Greg Hager DC

11/24/2025

Just a friendly reminder that we will be closed 11/27 and 11/28 for Thanksgiving. If you are needing an adjustment give us a call or book online. Spots are going fast. If we do not see you, have a Happy Thanksgiving. We will resume normal hours on Monday Dec 1st.

11/11/2025

Happy Veterans Day from everyone here at Hager Chiropractic. We are open today if you need us.

11/03/2025

We are starting our referral promotion. From now until December 31st. Anytime you refer a patient to us, when they come in your name will go into the bin. On January the lucky winner will be announced. The winner will receive a $50 gift card to Thomas Hammer. Make sure whoever you refer remembers to tell us who sent them in.

10/28/2025

We will be closing early this Friday, around 3 pm. If you are wanting to get adjusted give us a call or go onto the portal to get your appointment scheduled.

10/27/2025

Got one of our signs up!

10/21/2025

After being in practice for 9 years, I can tell you there is one common thing that I see with my patients with low back pain. That is hypertonicity in the Psoas muscles.

Psoas Syndrome.
Psoas Syndrome is said to be uncommon but I think that this is because it is very easy to overlook and commonly gets mis-diagnosed. The psoas muscle originates off the back from T12-L5 vertebrae, then crosses the front of the hip and inserts on the femur. This muscle flexes the hip, stabilizes the lumbar spine and can pull the spine into a number of directions depending on what position you are in.
As we spend more time sitting for our jobs, driving in the car or just relaxing around the home, we are encouraging this muscle to tighten up. Sitting with the hip flexed puts this muscle in a shortened position. Another cause of this muscle to tighten up is poor core strength and over utilizing this muscle to stabilize the spine.
Psoas Syndrome has several different presentations which is why it is often missed. It can present with tightness or pain in your low back, pain around the thoracolumbar junction (mid back), tightness in the abdomen, pain/tightness in the front of the hip that can go as far down as the knee, or even pain into the gluteal region. In some cases, if the muscle is really tight people can experience a popping or snapping sensation in their hip with movement of their leg or when getting out of a chair.
When this condition is properly diagnosed it responds well to treatment. Treatment consists of adjusting the lower thoracic spine, lumbar spine, SI joints and hips. Stretching the psoas and hamstrings will also help reduce the symptoms. And finally strengthening the core (abdominals, back extensors, diaphragm, pelvic floor, psoas itself) and hip stabilizers.

If you have been experiencing any of these symptoms it most likely has to do with some tension in the Psoas muscles. Give us a call to see how we can help!

10/16/2025

Insurance update! We are now accepting:
Cigna
Kaiser
Premera/BCBS
Regence
United Health Care
Asuris

We are still waiting to hear back from:
First Choice Health
Aetna
Medicare
VA

We are calling weekly on these insurances. Keep watching for updates. Also, if you don't see your insurance plan listed, give us a call and we will check into that plan

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10/10/2025

Some updates with the waiting area. Don't forget to grab a cookie or two when you stop by. Thanks CS for the flowers!

10/09/2025

Will be out of the office today from 11 am - 3 pm for a Continuing Education Course. If you are needing to schedule, please visit the website at northspokanechiro.com during this time.

