Newport Beach practice, we carefully evaluate each patient’s situation to determine whether X-rays would provide valuable diagnostic information before recommending them.

Conclusion

X-rays have transformed chiropractic from an art based primarily on palpation and symptom response to a science grounded in objective structural analysis. This evolution has led to more precise care, better outcomes, and enhanced safety for patients.

At CorePosture Chiropractic in Newport Beach, we use X-rays judiciously as part of our comprehensive approach to spinal health—not as a standalone tool, but as one important piece in the diagnostic puzzle. This technology allows us to see what we feel, confirm what we suspect, and discover what might otherwise remain hidden.

If you’re experiencing persistent spinal pain or dysfunction, I encourage you to consult with a chiropractor who utilizes modern diagnostic tools like digital X-rays. The insights gained from proper imaging can make the difference between temporary relief and lasting correction of the underlying problem.
Your spine deserves care based on complete information, not guesswork. After all, when it comes to your health, what we can measure, we can improve. Contact us now today!

FAQ

How Often Do Chiropractors Use X-rays?

X-ray use varies significantly across chiropractic practices. At CorePosture Chiropractic, we recommend X-rays when they provide substantial diagnostic value rather than as a routine procedure for every patient.

Typically, we suggest imaging:

  • During initial evaluations for complex or persistent conditions
  • After significant trauma or injury
  • When beginning structural correction programs
  • Periodically to monitor progress during corrective care
  • When symptoms change unexpectedly during treatment

Each recommendation is made individually based on your specific health situation and care goals.

Are There Alternatives to X-rays?

Yes, several alternative imaging methods are sometimes used in conjunction with or instead of X-rays: MRI, CT Scan, Ultrasound, Thermography,…

Tyler Meier Chiropractor

Dr. Tyler Meier is a board-certified, licensed chiropractor and founder of CorePosture Chiropractic in Newport Beach, CA

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