Suite 3, Level 1 — The Eaves at West Village, 111 Boundary St, West End 2 hours free parking•(07) 3217 2473
Vitalign Chiropractic

Advanced diagnostics

Most people don’t need imaging. When your examination shows it’s clinically justified, digital X-ray is available on site, so the decision doesn’t have to wait for another appointment elsewhere.

30-minute Initial AssessmentDr Matthew Schmerl, chiropractor · 20+ years in practiceWest Village, West End · 2 hours free parkingMonday to Thursday, often same dayNo referral needed

Digital spinal imaging, on-site

Many people don’t realise that chiropractors are trained to take and read X-rays. At Vitalign we offer digital full spinal imaging on-site, without the need for a GP referral. X-rays are charged separately, and only taken when clinically indicated.

Having it in the building matters for a practical reason: if the examination raises a question that imaging would answer, it gets answered that day rather than after two more appointments and a wait.

Not needing a referral is not the same as needing the scan

Most people do not need imaging. Routine X-rays of everyone who walks in is not good practice: it exposes people to radiation for no clinical gain, and incidental findings on a scan can send care in an unhelpful direction. We image when the history, the examination or the neurological findings give us a reason to, and when the result will genuinely change what we recommend.

Motion X-ray with Penning’s analysis

A standard X-ray shows the spine held still. That is useful for structure, but it says nothing directly about movement, which is often the thing we actually want to know about.

A motion X-ray captures the spine while it moves. For the neck, we take views as you bend forward and back, then measure the movement at each level using Penning’s analysis, an established method for assessing how much each segment of the cervical spine moves. That can show a level moving more or less than expected, which a still film can miss. It is used for particular presentations where segmental movement is the clinical question, most commonly after neck trauma such as whiplash or a car accident, where instability or restriction may not show on a static film.

MotionIQ range of motion testing

MotionIQ uses wearable sensors to measure how far your neck, mid back and lower back move, and compares each result with the normal range, so restricted areas are easy to see. It produces a number rather than a clinical impression, on a one-page report you can see.

That is the useful part. A later measurement sits next to your first, so the question “is this working?” has an answer that does not depend on either of us remembering how you felt in March. It is the same principle we use across care: measure at the start, and check honestly against it.

What we do with the findings

Imaging and measurement inform a plan; they are not the plan. What comes out of the assessment is an explanation of what we found and a recommendation, which may be adjustment and rehabilitation, may be decompression, and may be a referral to someone else entirely.

If something on a scan needs medical or surgical review, we will tell you that directly and help you get to the right person.

Questions

Imaging, answered

No. Chiropractors are trained to take and read X-rays, and we offer digital full spinal imaging on-site without a referral. That said, not needing a referral is not the same as needing the scan: we only image where the examination gives us a reason to.

A conventional X-ray shows the spine held still. A motion X-ray captures it while it moves. For the neck, views are taken as you bend forward and back, and the movement at each level is measured using Penning’s analysis, an established method for assessing cervical segmental motion. It is used for particular presentations, commonly after neck trauma such as whiplash.

A range of motion system that uses wearable sensors to measure how far your neck, mid back and lower back move, and compares each result with the normal range. You get a one-page report, and later measurements sit next to your first so you can see what has changed.

Most people do not. The examination usually tells us enough. Imaging is for when the picture is unclear, when the history or neurological findings warrant it, or when it will change what we recommend.

About 30 minutes with Dr Matthew Schmerl, chiropractor: a full history, an examination, and a clear explanation of what we found and your options. If it is safe and suits you, you can be treated on the day. Fees are shown when you book online, so you see the cost before you confirm. X-rays are charged separately and only taken when clinically indicated.

No. After the assessment we explain what we found and your options, answer your questions, and you decide what is right for you. If chiropractic is not the right fit, we will tell you and suggest who to see.

Ready when you are

Find out what’s driving it, and what your options are

A 30-minute Initial Assessment with Dr Matthew Schmerl, chiropractor: history, examination and a clear explanation of what we found. If chiropractic isn’t right for you, we’ll say so and suggest who to see.

Monday to Thursday, often the same day. We see a limited number of new patients each week so first visits aren’t rushed. Fees are shown when you book online. HICAPS on the spot, two hours free parking.

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