Description
Normal X-Ray Variants
Instructor: James Demetrious, DC, DABCO
Cost: $50 – 2 CE Hours
Course Description:
- This course provides a practical review of common normal and developmental radiographic variants encountered on chiropractic x-ray examinations. Emphasis is placed on accurate recognition, differentiation from pathology, and clinical relevance to prevent misdiagnosis, unnecessary alarm, or inappropriate management while supporting sound clinical decision-making.
Hourly Breakdown:
- Hour 1 – Anatomy, Pathophysiology, and Clinical Assessment
- The lecture reviews frequently encountered normal x-ray variants of the spine and extremities, including congenital anomalies, developmental variations, and age-related findings.
- Hour 2 – Evidence-Based Clinical Management
- Discussion focused on distinguishing benign variants from clinically significant pathology, understanding when additional imaging or referral is warranted, and documenting findings appropriately to support patient care and risk management.
Learning Objectives
- Identify common normal and developmental x-ray variants relevant to chiropractic practice.
- Differentiate benign radiographic findings from pathologic conditions requiring further evaluation or referral.
- Apply appropriate clinical interpretation and documentation of normal variants to support safe, effective, and defensible patient management.
Instructor: James Demetrious, DC, DABCO

Dr. James Demetrious is a nationally distinguished, board-certified chiropractic orthopedist. He is a clinician, educator, author, and editor. Dr. Demetrious is the co-founder and CEO of PostGradDC. He is an independent member of the NCMIC Speakers’ Bureau and teaches post-graduate coursework throughout the United States. He has published peer-reviewed journal articles on advanced differential diagnosis. Dr. Demetrious cared for patients for 40 years.
Note: PostGradDC coursework may qualify for license-renewal credit in approved PACE states. Please confirm acceptance with your state licensing board before registering.





