Who to Refer

Patients Who Need a Clear Diagnosis

A referral to this office is a request for diagnostic clarity. Dr. Moore examines the patient, reviews existing records and imaging, orders further imaging only when it will answer a specific clinical question, and reports back to you in writing.

  • Patients who need a thorough neuromusculoskeletal examination
  • Patients who want or need a second opinion evaluation
  • Spine pain where the source is unclear: discogenic, facet-induced, or sacroiliac joint
  • Neck pain and whiplash after a collision, particularly when ligament injury or instability is suspected and MRI does not explain the symptoms

What Referring Providers Receive

01
A full work up History, neurological and orthopedic examination, and review of available imaging
02
A written evaluation report Working diagnosis, differential, and recommended plan
03
A copy to the patient's GP Sent when the referral comes from a specialist

Diagnostic Focus

Sorting Out Disc, Facet, and Sacroiliac Pain

Back and neck pain share a presentation but not a cause, and the cause determines the plan. Dr. Moore uses the patient's history, a structured examination, clinical prediction rules where they apply, and careful correlation with imaging. Imaging findings such as bulges and degenerative change are common in people without pain, so they are read alongside the clinical picture and not on their own.

Dr. Moore is completing the Neuromusculoskeletal Medicine program at the University of Bridgeport toward the Diplomate in Neuromusculoskeletal Medicine (DIANM) and is a diplomate candidate. The program centers on diagnosis, on evidence-based use of clinical tests, and on communicating clearly with medical colleagues.

Pain Generators Evaluated

  • Discogenic pain Concentric or radial annular fissure, herniation, bulge, and chemical radiculitis
  • Facet-induced pain Entrapment and extrapment
  • Sacroiliac joint pain Provocation testing and exclusion of disc and facet sources

Neck Injury and Whiplash

When MRI Does Not Explain the Symptoms

MRI records the spine in a single position. It depicts discs and the spinal cord well, but it is not a reliable indicator of ligament laxity. For patients with suspected whiplash or spinal instability, Dr. Moore uses flexion and extension X-rays and measures them in Symverta software, which reports translation and angular deviation for each spinal segment against published reference values.

Digital Motion X-Ray, a video fluoroscopy study, is available on site and is reserved for severe spinal trauma.

Evaluation Includes

  • Flexion and extension X-rays Measured segment by segment in Symverta
  • Review of existing MRI and prior records Correlated with examination findings
  • Written findings to you Measurements, interpretation, and recommended next steps

Working Together

How This Office Works With Referring Providers

You asked a clinical question when you referred your patient, and the report answers it. Communication is written, timely, and plain, and it states what was found, what it means, and what should happen next.

When a finding falls outside chiropractic scope, such as a red flag or a problem that needs medical or surgical care, Dr. Moore tells you directly and recommends the appropriate specialist referral.

Dr. Moore's training includes the FPSC, a two-year fellowship provided by SUNY Buffalo Jacobs School of Medicine and Biomedical Sciences and Cleveland University, Kansas City, and the CICE credential in independent examination.

Frequently Asked Questions

Which patients are appropriate to refer? Patients who need a thorough neuromusculoskeletal examination, a second opinion evaluation, clarification of whether spine pain is discogenic, facet-induced, or sacroiliac in origin, or evaluation of neck pain and whiplash with suspected ligament injury.
What will I receive after the evaluation? Every referred patient receives a work up and a written evaluation report. The report is sent to the referring provider, and also to the patient's GP when the referral came from a specialist.
Why not rely on MRI alone after a neck injury? MRI shows the spine in one static position. It shows disc and cord morphology well but is not a reliable indicator of ligament laxity. Flexion and extension X-rays measured in Symverta document intersegmental translation and angular deviation, which fills that gap.
How do disc, facet, and sacroiliac pain differ? Each has a different pain generator and a different history and examination pattern. Disc-related pain includes annular fissures, herniation, bulge, and chemical radiculitis. Facet-induced pain includes entrapment and extrapment. Sacroiliac joint pain is a separate source. Dr. Moore sorts these out with history, examination, and imaging correlation, and no single finding decides it alone.
What happens if the findings are outside chiropractic scope? You will be told promptly, and the report will state the concern and recommend appropriate onward referral to the right medical specialist.
How do I make a referral? Call the office at (251) 281-8768, fax (251) 241-8107, or use the referral inquiry form on this page. Please do not send patient names or identifiers through the web form.

Provider Referrals

Refer a Patient

Call, fax, or send a short inquiry. For patient details, please call or fax, because the web form is not a secure channel for patient information.

Phone (251) 281-8768
Fax (251) 241-8107
Address 7681 Old Shell Rd., Mobile, AL 36608
Hours Mon to Thu 8 to 11:30am & 3 to 6:30pm · Fri 8 to 11:30am & 2 to 5pm · Phone anytime

Referral Inquiry

Please do not enter patient names or identifying details here.