New Patients: Book Your First Visit in Troutdale, OR

We start by looking for the cause of your pain through a consultation and a hands-on exam. The source of pain is different for every patient, so we don't assume yours matches anyone else's, and we don't hand out cookie-cutter treatment plans.

Our chiropractors diagnose and treat injuries of the spine, joints, and extremities. We also treat the soft-tissue injuries that add to your pain. Chiropractic adjustments are combined with other natural therapies, like massage, as part of your plan.

If your condition is outside what chiropractic care can appropriately manage, we will refer you to the right specialist.

Our chiropractors diagnose and treat injuries of the spine, joints and soft tissue, the injuries that most often follow a car crash. The evidence for the care we provide is specific, and we would rather tell you what it says than oversell it. Spinal manipulation is one of the non-drug, first-line options the American College of Physicians recommends for low back pain [3]. A 2017 review in JAMA found modest improvements in pain and function for acute low back pain [1], and a 2019 review in The BMJ found it performs about as well as other recommended treatments for chronic low back pain [2]. For neck pain, a 2025 review of 35 research reviews found high-confidence evidence that manual therapy combined with exercise works better than either one alone [4]. A UK evidence report found massage effective for adults with chronic low back pain and chronic neck pain [11]. If your exam shows something we should not manage, we refer you to the right provider and say so plainly.

At Auto Injury Chiropractic in Troutdale, we track measurable findings from your exam, such as tenderness, joint and nerve tests and imaging when it is needed. Those findings tell us how severe the injury is and let us measure your progress, so they set the length of your treatment, which varies from person to person. For a moderate to severe car accident injury, active care often runs 8 to 12 weeks, starting at 2 to 3 visits a week and tapering as you improve. Complex soft-tissue or post-concussion cases can take up to 6 months. Your re-exams set your actual length of care. The goal is to return you to full function through an individualized treatment plan.

A new injury often needs fewer visits than a chronic one. If your condition has lasted more than three months, recovery will likely take longer.

An exam tells you what your injury needs and how long care is likely to take.

The cost depends on your injuries, the length of care and how it is paid for. After a crash, Oregon personal injury protection (PIP) pays reasonable and necessary medical expenses from your own auto policy, at least $15,000 per person under Oregon law (ORS 742.524(1)(a)), and we verify and bill your PIP claim directly. For other visits we work with Medicare and most medical insurance plans. Chiropractic care also tends to be the less expensive route for back pain: in one insurer's claims data, episodes of back pain care that began with a chiropractor cost about 20 percent less after risk adjustment than episodes that began with a medical doctor [8]. Studies of people with spinal pain have also linked chiropractic care with a lower chance of receiving an opioid prescription, though they can't show that the care caused the difference [9, 10]. We tell you what your plan covers before treatment starts.

Chiropractic care is non-invasive and drug-free. Large studies in Ontario and in US commercial and Medicare Advantage populations found no higher risk of vertebrobasilar stroke after chiropractic care than after a visit to a primary care doctor (Cassidy et al., 2008; Kosloff et al., 2015). In Medicare patients aged 66 to 99, this kind of stroke was extremely rare (Whedon et al., 2015). Mild, short-lived soreness, stiffness or headache after treatment is common (Paige et al., 2017). Serious complications are rare. Tell your provider how you felt after each visit. Every patient is screened before treatment, techniques are matched to your injury, age and comfort (including gentle, low-force options), and when chiropractic care is not the right fit we refer you out. We go over these risks with you before care begins [2]. Treatment should not be painful. If anything hurts during a visit, tell your doctor and we change the approach.