Page 18 - DMX HANDBOOK 4TH EDITION

The American College of Occupational Medicine’s Practice Guidelines, 2d Ed. 2004 (American College of Occupational and
Environmental Medicine), states:

If [there is evidence of] probable ligamentous injury with
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persistent pain, consider fluoroscopically directed flexion study .

Medical doctors (MDs) have publicly proclaimed DMX to be a valuable diagnostic tool. As early as 1966, Professor Edward Buonocore
of the University of Tennessee Medical School declared in the Journal of the American Medical Association, that cineradiography (an
early version of DMX) represents “the single most important diagnostic test for patients with soft-tissue injuries who have not been
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helped by conservative treatment .
John H. Bland, M.D., Professor of Medicine, University of Vermont, in his book entitled Disorders of the Cervical Spine (1987), said:

Video fluoroscopy is the most valuable technique in analyzing
cervical spine motion. The stability of the cervical spine depends
on bony structures only to a minor degree; stability depends to a
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major degree on the ligamentous structures .
Such injury is not always detected on static plain film X-rays
(standard roentgenograms). The next best medically reasonable
diagnostic tool for determining ligamentous injury (a
biomechanical source of pain) is the fluoroscopic exam.

(Dr. Bland’s text was reviewed by Dr. Howard Polley of the Mayo Medical School and declared that Dr. Bland “has no equal” in
understanding the complexities of the physiology of muscles, bones, and joints.)

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