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Chiropractic Care (Expert Forum)
Anatomical Alignment Problems or Sketchy Xray Procedure?
Answered by
Adam Tanase, D.C. - Upper Cervical Care, chiropractic
St Louis Chiropractor: www.drtanase.com
St. Louis - MO
Questions in the Chiropractic Care Forum are being answered by Dr. Adam Tanase, a board-certified Doctor of Chiropractic. Topics covered include Muscle Pain, Nerve Pain, Movement Disorders, Subluxation, Upper Cervical Care, Pain Management, Health Care Alternatives, and Wellness Care.
Anatomical Alignment Problems or Sketchy Xray Procedure?
by richardot, May 23, 2009 05:55PM
I recently went to a Chiropractor who informed me that the pain I'm feeling in my arms is likely related to a pinched nerve related to my neck being unhealthily straight after he performed an XRay showing my neck straight.
This is a photo of that XRay:
http://tinyurl.com/StraightNeck
I was hunching over slightly during the XRay, and I was wondering if that could skew what would otherwise look like a more healthier looking neck curvature into a more straightened neck.
I'm skeptical of the XRay procedure my Chiropractor went through, especially after looking at several "before" and "after" XRays where the patient is obviously looking down in the "before" XRay and up in the "after" XRay, which I'd expect impacts the curvature of the neck.
He didn't ask me to take off my shoes which I know are not identical in height, and he did ask that I look down just a little.
Is my skepticism well deserved or not?
This is a photo of that XRay:
http://tinyurl.com/StraightNeck
I was hunching over slightly during the XRay, and I was wondering if that could skew what would otherwise look like a more healthier looking neck curvature into a more straightened neck.
I'm skeptical of the XRay procedure my Chiropractor went through, especially after looking at several "before" and "after" XRays where the patient is obviously looking down in the "before" XRay and up in the "after" XRay, which I'd expect impacts the curvature of the neck.
He didn't ask me to take off my shoes which I know are not identical in height, and he did ask that I look down just a little.
Is my skepticism well deserved or not?
Doctor's Answer
by Adam Tanase, D.C., May 23, 2009 07:58PM
, May 23, 2009 07:58PMTo: richardot
I would say that with all things you're allowed to be skeptical.
From what I'm looking at, however, your position is fairly neutral. A lateral "flexion" view would demonstrate more movement in the upper cervical region -- which isn't evident in the picture you've displayed. Although, I'm of the opinion that neutral lateral cervical views, like this one, should be taken seated, not standing.
Your disc spaces are acceptable and there's minor arthritic degeneration present. The two primary problems visible to me are the reduced cervical curve and the inferior atlas plane line (which may only be due to you tucking your chin in).
With that being said, a healthy cervical curve is really important. It's generally 42-degrees, and while I didn't measure yours, it appears close to 0. That in and of itself needs to be improved -- the sooner the better.
Can cervical misalignment cause nerve irritation and arm pain? Absolutely. I would say that chiropractic care is certainly worth pursuing. Give the doctor 4-6 weeks and let him/her perform a progress exam after that time. If objective improvements can be measured, then you're in the right place. If not, it's perfectly acceptable to seek care elsewhere.
If you'd like to receive precision, laser-aligned x-rays, I'd recommend visiting an Upper Cervical specialist (www.UpCspine.com). These doctors use head clamps, special chairs, and tilting x-ray buckeys that greatly minimize distortion and reduce positional error.
Adam Tanase, D.C.
www.drtanase.com
From what I'm looking at, however, your position is fairly neutral. A lateral "flexion" view would demonstrate more movement in the upper cervical region -- which isn't evident in the picture you've displayed. Although, I'm of the opinion that neutral lateral cervical views, like this one, should be taken seated, not standing.
Your disc spaces are acceptable and there's minor arthritic degeneration present. The two primary problems visible to me are the reduced cervical curve and the inferior atlas plane line (which may only be due to you tucking your chin in).
With that being said, a healthy cervical curve is really important. It's generally 42-degrees, and while I didn't measure yours, it appears close to 0. That in and of itself needs to be improved -- the sooner the better.
Can cervical misalignment cause nerve irritation and arm pain? Absolutely. I would say that chiropractic care is certainly worth pursuing. Give the doctor 4-6 weeks and let him/her perform a progress exam after that time. If objective improvements can be measured, then you're in the right place. If not, it's perfectly acceptable to seek care elsewhere.
If you'd like to receive precision, laser-aligned x-rays, I'd recommend visiting an Upper Cervical specialist (www.UpCspine.com). These doctors use head clamps, special chairs, and tilting x-ray buckeys that greatly minimize distortion and reduce positional error.
Adam Tanase, D.C.
www.drtanase.com
