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Altering patient head positioning between serial cervical spine X-rays to claim chiropractic alignment cured chronic migraines is a deceptive radiographic trick. On the initial image, the patient was instructed into active cervical flexion, tucking the chin to artificially straighten the normal lordotic curvature and mimic structural spinal loss. On the post-treatment radiograph, the patient was positioned in active cervical extension, tilting the head backward to artificially accentuate lordosi
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