Frequently Asked Questions
SECTION 1 — About SpineCare
Who are the doctors at SpineCare Chiropractic?
SpineCare was founded by Dr. Brad (BJ) Creehan and Dr. Heather Creehan, both graduates of Palmer College of Chiropractic — the founding college of chiropractic and widely considered the most prestigious chiropractic institution in the world. Both doctors earned Magna Cum Laude honors. Dr. BJ completed his undergraduate degree in Bio-engineering at Syracuse University before chiropractic school. Dr. Heather completed a BS in Biology from Memorial University of Newfoundland before earning her Doctor of Chiropractic degree. Together they have over 20 years of experience serving the Cary community and have completed advanced certifications in biomechanical rehabilitation, scoliosis care, and pregnancy chiropractic.
What services does SpineCare Chiropractic offer?
SpineCare offers comprehensive chiropractic care, dry needling, therapeutic massage, scoliosis rehabilitation, pregnancy chiropractic care, auto accident injury treatment, and the Ideal Protein medically developed weight loss protocol. Every chiropractic visit includes spinal adjustment combined with hands-on myofascial release and soft tissue therapy. We treat back pain, neck pain, sciatica, headaches, herniated and bulging discs, shoulder pain, carpal tunnel syndrome, arthritis, sports injuries, pregnancy-related discomfort, pediatric conditions, and more.
Where is SpineCare Chiropractic located and what are your hours?
SpineCare Chiropractic Center is located at 100 Preston Executive Drive, Suite 101, Cary NC 27513 in the Preston area of Cary, conveniently serving patients from Cary, Morrisville, Apex, West Cary, and Raleigh. Free parking is available directly in front of the office.
Office hours: Monday: 7:30am-12:30pm, 2:30-6:00pm, Tuesday: 9:30am – 2:30pm Wednesday: 7:30am-12:30pm, 2:30-6:00pm Thursday: 7:30am-12:30pm, 2:30-6:00pm Friday: 7:30am – 12:30pm
Call (919) 460-4546 or visit spinecarecary.com to schedule.
Do your doctors spend time with me or do I mostly see an assistant?
At SpineCare you see Dr. BJ Creehan or Dr. Heather Creehan directly at every visit. Our doctors personally perform your adjustment, not an assistant or technician. This is a meaningful distinction from practices where the doctor spends two minutes with you and the rest of your visit is handled by support staff. Spending real, focused time with each patient is the foundation of how SpineCare operates and a core reason we have been voted Cary's Best Chiropractor seven years in a row.
Will I get the same doctor every visit?
SpineCare has two doctors — Dr. BJ Creehan and Dr. Heather Creehan — and you will typically establish care with one of them. We prioritize continuity of care, so your doctor becomes familiar with your history and progress over time.
If your primary doctor isn’t available, you’ll always have the option to see the other doctor based on your schedule and preference. Dr. Heather sees patients in the mornings, while Dr. BJ is available both mornings and afternoons, allowing for added flexibility.
Both doctors work closely together and stay aligned on your treatment plan, so you can feel confident your care remains consistent no matter who you see.
SECTION 2 — What Makes Us Different
How is SpineCare different from other chiropractors in Cary NC?
SpineCare has been voted Cary's Best Chiropractor by Cary Magazine seven consecutive years from 2020 through 2026 — and there's a reason patients keep choosing us over every other option in the area. The biggest difference is what happens during your visit. Most chiropractic offices spend less than 5 minutes with each patient — a quick adjustment and you're out the door. We go beyond the quick adjustment because we know that treating the muscles, soft tissue, and spine together is what produces lasting results. Our patients get better faster and in fewer total visits than they have experienced at other practices — which means better overall value with each visit delivering significantly more care.
What if I have been to another chiropractor and did not get results?
This is one of the most common situations we encounter at SpineCare and one we take seriously. There are several reasons patients don't get lasting results elsewhere — the most common being that the visit focused only on a quick adjustment without addressing the surrounding muscles and soft tissue. At SpineCare every visit combines spinal adjustment with hands-on myofascial release, soft tissue therapy, and rehabilitation. We treat the joint, the muscles, and movement patterns together because that comprehensive approach is what produces lasting correction rather than temporary relief. We also take time on your first visit to thoroughly examine and explain exactly what is causing your problem — so you understand what we are treating and why. If you have tried chiropractic before without success we encourage you to call us at (919) 460-4546 for a complimentary consultation. If we don’t think we can help after the consultation we will be honest with you and refer you to someone that we think could help.