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10/06/2025

Not sure exactly what a chiropractor does? Well you are not alone. Since chiropractic has been founded there has been a struggle within the profession to clearly label/identify what a chiropractor really does. For this reason this is why you will see claims of being a primary care, spine doc, neurological specialist, holistic health, etc. This makes it very confusing for the profession, the rest of the medical field and the general public. This is also why you may have heard horror stories from friends or family members about past experiences with chiropractors. Your friend/family member may have been expecting to get their spine adjusted but went to a chiropractor that does not do this and focuses more on nutrition and a holistic approach to things or vice versa.
To me the difference between chiropractors and Physical Therapists is their approach to treatment. PT's focus on function. How the body functions as a motor unit to help improve performance and relieve stress on the muscles and joints that are involved with the area that is not functioning as it properly should. Chiropractors focus on structure. We look at the joints, assess how they are moving or not moving and restore this motion, this in turn will also impact how the body functions as a motor unit. In reality it is just 2 different ways of solving the same problem and both have been shown to be effective. In my personal opinion I think that PTs are better equipped to treat hypermobility and Chiropractors are better at treating hypomobility.
In hopes to help clear up the blurriness I would like to explain my personal thoughts and approach to things. I come from a sports background and spent a lot of time in PT and chiropractic from many sports injuries. I later went to EWU and focused on Exercise Science. Did personal training for a little bit, later working in a couple PT clinics as an aide. Eventually went to chiropractic school where I found my passion to be helping people with all musculoskeletal complaints. I focus on adjusting, rehab and injury prevention. I believe the one thing that really separates myself from the rest of the profession is my time spent working in the PT field which has allowed me to catch things that others easily miss because as a profession we get caught up in adjusting.
With my background in both fields I feel that I am better to assess if the joint dysfunction is due to lack of motion (hypomobility) or too much motion (hypermobility). Lack of motion is easy to assess, hypermobility can be easily overlooked but if you do a good assessment and ask the right questions this is not as difficult to detect as some may think. This hypermobility issue is typically the case when someone goes to a chiropractor for 40+ visits and does not get better because the chiropractor continues to adjust the already moving joint and is essentially making the joint move more which feeds more into their issues.
I know this was a long post but if you have made it this far, I hope this helps clear the blurry lines of the profession. If you have any questions, please do not hesitate to give me a call. 509-867-3936. The picture was just to help get your attention

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09/30/2025

Headaches are one of the most common disorders of the nervous system. Almost 50% of the adult population reports experiencing at least one headache within the last year. They can be difficult to properly diagnose which has made them one of the most under treated conditions you can suffer from. Proper diagnosis and treatment is key to getting relief from these and chiropractor’s are among the best trained in diagnosing them. Headaches can be broken down into several categories but listed below are the most common types. If any of these symptoms sound familiar, then ask us about them at your next treatment.

Cervicogenic Headache (CH)
-Caused by structured of the neck referring pain into the head
-Most commonly caused by the joints of the upper cervical spine, but can also be caused my hypertonic muscles or trigger points in the muscles of the neck
-Headache usually made worse with movements or sustained positions of the neck
-Most people report restricted motion of their neck
-Typically, only effects once side of the head and does not shift sides or to other areas of the head

Tension-type headache (TTH)
-TTH is the most common primary headache disorder.
-TTH often begins during the teenage years, affecting three women to every two men.
-Its mechanism may be stress-related or associated with musculoskeletal problems in the neck or poor posture.
-Episodic TTH attacks usually last a few hours but can persist for several days.
-Chronic TTH can be unremitting and is much more disabling than episodic TTH.
-This headache is described as pressure or tightness, often like a band around the head, sometimes spreading into or from the neck.
-TTH can be very intense, and most people mistake them for a migraine headache, can cause nausea and/or vomiting but usually do not cause sensitivity to light or sound.

Migraine
-A primary headache disorder.
-more common in women, usually by a factor of about 2:1, because of hormonal influences.
-caused by the activation of a mechanism deep in the brain that leads to release of pain-producing inflammatory substances around the nerves and blood vessels of the head.
-Migraine is recurrent, often life-long, and characterized by recurring attacks.
-Attacks typically include:
headache, which is:
-of moderate or severe intensity
-one-sided
-pulsating in quality
-aggravated by routine physical activity
-with duration of hours to 2-3 days
nausea (the most characteristic associated feature);
attack frequency is anywhere between once a year and once a week; and
in children, attacks tend to be of shorter duration and abdominal symptoms more prominent.
-Sensitivity to light and/or sound is common
-Usually present with an aura/visual change but can occur without the warning
-Typically followed by a post drome - 24-hour period after experiencing headache you still feel mild pressure/pain/sensitivity to light/sound. Most commonly described to feel like a hangover

Medication-overuse headache (MOH)
-MOH is caused by chronic and excessive use of medication to treat headache.
-MOH is the most common secondary headache disorder.
-It may affect up to 5% of some populations, women more than men.
-MOH occurs by definition on more days than not, is oppressive, persistent and often at its worst on awakening.

Have you been battling headaches? Occipital Neuralgia is often due to tension in the upper cervical spine and leads to one of the headache types listed above.

We hope this reading was helpful. If you or someone you know has been experiencing similar symptoms to those listed above, then ask us at your next treatment or give us a call to schedule an appointment. We are always here to help!

09/29/2025

We have our temporary sign up. Keep an eye out when driving down Holland. Don't worry we have a permanent sign in the works.