Vancouver Disc Center of America

Here is a short list of four great things to do with that back pain you suffer:
- Just live with it
- Manage your pain with meds, etc.
- Undergo surgery (of which 90% fail within 2 years)
- Non-surgical Disc Repair (Spinal Decompression) if you qualify*

*Call us for a consultation to find out


Vancouver Disc Center of America
14313 NE 20th Ave, Ste 101B
Vancouver, WA 98686
360-727-0787
https://VancouverDiscCenter.com
[email protected]

Beyond The Image: Understanding Your Spine through Clinical Care
You’re hurting, and you want answers—we get it. Nothing feels more reassuring than seeing an actual image of your spine and pointing to what might be causing your pain. But here’s something that might surprise you: what shows up on your MRI or X-ray often doesn’t match what you’re actually feeling. An interesting 2025 study found that people with severe spinal stenosis visible on scans sometimes have zero pain, while others with “perfect-looking” spines are in agony. (1) Wild, right? Another recent study captured what many patients feel: “it’s hard to trust an individual, it’s easier to trust an image.” (2) We understand that completely. But here’s the truth—your chiropractor’s hands-on assessment, combined with thoughtfully interpreting your imaging, tells your real story. It’s not about dismissing those scans; it’s about getting the complete picture of what’s really going on with your body so we can help you feel better. Let’s discuss both your imaging and clinical assessment findings to develop a comprehensive treatment approach tailored specifically to you.

CHIROPRACTIC TIP OF THE MONTH: Try Exercise to Help Reduce Lumbar Spinal Stenosis Pain
Exercise provides substantial benefits for patients with lumbar spinal stenosis, effectively reducing pain and improving function through flexibility, strengthening, and aerobic components. Importantly, stenosis severity does not affect treatment responsiveness, meaning even patients with advanced stenosis can achieve meaningful improvements. This evidence supports exercise as a primary conservative treatment, offering a non-invasive approach to manage symptoms and enhance mobility before considering surgical options. (3,4) Let’s chat at your next appointment about the best exercise for you.

Disc Centers of America - Vancouver
14313 NE 20th Ave, Ste 102B,
Vancouver, WA, 98686
360-727-0787
[email protected]
https://vancouverdisccenter.com/

References:

Shahidi B, Zavareh A, Richards C, Taitano L, Raiszadeh K. Severity of lumbar spinal stenosis does not impact responsiveness to exercise-based rehabilitation. medRxiv [Preprint]. 2024 Sep 23:2024.09.20.24314088. doi: 10.1101/2024.09.20.24314088. PMID: 39399031; PMCID: PMC11469385.

Mc Auliffe S, Kirby E, Mockler D, Farooq A, Trine Fogh Johansson S, Krüger Jensen R, Nim C, O’Sullivan K. The long-term clinical course of non-surgically treated lumbar spinal stenosis: a systematic review and meta-analysis. Eur Spine J. 2025 Oct 28. doi: 10.1007/s00586-025-09502-8. Epub ahead of print. PMID: 41148274.

Haslam-Larmer L, Norman KE, Patey AM, Thomas IM, Green ME, Grimshaw JM, Hayden JA, Hartvigsen J, Ivers NM, Jenkins H, French SD. “It’s hard to trust an individual, it’s easier to trust an image”-patients with low back pain want imaging as a means of coping with uncertainty. BMC Prim Care. 2025 Oct 31;26(1):332. doi: 10.1186/s12875-025-02998-5. PMID: 41174481; PMCID: PMC12576980.

Comer C, Williamson E, McIlroy S, Srikesavan C, Dalton S, Melendez-Torres GJ, Lamb SE. Exercise treatments for lumbar spinal stenosis: A systematic review and intervention component analysis of randomised controlled trials. Clin Rehabil. 2024 Mar;38(3):361-374. doi: 10.1177/02692155231201048. Epub 2023 Sep 16. PMID: 37715644; PMCID: PMC10829420

WHEN BACK SURGERY ISN'T ENOUGH-
How Cox® Technic Offers Hope for Relief

Persistent back pain following back surgery presents a significant challenge, with traditional approaches often providing limited relief. Cox® Technic, a specialized form of chiropractic distraction spinal manipulation used in our practice, offers a promising conservative treatment option. This gentle technique utilizes a specially designed table for controlled flexion and distraction of the lumbar spine, creating decompression while mobilizing restricted segments.

Research demonstrates Cox® Technic's clinical effectiveness for post-surgical pain. Gudavalli et al. (2016) examined patients with continued low back and radicular pain following spinal surgeries, finding significant improvements in both pain levels and functional disability scores after Cox® Technic treatment.
(1) Additionally, Trager et al. (2024) found that patients receiving chiropractic care, including distraction techniques, had lower surgical re-operation rates compared to those without conservative manual therapy.
(2)Cox® Technic's effectiveness stems from its ability to create negative intradiscal pressure, promote nutrient exchange, and restore normal spinal biomechanics without aggressive manipulation. This makes it particularly suitable for post-surgical patients requiring gentle, precise treatment that respects altered spinal anatomy while addressing ongoing pain and dysfunction.

