Concerns About Radiation Exposure from Cervical and Lumbar X-rays - Radiology

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X-rays of the cervical and lumbar spine were taken in a short period of time?


Hello, doctor.
I apologize for the interruption.
Recently, I have been experiencing tremors in my hands and feet (starting with my right hand, then my left hand, and then both thighs...
a progressive tremor).
I am concerned that it might be related to amyotrophic lateral sclerosis (ALS) or other conditions, so I visited a neurology clinic for consultation.
The doctor arranged for X-rays of my cervical and lumbar spine, with one view each for the lateral and anteroposterior positions, totaling four images.
After the X-rays, I felt dizzy, nauseous, and had dry eyes! I suspect this might be a side effect of having four X-rays taken in one session.
Is it true that having a total of four X-rays (1.5 mSv for lumbar and 2 mSv for cervical, totaling 7 mSv) is considered excessive? Will any potential side effects alleviate over time? Thank you for clarifying, I appreciate it.

Chen Xiaobai, 40~49 year old female. Ask Date: 2023/11/21

Dr. Wang Yifen reply Radiology


Hello, the radiation exposure from diagnostic X-rays is considered low dose radiation.
The X-ray examinations you described fall within a safe radiation dose, so please do not worry too much.
Regarding the symptoms you mentioned, such as "dizziness, nausea, and dry eyes," these may be related to changes in posture, blood pressure, or other physiological reasons, and are likely unrelated to the X-ray examination.
If your symptoms persist, it is advisable to consult a neurologist or a family medicine physician for evaluation and treatment by a specialist.
Please take this into consideration, and I wish you peace and good health.

Reply Date: 2023/11/21

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding radiation exposure from your recent cervical and lumbar X-rays. It’s understandable to feel anxious about radiation, especially when you are experiencing health issues that require diagnostic imaging. Let’s break down your questions and clarify the situation regarding radiation exposure and its potential effects.

First, regarding the radiation dose from X-rays, the typical effective dose for a single lumbar or cervical spine X-ray is approximately 1.5 millisieverts (mSv). If you had two images taken for each region (cervical and lumbar), your total exposure would indeed be around 6 mSv (1.5 mSv for each lumbar view and 2 mSv for each cervical view). This is a relatively low dose when compared to other sources of radiation exposure, such as natural background radiation, which averages about 3 mSv per year.

To put this into perspective, the additional cancer risk associated with such radiation exposure is quite minimal. Studies suggest that the risk of developing cancer from a dose of 10 mSv is about 1 in 1,000, which means that your exposure of 6 mSv would correspond to an even lower risk. The general consensus in the medical community is that the benefits of obtaining necessary diagnostic information from X-rays far outweigh the potential risks associated with the radiation exposure involved.

Now, regarding your symptoms of dizziness, nausea, and dry eyes following the X-ray procedure, it is important to note that these symptoms are unlikely to be directly related to the radiation exposure from the X-rays. Radiation from X-rays does not cause immediate side effects like those you are experiencing. Instead, these symptoms could be due to anxiety, stress, or even a reaction to the environment in which the X-rays were taken. It’s also possible that they could be related to your underlying health condition, especially since you mentioned experiencing tremors.

As for your concern about whether the exposure was excessive, the doses you received are within the safe limits established by health authorities. The equipment used for X-rays is designed to minimize exposure while still providing the necessary diagnostic information. Additionally, the personnel operating the machines are trained to ensure that the procedures are conducted safely.

In terms of long-term effects, the likelihood of experiencing any radiation-related health issues from this exposure is extremely low. The body has mechanisms to repair damage caused by low levels of radiation, and the effects of such small doses typically do not manifest in any significant way.

If your symptoms persist or worsen, it is crucial to follow up with your healthcare provider. They can help determine the underlying cause of your symptoms and provide appropriate treatment or referrals if necessary. It’s always best to communicate openly with your physician about any concerns you have regarding your health and the procedures you undergo.

In summary, while it’s natural to be concerned about radiation exposure, the doses from your cervical and lumbar X-rays are considered safe and unlikely to cause any immediate or long-term health issues. Your symptoms are more likely related to other factors, and I encourage you to seek further evaluation if they continue.

Wishing you good health and peace of mind,
Doctor Q&A Teams

[Your Institution/Practice]

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