The increased use of x-ray by those with a financial interest raises the question of the clinical need for many of these studies. Imaging, when used appropriately and coupled with clinical findings is an important component in the diagnosis and management of chiropractic patients. The clinician must determine which patients require x-ray and also the more advanced imaging procedures and which of those many methods are most appropriate for their patient at the time. Rarely do they do so for pain. We also maintain 300-350 patient visits per week and have for over 5 years.
Film is inexpensive.
We don't consider x-rays a profit center nor an expense. Just a necessary tool. Yeah they are profitable, but for a doc just starting out the added expense could be devastating. Lets look at some of the History and Physical findings that would indicate the need for spinal radiographs. Corticosteroid use Fever above 100 F Diabetes and or hypertension Recent visit for same problem and not improved Patients seeking compensation for back pain.