How It Works
How DXD Transforms Motion X-Rays Into Answers
Inside the Process
From X-Ray to Evidence: The DXD Workflow
Standard imaging can miss the real cause of pain, especially when the injury involves movement, not structure. That’s where DXD comes in. Our system analyzes digital motion X-rays to detect spinal instability caused by damaged ligaments.
Using AMA impairment guidelines and proprietary measurement tools, we identify abnormal vertebral motion and provide clear, annotated reports that support diagnosis, documentation, and legal claims. Here’s how it works.
Static Scans Miss What Motion Reveals
Traditional MRI and X-ray capture the spine at rest, but ligament injuries often only show up when the spine moves. That’s why DXD uses digital motion X-rays to reveal abnormal movement patterns that correlate with pain and instability.
Our system measures vertebral translation and angular rotation between flexion and extension, comparing those values against established clinical thresholds. This dynamic view helps identify true functional injuries that static imaging can overlook.
Validated Standards. Admissible Results.
A Validated Method for Measuring Spinal Instability
AOMSI stands for Alteration of Motion Segment Integrity. It’s a method defined in the AMA Guides to the Evaluation of Permanent Impairment that uses motion-based thresholds to determine whether a spinal segment is unstable.
Instability is quantified by measuring:
Translation (how far one vertebra slides forward/backward relative to the one below)
Angular rotation (how much the segment rotates during motion)
These values are compared against established limits:
> 3.5 mm of translation (cervical)
> 11 degrees of angular rotation between segments
If thresholds are exceeded, the segment is considered unstable — even if static imaging looks normal.
From Motion Data to Admissible Impairment Ratings
If motion findings meet or exceed AMA thresholds, DXD applies formal impairment language from the 4th, 5th, or 6th Editions of the AMA Guides. The report will include:
A clear statement of impairment
Edition-specific citations
Segment-level breakdown of motion findings
Annotated images showing threshold exceedance
These ratings are used in both clinical documentation and legal cases to demonstrate permanent injury, support claims, and justify treatment plans.
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Clear Data, Better Outcomes
DXD transforms motion X-rays into objective, AMA-compliant reports that improve diagnosis, simplify documentation, and support care decisions—all in one streamlined platform.
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Your Output
What’s Inside a DXD Report
Every DXD report delivers the motion-based findings and structured documentation needed to support both clinical care and legal validation. Designed with physicians and attorneys in mind, each report translates complex spinal motion data into clear, annotated visuals and impairment language aligned with AMA standards. You’ll receive:
Annotated overlays of abnormal motion
AMA impairment rating (if thresholds met)
Summary sheet for referral or upload
Use in SOAP notes, referrals, or case files
Segment-by-segment findings
Edition citation (4th, 5th, or 6th)
Ready for use in chart notes, referrals, or case files
Fast, Secure, Simple
How to Get Started With DXD
Turnaround is typically 24–48 hours from upload. Just send us your digital motion X-rays using our secure browser upload tool. We’ll handle the analysis and return a fully formatted report.
HIPAA Compliant
No Hardware
Secure Report Delivery
Referral Summary
Flexible Access
DXD Works With Any Clinic Setup
Whether you’re a single provider or part of a large group, DXD offers flexible plan options to fit your volume and workflow. You can choose between bulk credits or monthly subscriptions, access the system via browser or Remote Desktop, and use it with your existing digital X-ray setup, with no proprietary hardware required. Every plan is built to support both clinical workflows and legal documentation needs.
For Everyday Clinical Use
- Works with your existing X-ray setup
- Fits DC, MD, DO, PT, and multi-specialty clinics
- No disruption to your current workflow
- Supports documentation, referrals, and patient reports
Objective, Defensible Reports
- Aligned with AMA Guides (4th–6th Ed.)
- Includes annotated overlays + measurements
- Supports claim validation and impairment ratings
- Trusted by doctors, attorneys, and insurers
Who DXD Helps
Trusted by Doctors, Attorneys, and Patients
DXD Xray transforms motion X-rays into AMA-compliant ligament injury reports that help doctors diagnose with confidence, attorneys validate or refute claims with objective data, and patients understand what static films may have missed.
For Doctors
DXD provides AMA-compliant injury reports that improve documentation, support clinical decisions, and strengthen reimbursement claims.
For Attorneys
DXD provides objective ligament injury reports that clarify diagnosis, support case strategy, and strengthen personal injury claim outcomes.
For Patients
DXD helps uncover injuries traditional imaging can miss, giving patients the objective proof they need to get answers and better care.
Meet the Founder
About Dr. Cielo
Dr. Todd Cielo is the founder of DXD and a practicing chiropractor with over 20 years of experience in spinal injury care, education, and interdisciplinary collaboration. He is a lecturer for continuing education programs across Florida and the accredited CLE speaker for the Florida Bar Association. Appointed by the Governor to the Florida Board of Chiropractic Medicine, Dr. Cielo brings deep clinical and medico-legal insight to every DXD report. His mission is simple: to bring objectivity, credibility, and better outcomes to soft-tissue injury diagnosis.
Get clarity from the motion experts.
Connect with the DXD team to learn how our ligament analysis can support your case, your care, or your clinic.
Contact Us
Let’s Talk Ligaments...
Got questions about our reports, workflow, or if DXD is right for you? Reach out and we’ll respond within 1 business day.
Email: [email protected]