Do you require patients to sign a contract or prepay for a set number of visits?
No. SpineCare does not require contracts, prepayment plans, or commitments to a set number of visits. We believe you should come back because you are getting results — not because you signed a piece of paper. Your treatment plan will include a recommended care schedule based on your examination findings, but you are never under any obligation to continue beyond what you choose. We earn your continued trust visit by visit.
Are all chiropractors the same?
No. While all chiropractors complete similar core education, there are significant differences in technique, approach, and the amount of time and care provided per visit. Some chiropractors focus solely on spinal adjustment. Others incorporate soft tissue work, rehabilitation, and lifestyle guidance. At SpineCare we believe the spine cannot be treated in isolation — the muscles, ligaments, tendons, and overall biomechanics of the body all affect spinal health and must be addressed together.
What are the signs I should look for in a good chiropractor?
This is a great question every patient should ask. A good chiropractor should conduct a thorough examination before treating you — not simply start adjusting on the first visit without understanding your condition. They should explain your diagnosis clearly and show you what they found. They should have a defined treatment plan with measurable goals rather than an open-ended series of visits with no endpoint. They should spend meaningful time with you at every visit. They should not require contracts or prepayment for care. They should have strong community reviews and recognized credentials. And they should be willing to refer you to another provider if chiropractic is not the right fit for your situation. SpineCare meets every one of these standards — and our seven consecutive Cary Magazine Best Chiropractor awards reflect what our patients experience every day.
What is the difference between a chiropractor and a physical therapist?
Chiropractors and physical therapists both treat musculoskeletal conditions but with different primary tools. Physical therapists focus mainly on exercise-based rehabilitation, strengthening, stretching, and mobility. Chiropractors focus on spinal and joint alignment, structural correction, nervous system obstructions, and hands-on manual therapy. At SpineCare we bridge both disciplines. This comprehensive approach means you get the benefits of both in a single visit, which is a key reason our patients get better faster than with either treatment alone.
Can a chiropractor help if I have already tried physical therapy and it didn't work?
Yes — and this is a common situation we see at SpineCare. Physical therapy primarily focuses on strengthening exercises and stretching, which is valuable but does not directly address spinal joint dysfunction, nerve obstructions, or soft tissue restrictions the way chiropractic care does. Many patients who did not get lasting results from physical therapy alone find significant relief with comprehensive chiropractic care at SpineCare. It is important to fix the structural alignment before you start strengthening.
SECTION 3 — Your First Visit
What happens on my first visit to SpineCare?
Your first visit begins with a detailed health history and a comprehensive examination that includes orthopedic testing, postural analysis, and X-rays if necessary. One of our doctors will take the time to clearly explain what they find and show you the results. From there we develop a personalized treatment plan based entirely on your individual health needs. We never take a cookie-cutter approach — every patient and every problem is unique. Most new patients also begin treatment on their first visit.
How quickly can I get an appointment at SpineCare?
SpineCare welcomes new patients and same day or next day appointments are often available. Call us at (919) 460-4546 to schedule. We also offer complimentary consultations for anyone considering chiropractic care for the first time.
What should I wear to my chiropractic appointment?
Comfortable, loose-fitting clothing is ideal. You will remain fully clothed during your chiropractic adjustment. Athletic wear, yoga pants, or casual clothes work well. Avoid tight jeans or restrictive clothing that limits movement. If X-rays are taken on your first visit you may be asked to remove certain items such as a belt or jewelry.
How long will I wait when I arrive for my appointment?
SpineCare respects your time. We schedule appointments with appropriate time built in so that you are seen promptly when you arrive. Because every visit involves hands-on soft tissue therapy and rehabilitation in addition to your adjustment — not just a quick adjustment — our schedule is designed to give each patient the time they actually need. You will not feel rushed and you will not feel like a number.
Can I fill out intake forms before my first visit?
