
Welcome to San Diego Integrative Spine Center!
Integrative Chiropractic Care
Active residents deserve chiropractic care that keeps pace with their lifestyle. Whether you’re hitting the trails at Lake Poway, coaching youth sports, or simply keeping up with family activities, persistent discomfort from auto accidents, sports injuries, or everyday stress shouldn’t slow you down. Dr. Dan Spinato and Dr. Chloé Lightner, our chiropractors in Poway, CA, bring San Diego Integrative Spine Center’s proven expertise directly to the Poway community, conveniently located just minutes away at their Carmel Mountain Road office. Since 1984, we have helped more than 10,000 patients break free from back pain, neck pain, and chronic conditions through gentle techniques that work with your body’s natural healing abilities rather than against them. Their specialized approach—featuring NUCCA, instrument-adjusting with Arthrostim and Vibracussor, drop-table methods, and Koren Specific Technique—delivers effective results without aggressive manipulation.
Celebrating 40+ Years of Care! San Diego Integrative Spine Center has been your trusted choice since 1984!
Our Mission
Dr. Dan Spinato founded San Diego Integrative Spine Center in 1984 with a simple belief: your body possesses remarkable healing abilities when given the right support. As dedicated chiropractors, Dr. Spinato and Dr. Chloé Lightner focus on comprehensive wellness that considers how physical stress, nutritional deficiencies, and emotional tension interact to affect your health. Their mission goes beyond symptom relief to identify why problems develop in the first place. Through careful X-ray assessments, precise adjustments, and targeted nutritional supplements, they help your musculoskeletal system function optimally. This patient-first philosophy has guided their work for four decades, earning trust throughout Poway and creating lasting relationships with multi-generational families. When Dr. Chloe joined in 2022 after graduating magna cum laude from Life Chiropractic College West, she expanded the practice’s ability to serve families through specialized pregnancy and pediatric care.
Together Dr. Spinato and Dr. Lightner have been serving patients for over forty years
Our chiropractor clinic has successfully worked with patients with a variety of conditions.
Our chiropractor patients, no matter their age, feel comfortable and respected while receiving care here.
Chiropractic Services
We focus on finding and correcting the underlying cause(s) of your condition not just the symptoms. If our chiropractor can help you, we’ll tell you. If we can’t, we’ll refer you to someone who can.
- Chiropractic Care
- NUCCA Chiropractic
- Pediatrics
- Pregnancy
- Nutritional Testing
- Sports Performance
- Personal Injury
Chiropractic Care
Experience precise and gentle chiropractor adjustments using the Drop Table, Koren Specific Technique (KST), and Instrument Adjusting with Arthrostim and Vibracussor.
Schedule AppointmentNUCCA Chiropractic
Benefit from our non-invasive NUCCA Chiropractor technique, focusing on gentle, upper cervical adjustments without twisting or cracking.
Schedule AppointmentPediatrics
Ensure your infant/child’s healthy development with safe and effective chiropractor care.
Schedule AppointmentPregnancy
Receive specialized care during pregnancy with our Webster Certified chiropractor techniques.
Schedule AppointmentNutritional Testing
Optimize your health with our comprehensive nutritional testing using Standard Process supplements tailored to your needs.
Schedule AppointmentSports Performance
Enhance your athletic performance and recovery with our specialized chiropractor care designed for athletes of all levels.
Schedule AppointmentPersonal Injury
Recover from personal injuries with our targeted chiropractor treatments aimed at relieving pain and restoring function.
Schedule AppointmentWhy Choose Us
What should you look for in chiropractors? Start with decades of experience and specialized training most specialists never pursue. Add state-of-the-art diagnostic equipment on-site and the advantage of a father-daughter team combining mentorship with innovation. San Diego Integrative Spine Center delivers all this plus genuine care about your outcomes. Poway residents gain convenient access to specialized, comprehensive chiropractic care with the personal attention of a family practice.