Listen to this PODCAST with Dr. Marc Baker on The Back Doctors Podcast with Dr. Michael Johnson about the effectiveness of The Cox® Technic System of Spinal Pain Management for continued back pain after back surgery.

TIP OF THE MONTH:
Exercise After Back Surgery

Your back surgery was just the beginning of your comeback story! Recent research by Son et al. (2025) proves that both guided and self-paced exercise programs can safely restore your strength and flexibility after lumbar spine surgery. (3) Your body is a remarkable healing machine, and movement is its fuel. Don't let fear keep you sidelined—every gentle stretch and mindful step forward rewrites your future. Your spine isn't just recovering; it's preparing to support all your dreams again. Start today!

Make your next appointment today!

Vancouver Disc Center of America
14313 NE 20th Ave, Ste 102B
Vancouver, WA 98686
360-727-0787
https://VancouverDiscCenter.com
[email protected]

We are excited to see you.

References:
Gudavalli MR, Olding K, Joachim G, Cox JM. Chiropractic Distraction Spinal Manipulation on Postsurgical Continued Low Back and Radicular Pain Patients: A Retrospective Case Series. J Chiropr Med. 2016 Jun;15(2):121-8. doi: 10.1016/j.jcm.2016.04.004. Epub 2016 May 25. PMID: 27330514; PMCID: PMC4913115.
Trager RJ, Gliedt JA, Labak CM, Daniels CJ, Dusek JA. Association between spinal manipulative therapy and lumbar spine reoperation after discectomy: a retrospective cohort study. BMC Musculoskelet Disord. 2024 Jan 10;25(1):46. doi: 10.1186/s12891-024-07166-x. PMID: 38200469; PMCID: PMC10777506.
Son S, Park HB, Kong KS, Yoo BR, Kim WK, Sim JA. Comparison of Guided Exercise and Self-Paced Exercise After Lumbar Spine Surgery: A Randomized Controlled Trial. Life (Basel). 2025 Jul 4;15(7):1070. doi: 10.3390/life15071070. PMID: 40724572; PMCID: PMC12298251

EVEN AIRBAGS CAN CAUSE SPINAL INJURIES!!!
Have YOU been in a crash lately or even just a few years back?
Find out just how important and how effective our services can be in repairing spinal and joint damage done during a crash - even low impact!
Not to speak of the ability we have to reduce the pain that has been bothering you ever since the event. Come by for a consultation if you are in pain and want to see/experience relief.
From Spinal Decompression, Cold and Hot laser therapy, and a myriad of treatment protocols and therapies, Dr. Troy, who has been serving the Vancouver and greater Portland community for more than 30 years, can offer several proven and effective options.
Join Leigh-Anna and hundreds of other crash victims in finding relief from compression, whiplash, and other crash-related injuries.

Disc Centers of America - Vancouver
& Zenaptic Chiropractic
14313 NE 20th Ave, Ste 102B, and 101B
Vancouver, Washington 98686
360-727-0787
https://vancouverdisccenter.com
[email protected]

As a member of the ONLY Group of Doctors in Non-Surgical Spinal Decompression, DISC Centers of America Centers, Dr. Troy Dreiling encourages you to visit us and learn more about this life-changing therapy.

Disc Centers of America - Vancouver
& Zenaptic Chiropractic
14313 NE 20th Ave, Ste 102B, and 101B
Vancouver, Washington 98686
360-727-0787
[email protected]

Golf is in full swing in the great NorthWet!
Would you like to improve your game?
One easy way is to care for your body - chiropractic therapy can help you strengthen your back by eliminating pain and spine issues.
When your spine causes you pain due to misalignment or other issues like sciatica, herniated discs, and more, it will never respond while you are currently out on the course. Pain can cause you to automatically realign yourself to compensate, or your back muscles can tighten in response.
Schedule an evaluation soon to see if you suffer from lower back pain, shoulder pain, or other physical ailments that can be treated.


Disc Centers of America - Vancouver
& Zenaptic Chiropractic
14313 NE 20th Ave, Ste 102B, and 101B
Vancouver, Washington 98686
360-727-0787
[email protected]

Just ask the thousands we have treated whether chiropractic treatment works. As the image quote says, it DOES work. But you need to start the journey for yourself if it is to work FOR YOU!

Call us. Schedule a session with Dr. Troy to discuss your back, neck, or joint pain.

