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then I guess the big question is how do you determine my case which you would use good question so the the first step is figuring out what is causing you pain so that entails a really long discussion usually itamp;#39;s about 30 to 45 minutes of talking through everything youamp;#39;ve been through everything about your pain we get really really into the nitty-gritty details then we do a physical assessment that for the neck could take anywhere from 20 to 45 minutes depending on the complexity and what we need to do if we need to get more imaging so maybe different Imaging sometimes if we think somebody has a cervical instability we will get something called the digital motion x-ray or a DMX which is essentially a live x-ray study so you do motions of the neck while an x-ray machine is scanning you and then thatamp;#39;s read by by the DMX people and it tells us if thereamp;#39;s instability in some of the ligaments sometimes we need that sometimes we need to order a different type