Yes — completing your paperwork in advance saves time and gets you into treatment faster on your first visit. Download and print your intake forms at spinecarecary.com/paperwork.
SECTION 4 — Chiropractic Care
Is chiropractic care only for back pain?
No. While back pain is the most common reason people seek chiropractic care, SpineCare treats a wide range of conditions including neck pain, headaches and migraines, sciatica, shoulder pain, hip pain, carpal tunnel syndrome, sports injuries, pregnancy-related discomfort, scoliosis, arthritis, and auto accident injuries. Chiropractic care focuses on the relationship between the spine, nervous system, and overall body function — which means its benefits extend well beyond back pain alone.
How many chiropractic visits will I need?
Every case is different and the number of visits depends on your specific condition, how long you have had it, and how your body responds to treatment. What we can tell you is that because SpineCare addresses the muscles, soft tissue, and spine together in every visit — rather than just the joint — our patients typically achieve lasting results faster and in fewer total visits than they have experienced at other chiropractic practices. At your first visit we will complete a comprehensive examination and give you a clear, honest assessment of what we find and what we recommend.
How long will it take to fix my problem?
Every case is different so there is no universal answer. Some problems are resolved in a small number of visits. Others — particularly those involving long-standing postural dysfunction or degenerative changes — require a longer course of care to fully correct. What we can promise is that you will receive an honest assessment at your first visit, a clear treatment plan with defined goals, and measurable re-evaluations to track your progress. You will never be kept in ongoing care without a clear reason and demonstrated results.
Do you perform the same treatment on every patient?
Absolutely not. Every problem we encounter is unique, just as every person is unique. SpineCare conducts a comprehensive examination on your first visit — including detailed health history, orthopedic testing, postural analysis, and X-rays if necessary — to determine exactly what is causing your problem. From there we develop an individualized treatment plan tailored to your specific condition, health history, and goals.
Do you treat patients of all ages, including children?
SpineCare provides gentle, safe chiropractic care for patients of all ages — from newborns and children to adults and seniors. Our doctors are trained in pediatric chiropractic techniques and are members of the International Chiropractic Pediatric Association.
Children’s bodies go through significant stress during growth, sports, and everyday activities, and chiropractic care can support healthy development while addressing concerns like posture, sports injuries, and scoliosis early.
All treatment techniques are carefully adapted to each patient’s age, size, and overall health to ensure safe and effective care at every stage of life.
Can chiropractic care help with posture?
This is one of the areas where SpineCare particularly excels. Poor posture is one of the most common underlying causes of neck pain, back pain, and headaches, especially for people who spend long hours at a desk or looking at screens. SpineCare's approach is rooted in structural correction — restoring the spine to its proper biomechanical alignment so that good posture becomes natural rather than something you have to consciously maintain. We also provide specific postural exercises and ergonomic guidance to support your progress between visits.
Do you treat tech neck or desk-related pain from working at a computer?
This is one of the most common conditions we treat at SpineCare. Working at a desk or looking at screens for long periods places enormous strain on the cervical spine and upper back, leading to what is commonly called tech neck — forward head posture, chronic neck tightness, upper trapezius tension, and associated headaches. SpineCare's combination of structural spinal correction, myofascial release, dry needling, and ergonomic counseling directly addresses the cause of desk-related pain rather than just managing symptoms. Many of our patients are professionals and remote workers from the Cary and Research Triangle Park area. Unfortunately it is starting at an earlier age with kids being on phone and computers. Fixing bad habits before they cause any issues is important.
Do you provide home exercise recommendations?
Your SpineCare doctor will prescribe specific exercises and stretches tailored to your individual condition and treatment plan. These are not generic exercises — they are targeted to address the specific muscle weaknesses, postural imbalances, or movement limitations identified in your examination. Doing your home care consistently between visits is one of the most important things you can do to accelerate your recovery and maintain your results long term.
Should I see a chiropractor even if I am not in pain?
This is one of the most important things to understand about chiropractic care. Spinal dysfunction and poor alignment can exist long before pain develops, just as dental decay begins before a toothache appears. Regular chiropractic care helps maintain optimal spinal alignment, supports nervous system function, improves posture, and prevents the kind of cumulative damage that leads to pain down the road. Many SpineCare patients come in for regular wellness visits specifically to stay out of pain and maintain the results they worked hard to achieve. It is particularly important for anyone who spends a lot of time sitting or on a screen. Our bodies weren’t meant to be stationary and this puts a lot of stress on the spine.
