6405 NE 116th Ave. Suite 106 
Vancouver, WA 98662
360-597-4784

FAQ's

Should everyone be checked for a misalignment?
A. Yes. Checking the nervous systems performance to uncover and remove problems can help prevent many conditions from developing. This care is preventative and is beneficial for all ages.
Can children benefit from NUCCA care?
A: Yes, we believe all children should have the benefit of a properly balanced body. Children can be adjusted using the NUCCA procedure right from birth. Due to the tendency for a child’s misalignment to have been present for a relatively short period of time the misalignment is typically less complex. Children also generally respond more quickly to adjustments and usually require fewer adjustments to attain spinal stability.
Why am I adjusted in the neck when my dysfunction or pain is elsewhere?
A: The atlas vertebrae encompasses the bottom portion of the brain, which when balanced allows proper neurological function, and when misaligned impedes neurological function within the body. The atlas is unique from other vertebrae in that it does not have any attached discs or interlocking joints, thereby when it moves in a specific direction, the body must compensate accordingly.
Do I get adjusted each visit?
A: If there is no neurological or structural dysfunction found during an examination, then an adjustment should not be given. This can be compared to making a visit to your dentist. If you do not have cavities, the dentist does not need to take any further action.
How long will it take for me to get well?
A. Recovery is dependent upon:

- The length of time your body has been misaligned.
- The extent of damage to your nerves
- The degree of correction obtained.
- The active care you as a patient take in following the recommended care plan of the chiropractor.
How does the chiropractor determine if I am making progress?
A. Progress is determined by checking your neck temperature, postural balancing, hip level, leg length, and relaxation of your spinal muscles.
Why is an alignment not given on the basis of how I feel?
A. When a correction is made, the nervous system may become more sensitive, making you more aware of your body’s dysfunction. This is part of the healing process and is usually quite temporary. Adjustments are given only when the nervous system exhibits leg length disparity, postural and atlas temperature imbalance or when x-ray measurements so indicate.
Does the chiropractor adjust every case alike?
A. No two subluxations/misalignments are identical. Therefore, every adjustment is different and calculated specifically to the patients x-ray analysis.
Should the chiropractor still check my alignment after my symptoms improve?
A: Yes. The procedure used in our office is preventative and not only intended for relief of your symptoms. However, the longer you hold your adjustment and do not need an adjustment, the less often you will be seen in our office.
Is it possible to feel fine, yet have a misalignment causing interference within my nervous system?
A: Yes. Just as you can have a cavity in your tooth and not feel it, or have cancer and not know it, you can also have a misalignment and not be aware of it. The body does it’s best to camouflage symptoms which usually only surface when the problem becomes severe.
How can I tell if I need an adjustment?
A. Some people are able to check their posture themselves after being under care for some time, and see a visible difference when they are imbalanced; however the only sure way is to have your chiropractor check you for measurable neurological and physical signs of misalignment.
After I have held my adjustment for a period of time and suddenly another adjustment is required, what has happened if there has been no injury or apparent cause?
A: Healing of the nerves and remodeling of the spinal balance takes time. Initially, there is a tendency for the body to shift back to it’s old imbalanced position until it stabilizes in the new balanced posture. Periodic office visits are necessary to maintain balance and continue the healing process. The time intervals of the healing process are somewhat unpredictable, as each individual’s misalignment is unique.
Why do some patients take longer to heal than others?
A: Some misalignments are complex and can require months to correct. Other misalignments are relatively easy to reduce. Factors such as the length of time you have had your problem, the number of falls, auto accidents, etc., can contribute to the healing time. Healing is broken into two parts: the first is the shorter period of getting your body balanced, the second is maintaining balance and only coming in to check the integrity of your alignment.
After being adjusted, why do I notice more changes in my body in addition to the ones originally expected?
A. It is very common to experience healing in areas not thought to be associated with your chief complaint. Many dysfunctions of the body may occur which the patient does not perceive as being related to the correction of their nervous system. The optimal performance of the nervous system results in the improvement of all your body’s functions.
When my spine misaligns again, will I always feel the same symptoms right away?
A. No. After holding your adjustment for a considerable amount of time, it will require time for the symptoms to recur when your body misaligns. Just as it takes time to get well, it takes time to get sick. This is the reason that you cannot trust your symptoms to tell you when you need to be adjusted.
Can my misalignment correct itself?
A. Almost impossible. Patients who suggest this are judging their alignment by their symptoms, which are not reliable predictors of health. Frequently, an increase in your misalignment will temporarily reduce symptoms. When doubt arises as to whether you are balanced, have yourself checked as soon as possible by a NUCCA chiropractor.
Does an aligned spine promote healing?
A. The body has an inherent ability to heal itself if it is working normally, under the control of a healthy functioning nervous system. The adjustment restores the misaligned vertebrae toward normal position, which re-establishes the pathways of nerve tracts. This creates better performance in your nervous system and promotes healing.
How do I become a patient?
A: Please call 360.597.4784 to schedule your first appointment. We will conduct a thorough exam, address your health concerns, and discuss your individual care needs.
Can I talk to the Doctor?
A: Yes! You may call Dr. Perin at 360.597.4784, or you may reach him by email at [email protected]
How can I find out more about NUCCA?
A: We are happy to provide brochures, DVD’s, and Newsletters to give you the information you need to better understand the NUCCA technique and Balanced Living Chiropractic, and help you find out how it can help you and your family. There are also a number of websites full of information on NUCCA and Upper Cervical Chiropractic such as:

