Frequently Asked Questions

No! What you see is what you pay. ChiroPax has zero hidden costs: No setup fees, no installation fees, no hardware required (saves $2,000-$5,000+), no server costs, no per-user fees (unlimited users included), no support fees, no storage fees, no IT infrastructure costs. The only additional charges: Data migration is available (normally $500/TB).

ChiroPax works with digital X-ray systems from major manufacturers, including GE, Siemens, Philips, Canon, Konica Minolta, and Carestream, and supports standard medical image formats.

Add as many doctors, staff, and team members as you need at no extra cost. Everyone on your team can access ChiroPax.

No exporting, no saving, no uploading. Just capture the X-ray and it's automatically uploaded to ChiroPax. No manual steps required.

ChiroPax's live AI capabilities include AI Full Lateral Spine Analysis, AI AP Lumbar Analysis, AI AP Pelvis Analysis. The separate Measurement & Annotation Tools catalog contains manually operated tools, including Ilium Analysis, Pelvic Incidence, and Pelvic Parameters. These tools are not additional AI models.

The Advanced Viewer provides image viewing, compare mode, image enhancement, study export, and multi-screen support, alongside manually operated measurement and annotation tools.

Everything. All medical-grade AI features, all chiropractic AI tools (NUCCA, Advanced Orthogonal, Orthospinology) - no feature restrictions, no credit card required. After the trial: You automatically get 10 studies per month FREE. No payment required. Upgrade anytime to increase your study limit.

Yes! Upgrade or downgrade anytime.

You can repurchase your same tier or upgrade to the next tier. Most practices find upgrading to the next tier is more cost-effective.

AMA-Guides-structured AOMSI documentation.

Yes. All data is encrypted, stored in HIPAA-compliant cloud infrastructure, and automatically backed up. We're fully compliant with all healthcare regulations.

Three easy ways: QR Code - generate for instant mobile access. Email - send directly to patient. Shareable Link - create a secure link. Patients can view their color-coded analysis on any device - no login required.

Yes. No contracts, no cancellation fees. Cancel anytime with just a few clicks.

Yes! We offer discounts for both multi-location practices and practice groups: 2-3 locations - 10% off, 4-5 locations - 15% off, 6+ locations - Custom enterprise pricing.

Yes! We provide free migration assistance.

AOMSI stands for Alteration of Motion Segment Integrity, a finding in the AMA Guides to the Evaluation of Permanent Impairment that describes abnormal translation or angular motion between adjacent vertebrae on flexion-extension X-rays.

Per the AMA Guides, thresholds vary by spinal region and edition. For the cervical spine under the 6th Edition, sources describing the Guides cite translation greater than 20% of the vertebral body, or angular motion more than 11 degrees greater than the adjacent segment. Always confirm the exact figures against the edition applicable to the case.

It means the normal backward curve of the cervical spine, as seen on a lateral X-ray, has flattened compared with typical reference values for the measurement method used (Source: a 2018 meta-analysis of cervical lordosis in asymptomatic adults).

Reverse cervical lordosis, also called cervical kyphosis, describes a cervical curve that bows forward instead of its normal backward pattern.

A line is drawn along the superior endplate of the upper end vertebra and another along the inferior endplate of the lower end vertebra; the angle between those lines is the Cobb angle (Source: Radiopaedia, "Cobb angle"). Try our free calculator to see it in action.

George's line is the posterior vertebral line on a lateral cervical X-ray, one of four alignment lines used to check for malalignment. It should form a smooth, continuous curve without step-offs (Source: Radiopaedia, "Cervical spine alignment").

Osteophytes, commonly called bone spurs, are bony projections that form along vertebral margins, often as part of age-related and degenerative changes of the spine. Their presence alone does not establish the cause of a patient's symptoms.

Digital motion X-ray (DMX) is a fluoroscopy-based method that captures a rapid sequence of X-ray frames and plays them back as video of a joint or spinal region in motion, distinct from standard static flexion-extension X-rays.

Anterior head translation describes the head sitting forward relative to the shoulders and trunk, commonly assessed on a lateral cervical X-ray using methods such as the C2-C7 sagittal vertical axis.

It's software that uses AI to automatically detect spinal landmarks, apply standardized measurements, and generate annotated, clinic-ready reports from X-ray studies, replacing manual annotation.