Do I need a referral to see a chiropractor?
No. In North Carolina you do not need a referral from a medical doctor to see a chiropractor. You can call SpineCare directly at (919) 460-4546 to schedule your first appointment. If your primary care physician has recommended chiropractic care, we are happy to coordinate with their office and keep them informed of your progress.
What should I do after my chiropractic adjustment?
Drink plenty of water after your adjustment to help flush out any toxins released during soft tissue work. Some mild soreness is normal for 24 to 48 hours, especially after your first few visits. Gentle movement and light stretching are encouraged — avoid intense exercise or heavy lifting the same day if you are sore. Your SpineCare doctor will give you specific home care instructions and exercises tailored to your condition at the end of each visit.
Can chiropractic care help with stress?
Yes. Chronic muscle tension — especially in the neck, shoulders, and upper back — is one of the most common physical manifestations of stress. Chiropractic adjustment relieves joint restriction, while myofascial release and soft tissue therapy at SpineCare directly address the tight, overworked muscles that stress creates. Many patients report significantly reduced tension, better sleep, and an overall improved sense of wellbeing after regular chiropractic care.
SECTION 5 — Safety & Common Concerns
Is chiropractic care safe?
Yes. Chiropractic care is one of the safest, most effective non-invasive approaches to treating musculoskeletal pain. At SpineCare every new patient undergoes a thorough health history review and comprehensive examination before any treatment begins. We assess your individual condition and health background to ensure chiropractic care is appropriate for you and tailor every treatment plan accordingly. Our doctors have over 20 years of experience and thousands of patients treated safely in the Cary community.
Will my chiropractic adjustment hurt?
Most patients do not find chiropractic adjustments painful. You may hear or feel a popping or cracking sound during an adjustment — this is simply gas releasing from the joint space and is completely normal and harmless. Some patients experience mild soreness after their first few visits, similar to how muscles feel after a good workout. This typically resolves within 24 to 48 hours. Because SpineCare combines soft tissue therapy and myofascial release with every adjustment, muscles are already loosened before the adjustment takes place, which makes the experience more comfortable and the results more effective.
Is chiropractic care safe after surgery?
In most cases yes, though it depends on the type of surgery, the area of the body involved, and how much time has passed since the procedure. At SpineCare we review your complete surgical and medical history before recommending any treatment. We work closely with your other healthcare providers and will always refer you to the appropriate specialist if chiropractic care is not the right fit for your situation.
Is chiropractic care safe during pregnancy?
Yes. Chiropractic care is safe and effective during pregnancy when performed by a chiropractor trained in prenatal care. Dr. Heather Creehan at SpineCare is certified in pregnancy chiropractic care and is Webster Technique certified, a specialized approach focused on pelvic alignment during pregnancy.
She regularly treats expectant mothers for back pain, pelvic misalignment, round ligament pain, and general discomfort throughout all stages of pregnancy. Gentle techniques specifically appropriate for pregnant patients are always used.
Can I see a chiropractor if I have osteoporosis?
It depends on the severity. Mild to moderate osteoporosis does not necessarily prevent chiropractic care, but it does require modified techniques with gentler lower-force adjustments. SpineCare will review your bone density history and any prior imaging before recommending treatment and will always choose the safest and most appropriate techniques for your individual situation. We encourage you to bring any relevant X-rays or medical records to your first visit.
Is chiropractic care evidence-based?
Yes — when practiced correctly. SpineCare's approach is rooted in Chiropractic Biophysics, which is the most extensively peer-reviewed and research-supported technique in the chiropractic profession. There is strong clinical evidence supporting spinal manipulation for back pain, neck pain, headaches, and sciatica. Our doctors stay current with the latest research and apply evidence-based techniques in every visit. We do not make claims beyond what the evidence supports and we do not treat conditions that fall outside chiropractic's scope of practice.
SECTION 6 — Dry Needling
Does SpineCare offer dry needling in Cary NC?