National Upper Cervical Chriopractic Association (NUCCA) – NUCCA.org
Upper Cervical Spine – UpCSpine.com
Will my insurance cover care?
We provide you with a superbill, so that you may be reimbursed directly by your insurance company. Please call our office at 360.597.4784 and we will help you find out what your policy covers.
We accept and bill most Insurance Plans. Please call our office at 360.597.4784 and we will help you find out what your policy covers.
What does an Upper Cervical Chiropractor do?
Upper Cervical Chiropractors restore proper head, neck, and spine alignment by performing a specific, precise, and gentle correction to the upper neck. Accidents and injuries tear loose the connective tissue that holds the spine in place, and this causes the spine to break down and lock into a stressed position. A misaligned spine frequently begins with a head or neck injury such as a motor vehicle crash, concussion, whiplash, slip or fall, sports injury, childhood injury or other trauma to the head and neck. The most common location for this type of misalignment to originate is the upper neck, otherwise known as the upper cervical spine. Upper Cervical Chiropractic Care focuses on correcting misalignments in the upper neck region of your spine. This type of misalignment can lead to a variety of debilitating symptoms and conditions, including vertigo, Ménière’s disease, dizziness, migraines, headaches, fibromyalgia, Trigeminal Neuralgia, TMJ, chronic neck pain, sciatica, low back pain and many other conditions. Vancouver Upper Cervical Chiropractic is uniquely qualified to correct upper neck misalignments to remove pressure and irritation on structures, including the brainstem and cranial nerves, effectively allowing you to restore your body’s vitality.
We accept and bill most Insurance Plans. Please call our office at 360.597.4784 and we will help you find out what your policy covers.
What happens after an upper cervical adjustment?
Each specific and precise upper neck adjustment your Upper Cervical Chiropractic Doctor does is designed to ease the C1 and C2 bones back to their proper places and alignment. Patients have varying experiences after trying NUCCA Chiropractic in Vancouver, WA. Some enjoy immediate improvements, while others, especially those with severe cases of spinal misalignment, notice slight muscle stiffness that clears up in a few days. The goal of our care is to provide you with fast relief, maximum recovery, and long-lasting results.
We accept and bill most Insurance Plans. Please call our office at 360.597.4784 and we will help you find out what your policy covers.
How often should a chiropractor see you?
Each case of spinal misalignment is different. So, Upper Cervical Care Doctors custom design an approach based on the needs of each individual patient. Depending on the severity of your spinal misalignment and nerve interference and how quickly you respond to care will determine your need for follow-up care. You may need to return for subsequent adjustments for several weeks or even months after the initial session to correct and stabilize a misaligned spine. Once a misaligned spine is stabilized, it is recommended that you maintain your spinal health through visits to your Upper Cervical Chiropractor in Vancouver, WA much the same way that you maintain the health of your teeth by seeing your dentist.
We accept and bill most Insurance Plans. Please call our office at 360.597.4784 and we will help you find out what your policy covers.
Why do chiropractors require so many visits?
A misaligned spine may have developed over many years or even decades. Multiple visits to a chiropractic office are necessary because the bones must gradually be eased back into their natural alignment. Vancouver chiropractors use minimal force to realign C1 and C2 bones to prevent adding trauma to an already compressed or irritated brainstem, cranial nerves, and other structures. Also, it’s worth noting that chronic pain and other debilitating conditions don’t happen overnight. Hence, the healing process can also take time.
We accept and bill most Insurance Plans. Please call our office at 360.597.4784 and we will help you find out what your policy covers.

