Non-Invasive
At Desert Spine and Pain, we understand that some patients benefit from chiropractic care as part of their non-invasive treatment plan. While we are not a chiropractic clinic, our team makes referrals to trusted chiropractors when we believe this approach can safely complement your recovery. Every referral is carefully coordinated with Dr. David L. Greenwald, M.D., FAANS, FACS, a nationally recognized neurosurgeon. This ensures chiropractic techniques are tailored to your diagnosis, and that you avoid treatments that may not be safe for your condition.
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Simple explanation: Chiropractors use hands-on techniques (adjustments, mobilizations, soft tissue therapy) to improve joint motion and relieve pain.
Scientific explanation: Chiropractic manipulation applies controlled force to spinal or peripheral joints. The goal is to restore physiologic joint play, normalize biomechanics, and reduce nociceptive input (pain signaling) from restricted joints.
Muscle strains and sprains – Neck and lower back injuries that benefit from mobilization
Facet joint irritation – Arthritis-related stiffness and pain
Whiplash injuries – After car accidents, for gentle mobilization See Whiplash Injuries
Chronic mechanical pain – Ongoing stiffness without nerve compression
Adjunctive therapy – As a complement to Physical Therapy
We avoid chiropractic manipulation in patients with:
Severe spinal stenosis
Significant herniated disc with neurological deficits
Spinal fractures or instability
Advanced osteoporosis
Recent spine surgery
In these cases, chiropractic care may worsen the condition. Instead, we recommend other safe, evidence-based options.
Improves mobility and reduces stiffness
Provides short-term pain relief
Enhances posture and function
Complements rehabilitation programs
May reduce reliance on medications
Temporary soreness after adjustments
Rare but serious risks (nerve injury, stroke in cervical manipulations) — why careful screening is essential
Effectiveness varies depending on condition and provider skill
At Desert Spine and Pain, safety comes first. That’s why all chiropractic referrals are guided by a neurosurgeon who knows your full medical picture.
Initial evaluation: Review of your medical history, imaging, and exam
Treatment plan: May include gentle mobilization, stretching, soft tissue therapy, and posture education
Communication: We coordinate with your chiropractor to ensure your care is seamless and safe
First few visits: Short-term relief of stiffness and pain
4–6 weeks: Noticeable improvement in mobility and posture when combined with PT
Ongoing: Periodic sessions may help maintain comfort, but we emphasize strengthening and long-term stability through PT
Expert oversight – Every referral is made with Dr. Greenwald’s input to ensure safety and effectiveness
Trusted network – We partner with chiropractors who use evidence-based, gentle techniques
Integrated care – Referrals are always part of a bigger recovery plan that includes PT, diagnostics, and medical management
Conservative-first philosophy – Chiropractic care is one option in a toolbox, never the only answer
No. Patients with fractures, instability, or nerve compression should avoid manipulation. That’s why referrals are carefully screened.
Most patients benefit from 4–8 sessions over several weeks, integrated with PT and home exercise.
No. Adjustments cannot repair a disc, but may reduce stiffness and muscle tension around it. For severe disc issues, we consider epidural injections or surgery.
Yes. We provide them with your imaging and medical background to ensure your safety.
We integrate chiropractic as part of a neurosurgeon-led plan, ensuring it’s safe, targeted, and effective for your unique condition.
Dr. David L. Greenwald, MD
Neuro-Spine Surgeon
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If you’re considering chiropractic care or seeking guidance on the best treatment approach for your spine condition, Dr. Greenwald and his team are here to help. We’ll evaluate your symptoms, review imaging, and recommend the most effective care plan—whether that includes chiropractic therapy, physical rehabilitation, or advanced medical treatment. Every step you take toward better spine health brings you closer to relief and mobility. Schedule your consultation today and let us connect you with the right care to help you feel and move better.
Dr. David L. Greenwald, MD, FACS, is a board-certified spine surgeon who recognizes the value of a multidisciplinary approach to spine health, including chiropractic care referrals when appropriate. While surgical or interventional treatments may be necessary for certain spinal conditions, many patients benefit from conservative therapies such as spinal adjustments, manual therapy, and targeted rehabilitation. Dr. Greenwald collaborates with trusted chiropractors throughout South Florida to ensure patients receive safe, coordinated, and effective care tailored to their individual needs. His focus is always on relieving pain, improving spinal alignment, and restoring function, whether through medical, surgical, or non-surgical solutions.
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