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Expert Q&A: Learn about Chiropractic Care with Wellness Specialist —Dr. Daryl Rich

Published September 27, 2017
“I threw my back out in a BIG way. I had to roll onto my belly and scoot out of bed to stand up. I was hand-over-hand walking around the walls and grabbing onto furniture just to get to the john.”
“In one treatment, I could walk around. [My] second visit was even better. My next one should do the trick. He doesn't mess around people. I expect what I pay for, and he delivered. I don't give reviews for the hell of it. If I ever have to go back, he's my man!"

Tracy S. reviewed Core Chiropractic and Wellness

Backers meet, Dr. Daryl Rich, DC, CSCS of Core Chiropractic and Wellness.

Core chiropractic and wellness logo.

Dr. Rich has extensive post-graduate training in ART (Active Release Treatment), a globally used soft-tissue therapy. He received post-graduate training in rehabilitative exercise training, clinical nutrition, in addition, to the management of TMJ syndrome.

“I can't say enough about how Dr. Rich has helped me over the years. He is truly a gifted healer. I tell everyone I know to seek his help as I truly believe in a holistic approach to health. I'm very thankful for Core Chiropractic and for Dr. Rich.”

Linda P. reviewed Core Chiropractic and Wellness

Certified Strength and Conditioning Specialist, Dr. Rich is also certified by the National Strength and Conditioning Association. He has expertise in treating as well as training athletes at the high school, collegiate, Olympic, and even professional levels.

Dr. Daryl Rich at CORE

Q: Can you briefly introduce yourself to our Backer community?
A: My name is Dr. Daryl Rich. I have been a chiropractor in Roanoke, Virginia, for over 13 years. My family and I have also lived here since 2004. We love this area and enjoy being a part of providing chiropractic services to the greater Roanoke region.

Q: How long have you been a certified chiropractor? And, what type of training or education goes into becoming a certified chiropractor?
A: I graduated from Logan College of Chiropractic in St. Louis, Missouri, where I also earned a bachelor of science degree in human biology. I am also a graduate of Liberty University in Lynchburg, Virginia, with a bachelor of science degree in biology and chemistry.

The chiropractic degree is a postgraduate degree that is similar in classroom hours as a medical degree. It also includes clinicals and hands-on training in how to be an effective chiropractor.
Q: Do you enjoy what you do as a certified chiropractor? And, what is your favorite part?
A: I love being a chiropractor. It is pure joy to help people obtain a healthy lifestyle and to watch them reach their goals.

At CORE, we strive to make your experience in our office convenient and enriching. Our greatest reward is watching our patients achieve their goals, maximize their performance, and reach optimal health.

Q: Who are your typical patients?
A: Our typical patient is someone who is healthy but looking to get healthier. That can range from a newborn baby to an elderly grandmother. We also see a large amount of very athletic people including some semi-professional and professional athletes.

Q: Does chiropractic care hurt? Can you describe what it feels like?
A: Chiropractic care is often described as a good hurt, similar to a workout. You know something is being done, it does require some work, but it is well worth it.

Q: Can you walk us through a normal day at the office?
A: A typical day in our office is fast-paced, fun and fulfilling. We get to interact with patients from all walks of life with many different types of problems and we get to find solutions in how to help them.

Q: What specific back and spine conditions benefit from chiropractic care?
A: Almost all back conditions can be helped with chiropractic care. The most common problems we see are from overuse, degenerative conditions, and postural problems. We do not treat fractures or infections of the spine.

Specifically, the more frequent conditions we treat include spinal pain, nerve pain, soft tissue injuries, pregnancy-related pain, and TMJ (temporomandibular joint disorder).

Q: A back pain sufferer is visiting your practice for the first time, what can they expect?
A: Every new patient walking through our doors should expect a friendly face at the front entrance and a staff member who wants them to get better quickly. We take our time with each new patient to figure out what their problem is and what is the fastest way to solve it. That will include a thorough medical history, and examination, and orthopedic testing. Sometimes we have to take x-rays but only when necessary.

At the first visit, we ask our patients to arrive 10 minutes early to complete any final paperwork in addition to a consultation with me or another member of my firm.

The consultation consists of discussing details of the patient's health and nutritional history, the specifics of the current problem, and goals for said patient's health and performance.

The examination consists of a complete orthopedic and neurological review and may also include a gait-and-functional-movement analysis, a postural screen, and balance testing.

Based on the findings of the examination, we would then suggest an initial treatment strategy and suggest steps that the patient can take home to improve the condition. We will also develop a chiropractic treatment plan specific to the patient's needs.

Q: How can chiropractic care help to treat someone's chronic back pain?
A: Treatment of chronic back pain often includes a team of people trying to help the patient. In the chiropractic office, we are best at helping to make movement more efficient. We also work to help the patient change their bad back behaviors. Most often back pain has a large behavioral component.