Convenient Location Serving the Poway Community
Location matters when you’re managing pain or recovering from auto accidents. Our office is conveniently located just minutes from Poway at 9320 Carmel Mountain Road in Rancho Penasquitos, and our chiropractors have been proudly serving families since 1984. Being close means less time in the car and more time getting better. Poway patients appreciate the short drive, avoiding long trips across the county for regular chiropractic care. Easy freeway access and ample parking make every visit stress-free.
Our connection to Poway goes beyond just location. Dr. Chloe grew up in North County and understands the active lifestyle residents value. Whether you’re hiking the trails at Lake Poway, playing sports at local parks, or simply keeping up with family activities, our chiropractors understand your goals and design treatment supporting the activities you love most.
Multiple Gentle Techniques Tailored to Your Needs
We don’t believe in guessing when it comes to your health. Our chiropractors offer diverse gentle methods ensuring comfortable, effective treatment for every patient. Beyond NUCCA upper cervical work, the practice employs instrument adjusting with Arthrostim and Vibracussor tools that deliver precise corrections without popping or twisting. Drop table techniques use specialized equipment for controlled, comfortable adjustments. Koren Specific Technique (KST) provides another low-force option for patients preferring extremely gentle care.
Bio-cranial therapy addresses cranial bones through gentle stretching, while extremity adjustments treat shoulders, hips, knees, ankles, and feet beyond just spinal work. Physiotherapy exercises complement your chiropractic adjustments, creating a complete treatment approach, creating a complete treatment approach. This variety means our chiropractors can customize every session to your comfort level and specific condition, whether you’re recovering from auto accidents, managing chronic issues, or maintaining wellness.
Expertise in Auto Accident Recovery and Sports Injuries
Auto accidents cause complex injuries that need specialized care. Even minor collisions generate forces that damage soft tissues, misalign vertebrae, and trigger pain that may not appear immediately. Dr. Spinato, one of our chiropractors, has spent 40 years helping accident victims on their recovery journey, understanding the medical documentation required for legal proceedings and the treatment protocols that support functional restoration. The practice coordinates with medical doctors, physical therapists, and legal professionals, providing thorough documentation for attorneys and insurance companies.
Athletes dealing with sports injuries benefit from performance programs that analyze movement patterns and biomechanical weaknesses. Dr. Chloe’s personal athletic background, including ten half marathons and multiple triathlons, gives her real insight into what different sports do to your body. Whether you’re dealing with whiplash, shoulder problems, knee pain, foot pain, or radiating pain following a collision or sports activity, our chiropractors provide consistent care supporting your recovery process.
Advanced Diagnostics and Nutritional Support
Accurate diagnosis matters. Without it, even the best techniques won’t deliver optimal results because they’re not targeting the actual problem. First, you will consult with the chiropractor and discuss your primary condition. Our chiropractors will go through your health history to learn more about your past and present challenges, allowing us to understand the context of your condition and your health from a holistic point of view. Next, the doctor will perform an exam to determine where there are interferences in your nervous system, conducting a series of orthopedic and chiropractic tests to provide an accurate diagnosis.
Depending on your condition and the specific technique the doctor needs to address your condition, x-rays may be required. This helps us create the best treatment plan for you. Our chiropractors may also recommend a ZYTO scan (in-office) as a bio-survey for your body to gather more objective data. We optimize your health with our comprehensive nutritional testing using Standard Process supplements tailored to your needs. Our chiropractor bases treatment decisions on objective data specific to your body, not generic protocols. The result? Personalized treatment plans unique to you, designed to help you achieve an active, pain-free lifestyle.
Family-Focused Practice Treating All Ages and Conditions
You shouldn’t have to see multiple doctors in different offices. San Diego Integrative Spine Center provides chiropractic care for your entire family, from newborns to grandparents, all under one roof. Dr. Chloé Lightner’s Webster certification and pediatric training mean expectant mothers receive safe pregnancy support while infants and children get extremely gentle care addressing post-birth discomforts, sleeping difficulties, and behavioral issues. Our chiropractors’ athletic background also makes them especially effective with active teenagers and adults.
