Common Questions
Frequently Asked Questions
Everything you need to know about structural correction at Optimus Spine & Posture.
Why do you take X-rays?
When imaging is clinically indicated, X-rays let us see the structural alignment of your spine objectively, measuring angles, translations, and disc spacing to identify where structural shifts have occurred. We image when it will meaningfully inform your care, not by default; where X-rays are used, they help us build a precise correction plan and document change over time. When imaging is not indicated, posture and functional measurement provide the baseline instead.
What is structural correction?
Structural correction is a focused approach to chiropractic care that identifies measurable structural shifts in your spine and develops a targeted plan to address them. Using objective measurements (X-rays, posture analysis, stress films), we create a personalized plan designed to restore your spine toward its normal structural position.
How is this different from traditional chiropractic?
Traditional chiropractic typically focuses on symptom relief: reducing pain, improving mobility, and providing temporary comfort. Structural correction goes further by identifying measurable structural shifts and working to correct them over time. We take objective measurements before, during, and after care so you can see measurable change, similar to how an orthodontist straightens teeth over time.
Can you help spondylolisthesis?
Yes. Dr. Bury has specific training and equipment (including the Robotic Table) used for appropriate spondylolisthesis cases. When clinically indicated, stress films help assess instability, and we create a targeted rehabilitation protocol. Our approach measures vertebral slippage and focuses on symptoms, stability, and function; repeat imaging is used only when clinically indicated. Results vary by case, and a structural evaluation is required to determine candidacy.
What is Anterior Head Syndrome?
Anterior Head Syndrome occurs when the head shifts forward relative to the shoulders. Research suggests that forward head posture significantly increases the effective load on the cervical spine. This structural shift has been associated with neck pain, headaches, and accelerated disc degeneration. We measure this objectively and address it through structural rehabilitation.
How long does correction take?
Correction timelines depend on examination findings, diagnosis, severity, individual goals, response to care, and adherence to the recommended plan. Every patient is different, and we do not make blanket promises about timelines. We reassess regularly using objective measurements so you can track your structural progress over time.
Do you accept insurance?
Optimus Spine & Posture is primarily a direct-pay practice. We can provide an itemized superbill upon request for patients who wish to submit their expenses to their insurance company for possible out-of-network reimbursement. Reimbursement is not guaranteed and depends on the patient’s individual insurance plan, benefits, and coverage. We accept HSA and FSA payments. We do not bill insurance plans directly and we do not submit claims on your behalf, and Medicare in particular has specific coverage and billing limitations, so please ask us about your own situation rather than assuming a service is covered. Your initial structural consultation is complimentary. The comprehensive examination, any diagnostic imaging and treatment are paid services, and imaging is performed only when it is clinically warranted. Fees and the care we recommend are explained to you before you agree to anything.
What conditions do you treat?
Our approach extends beyond temporary symptom management. We identify measurable structural factors that may contribute to a patient's condition. Patients commonly present with sciatica, migraines, neck pain, back pain, scoliosis, spondylolisthesis, disc injuries, stenosis, neuropathy, and whiplash injuries. By addressing measurable structural shifts, many patients experience improvement. Individual results vary based on diagnosis, severity, and adherence to care.
What should I expect on my first visit?
Your visit begins with a complimentary structural consultation, a conversation with Dr. Bury about your history, your goals, and whether this approach may be appropriate for you. There is no obligation to go further. The consultation does not include the comprehensive examination, diagnostic imaging or treatment. If you choose to proceed, the comprehensive examination is a paid service and may include orthopedic and neurological testing, an objective posture analysis measured in millimetres, and structural X-rays when clinically warranted. When appropriate, the consultation and examination can take place during the same visit. We then schedule a separate Patient Recommendation Conference, the visit where we explain what we found, what we recommend, and the proposed plan, including the fees, before you agree to anything.
Do I need a referral?
No referral is needed. You can schedule a structural consultation directly. We welcome patients who are seeking a different approach to their spinal health, whether they have tried other treatments before or are looking for objective, measurable care from the start.