Migraine

What is the main cause of migraines?
Researchers have yet to uncover the exact mechanism behind every migraine episode. But, more and more evidence points to abnormal brain activities as the most likely culprit behind debilitating migraine attacks. But what leads to these abnormal brain activities? Frequently, the function of the brain is being impacted by misalignments in the upper neck. Accidents and injuries to the head and neck can lead to a displacement of the top 2 bones in the neck, which affect blood flow and cerebral spinal fluid flow to and from the brain. These changes can have a dramatic impact on the brain's function and can lead to a variety of problems, including migraine headaches.
We accept and bill most Insurance Plans. Please call our office at 360.597.4784 and we will help you find out what your policy covers.
How do I deal with migraines?
Upper Cervical Chiropractic is an extremely effective way to provide Vancouver migraine relief, so you can take advantage of it each time you have an episode. We also recommend steering clear of your migraine triggers and taking preventive medications to abate the pain and discomfort you experience. The most important aspect of dealing with migraines is getting to the underlying cause. Often, upper neck misalignments are the underlying cause.
We accept and bill most Insurance Plans. Please call our office at 360.597.4784 and we will help you find out what your policy covers.
What happens if you ignore migraines?
Migraine attacks can worsen and set off several unpleasant symptoms like pulsating headaches, fatigue, nausea, vertigo, vomiting, visual aura, and odd food cravings. Such symptoms can easily drain the joy in your life and impact other aspects of your well-being. We strongly suggest Investigating the underlying cause of your episodes and tapping into helpful remedies such as seeing a chiropractor for migraine in Vancouver, WA as soon as possible.
We accept and bill most Insurance Plans. Please call our office at 360.597.4784 and we will help you find out what your policy covers.

Vertigo

How can vertigo go away?
Vertigo attacks often indicate an underlying health problem. So, if you experience dizzying spells and spinning sensations, it’s a good idea to rule out the possible cause of your symptoms. This will help you determine the techniques or remedies for your situation. Some popular vertigo remedies include Upper Cervical Chiropractic in Vancouver, WA, The Epley Maneuver, and vestibular therapy.
We accept and bill most Insurance Plans. Please call our office at 360.597.4784 and we will help you find out what your policy covers.
What causes vertigo?
Spinning sensations can stem from various problems ranging from vestibular disorders like Meniere’s and benign paroxysmal positional vertigo to nervous system issues like head trauma, spinal tumor, and stroke.
We accept and bill most Insurance Plans. Please call our office at 360.597.4784 and we will help you find out what your policy covers.
When should you worry about vertigo?
Most vertigo attacks are non-life-threatening. However, it would help if you still looked out for red flags like facial paralysis, limb numbness, thunderclap headaches, and loss of consciousness. If you spot any of these symptoms, call 911 to receive urgent medical attention.

We accept and bill most Insurance Plans. Please call our office at 360.597.4784 and we will help you find out what your policy covers.

Fibromyalgia

What are the signs of fibromyalgia?
Studies explain that fibromyalgia sets off a variety of neurological symptoms like chronic fatigue, fibro-fog, sleeping problems, pins and needles, migraine headaches, anxiety, depression, and widespread body pain and tenderness.
We accept and bill most Insurance Plans. Please call our office at 360.597.4784 and we will help you find out what your policy covers.
How do you calm down a fibromyalgia flare-up?
Curbing your flare-ups entails managing your risks and embracing a healthier lifestyle. It is also helpful to keep track of your triggers, outbreaks, and symptoms. Seeing a chiropractor for fibromyalgia in Vancouver, WA also gives you an advantage to avoid fibromyalgia flare-ups.
We accept and bill most Insurance Plans. Please call our office at 360.597.4784 and we will help you find out what your policy covers.
What causes fibromyalgia to get worse?
Fibromyalgia flare-ups often result from exposure to triggers such as stress (physical, emotional, etc.), exhaustion, diet changes, hormonal imbalance, and lack of sleep. The symptoms can also worsen if you have pre-existing rheumatic disorders like lupus and osteoarthritis.
We accept and bill most Insurance Plans. Please call our office at 360.597.4784 and we will help you find out what your policy covers.

