Chiropractic Imaging Listing – Evidence Based ? – Page 2

Introduction

Chiropractic imaging listings are used in some techniques as a diagnostic study to determine the treatment protocol, or more specifically, delivering the chiropractic adjustment.

It is further contemplated that intersegmental dysfunction can be fully diagnosed based upon such a listing, and that nerve interference can be detected and removed accordingly.

In this presentation, several examples of such listings have been put under scrutiny with respect to their accuracy and reproducibility.

The more important aspect of this presentation emphasizes the lack of correlation between patient neurological presentation and imaging listings.

This has been particularly demonstrated in patients presenting with radiculopathies secondary to IVD structural pathology.

Furthermore, technical errors in obtaining the plain film studies including, positional, refractive, iatrogenic, and structural deviations, have been reviewed.

As such, presence of antalgic lean in addition to referred positional discrepancies such as SAS – LR compromise affecting the non-clinical segments have been explained.

Compensatory ISD staging and its empirical value in delivering accurate evidence-based treatment protocol and its lack of correlation with imaging listings have therefor been demonstrated.

It should also be pointed out that the ethical question of exposing patients to unnecessary radiation based on a hypothesis is not an acceptable practice, particularly in our health care system.

The position of the Commission on Chiropractic Clinical Practice Guidelines (CCCPG) has been clearly stated on this issue.