From Weekend Warriors to Pros When Your Neck or Back Won’t Bounce Back
Athletes whether recreational or professional push their bodies hard. Contact sports, falls, sudden twists, and repetitive loading can all damage the spine. When pain doesn’t clear after “rest and rehab,” it’s easy to get stuck in a cycle of:
- “Normal” imaging.
- Persistent symptoms.
- Frustration and missed games or training.
At DMX Miami, we see athletes from Miami, Fort Lauderdale, Miami-Dade County, Broward County, and the Florida Keys, as well as from across Florida, the USA, Central and South America (Colombia, Chile, Argentina, Mexico), and the Caribbean, whose neck or back simply won’t return to pre-injury performance.
How Sports Stress the Spine

Common sports-related spine stressors include:
- Axial loading (e.g., football, rugby tackles, wrestling).
- High-speed falls (cycling, skiing, skating, surfing, motocross).
- Rotational strain (golf, tennis, baseball, volleyball).
- Repetitive hyperextension or flexion (gymnastics, dance, martial arts).
These forces can:
- Strain or tear spinal ligaments.
- Create micro-instability between vertebrae.
- Irritate joints, discs, and nerves over time.
When instability persists, each practice or game becomes a new aggravation.
When an Athlete Should Suspect Instability
Signs that may suggest ligamentous instability or abnormal motion include:
- Pain that worsens with specific movements or positions (extension, rotation, overhead activity).
- A feeling that the neck or back is “weak,” “loose,” or not fully supported.
- Muscle spasms or guarding that keep returning despite standard care.
- Recurrent “tweaks” or episodes of pain with seemingly minor incidents.
- Symptoms that improve with rest but come back as soon as intensity increases.
Standard MRI and X-ray may show little more than “mild degenerative changes” or nothing at all.
Why Traditional Imaging Isn’t Always Enough for Athletes
Static imaging is valuable for ruling out:
- Fractures.
- Serious disc herniations.
- Gross structural problems.
But it:
- Evaluates the spine in non-sport positions (lying down, standing still).
- Doesn’t replicate dynamic loading, rotation, and extension.
- May miss the subtle instability that becomes obvious only during motion.
Athletes don’t get hurt while lying still they get hurt in motion. Your imaging should reflect that.
How Digital Motion X-Ray Evaluates the Athletic Spine
At DMX Miami, Digital Motion X-Ray allows us to:
- Record fluoroscopic videos as the athlete performs controlled, sport-relevant spine movements (within safety limits).
- Measure abnormal translation and angulation between vertebrae.
- Identify segments that are moving too much or in the wrong way.
- Correlate those motion patterns with the athlete’s pain triggers.
While we can’t fully recreate game conditions, we can get significantly closer to real-world biomechanics than static imaging alone.
How DMX Helps the Athlete’s Care Team
DMX findings can:
- Guide chiropractors, physical therapists, and sports medicine physicians in designing stabilization, strengthening, and mobility programs.
- Help determine whether certain segments should be protected or avoided in specific exercises or adjustments.
- Assist regenerative doctors in targeting ligaments or joints that truly need intervention.
- Provide documentation for teams, coaches, and, when necessary, med-legal cases.
The result is a more individualized, data-driven return-to-play plan.
Who Should Consider DMX at DMX Miami?
DMX may be useful for:
- Contact sport athletes with ongoing neck or back pain after concussions or hits.
- Surfers, cyclists, and action sports athletes with unresolved spinal pain after falls.
- Golfers, tennis players, and rotational athletes with persistent mid-back or low back issues.
- Weekend warriors whose imaging says “mild” but whose pain says “serious”.
We work with athletes of all levels from casual to professional.
Why Athletes from Many Regions Choose DMX Miami
Athletes come to DMX Miami from:
- South Florida: Miami, Fort Lauderdale, Miami-Dade, Broward, the Florida Keys.
- Across Florida and the United States.
- Central and South America: Colombia, Chile, Argentina, Mexico.
- The Caribbean, including islands known for surf, sailing, and water sports.
They choose us because we:
- Specialize in motion-based spinal evaluation.
- Understand the unique performance demands athletes face.
- Provide clear findings to guide rehab, training modifications, and return-to-play decisions.
- Offer bilingual support in English and Spanish.
Your Imaging Should Work as Hard as You Do
If you’re training like an athlete but your spine won’t cooperate and standard imaging keeps coming back “normal” it may be time for a motion-based evaluation.
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
