If you take X-rays, it's tempting to hit the rocker switch on your X-ray viewbox and start channeling an Erhardt seminar from the late 1970s. Only problem is, most patients aren't interested in the many nuances you see on their films. Attempting to turn them into a chiropractor with a radiographic seminar, rarely produces the effect you want.

Instead, involve patients by posting the closest "normal" view adjacent to each film you take. Ask the patient to compare their X-ray with the "textbook normal" beside it. "What are some of the biggest differences you see between the normal and yours?"

Many patients, afraid they'll make a mistake and look dumb, will reply with, "I don't know." Others will prefer not to play, figuring they're paying you to do all the work. Persevere. Do a little coaching.

"Do you see any differences in the curve?"
"What about the spacing between the bones?"
"What about the shape of individual bones?"

Attempt to draw them out. Affirm and congratulate them when they share their observations, eEven if all they notice are exposure differences. Help them "own" their problem by having them tell you what they see.

# 1 Dimmer Switch

# 2 Spinal Flossing

# 3 Record Your Reports

# 4 Have Patients Hold Your Model

# 5 Compare With Textbook Normal

# 6 Modify Based on Generation

# 7 Use Metaphors

# 8 Use More Power Words

# 9 Link to Key Value

#10 Rehearse Their Explanation

Don't have a near normal lateral cervical? Our Near Perfect poster could be just the ticket. It's two times normal size with call-outs of key radiographic landmarks that every patient should recognize.