A Next Step When PT, Chiropractic, and Medications Aren’t Enough
Many patients come to us with a frustrating story:
- They’ve done physical therapy sometimes multiple rounds.
- They’ve seen chiropractors, pain specialists, and primary doctors.
- They’ve tried medications, home exercises, and lifestyle changes.
- They still have persistent neck, mid-back, or low back pain.
At DMX Miami, we often see these “I’ve tried everything” patients from Miami, Fort Lauderdale, Miami-Dade, Broward, the Florida Keys, and from elsewhere in Florida, the USA, Central and South America, and the Caribbean when their providers suspect that hidden instability may be the missing piece.
Why Good Treatment Sometimes Fails
Conservative care can fail to fully resolve pain if:
- The true injured level has never been identified.
- There is unrecognized ligamentous laxity or instability.
- Rehab focused mainly on stretching or general strengthening not targeted stabilization.
- Imaging didn’t reveal the mechanical problem because it was only done at rest.
In other words, if no one has ever watched your spine move under load, your providers may be working without a complete map.
Patterns We See in “Failed Conservative Care” Cases
Common themes include:
- Pain that changes significantly with flexion, extension, or rotation.
- Symptoms that temporarily improve with care, then recur as soon as activity increases.
- Patients feeling like their spine is “weak,” “loose,” or “fragile”.
- Multiple providers, each helping a little but no lasting change.
These are classic signs that motion behavior, not just static structure, needs to be evaluated.
How Digital Motion X-Ray Adds Missing Information
Digital Motion X-Ray at DMX Miami:
- Records fluoroscopic video sequences while you perform controlled movements.
- Measures abnormal translation and angulation between vertebrae.
- Can highlight levels where ligaments are not adequately stabilizing the spine.
- Helps explain why certain motions consistently trigger your symptoms.
This information doesn’t replace a good physical exam but it enhances your providers’ ability to focus on what matters most.
How DMX Results Can Change Your Care Plan
With DMX findings, your care may shift from:
- General stretching and strengthening → to segment-specific stabilization
- Broad, high-volume adjustments → to more precise, stability-aware chiropractic care
- Symptom-based injections → to targeted interventions at documented unstable segments
- Confusing trial-and-error → to a clear, mechanically grounded strategy
For some patients, DMX also clarifies when surgical consultation is appropriate or when surgery may not address the primary instability.
Who Is a Good Candidate for DMX After “Failed” Conservative Care?
DMX may be worth discussing with your providers if:
- Your pain started with trauma (car crash, fall, sports injury) and never fully resolved.
- You’ve done at least several weeks to months of quality conservative care.
- Imaging shows little or only mild changes compared to your severe symptoms.
- Your pain is clearly influenced by movement and position.
Patients from South Florida, the broader USA, Latin America, and the Caribbean often schedule DMX as part of a second-opinion or “deep dive” into their chronic spine problems.
DMX Miami as a Problem-Solving Hub
We see ourselves as a diagnostic hub:
- We don’t replace your entire health team.
- We provide specific, motion-based information that your team can use.
- We help connect the dots between what you feel and what your spine is actually doing.
Our reports are written to be useful for chiropractors, therapists, pain specialists, regenerative doctors, surgeons, and attorneys.
If You’ve “Tried Everything,” Maybe the Problem Was Never Clearly Seen
It’s incredibly frustrating to work hard at your recovery and still hurt. Sometimes the next step isn’t “more of the same”.it’s better information.
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