Yes. SpineCare offers dry needling in Cary NC for muscle pain, trigger points, tension headaches, neck pain, back pain, sciatica, shoulder pain, hip pain, and sports injuries. At SpineCare dry needling is combined with chiropractic adjustment and myofascial release in the same visit for faster and more lasting results than dry needling alone.
What is dry needling?
Dry needling is a therapeutic technique where a thin sterile needle is inserted directly into a trigger point — a tight, painful knot in a muscle. Unlike acupuncture, dry needling is a Western anatomy-based approach targeting the neuromuscular system directly. When the needle contacts a trigger point it causes a brief involuntary twitch in the muscle called a local twitch response, which releases the knot, reduces tension, and restores normal muscle function. Most patients feel significant relief within one to three sessions.
How is dry needling different from acupuncture?
Both use thin needles but they are fundamentally different practices. Acupuncture is rooted in traditional Chinese medicine and focuses on balancing the body's energy flow along specific pathways called meridians. Dry needling is a modern Western clinical technique based on anatomy and neuromuscular science. The needle is placed directly into a dysfunctional muscle or trigger point identified through physical examination — not along energy pathways. At SpineCare dry needling is always part of a comprehensive treatment plan that includes chiropractic adjustment and hands-on soft tissue therapy.
Is dry needling painful?
Most patients describe dry needling as momentarily intense rather than painful. When the needle contacts a trigger point you may feel a brief involuntary muscle twitch and a deep aching sensation — this is the local twitch response and it is a sign the treatment is working. The sensation usually lasts only a second or two and is immediately followed by a feeling of release and relief. Most patients find the experience much more tolerable than they expected.
How many dry needling sessions will I need?
Many patients notice significant improvement after just one to three sessions. Because SpineCare often combines dry needling with chiropractic adjustment and myofascial release in every visit, results typically come faster than with dry needling as a standalone treatment. The total number of sessions depends on your specific condition and how your body responds.
Are the needles sterile?
Yes. SpineCare uses single-use, individually packaged sterile needles for every dry needling session. Each needle is used once and immediately disposed of. There is no risk of cross-contamination.
SECTION 7 — Massage Therapy
What types of massage does SpineCare offer?
SpineCare's massage therapy services focus on therapeutic and clinical massage designed to complement chiropractic care and accelerate recovery. Our therapist Alissa has been doing massage therapy for 19 years and customizes the massage to your specific needs where she will use multiple techniques of massage in one session. Techniques include deep tissue, trigger point work, myofascial release and deep Swedish techniques. Because she works alongside our chiropractors, your massage is tailored specifically to the areas being addressed in your chiropractic care plan — not a one-size-fits-all approach.
Do I have to undress for a massage at SpineCare?
You undress only to your personal comfort level. Most therapeutic massage works best with direct access to the skin, but you are always in control. You will be given complete privacy to undress and dress, and you will be professionally draped with a sheet or blanket throughout your session — only the area being actively worked on will be uncovered at any time. Your comfort and dignity are our top priority.
Will I be sore after a massage?
Some mild muscle soreness after a therapeutic massage is normal, especially after a deeper session or if it has been a long time since your last massage. This soreness typically feels similar to the feeling after a good workout and usually resolves within 24 to 48 hours. Drinking water after your session helps. Most patients report feeling significantly looser, lighter, and less painful after the initial soreness passes.
How often should I get a massage?
It depends on your goals and condition. For patients actively recovering from pain or injury we typically recommend massage once a week or every two weeks in conjunction with your chiropractic care. For general wellness and maintenance, once a month is beneficial for most people. Your SpineCare doctor or massage therapist will recommend a frequency that makes sense for your specific situation.
Is massage therapy at SpineCare covered by insurance?
At this time, we do not accept insurance for massage therapy services.
We offer straightforward, affordable pricing:
30 minutes – $46
60 minutes – $92
90 minutes – $138
If you have any questions about which session length is best for your needs, our team is happy to help guide you.
SECTION 8 — Scoliosis & Specialty Care
Does SpineCare treat scoliosis in Cary NC?
