
"I just want to know what is actually wrong with my back." That is what I hear almost every day from folks right here in Montgomery. You have a nagging ache, maybe some stiffness, and you are wondering if chiropractic care can help. Here is the honest truth: In our clinic, we use chiropractic X-ray in Montgomery only when it is clinically necessary, after trauma, with red flags, or to rule out serious issues. We do this to avoid guessing and ensure your care targets the real problem. You are in charge of your recovery, and we're here to give you the clarity to make informed decisions.
In our Montgomery clinic, chiropractic X-ray is used only when clinically necessary, after trauma, when red flags are present, or to rule out serious conditions like fractures or instability. This ensures we avoid guessing and target your care to the real problem.
And it's an approach patients trust: we're rated 5.0 stars across 30 Google reviews (and 4.97 across 352 on Tebra, as of mid-2026) for our commitment to clear communication and care.
From Dr. Elaine McNally, DC
If you have been dealing with back pain that just will not quit, I want you to know I hear you. I have spent thirty years as a DC in Montgomery, and I have met so many folks who feel like they have tried everything. I understand that frustration, and I built my practice around one simple idea: find the real problem first.
A patient came in last month with severe, persistent lower back pain. On exam, I found restricted hip motion and compensatory movement patterns through her lower back, which we believed were likely contributing to the pain she'd been living with. Adjusting her back first would have been a waste of time and made her worse. After her first visit, she told us she finally felt she understood what was contributing to her back pain.
Before I even look at x-rays, I often ask patients about their sleep position and their office chair. Many people are surprised by these questions, but daily posture habits can often reveal compensation patterns that a scan alone may not catch.
As Rebecca A. shared, "took the time to show me my x-rays and explain what was going on with me." That transparency builds trust and helps you understand your options.
I do not adjust before I know. On-site digital X-ray and a thorough history come before any hands-on care. We will talk for 20 minutes about your pain patterns, work, hobbies, and old injuries. That conversation often reveals more than any scan ever could. If I do not think we can help, I will tell you straight and point you to who can.
This is about you leaving with answers, not more questions. You want answers, not more tests that lead to more questions. That's why we're careful with imaging.
Here is the deal: We do not X-ray every new patient. The American College of Physicians recommends against routine imaging for nonspecific low back pain, stating clearly, "In this area, more testing does not equate to better care," a position drawn from a 2011 review in Annals of Internal Medicine by Chou and colleagues. That same review found that radiation from a single lumbar spine X-ray series is roughly equivalent to receiving a daily chest X-ray for more than a year. As the ACR Appropriateness Criteria note, spinal imaging is indicated only when specific red flags or serious conditions are suspected, helping to limit unnecessary radiation exposure and added costs. We use our on-site digital X-ray in Montgomery only when clinically indicated:
What does an X-ray show? It visualizes bony structures: fractures, vertebral alignment, arthritis, or signs of instability.
What does it not show? It does not directly show soft tissues. Disc herniations, nerve root compression, and muscle pathology require an MRI. Routine X-rays for simple back pain just add cost and radiation without changing the treatment plan. We reserve them for when they truly matter.
You get to see what we see, and decide your next step with the full picture. You're looking for care tailored to you, not a one-size-fits-all approach. Your X-ray helps us deliver that.
Imaging is not about justifying a long treatment plan. It is about ruling out danger and tailoring your care.
Take a recent patient who came in with neck pain after a fender bender. His X-ray showed a subtle segmental instability at C5-C6, not a fracture. That meant gentle, specific adjustments, not aggressive manipulations. If we had skipped imaging and pushed hard, we could have made him worse.
Your plan is never generic. If X-rays reveal arthritis, we focus on joint mobility. If they show normal alignment but your pain persists, we dig deeper into posture or muscle tension. We treat you, not the scan. You get to make the decision with the full picture in front of you.
Your pain story is unique, and we need to understand all of it, not just what shows up on a scan.
X-rays are just one piece of the puzzle. I have seen X-rays of severely "degenerative spines" in pain-free people and completely "normal" spines in people experiencing agony. Why? Because pain is personal.
Patients regularly tell us the first visit was the first time their full history was actually heard, not just their current pain. That is why we focus heavily on:
Without this, we are guessing. I would rather spend 20 minutes finding the cause than 20 visits chasing pain around your back.
Your first visit should be about understanding your problem, not starting treatment without knowing what you're treating.
No adjustments on Day 1. Here is what happens:
Many people worry about adjustments or imaging. We take it step by step and explain everything so you know what to expect. You are always in control.
You'll leave that first visit with a clear answer, not just a list of treatments we're guessing might help. A good first visit feels like being listened to, not sold to. You will leave knowing what is actually wrong, not just with a list of appointments.
Sometimes, the most helpful thing we can do is tell you when chiropractic care isn't the right first step.
Honesty matters. If you have these symptoms, skip the clinic and go to the emergency room:
If we spot these during your exam, we will tell you to seek urgent care. There is no shame in knowing when to refer.
Q: Can a chiropractor give me an X-ray? A: Yes, but only when clinically indicated. We use X-rays after trauma or when red flags are present, not routinely for every new patient.
Q: What does a chiropractic X-ray show? A: Bones. It shows fractures, alignment, arthritis, or instability. It does not show discs, nerves, or muscles (an MRI is needed for soft tissues).
Q: Can a chiropractor see a pinched nerve on an X-ray? A: No. Nerve compression involves soft tissue, so only an MRI or CT scan can visualize it. X-rays are used to rule out bone-related causes of your pain.
Q: What are red flags that require imaging? A: Recent trauma, a history of cancer, unexplained weight loss, fever, or new bladder and bowel issues.
Q: Is it normal for a chiropractor to X-ray you on the first visit? A: Not always. Major guidelines caution against routine imaging. We only X-ray on the first visit if your history or exam reveals trauma or specific red flags.
Q: How much does a chiropractic X-ray cost in Montgomery? A: On-site digital X-ray, when clinically needed, is included in your initial consultation at our Bell Road clinic. We don't add it unless it's warranted, and we'll always explain why before we proceed.
Q: What if I don't need an X-ray? Will I still get a diagnosis? A: Absolutely. Our diagnostic process starts with a thorough history and exam. Imaging is just one tool when necessary. Most patients get a clear diagnosis without it.
Pain does not wait. Guessing will not fix it. At our Montgomery clinic on Bell Road, we start with a diagnosis, not a treatment. If you need imaging, it is on-site. If you do not, we will not waste your time or money.
Call us at (334) 997-7463, visit the clinic at 2569 Bell Rd, Montgomery, AL 36117, or book online at https://calendly.com/chiropractic-care-clinic/1hr-new-patient-chiropractic-assessment. Let's figure out what is really wrong.
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