When you walk into a chiropractic clinic for the first time, you might wonder if you are about to step behind an X-ray lead shield. Do chiropractors take X-rays? The short answer is yes, many do, but at Enhanced Chiropractic, we believe imaging should only be used when it is truly necessary for your recovery.
The Role of X-Rays in Chiropractic Care
Chiropractors are highly trained primary healthcare professionals who specialize in spinal health. Part of their four-year doctoral education includes extensive training in radiology. They are fully qualified to take, read, and interpret X-rays to find issues in the bones and joints.
In many cases, an X-ray acts as a “blueprint” for your spine. It allows the doctor to see the exact shape of your vertebrae and the spacing between your joints. However, not every patient needs one. At Enhanced Chiropractic, we focus on a “clinical necessity” model, meaning we only recommend imaging if your physical exam suggests a deeper structural issue.
While some large clinics have X-ray machines in the building, others prefer to work with specialized imaging centers.This ensures that you get the highest quality digital images processed by experts. If your case requires an X-ray, Enhanced Chiropractic provides referrals to local imaging partners, ensuring your care is both professional and streamlined.

Why a Chiropractor Might Recommend an X-Ray
There are several specific reasons why a doctor might decide that imaging is the right move for you. It isn’t just about looking at bones; it is about ensuring your safety.
- Diagnosis of Pathology or Trauma: If you have recently been in a car accident or a bad fall, an X-ray can rule out fractures or dislocations.
- Identifying Spinal Misalignments: Doctors use these images to see “subluxations,” which are areas where the spine isn’t moving or sitting correctly.
- Screening for Contraindications: This is a fancy way of saying “checking for safety.” If a patient has severe osteoporosis or certain types of arthritis, a manual adjustment might need to be modified.
- Postural Analysis: For those suffering from “tech neck” or scoliosis, an X-ray shows the degree of the curve so the doctor can track progress over time.
- Determining Treatment Options: Seeing the spine helps the chiropractor choose between a firm manual adjustment or a more gentle, instrument-assisted technique.
The Enhanced Chiropractic Philosophy: Exam-First, X-Ray Second
We do things a little differently at Enhanced Chiropractic. We don’t believe in “routine” X-rays for every person who walks through the door. Instead, we start with a Discovery Visit. This is a 30-minute session where we listen to your history and perform a thorough physical and neurological exam.
Our goal is to understand how your body moves and how your nerves are functioning. If we can find the root cause of your pain through movement testing and palpation, we may be able to start your treatment without the added cost or radiation of an X-ray. We treat you as an individual, not just a set of films.

Safety, Risks, and Specialized Populations
Many patients worry about radiation. It is important to know that modern digital X-rays use very low doses—often less than what you would receive naturally from the environment over a few weeks. However, we still take every precaution.
- Pregnancy: If you are pregnant or think you might be, we generally avoid X-rays. We use gentle, pregnancy-safe adjustment techniques like the Webster Technique that don’t require imaging.
- Pediatric Care: Children’s bodies are growing and sensitive. We rarely X-ray children unless there is a significant injury or a visible spinal curve like scoliosis.
- Digital Benefits: Digital imaging is faster and safer than the old film versions. It provides instant results that we can zoom in on to see tiny details that might have been missed in the past.
Costs and Insurance Coverage
Understanding the financial side of healthcare is important. In the Chino Hills area, a typical set of spinal X-rays can cost anywhere from $50 to $150 if you are paying out of pocket.
At Enhanced Chiropractic, we pride ourselves on transparency. Many PPO insurance plans cover diagnostic imaging, and we also work with Medicare and Personal Injury (auto accident) claims. For those without insurance, our Discovery Visit is a cost-effective way to find out exactly what you need without any hidden fees. We also offer monthly wellness memberships that keep your care affordable long-term.
What to Expect During the Procedure
If it is determined that you need an X-ray, the process is quick and painless. You will likely be asked to wear comfortable clothing without metal zippers or buttons. You’ll stand or lie in specific positions while the technician takes the images.
After the images are taken, your doctor will sit down with you for a “Report of Findings.” They will show you your spine, point out any areas of concern, and explain how those findings relate to the pain you are feeling. This education is a vital part of your journey toward feeling better.
5 Questions to Ask Your Chiropractor Before Getting an X-Ray
- Why is this X-ray necessary for my specific case?
- Will these results change the way you perform my adjustments?
- Can I provide X-rays I had taken at my GP’s office last year?
- Are there gentler treatment options we can try before doing imaging?
- How will this X-ray help me get back to my daily activities faster?
People Also Ask (FAQ)
Does every chiropractor require X-rays? No. While some clinics require them for all new patients, many evidence-based chiropractors, like those at Enhanced Chiropractic, only use them when a physical exam indicates a specific need.
Can a chiropractor tell if a disc is herniated from an X-ray? An X-ray shows bones, not soft tissue. While a doctor can see “disc thinning” (where the space between bones is small), a definitive diagnosis of a herniated disc usually requires an MRI.
How long does it take to get X-ray results back? With modern digital X-rays, the images are available almost instantly. Your chiropractor can usually review them with you during the same visit or on your very next appointment.
Is it safe to get adjusted without an X-ray? For most healthy adults with common back or neck pain, it is very safe. A skilled chiropractor uses physical tests to ensure an adjustment is appropriate for your body.
Will my insurance cover the cost of X-rays? Most major insurance providers cover X-rays if they are deemed “medically necessary.” Our team at Enhanced Chiropractic can help you verify your benefits so there are no surprises.
Start Your Journey to Better Health
You don’t have to live with pain, and you don’t have to fear unnecessary testing. At Enhanced Chiropractic, we are dedicated to providing clear, honest, and effective care. Whether you need imaging or a simple, hands-on adjustment, we are here to help you move better and live better.
Ready to find out what’s really going on with your spine? Book your Free Discovery Visit with Enhanced Chiropractic today!



