Q: I was recently to a chiropractor and part of my examination was x-rays. Does everyone that goes to a chiropractor need x-rays and are they dangerous?

A: Technology has minimized the potential harm of radiation exposure during x-rays, significantly. Collimation is a tool utilized to only expose the necessary body part required for diagnostic study. Lead shielding reduces exposure to radiation sensitive areas. High speed film and screens also reduce the time of exposure.

During a chiropractic examination it is at the discretion of the chiropractor to require x-rays or not. The basic premises behind x-rays are to view the patient’s point of pain, determine potentially damaged bone like tissue or joints, and to avoid any risk to the patient from receiving treatment.

The chiropractor uses the x-ray results in combination with many other diagnostic tests to come to a diagnosis as to where the origin of the patient’s problem is. X-ray by itself is not an exact measure in determining a patient’s condition.

There is risk and benefit in taking x-rays. If the doctor is going to make adjustments, he needs to know if there are any internal complications. If you are concerned about the exposure to radiation, you must weigh the risk against the benefits and make a decision. You have the right to deny x-rays but your doctor has the right to not treat you without them if he deems them necessary.

Your chiropractor is aware of the hazards of x-rays. It is usually a year before follow-up x-rays are required. In acute distortion conditions such as severe whiplash, it may be necessary to re-x-ray within 6 to 8 weeks.

It is protocol to x-ray children with potential scoliosis to gauge the degree of distorted curvature change and monitor the child’s growth. Pregnant women should never get x-rayed due to the potential exposure to the developing fetus. Always tell your doctor if you are pregnant or there’s a chance you may be pregnant.

Quote of the week " None of us suddenly becomes something overnight, the preparations have been in the making for a lifetime" Gail Goodwin (writer)