Complex Digital Motion X-ray and Chiropractic

COMPLEX DIGITAL MOTION X-RAY is a diagnostic test that records real time, full motion x-ray imaging of any body joint.  It records at a rate of 30 frames per second. It is unlike standard Fluoroscopy that is used in the hospital where the X-ray machine is moved around the body part. We allow the body part being scanned to move while recording the mini-movie.

This technology objectively and visually demonstrates aberrant movement of bones allowing the doctor to specifically determine which ligaments or other soft tissues are injured.

Medical doctors have used it for years to diagnose ligament injuries in the cervical spine. For instance, in the article “Cineradiograms of cervical spine in diagnosis of soft-tissue injuries”JAMA 198(1):143, 1966, published over 47 years ago in the Journal of the American Medical Association, medical doctor researchers concluded:

Buonocare, Hartman, and Nelson examined the cervical spines of 107 patients using cineradiography, including 57 who  sustained flexion-extension injuries. They concluded, “The ability to demonstrate localized abnormal motion in the cervical spine allows one to predict soft-tissue injuries and the quality of spinal fusions, spinal stability, and early subluxation of the cervical spine–conditions that may not be identified on static roentgenograms nor at physical examination.”

Complex Digital Motion X-ray is quick, easy, and may reveal permanent ligamentous injury commonly missed by other diagnostic procedures.

Patients and Motion X-ray
It is our goal at Results Chiropractic to help you achieve pain relief, mobility, wellness, and to have a quick recovery.

Complex Digital Motion X-ray uses cutting edge technology that demonstrates injuries that could never be seen before. MRI, CT or standard X-rays commonly miss injuries because it is a static (non-moving)  study. Complex Digital Motion X-ray is just the opposite. Dr. Broskoskie is able to find injuries that are evident only when you move. If your pain increases with movement logic tells you that your injuries should be looked at while moving.

You may need Complex Digital Motion X-ray if:

1. You have been in an auto accident
85% of our business is examining the neck for so called whiplash injuries. The difference between Results Chiropractic and other doctors is we can scan your neck to determine if you have in fact sustained some degree of ligament damage which shows proof to the doctor, insurance company and attorney that you have indeed injured yourself. The motion x-ray provides concrete proof of an injury, which can not be disputed.  Injury victims must prove their the nature, extent, and permanency of their injuries in order to receive the compensation they deserve in court. Before digital motion x-ray technology became available, many injury victims settled for lesser amounts than they deserved because it was hard to prove some types of ligament damage with static x-ray, MRI, and CT. Now, with Complex Digital Motion X-ray, doctors can actually see abnormal motion, document it, and zero in on damaged areas. This objective evidence helps the treating physician identify the area to treated, recommend targeted treatment protocols, and help their patients get the compensation they deserve for their injuries.

2. You are suffering from a sports injury

3. You have been injured on the job
We can help support and document injuries you have sustained on the job. This helps you when trying to prove your claim but it will also help the treating physician to see your injuries more clearly and hopefully treat you more efficiently.

4. Daily activities aggravate an injured area
Daily activity injuries, even if they seem minor, are important to get checked out so you can prevent degeneration or further injury in the future.

5. You are taking medication to suppress pain
If you have been taking pain medication to suppress pain, but still have that nagging injury let us examine you to determine if another form of treatment will help you heal faster, without the side effects of drugs.

6. You suspect that the underlying cause of the pain has gone undiagnosed With Complex Digital Motion X-ray you can now see what you could not see before. This new technology has changed the way doctors detect injuries. Most injuries go undetected because they are not in motion.

Signs and symptoms of injury
– Neck pain
– Back Pain
– Shoulder pain
– Joint pain
– Tingling
– Nausea and headaches
– Dizziness
– TMJ Pain
– Limited motion in your body


Complex Digital Motion X-ray is a medical break-through to objectively demonstrate the  functional loss caused by impaired joints of the spine due to permanent  ligament damage. Complex Digital Motion X-ray is the best objective test because normal MRI  testing is primarily concerned with static imaging of intervertebral  discs and nerves, not ligaments, and there are no discs in the upper  cervical spine. Complex Digital Motion X-ray is also used as a screening tool when performing  proton density MRI and functional MRI imaging, which are capable of  showing injuries to some of the individual spinal ligaments.

Many  times injury victims hurt when they move due to spinal instability caused by traumatic ligament injuries. Most plain film x-rays and  recumbent MRI imaging cannot detect the true cause of the pain or the  full extent of the injuries, which can only be revealed by Complex Digital Motion X-ray showing  the abnormal function of the joints in motion. Many of the same  principles followed by radiologists and chiropractic physicians in  reading plain film x-rays are also followed in reading Complex Digital Motion X-ray.