Dr. Spinato’s four decades encompass treating headaches, migraines, sciatica pain, TMJ discomfort, vertigo, fibromyalgia, shoulder pain, knee pain, foot pain, chronic fatigue, poor posture, and stress-related tension alongside auto accidents and sports injuries. This breadth means complicated cases get expert care while regular visits stay quick and effective. Families appreciate scheduling multiple appointments simultaneously. Our chiropractors understand every life stage and condition. You build lasting relationships supporting your family’s health for years to come.

Meet the Doctors
Your care at San Diego Integrative Spine Center comes from two highly qualified chiropractors dedicated to serving Poway and North County. Dr. Dan Spinato established this practice in 1984 after graduating from Cleveland Chiropractic College and working in Los Angeles. Board-certified by the National Board of Chiropractic Examiners with memberships in the California Chiropractic Association and NUCCA, he’s developed expertise treating back pain, neck pain, vertigo, fibromyalgia, and auto accident injuries over 40 years.
Dr. Chloe represents the next generation, completing her Marketing and Entrepreneurial Studies degree in Phoenix before graduating magna cum laude from Life Chiropractic College West in 2021. Her Webster certification and memberships in ICPA, NUCCA, California Chiropractic Association, and Christian Chiropractic Association demonstrate comprehensive training. As a North County native who’s completed ten half marathons, one full marathon, and multiple triathlons, including Half Ironman events, she understands athletic injuries firsthand. Our chiropractors offer expertise addressing your complete health picture.
Schedule Your Complimentary Chiropractor Consultation
We Help You Reach Your Desirable Lifestyle
Schedule a free initial phone chiropractor consultation with a doctor so we can discuss your condition and review the options we provide to help you get back to your best health. We’ll review what you are suffering from and how that is treated in our office.
We integrate specific adjustments to your spine, extremities and cranial bones to restore stability. With greater stability, comes less treatment. Our goal is to help you achieve an active, pain-free lifestyle.
Welcome
When you step into our office, our staff will greet you with a warm hello. We know there are lots of healthcare options to choose from, and we are happy you are here! We will have you check into the front desk and ensure all of your paperwork was filled out successfully.
Consultation
First, you will consult with the chiropractor and discuss your primary condition. We will go through your health history to learn more about your past and present challenges. This gives us an opportunity to understand the context of your condition and your health from a holistic point-of-view.
Exam
Next, the doctor will perform an exam to determine where there are interferences in your nervous system. They will do a series of orthopedic and chiropractic tests to provide an accurate diagnosis.
X-rays and Other Scans
Depending on your condition and the specific technique the doctor needs to address your condition, x-rays may be required. This helps us to create the best treatment plan for you. The doctor may also recommend a ZYTO scan (in-office) as a bio-survey for your body to gather more objective data.
First Adjustment
Once finished with the consultation, examination, and X-rays (if indicated), the doctor will review all the information they gathered. We will create a specific care plan unique to you. We will review your health goals and how chiropractic can help. Patients may either be treated at the first visit, or at the second visit depending on the recommended care plan. This may include spinal adjustments, physical therapies and/or nutritional support. Your first visit is comprehensive, but we will complete it within 45 minutes – 1 hour.

10-15 Minute Visits of Chiropractic Care
We offer convenient 10-15 minute visits of chiropractic care sessions at San Diego Integrative Spine Center for focused adjustments and maintenance care. These efficient appointments fit seamlessly into your busy schedule while delivering effective relief and restoring balance. Our approach helps you maintain an active, pain-free lifestyle without lengthy time commitments or disruption to your day.
During each visit, our chiropractors use specialized instrument adjusting and the Drop Table technique for precise, gentle care. We restore stability and nervous system function without twisting or cracking your neck. Each session delivers targeted treatment designed to keep you feeling your best and functioning optimally.
Nutritional Testing
We offer comprehensive nutritional testing at San Diego Integrative Spine Center to optimize your overall health and wellness. Our testing identifies your body’s specific nutritional needs, allowing us to create a personalized supplement plan using high-quality Standard Process products. This integrative method targets health concerns at their source and promotes natural healing.
