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As you walk into our office for your first visit you will be greeted at the front desk by staff.  Necessary paperwork is frequently emailed to you prior to your visit to allow check-in to be simple as possible.  You will be escorted into the exam room by staff.  


Dr. Derek will sit and talk with you concerning your injury to get a detailed history to understand the specifics which can lead to creating a custom treatment plan for your complaint.  Physical examination will include ROM of spine and other joints along with orthopedic and neurological testing. Explanations of testing and what is found will be explained in real time.


Movement assessment occurs next.  Plan on moving a lot as your injury will tell us if it will respond with treatment geared to increase movement or strengthened and stabilized.  Repeated movements can give direct information about each individual injury.  Even before Dr. Derek performs any active treatment or manipulation you may experience relief of your complaint.  These movements and exercises can directly be turned into home activity to repeat outside the office after your visit to improve treatment time.

Treatment Dr. Derek may perform during your visit can include manipulation of the spine and other joints, soft tissue release of muscles, rehabilitation exercise to help stabilize and strengthen certain muscles, dry needling to address pain and muscle tension and nutritional counseling. 

Follow-up appointments are preferred to occur 1-3 days following your initial visit to allow assessment of how treatments are affecting your symptoms and ensuring you are responding as desired.  Necessary changes can occur at each visit.

first visit//

neck and back pain, disc and pinched nerve injuries


The spine is our speciality.  All conditions related to the spine can be addressed in our office.  The doctor provides a thorough exam that allows a correct diagnosis of your injury.  From common strain/sprains to disc bulges/herniations, our office is a great place to start your treatment.  We can accurately diagnose your condition and begin treatment to a full recovery.


The goal is always to treat your condition quickly and effectively.  The time frame of how long you have had your condition does have a direct effect on the recovery period, but with active involvement of the patient in their own rehabilitation, the recovery time can be shortened.



Headaches, even migraines, are a common condition in this day in age.  Driving, computers and text messaging all affect the posture and position of our cervical spine which directly effect your headache.  Tension, cluster, sinus and migraine headaches can all have a cervical spine component which means they can respond well to treatments available in our office.  



Wrists, elbows, shoulders, hips, knees and ankles all can experience the same strains and sprains of the spine.  Tendonitis, plantar fascia and muscle injuries can be addressed with certain mobilities, therapies and stretching exercises by the doctor. Custom orthotics are also available to be cast in our office.


personal injury/workers compensation

Dyer Health can help provide relief following personal injury and worker compensation events.  Motor Vehicle accidents and other trauma events can create pain and discomfort.  Chiropractic treatment and rehabilitation provided by Dr. Dyer can allow for relief of the symptoms and injury.  



conditions treated at dyer health

- headaches - tension, sinus, migraine, cluster

- neck pain

- back pain

- hip pain

- joint pain

- pregnancy pain

- tmj pain/dysfunction

- posture strain

- rib pain

- whiplash

- disc degneration/bulging/herniation

- degenerative disc disease

- post-surgical back pain

- failed back surgery 

- pinched nerve

- radiculopathy 

- muscle strain/sprain

- muscle spasm

- impingement syndromes

- piriformis syndrome

- arthritis

- rotator cuff injury

- golfer/tennis elbow

- tendonitis 

- carpal tunnel

- numbness/tingling

- joint pain/stiffness

- sciatica

- degenerative joint disease

- knee pain

- adhesive capsulitis/frozen shoulder 

- plantar fasciitis

- colic and ear infections in infants

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The doctor uses a specific mobilization treatment called Diversified-Manipulation to promote motion of the spine where movement is needed.

mckenzie diagnosis and therapy


Dr. Derek is one of less than 1% of chiropractors in the world certified as a MDT practitioner.  


The McKenzie Method or Mechanical Diagnosis and Therapy (MDT) is a system of evaluation and treatment of mechanical spinal and extremity pain developed by New Zealand Physical Therapist Robin McKenzie.  It is practiced extensively throughout the world in 40 countries and on 5 continents.

MDT is an active treatment philosophy that emphasizes teaching the patient how to manage and treat the pain themselves.  The patient is encouraged to take an active role in their own recovery with the emphasis on patient independence of self treatment and prevention.

mckenzie diagnosis and treatment, physical therapy



It is our goal to not only get you out of pain, but to keep you out of pain.  The doctor uses several different rehab techniques to repair and strengthen your injuries.  From core stabilization to active stretching.  The correct treatment will be used to ensure your pain goes away and stays away.

dry needling

Though the name may sound a little ominous, "dry needling" is a very effective form of therapy that is growing in popularity and usage.  It involves the use of needles to stimulate and break up knotted or hard muscle tissue - called "trigger points" - usually located deeper in the body.

dry needling

massage therapy

Dyer Health massage therapy in-house specializing in myofascial release.  They are available by appointment and compliment the treatment provided by Dr. Derek to help you feel your best.



The doctor prides himself on knowing and recognizing when conditions are not treatable or are not responding in our office.  We frequently co-manage patient injuries with their primary care provider to ensure comfort during treatment.  We will ensure we discuss all options for treatment and initiate referrals to other specialists to heal your injury.

spinal adjustment
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