Complex Digital Motion X-ray is much improved technology over traditional plain film x-rays by  demonstrating spinal instability due to abnormal joint motion caused  by  ligament damage. At its heart Complex Digital Motion X-ray is still a simple x-ray, however,  it  works with a video camera to take 30 individual x-ray frames per  second  to create a motion x-ray that lasts less than 60 seconds. The video images are made  as the patient’s  head is moved through nine  ranges of motion in a  normal, weight-bearing  posture, thereby  providing an assessment of all  22 major cervical  ligaments.  This  results in about 3,000 individual x-ray images that can be viewed  on a  computer monitor, freeze framed, zoomed in or out, or viewed in  slow  motion. The individual images that best show the damage can be  saved as  static x-ray images by the reviewing physician, and then  analyzed using  x-ray digitization software.

While the ligaments themselves are not  shown on the x-ray  images, the effect of injured ligaments can be  ascertained by abnormal  movement of the spinal vertebral bodies in  relation to each other. An  analogy is to watch leaves blowing in a  tree, where we cannot see the  wind, but we can see the effect of the  wind. Likewise, even though we  cannot see the cervical ligaments, we  can see the results of ligamentous  injuries by abnormal movement of the  vertebral bodies, which is easily  observed by anyone trained in  musculoskeletal radiology using standard  radiology practices.


The use of Complex Digital Motion X-ray was approved for patients with spinal and peripheral  joint disorders by the U. S. Food and Drug Administration in 1994,  the National  Guideline Clearing House (a governmental agency that works with the  American Medical Association and the health insurance industry), the  American Chiropractic Association Council on Diagnostic Imaging  Physicians, and its use endorsed by Pain Management, A  Practical Guide For Clinicians by the American Academy of Pain  Management, Occupational Medicine Practice Guidelines by the American  College of Occupational and Environmental Medicine, and further  supported by a large number of peer reviewed medical articles published  in Spine and other medical journals.

The widespread acceptance of Complex Digital Motion X-ray is also shown by being at the top of  the list of five approved imaging methods, ahead of MRI and CT  imaging,  for a Medicare documentation requirement to establish a spinal  subluxation diagnosis for a patient before a chiropractic physician  can  be paid for treatment by Medicare.


There are other benefits of  Complex Digital Motion X-ray in  addition to showing function of the cervical spine through  motion  testing. Complex Digital Motion X-ray images have an enhancing effect by showing the  cortical  margins of the bones in black. In other words, in a digital  x-ray of an  egg, the shell of the egg appears black, and the contents  are grey. This  allows the interpreting physician to detect compression  fractures which  are occasionally missed by traditional x-ray. Plain  film x-rays do not  show some fractures as well because the cortical  margins are displayed  as white, and the body of the bone is also shown  as white, thus  detecting abnormalities is harder when looking at a  white on white image  on plain x-ray. Another benefit is that Complex Digital Motion X-ray testing only subjects  the patient to a low dosage of radiation because  it uses a low powered  pediatric type x-ray machine, which is good for  imaging necks,  temporomandibular joints, and extremity joints; but does  not have enough  radiation power to image the low back unless the  patient is a child or  small adult person.

Should you ask your doctor to order a Complex Digital motion exam for you?

To find out ask yourself these questions:

• Do I have pain in one or more of my joints that increases with motion?

• Did I injure myself with a sudden jolt to one or more of my joints, as a whiplash injury, slip and fall or blow from a sporting activity?

• Do I have joint pain, the cause of which has not been determined by conventional x-ray, MRI or other diagnostic tests?

If you have answered yes to any of the above, you should consider a Complex Digital Motion examination.  

Stretched and torn ligaments can result in a condition called “kinesiopathology” or abnormal motion of the bones that make up the joint. This abnormal motion results in ongoing rubbing and grinding of the bone surfaces during motion, preventing normal healing, and leading to premature onset of degenerative joint disease, a wear and tear type of arthritis. Only Complex Digital Motion studies can fully evaluate internal joint motion, and properly screen for kinesiopathology.

Results Chiropractic has partnered with a local imaging center to offer this unique approach to chiropractic care.  Dr. Broskoskie has extensive post-graduate training in this x-ray technique and has performed this on thousands of patients  over the past 18+ years to effectively diagnose and treat many musculoskeletal problems that are otherwise left untreated.

About the author:
Dr. Brian Broskoskie is a chiropractor at Results Chiropractic Center in Rehoboth Beach, Delaware. He is a graduate of Sherman College and has many hours of post-graduate training and teaching time on Complex Digital Motion X-ray. Follow him on Twitter and be sure to LIKE his Facebook Fan page for daily health, exercise, nutrition, wellness, chiropractic tips and much much more!  Call me, I am here to help. (302) 408.0000.

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