Treating patients without a case history, thorough exam and essential x-rays is a recipe for disaster.  Many new patients have unrevealed fractures or pathologies that need to be recognized prior to any type of treatment by the chiropractor.  Attempting to treat someone with back pain who could potentially have anemia or glucose metabolism issues is irresponsible and blood work should definitely be a part of the exam. A functional neurological exam will help guide Dr. Hoffman in decision-making processes regarding more advanced imaging such as CT, MRI, or bone scan. To treat a patient without the cautious, appropriate screenings is gambling with the patient’s health and the doctor’s license.