When the Source of Your Pain Is Hiding in the Way You Move
Low back pain is one of the most common reasons people miss work, stop exercising, or give up the activities they love. After a car accident, fall, or lifting injury, many patients continue to struggle with:
- Pain in the low back or buttocks.
- Pain that worsens with standing or walking..
- Discomfort when rolling over in bed or getting out of a chair.
Standard imaging often points to “mild disc changes” or “degenerative findings” but these don’t always explain the symptoms. In many cases, the real issue is instability in the lumbar spine or sacroiliac (SI) joints.
At DMX Miami, we see patients from Miami, Fort Lauderdale, Miami-Dade County, Broward County, the Florida Keys, and from Florida, the rest of the USA, Central and South America (Colombia, Chile, Argentina, Mexico), and the Caribbean who need a motion-based look at their low back and pelvis.
Why the Lumbar Spine and SI Joints Are Vulnerable After Injury
The low back and sacroiliac joints:
- Transfer force between the spine and the legs.
- Absorb the impact of walking, lifting, and daily movement.
- Rely on strong ligaments to keep joint motion within a healthy range.
Trauma from a crash, fall, or lifting accident can:
- Stretch or tear ligaments that stabilize the lumbar vertebrae.
- Disrupt the delicate balance of the sacroiliac joints.
- Lead to micro-instability that doesn’t show up clearly on static imaging.
The result is pain that appears or worsens only when you move or bear weight.
Signs Your Low Back Pain May Involve Instability
You might notice:
- Pain that worsens with standing, walking, or prolonged sitting, but feels better lying down.
- A “catching” or “locking” feeling in the low back.
- Pain that radiates into the buttocks or groin (often SI joint-related).
- Discomfort when going from sitting to standing or rolling in bed.
- Symptoms that flare with certain movements, not just at rest.
These patterns suggest a movement problem, not just a static disc issue.
How Digital Motion X-Ray Evaluates the Lumbar Spine and SI Region
Digital Motion X-Ray allows us to see the low back and, in many cases, the sacroiliac region in action.
At DMX Miami, we:
- Record fluoroscopic videos as you perform gentle, controlled flexion, extension, and lateral movements.
- Look for abnormal translation or angulation between lumbar vertebrae.
- Observe how the pelvis and sacrum move relative to each other under load.
- Correlate your pain-triggering movements with visible mechanical changes.
Instead of guessing which level might be responsible, we watch where and how your spine and pelvis misbehave during motion.
How DMX Findings Help Guide Treatment
DMX doesn’t treat low back pain it reveals the mechanics behind it, so your providers can be more precise.
DMX findings can help:
- Chiropractors and manual therapists tailor stabilization and mobilization strategies.
- Physical therapists design specific core and pelvic stabilization exercises.
- Regenerative medicine providers decide whether certain ligaments or joints might benefit from targeted treatments.
- Attorneys and insurers understand why your pain persists after trauma, even when basic MRI looks “mild”.
When everyone can see the same motion-based evidence, care becomes more focused and collaborative.
Who Should Consider DMX for Low Back and SI Pain?
DMX may be useful if:
- Your low back or SI pain began after a crash, fall, or lifting injury.
- MRI and standard X-rays have not fully explained your symptoms..
- Your pain is clearly related to movement and position.
- You are considering regenerative or surgical options and want a more complete mechanical picture.
Your doctor or chiropractor can help determine if a DMX study is appropriate for your case.
Why Low Back Pain Patients Travel to DMX Miami
Patients choose DMX Miami because we:
- Specialize in motion-based evaluation of both cervical and lumbar regions.
- Understand the complexity of low back and sacroiliac joint instability.
- Provide detailed, easy-to-read reports for providers and attorneys.
- Offer bilingual care for patients from South Florida, the rest of Florida and the USA, Central and South America, and the Caribbean.
When Your Low Back Pain Only Shows Up in Motion, Your Imaging Should Too
If your pain comes to life when you move not when you lie still in an MRI tube it may be time for an imaging test that looks at your spine the same way you use it.
Learn more: Treatment
Schedule your appointment today: Appointments
Call 305-275-7475 or book your appointment online
Dr. Rodolfo Alfonso, D.C.
Dr. Mark N. Berry, D.C.
Sunset Chiropractic and Wellness
8585 Sunset Dr. STE 102
Miami, Florida 33143