Canadian chiropractors will go to court to retain the ability to use X-ray technology before and after chiropractic adjustments if required. Should chiropractors keep this right?

On February 4, 2021, the College Board approved changes to the Professional Conduct Handbook (PCH) Part 2, Part 15, and Appendix L relating to diagnostic imaging. These amendments state: “Routine or repeat x-rays used as a regular protocol in patient assessment and diagnosis are not clinically warranted.” – Statement from the College of Chiropractors of British Columbia, Amendments to the PCH (Professional Conduct Handbook): Routine and Repeat Imaging, on the use of X-ray technology

We believe this will be used as a “template” or “proof of concept” in other parts of Canada and that it will eventually find its way to other parts of the world as well. We have contacted several of the vitalistic, principled chiropractors in British Columbia to increase and support opposition to these ideas, with the ultimate goal of having these changes canceled and / or removed entirely.

– Declaration by the International Federation of Chiropractors & Organizations on the use of X-ray technology

X-ray before CMT makes sense according to all guidelines that are taught in school, R / O FX, tumor, after injuries, where CMT is used, etc. However, another X-ray after CMT does not make sense. X-ray after CMT is usually a technique-related procedure, Pettibon etc. This is NOT acceptable in the normal field of care. A re-x-ray is usually only done to follow FX healing or when a new injury has occurred. Most states in the US don’t allow Chiros to treat FXs, and most insurance companies don’t pay for x-rays if done according to a specific procedural protocol. This usually leads to a request for a peer review. Canadian chiropractors should be allowed to take x-rays for normal reasons; However, the re-x-ray problem is an insurance problem, not a regulatory problem. If a chiropractor decides to re-x-ray after the CMT, this should be discussed with the patient according to the specific procedural protocols used on the patient and the patient should pay for these films.

– C. Guest, DC

Although spinal X-ray analysis is a fundamental diagnostic tool of several chiropractic techniques, the proposed changes eliminate the use of X-rays for anything beyond warning signs (fractures, etc.). The changes would severely limit a chiropractor’s ability to X-ray when assessing biomechanical alignment problems. You would also eliminate follow-up radiographs, which are often critical to assessing and changing treatment.

– Canadians for Chiropractic health action network statement on chiropractors using X-ray technology

The simple answer is absolute. It’s a question of parity. If other related professions can be reimbursed, so should chiropractors. Sounds like discrimination against chiropractic.

– South Florida Medical and Wellness Clinic

Sherman College of Chiropractic takes an evidence-based approach to the use of radiography in spinal imaging … Radiology can reveal conditions that require joint treatment or referral to a different type of health care provider. X-ray examinations should only be performed when clinically indicated. The decision to x-ray a patient is based on the medical history, examination results, the best external evidence available, the judgment of the chiropractor, and the preferences and unique characteristics of the individual … Clinical judgment cannot be reduced to prescriptions … Sherman College of Chiropractic welcomes the Opportunity to comment on the PCH changes and strongly encourages the CCBC to repeal PCH Changes 15.1 and 15.2. Issues related to accreditation, risk management, standards of care, professional responsibility, ethics, and responsibility for patient outcomes will be affected by these changes.

– Opinion on the use of X-ray technology by Chiropractic doctors, Sherman College of Chiropractic