Alignment and curves
The side view shows the natural curves of the neck and lower back, and whether they are preserved, straightened or reversed.
Diagnostics · Standard
X-Ray incl. Flexion/Extension Views
Plain X-ray images, including views taken while bending forward and backward, to assess alignment and stability.
What it is
The simplest picture — including movement
X-ray is the oldest spinal imaging and still the first picture in most assessments. Standard still views are combined with flexion and extension views, taken while you bend, so stability is judged under movement rather than guessed from a static pose.
Disc space height
Narrowed gaps between vertebrae suggest worn discs; comparing levels shows which segments are most affected.
Bone spurs and wear
Bony outgrowths around discs and facet joints mark chronic degeneration and possible nerve exit narrowing.
Flexion–extension shift
Bending forward and backward reveals movement between vertebrae that is invisible on still images — the key sign of instability.
Common questions
Things patients ask us
Why do I need to bend for an X-ray?
Some spines look stable when still but shift when loaded. Flexion and extension views expose that movement, which decides between treatments that preserve motion and those that stabilise.
Is the radiation a concern?
A spinal X-ray uses a low dose of radiation, and precautions such as shielding are routine. Tell the team if you are or may be pregnant, so the plan can be adjusted.
What if my X-ray looks normal?
X-rays show bone, not discs or nerves in detail. A normal X-ray with ongoing nerve symptoms is a common reason to order an MRI next.
How should I prepare?
Usually no preparation is needed. You may be asked to remove metal objects and jewellery from the imaged area.
Start with your case.
Send your history and any imaging you already have. The ProSpine team will review your case and respond with the next steps.
Free · No obligation · Reviewed by the ProSpine team