For Doctors
Better Injury Evidence Starts with Better Imaging
Clinical Insight
Why Motion X-Rays Are Essential for Diagnosing Spinal Ligament Injuries
Most spinal ligament injuries are missed using static X-rays or MRI alone. These methods can’t detect instability caused by damaged ligaments during movement. DXD uses digital motion X-rays (DMX) and proprietary software to uncover spinal injuries that traditional imaging overlooks.
Each DXD report provides clear visual overlays and objective measurements aligned with AMA Guides (4th, 5th, and 6th Editions), helping doctors identify functional spinal injuries, support accurate diagnoses, and strengthen documentation for billing and legal claims. Whether you’re a chiropractor, orthopedist, or pain specialist, DXD delivers the tools to detect and document what static films can’t.
DXD is designed to fit naturally into your practice. Upload motion X-rays, and get back annotated reports with AMA-aligned findings with no extra equipment and no steep learning curve.
Reports integrate with charting, simplify documentation, and support referrals or PI claims with objective, visual data. It works the way you already work, just smarter.
DXD reports follow the AMA Guides to the Evaluation of Permanent Impairment – Editions 4th, 5th, and 6th, ensuring consistency, credibility, and legal defensibility.
Each analysis includes precise AOMSI calculations, ligament-specific measurements, and cited thresholds, making it easier to justify treatment, support claims, and withstand scrutiny.
You’ll never deal with bots or outsourced call centers. Our U.S.-based team is available to walk you through onboarding, case setup, or report interpretation, step by step.
Whether you have a clinical question or need tech help, you’ll talk to someone who understands both the software and the science behind it.
DXD evaluates spinal ligament integrity across the cervical, thoracic, and lumbar spine using digital motion X-rays.
We focus on key structures involved in segmental stability:
Anterior & Posterior Longitudinal Ligaments (ALL, PLL)
Supraspinous & Interspinous Ligaments
Facet capsules and surrounding connective tissue
Our reports identify excessive translation or angulation per AMA criteria and highlight the exact levels where instability is present.
You can access DXD through any modern browser or a secure Remote Desktop link with no special hardware or software installs required.
Licensing is flexible:
Pay-as-you-go with bulk report credits
Or choose a monthly subscription
No long-term contracts, hidden fees, or required bundles
Setup is fast, and we’ll walk you through every step.
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
Start the Conversation
Ready to See the Difference?
DXD empowers providers to objectively measure spinal ligament damage using motion-based X-rays, something static films and even MRI often miss. By analyzing instability across spinal segments and overlaying that data onto clear visuals, DXD gives you the clarity you need to diagnose with confidence.
Our technology is used by chiropractors, pain specialists, orthopedic providers, and multidisciplinary clinics across the country. From documenting impairment for insurance claims to strengthening medico-legal credibility, DXD supports better care and better outcomes.
Every DXD report includes AMA-compliant measurements, motion overlays, and impairment ratings tailored to your patient’s spinal region: cervical, thoracic, or lumbar. With fast turnaround times, flexible pricing, and zero disruption to your workflow, DXD helps you deliver evidence-based care that’s both efficient and defensible.
Quick Links
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.
Resources
Get in touch

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.