11/06/2026
**DO YOU REALLY NEED X-RAYS BEFORE CHIROPRACTIC CARE?**
You might be surprised to learn that **I rarely order X-rays for new patients.**
Does that mean I don't think X-rays are valuable?
Absolutely not!
After 37 years in practice, I've learned that the most important question isn't whether we *can* take an X-ray. It's whether we *need* one.
**1. THE EXAMINATION COMES FIRST.**
Your health history, symptoms, and physical examination often provide the information needed to determine whether chiropractic care is appropriate.
I don't believe every patient should automatically have X-rays simply because they're seeing a chiropractor for the first time.
**2. X-RAYS SHOULD HAVE A CLINICAL PURPOSE.**
X-rays can be extremely useful when there's concern about a fracture, certain spinal abnormalities, or other conditions that require imaging.
But they aren't necessary for every episode of back or neck pain.
And when imaging is needed, an X-ray isn't always the best choice. Sometimes MRI, CT, or another diagnostic study is more appropriate.
**3. THE GOAL IS APPROPRIATE CARE.**
I want to make decisions based on what your particular condition requires—not on a routine that treats every patient the same way.
At **Woywood Integrated Medicine**, our approach begins with listening, examining, and determining the most appropriate next step.
**If you need imaging, I'll recommend it. If you don't, I won't order it simply out of habit.**
Because good healthcare isn't about doing more tests. It's about doing the right tests when they're needed.
**Helping people live healthy, pain-free lives.**
— Brian Woywood, DC
Practicing since 1989
**Woywood Integrated Medicine**
12702 Toepperwein Rd., Suite 142
Live Oak, TX 78233
(210) 646-9060
www.woywoodintegratedmed.com