By using principles found at the cutting edge of chiropractic and medical research, we provide care that enhances and supports your body’s innate ability to heal itself.

Q: Can you describe your favorite or go-to move for someone with back pain?
A: My favorite go-to move for somebody with back pain is to educate them. Educate them in what they are doing to create their back problem and what they can do to fix it themselves.

Q: How many treatments or appointments are needed to essentially begin the healing process for a painful back?
A: Only one visit is needed to start the healing process of the chronic back pain. After the first visit, the patient should walk out the door feeling a bit better, feeling looser, and have a few take-home points to know what they can do for their problem.

Q: What happens if a habitual patient of yours suddenly stops? Will that be detrimental to the treatment of their chronic back pain? For example, once you start going to a chiropractor, do you have to keep going for the rest of your life?
A: If a patient stops care because we have reached their goals, they may not notice a major difference. If they continue with her home exercises and have successfully altered their bad back behaviors, they can stay healthy for a long time. If they revert back to some of the bad behaviors, stop doing their exercises, they may notice a decline in their back health quickly.

Q: Are there treatments that should not be used for someone with severe back pain? If so, do you have an example for our readers to be aware of?
A: Often patients with severe back pain try to use a heating pad to relieve their pain. Almost always this is bad news. The dry heat from the heating pad can increase nerve sensitivity and cause more pain. Try taking a hot shower or using a hot tub if you feel like it needs to be warmed up. You might also try ice if inflammation is involved. Use real ice cubes in a Ziploc bag for best results.

Q: We had previously mentioned the treatment called ART, can you briefly explain what that is and how it could be beneficial for a back pain patient?
A: Active Release Techniques (ART) is a specialized, hands-on treatment that allows us to diagnose and treat soft-tissue injuries that occur in your muscles, ligaments, tendons, nerves, blood vessels and fascia.

Damage can take place from sudden trauma (tears, sprains, blunt trauma) or can accumulate over time (carpal tunnel, tendonitis, bursitis, poor posture). Combining the understanding of biomechanics and movement with hands-on, applied techniques, ART protocols eliminate pain and dysfunction.

Q: Is chiropractic work safe for children and the elderly?
A: Chiropractic is not only safe for children and the elderly, it is greatly beneficial. Often different techniques are used for those who are more fragile but the results can be amazing.

Q: Is it bad to crack your back?
A: I generally advise not to crack your own back. Most likely you're not fixing the real issue, you're creating a short-term benefit but not addressing the long-term problem.

Q: Is chiropractic care addictive?
A: Chiropractic care is not addictive as we normally use the word. If feeling good and not in pain is what you're after and you might find chiropractic to be your best friend.

Q: Should someone continue chiropractic care if they don't have any symptoms and feel better?
A: I have many patients who continue chiropractic care even when they are feeling good and do not have any symptoms. Often it's because they are athletes and they want to perform at a higher level.

It may also be the typical desk worker who is trying to prevent stiffness, bad posture or other asymptomatic health problems.

Q: Name one item you would like the medical community to understand or be aware of regarding chiropractic care and back pain?
A: The one thing that I try to teach the medical practitioners who visit our office is that chiropractic is simply physics. You relax a tight muscle, you move a tight joint, you strengthen a weak muscle. This creates greater stability and less pain.

Q: Can you provide some words of wisdom for our Backer community?
A: My best words advice are this: God made our body to heal itself. That means if we eat good food, move more often, drink plenty of water, get plenty of sunshine, and then get out of the way, our body can heal itself.

BackerNation truly thanks, Dr. Rich for being so helpful in having us understand chiropractic care a little more.

Along with Dr. Rich's chiropractic care, his firm also specializes in rehabilitative exercise, which is more focused on maintaining strength with an emphasis on joint mobility, muscle flexibility, coordination, balance as well as endurance.

Acupuncture is a new feature to CORE's practice, which is used for his patients either as a standalone service or to use in conjunction with chiropractic and/or ART in order to reach optimal health and healing.

Dr. Rich is also a nutrition counselor who teaches nutritional lifestyle tips and tricks to educate his patients on the importance of clean eating.

If you want more, we encourage you to check out his contact information (below) and website,, for additional information.


CORE Chiropractic & Wellness
Sixteen West Marketplace
16 Church Ave SW
Roanoke, VA 24011
Phone: 540.344.1055


Updated: January 31, 2018

Information provided within this article is for educational purposes and is not a substitute for medical advice. Those seeking specific medical advice should consult his or her doctor or surgeon. If you need to consult with a specialist, you may be able find a health care provider in our Specialist Finder. SpineNation does not endorse treatments, procedures, products or physicians.

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