Disc Centers of America - Vancouver
& Zenaptic Chiropractic
14313 NE 20th Ave, Ste 102B, and 101B
Vancouver, Washington 98686
360-727-0787
[email protected]

Simply drinking water does NOT fix spinal issues; they are compressed and have lost the fluid between the vertebrae.
How much water should you drink? ❄️
⚠️ WHY SPINAL HYDRATION IS IMPORTANT ⚠️
🛑 The center of your intervertebral discs (called the nucleus pulposus) is 88% type II collagen water
🛑 Reduction in disc hydration results in disc degeneration (a.k.a. Degenerative Disc Disease)
🛑 Spinal discs are avascular and the disc cells depend on diffusion from blood vessels at the disc's margins to supply the essential nutrients. This process requires adequate hydration for optimal hydrostatic pressure
🛑 If the nucleus pulposis (center) of your disc isn't well hydrated, additional pressures are placed on the more fibrous ring, which can lead to disc bulges and herniations
🛑 Spinal disc hydration is facilitated both by exercise and rest
🛑 This hydration of your bones and discs is key for shock absorption
🛑 Lack of water increases your body's inflammatory response
🛑 Lack of water also increases pain sensitivity

Disc Centers of America - Vancouver
14313 NE 20th Ave, Ste 102B,
Vancouver, WA, 98686
360-727-0787
[email protected]
https://vancouverdisccenter.com/

Dee had some very nice words to say about us when she got her decompression treatment:
" Decompression is the best! Friendly staff and nice location! Would HIGHLY recommend seeing Dr Troy to ANYONE experiencing back problems to see if this program will work for you! It sure did for me!! "

Find out what Spinal Decompression can do for you today by scheduling an appointment by calling us at:
360-727-0787

Disc Centers of America - Vancouver
& Zenaptic Chiropractic
14313 NE 20th Ave, Ste 102B, and 101B
Vancouver, Washington 98686
360-727-0787
[email protected]

Vancouver Disc Center Team Earns National Certification In Advanced Non-Surgical Spinal Decompression-
Vancouver, WA — The Vancouver Disc Center is proud to announce that its entire clinical team—including Dr. Troy Dreiling, Dr. Gino Pascual, and additional staff providers—has recently been officially certified by North American Medical, the organization behind the groundbreaking AccuSpina® non-surgical spinal decompression system.

This distinguished certification places the Vancouver Disc Center among a select group of clinics nationwide trained to deliver the most advanced, research-backed non-surgical decompression protocols available today.

A Major Milestone in Spinal Decompression Care
North American Medical, developer of the AccuSpina®, was founded on the work of Dr. Norman Shealy, a Harvard-trained neurosurgeon widely regarded as a pioneer in neuromodulation and non-surgical spine therapeutics. Dr. Shealy’s clinical protocols focus on treating:

Herniated discs
Bulging discs
Degenerative disc disease
Sciatica
Spinal stenosis
Chronic low back and neck pain
Using precise computerized decompression forces, the AccuSpina® is designed to reduce disc pressure, restore hydration, and improve nerve function—without drugs, injections, or surgery.

Clinical data from North American Medical shows success rates approaching 90% when protocols are followed correctly, making it one of the most effective conservative treatments for disc-related pain.

A Team Dedicated to Excellence & Patient Outcomes

Dr. Troy Dreiling, DC
President of the International Disc Education Association (IDEA) and founder of Vancouver Disc Center, Dr. Dreiling brings over 30 years of clinical experience in non-surgical spinal correction. This certification further strengthens his leadership in advancing safe, effective disc care.

Dr. Gino Pascual, DC
Known for his detail-driven, patient-centered approach, Dr. Pascual adds a high level of precision to decompression care. His continued training ensures patients receive the latest evidence-based treatment strategies.

Vancouver Disc Center Clinical Team

In addition to the doctors, several key team members completed certification in:

Proper AccuSpina® setup and calibration
Patient assessment and case selection
Standardized treatment protocols
Clinical documentation and outcomes tracking
This team-wide certification ensures consistency, safety, and superior results across all patient experiences.

Setting a New Standard for Conservative Disc Care in the Pacific Northwest

The Vancouver Disc Center has already helped thousands of patients avoid unnecessary surgery. With the new AccuSpina® certification, the clinic is now positioned as one of the premier disc-focused, non-surgical treatment centers in the region.

“Our mission has always been to help people heal naturally,” said Dr. Dreiling. “This certification reflects our commitment to excellence and provides our community with access to the highest standard of decompression care available.”

Complimentary Consultation for New Patients
To celebrate this achievement, the Vancouver Disc Center is offering a complimentary consultation for individuals experiencing disc pain, sciatica, or chronic back or neck symptoms.

Patients can learn whether they are candidates for AccuSpina® decompression and receive a personalized treatment plan.

About Vancouver Disc Center
The Vancouver Disc Center specializes in non-surgical spinal decompression, rehabilitation, and natural spine correction. Led by Dr. Troy Dreiling, the center’s mission is to help patients move from pain to performance through proven, research-based, non-invasive care.

Disc Centers of America - Vancouver
& Zenaptic Chiropractic
14313 NE 20th Ave, Ste 102B, and 101B
Vancouver, Washington 98686
360-727-0787
https://vancouverdisccenter.com
[email protected]