Our chiropractors may recommend an in-office ZYTO scan as a bio-survey to gather objective data about your body’s nutritional requirements. We integrate nutritional testing results into your complete care plan alongside chiropractic adjustments and therapies. Each supplement recommendation is tailored specifically to your individual needs for optimal results.
Pregnancy and Pediatrics
We provide specialized pregnancy and pediatrics care at San Diego Integrative Spine Center using gentle, safe techniques tailored for expecting mothers and growing children. Our Webster Certified approach supports healthy development during pregnancy and ensures your infant or child thrives through each stage of growth. We create individualized treatment plans that promote comfort and wellness for your entire family.
Our chiropractors use gentle methods without any twisting or cracking, making care safe and comfortable for sensitive patients. Dr. Chloe focuses on delivering expert care for both expectant mothers and pediatric patients. Each treatment plan is customized to your family’s unique needs, promoting natural healing and optimal development.
Our Patients Say the Nicest Things
With a combined 40 years of chiropractor experience we have treated over 10,000 patients.
FAQs
How long does each chiropractic appointment typically last?
Most regular adjustment appointments take 15 to 20 minutes once your initial assessment is complete. Your first comprehensive visit requires 45 minutes to an hour, allowing thorough evaluation of your musculoskeletal system and health history. Our chiropractors believe in quality over speed, making sure every adjustment gets the attention it needs for the best results. Patients appreciate that we never rush through visits or make them feel like just another number.
Can chiropractic care help with sports injuries?
Absolutely. Our chiropractors have extensive experience treating athletes. We regularly help active individuals recover from sports injuries and prevent future problems. Dr. Lightner’s personal athletic background gives her real insight into what different sports do to your body. We analyze movement patterns, identify biomechanical issues contributing to injury risk, and create focused treatments that tackle both your immediate pain and the underlying weak spots that could cause future problems.
What should I wear to my appointment?
Wear comfortable, loose-fitting clothing that allows easy movement. Athletic wear like yoga pants or gym shorts works perfectly. You’ll remain fully clothed during your examination and treatment. If you’re coming directly from work in professional attire, we have changing facilities available. Our chiropractors want you to be comfortable so we can properly check your spine and musculoskeletal system without restriction.
How quickly will I notice improvement?
How fast you improve depends on how serious your condition is and how long you’ve had it. Many patients experience some relief after their first adjustment, though lasting improvement usually needs regular care over several weeks. Acute injuries from auto accidents or sports often respond faster than chronic conditions like headaches, migraines, or TMJ discomfort that have developed over the years. During your consultation, our chiropractors will discuss realistic expectations and create custom treatment plans with realistic goals so you understand what progress should look like. While chiropractic care supports recovery and wellness, it’s designed to complement, not replace, medical care for serious health conditions.
Do you provide documentation for auto accident cases?
Yes. Our chiropractors understand that auto accidents often involve legal and insurance considerations requiring detailed documentation. Our practice maintains thorough records of your examination findings, X-ray assessments, treatment provided, and progress notes. We can provide the necessary reports to your attorney or insurance company, and we will communicate with other healthcare providers involved in your care. This complete approach makes sure you get the right support as you recover.
Recover Faster With Specialized Care from Our Chiropractors in Poway, CA
When it comes to your health, experience matters. Dr. Dan Spinato and Dr. Chloé Lightner invite Poway residents to see how focused chiropractic care can restore movement, ease pain, and improve their daily lives. Whether you’re recovering from auto accidents, managing chronic conditions like headaches or sciatica pain, or seeking preventive care for your family, our chiropractors deliver results through gentle, proven methods. Located at 9320 Carmel Mountain Road, Suite B, San Diego, CA 92129, just minutes from Poway. Office hours are Monday and Wednesday 8:30 am-12:30 pm and 2:30 pm-5:30 pm, and Thursday 7:30 am-12:30 pm. Call 858-484-0444 today to schedule your complimentary consultation. We offer a free initial phone consultation to discuss your condition and answer your questions. Appointments are encouraged; please call ahead to secure your appointment slot. Connect with San Diego Integrative Spine Center on Facebook and Instagram to learn more about maintaining optimal spinal health.



