Evidence-Based Imaging Guidelines for Chiropractic Biomechanical Spine Care, Reconsideration of X-Ray Exposure Risks, and Practical Applications of Research Evidence

First, the perceived risks of very low dose radiation exposures from x-rays in health care must be reconsidered with regard to their effects in humans. Second, a more practical application of data analyses from research is needed than the prevailing current approach. And third, the biomechanical conditions of previously injured spines in patients who present for chiropractic spine care should, when possible, be examined by imaging prior to applying forces from spinal manipulation or adjustments to ensure optimal safety and effectiveness.