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
– Nausea and headaches
– TMJ Pain
– Limited motion in your body
WHY IS IT IMPORTANT TO USE COMPLEX DIGITAL MOTION X-RAY IN SPINAL LIGAMENT CASES?
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.
WHO HAS APPROVED THE USE OF COMPLEX DIGITAL MOTION X-RAY?
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.
OTHER BENEFITS OF COMPLEX DIGITAL MOTION X-RAY
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.