“Stand up straight” is easy to say harder to do when cervical ligaments can’t hold the spine in stable alignment. If your head keeps drifting forward despite diligent exercise and ergonomic upgrades, the problem may be structural, not just muscular. Digital Motion X-Ray (DMX) helps reveal movement-dependent instability in the neck that sabotages posture and balance even when static X-rays or MRIs look normal.
Why instability wrecks posture
Ligaments are the seatbelts of the spine. They guide and limit movement so muscles can do their job efficiently. When ligaments are overstretched by whiplash, repeated forward-head posture, past injuries, or degenerative changes, the vertebrae may drift under load. The head slides forward, the thoracic spine rounds, and the low back overarches to keep your eyes level. The result: overworked neck/shoulder muscles, compressed joints, rib restriction, and shallow breathing. Posture collapses not because you’re lazy, but because passive stability is compromised.
Why routine imaging often misses the root cause
Static X-rays and MRIs show your neck at rest. Postural collapse is dynamic: it emerges while you’re upright, moving, and carrying the day’s tension. Many patients have normal imaging yet can’t hold correction beyond a few minutes. Without seeing how the spine moves, providers may focus only on stretching and strengthening helpful but incomplete when the “seatbelts” are loose.
How DMX evaluates posture in motion

DMX records continuous X-ray video while you perform controlled flexion/extension, side-bending, and rotation. Reviewing footage frame-by-frame, clinicians assess:
- Excessive translation/gapping between levels (ligament laxity).
- Abnormal coupling, such as rotation that drags into side-bending.
- Compensation patterns, where one level over-moves because a neighbor is too stiff.
- Position-specific instability that explains why your posture collapses late in the day.
By correlating the motion study with your symptoms (headaches, upper-back fatigue, rib tightness, balance changes), we can finally answer why posture won’t hold and where to intervene.
Common posture-related symptoms linked to cervical instability
- Neck and shoulder tightness that returns a day after massage.
- Headaches or eye strain with prolonged screen time.
- Mid-back aching from rounded posture; rib restrictions with breathing.
- Dizziness/unsteadiness when turning or looking up.
- Fatigue from constant muscular compensation and shallow breaths.
Case snapshot
“Luis,” a Miami professional, followed a disciplined rehab plan yet felt his head “slide forward” every afternoon. DMX revealed C4–C5 and C5–C6 laxity during extension and rotation findings invisible on his MRI. Once his plan included regenerative ligament therapy, targeted cervical adjustments, and stabilization drills that emphasized deep neck flexor activation and rib mobility, his posture began to hold without constant cueing. Headaches faded and energy improved.
Care after a DMX diagnosis
Precision beats guesswork. Depending on your study:
- PRP/cellular therapy may be recommended to tighten lax ligaments.
- Specific chiropractic procedures restore mechanics without over-mobilizing unstable segments.
- Postural restoration blends breathing mechanics, rib mobility, and core endurance so alignment is supported, not forced.
- Neuro-muscular re-education refines head-righting and balance strategies.
- Ergonomic tactics (screen height, chair setup, movement “snacks”) keep you upright throughout the day.
Why Miami and who we serve
Patients travel to Miami from Central and South America, the Caribbean, and Europe for motion-based diagnostics uncommon elsewhere. Our bilingual team (English/Español) provides evaluations, results reviews, and written home plans you can take back to your providers.
📌 Learn more about DMX for posture-related problems: DMX Treatment Page
📅 Schedule your bilingual consultation: Appointment Page
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
305-275-7475
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