A post in my neighborhood Facebook group said, “Looking for a new chiropractor. Tired of not knowing what I pay beforehand and the countless x-rays before adjustment.”
Ouch. But honestly, I can’t blame them.
(Back when X-rays were taken just for fun and shoe stores did X-rays of feet ⬇️)
Do chiropractors take X-rays of every patient before an adjustment? The short answer is no, not always. I don’t believe in a one-size-fits-all approach. Every patient is unique; X-rays are only one tool in the larger diagnostic picture. Let’s break this down.
When Are X-Rays Necessary?
I take X-rays when I feel they’re necessary based on a patient’s history and current condition. For instance, if you’ve experienced:
- A car accident at any point in your life.
- Years of high-impact sports such as gymnastics, hockey, football, or running, and yes, even if this was in high school 20 years ago.
- A desk job that’s contributed to posture issues.
- Pain that started in one area (like your lower back) and now radiates to another (like your leg).
- Persistent issues you *think* are unrelated to chiropractic such as digestive issues (may indicate underlying inflammation), or headaches (may indicate prior whiplash, or changes from poor posture or grinding your teeth, for example).
I am a detective when it comes to your health and these factors, along with others, guide my decision to use X-rays—not as a routine step, but as a personalized diagnostic tool.
When I Might Choose Not to Take X-Rays
If a patient is pregnant or prefers not to have X-rays, I respect their decision. In these cases, I rely on a thorough consultation and intake process to determine whether it’s appropriate to move forward with care. However, there are instances when I feel X-rays are critical—such as for patients with a history of cancer or surgeries involving the neck or back.
How X-Rays Work in My Office
If X-rays are warranted, the process is quick and efficient. I have a digital X-ray machine in my office, which means we can capture images and review them together immediately. I often show patients sample X-rays alongside their own, helping them understand what we’re seeing and how it relates to their condition.
What About Costs?
I believe in transparency when it comes to pricing. If you’re uninsured, I’ll review the cost with you beforehand to ensure there are no surprises. For patients with insurance, I explain what they’ll owe for X-rays and verify their policy before discussing everything at your second visit.
A Thoughtful Approach to Care
Taking X-rays isn’t about following a rigid protocol—it’s about tailoring care to each patient. Whether we use X-rays or not, my goal is always to provide safe, effective, and personalized chiropractic care.
If you’re curious about whether chiropractic care is right for you, feel free to reach out. I’d be happy to discuss your concerns and answer any questions. I looking forward to serving you.