Sciatica

How do you fix sciatic nerve pain? / What is the fastest way to cure sciatica?
Alleviating sciatica pain usually involves removing or reducing pressure on the nerve tissue. That’s why several patients with this condition seek promising remedies like Upper Cervical Chiropractic care. To determine what specific technique or relief option applies to your situation, you must consult a sciatica chiropractor in Vancouver, WA.
We accept and bill most Insurance Plans. Please call our office at 360.597.4784 and we will help you find out what your policy covers.
What triggers sciatica?
According to studies, several health conditions can set off sciatica. These include herniated discs, spinal misalignment, bone overgrowth, lumbar spine tumor growth, spinal stenosis, and pregnancy. Notably, the undue mechanical strain from the abovementioned conditions compresses or irritates the sciatic nerve tissue. This sets off several symptoms, including searing lower back pain and paresthesia.
We accept and bill most Insurance Plans. Please call our office at 360.597.4784 and we will help you find out what your policy covers.
Can a chiropractor help with sciatica?
Definitely! Vancouver chiropractic doctors, especially those focusing on the head and spine alignment, can help alleviate the pressure on the lumbar spine. Lower back pain with or without sciatica is frequently the result of misalignments of the head and neck. If the head is tilted to one side it will begin a series of compensations that frequently result in hips being tilted and stress being applied to the lower back nerves. Careful upper neck bone adjustments can restore the proper spinal alignment and allow your sciatic nerve to heal and recover from your injury.
We accept and bill most Insurance Plans. Please call our office at 360.597.4784 and we will help you find out what your policy covers.

Neck Pain

How can I relieve pain in my neck?
There is a myriad of ways you can attend to your achy neck. A few notable examples to get natural relief for neck pain in Vancouver, WA include Upper Cervical Chiropractic, massage therapy, hot and cold therapy, acupuncture, and acupressure.
We accept and bill most Insurance Plans. Please call our office at 360.597.4784 and we will help you find out what your policy covers.
What is the most common reason for neck pain?
Poor posture and neck trauma are among the most common reasons for an achy neck. It would be best to look for other neck pain triggers like osteoarthritis, disc degeneration, muscle inflammation, and arthritis.
We accept and bill most Insurance Plans. Please call our office at 360.597.4784 and we will help you find out what your policy covers.
Who should I see for neck pain?
If you have chronic neck pain, we highly recommend consulting an upper cervical chiropractic doctor to evaluate your head, neck, and spinal alignment.
We accept and bill most Insurance Plans. Please call our office at 360.597.4784 and we will help you find out what your policy covers.

TMJ

How do you resolve TMJ?
People living with temporomandibular joint (TMJ) disorders tap into several techniques to ease their discomfort. The usual remedies that patients swear by include Upper Cervical Chiropractic.
We accept and bill most Insurance Plans. Please call our office at 360.597.4784 and we will help you find out what your policy covers.
Should I see a doctor or dentist for TMJ?
While both a medical doctor and dentist have some knowledge of TMJ, an Upper Cervical Chiropractor can evaluate your head, neck, and jaw to determine the underlying cause.
We accept and bill most Insurance Plans. Please call our office at 360.597.4784 and we will help you find out what your policy covers.
Can a chiropractor fix TMJ?
Yes! While TMJ usually develops from jaw malocclusions, several patients with this condition still seek a chiropractor for TMJ relief in Vancouver, WA. That’s because the neck bone adjustments diminish the mechanical strain on the spine and nearby structures.
We accept and bill most Insurance Plans. Please call our office at 360.597.4784 and we will help you find out what your policy covers.
If you are ready for a new approach to conventional chiropractic, 
or are apprehensive about “twisting” and “cracking“, 
Balanced Living Chiropractic Center just might be the place for you.

We invite you to contact us with any questions you may have, 
and to learn more about NUCCA and our practice.

We utilize a very precise system of analysis, based on physics and math, to calculate the precise pathway and corrective force necessary to bring your body back into alignment.

Contact Information

6405 NE 116th Ave. Suite 106 
Vancouver, WA 98662
360-569-1740
[email protected]

Office Hours

Monday:
12:00 NN – 6:00 PM
Tuesday
7:00 AM – 6:00 PM
Wednesday
9:00 AM - 4:00 PM
Thursday:
1200 NN – 6:00 PM
Friday:
8:00 AM – 4:00 PM
Sat:
CLOSED
Sun:
CLOSED
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