Yes. SpineCare offers non-surgical scoliosis rehabilitation in Cary NC for both children and adults. Our approach includes structural chiropractic correction, corrective exercises, and postural rehabilitation designed to address the underlying spinal curvature — not just manage symptoms. Our doctors have completed advanced certifications in scoliosis care and serve scoliosis patients from across the Triangle area including Cary, Raleigh, Durham, and Chapel Hill.
Does SpineCare treat car accident injuries?
The doctors at SpineCare treat whiplash, back pain, neck pain, headaches, and soft tissue injuries resulting from auto accidents. We accept personal injury cases and work with patients throughout the recovery process. It is important to be evaluated by a chiropractor as soon as possible after an accident even if you do not feel pain immediately — symptoms from whiplash and soft tissue injuries often develop or worsen in the days following a crash.
Does SpineCare treat work-related injuries?
Please call our office at (919) 460-4546 to discuss your specific situation. Workers' compensation coverage and case management varies depending on your employer and insurance carrier, and our team can advise you on the best path forward for your care.
SECTION 9 — Insurance
What insurance does SpineCare accept?
SpineCare accepts most major insurance plans including Blue Cross Blue Shield, Aetna, Cigna, United Healthcare, Medicare, Veterans Administration, Medcost, Ambetter, and Multiplan. We are happy to file your insurance on your behalf. If your insurance is not listed, please call our office at (919) 460-4546 to confirm coverage. For patients without insurance or whose plan we do not accept, we offer affordable direct payment options. Importantly, your treatment plan at SpineCare is always based on your actual health needs — never on what an insurance company has decided to budget for your care.
Can I pay my bill online?
Yes. Online bill pay is available at spinecarecary.com/online-bill-pay. You will need your account number which appears on your statement. If you don't have it handy call our office at (919) 460-4546 and we can look it up for you.
Where can I find your Notice of Privacy Practices and Non-Discrimination Statement?
Both documents are available Notice of Patient Privacy Policy , Non-Discrimination or you can request a printed copy at our front desk during your visit.
SECTION 10 — Ideal Protein Program
What is the Ideal Protein weight loss program at SpineCare?
Ideal Protein is a medically developed weight loss protocol that combines structured fat loss with healthier lifestyle education. SpineCare is an independently authorized Ideal Protein clinic in Cary NC. The program is supervised by our doctors and designed to help patients lose fat while preserving muscle mass, with ongoing coaching and education to support long-term healthy habits. The body functions and heals optimally when it is not burdened by excess weight, making Ideal Protein a natural complement to chiropractic care.
How much does Ideal Protein cost?
There are food products and supplements that are purchased as part of the program. The cost has some slight variations based on the individual needs of each person. Consultations, progress “weigh-ins”, and unlimited coaching are all complimentary. Also, the fact that you will be replacing much of your grocery bill buffers most of the cost. Individuals who eat out a lot often find that they spend less money on the program.
How much weight should I expect to lose?
Everyone is different, but many people see consistent weekly weight loss, especially in the beginning. Your results will depend on your body, consistency, and how closely you follow the plan.
What will I be eating on the program?
You’ll eat a mix of Ideal Protein products (like bars, soups, and snacks), plus real food like lean protein and vegetables—especially at dinner.
Will I feel hungry?
Most people are surprised that they don’t feel as hungry as expected. Because you’re eating regular meals and high protein, it helps keep you feeling full throughout the day.
Do I have to give up carbs completely?
At the beginning, carbs are very limited to help your body shift into fat-burning mode. As you move through the program, carbs are gradually reintroduced.
Do I need to exercise on the program?
No! If you are already exercising or would like to add it, we will work with you on what to do and what not to do while on the program. We will make recommendations based on your individual goals and interests.
Do you offer supplements?
Yes! We do nutritional counseling and recommend specific supplements based on the patient’s needs. We carry select supplements in the office but can order ones that the patient needs.
Do you offer nutritional or lifestyle recommendations?
Yes. At SpineCare we believe that what you put in your body and how you move it throughout the day has a direct impact on your spinal health and recovery. Our doctors provide ergonomic guidance for work and home, specific rehabilitative exercises, and nutritional recommendations when appropriate. SpineCare is also an independently authorized Ideal Protein clinic offering a medically developed weight loss protocol for patients whose health goals extend beyond pain relief.