
Welcome to San Diego Integrative Spine Center!
Integrative Chiropractic Care
San Diego Integrative Spine Center has served as a cornerstone of North County health and wellness since Dr. Dan Spinato opened the doors in 1984. For over four decades, this family-owned practice has delivered exceptional chiropractic care to more than 10,000 patients seeking lasting relief from back pain, neck pain, sciatica, and chronic discomfort. What sets our chiropractor in San Diego apart is the rare combination of advanced gentle techniques—including NUCCA, Koren Specific Technique, instrument adjusting with Arthrostim and Vibracussor, and drop table methods—paired with a father-daughter team approach that brings both time-tested wisdom and contemporary innovation to every treatment plan. Dr. Dan Spinato and Dr. Chloé Lightner never use forceful twisting or cracking, making their methods ideal for patients who are nervous about traditional adjustments, recovering from sports injuries, or seeking comfortable care that addresses root causes rather than masking symptoms.
Celebrating 40+ Years of Care! San Diego Integrative Spine Center has been your trusted choice since 1984!
Our Mission
At San Diego Integrative Spine Center, our mission is simple: changing lives through hope and healing. We believe hope happens here. Our chiropractors’ goal is to help you achieve an active, pain-free lifestyle so that you can fully live out your passion and purpose. We’re not just treating symptoms—we’re working to restore your body to a new normal, resetting and recalibrating your nervous system so your body functions at a higher level.
We don’t believe you should settle for where you’re at. Your current state is not where you’re going to be when your body is properly aligned and functioning optimally. We’re fighting for your lifestyle—keeping you doing the things you love in life. Whether it’s running, playing with your kids, hiking, or simply living without pain, we want to see you succeed with an active and pain-free lifestyle. Don’t be scared to get back into doing what you love. That’s what our chiropractors are here for.
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
Choosing where to receive chiropractic care affects your health for years to come. San Diego Integrative Spine Center distinguishes itself through four decades of clinical excellence, genuine patient relationships, and comprehensive treatment that addresses causes rather than symptoms. When evaluating chiropractors, consider what matters most: specialized expertise in gentle techniques, diagnostic technology that provides real answers, and doctors who invest time understanding your unique situation. This isn’t a high-volume practice; it’s a family clinic where your progress genuinely matters.
Over Four Decades of Trusted Community Care
Experience matters when it comes to your health. Dr. Spinato has served the Rancho Penasquitos, Carmel Mountain, and North County communities while building deep roots and lasting relationships with thousands of patients. This isn’t a corporate chain where you see a different doctor every visit. It’s a family practice where continuity of care means everything. As your chiropractor, you’ll work with the same skilled doctors who take time to understand your history, track your progress, and adjust your treatment plan as your needs evolve.
This longevity speaks to the quality of care provided. Patients return year after year, often bringing their children and grandchildren for treatment. This family approach creates an environment built on trust, expertise, and genuine care. When you choose a chiropractor with four decades of community service, you’re choosing proven results and a reputation for healing that keeps growing stronger. Many patients who’ve tried other specialists find their permanent home here.
Specialized Gentle Techniques Without Forceful Manipulation
If you’ve avoided chiropractors because you’re worried about aggressive adjustments or neck cracking, you’ll love our gentle approach. The team specializes in no-twist, no-crack techniques using methods like NUCCA (National Upper Cervical Chiropractic Association), which is an advanced system practiced by specialists nationwide. As a certified NUCCA specialist, Dr. Spinato focuses these precision adjustments on the upper cervical spine through mathematical calculations and detailed measurements rather than forceful manipulation.
You’ll also benefit from instrument adjusting with tools like the Arthrostim and Vibracussor, which deliver precise, comfortable chiropractic adjustments without any popping sounds or sudden movements. Drop table techniques provide effective spinal alignment through controlled, gentle movements that work with your body’s natural mechanics. Koren Specific Technique (KST) offers another low-force option for patients seeking extremely gentle care. Whether you’re sensitive to touch, recovering from injury, or simply prefer a gentler approach, these specialized methods deliver powerful results without discomfort. This gentle approach makes treatment comfortable for everyone, from newborns to seniors, and sets our chiropractor apart from traditional practices.
Complete Services Beyond Standard Spinal Adjustments
Your body works as one connected system, which is why our chiropractor offers more than basic adjustments. You’ll find specialized care for every stage of life, including Webster-certified pregnancy chiropractic to support expectant mothers and safe, effective pediatric chiropractic care for children of all ages. We serve patients from infants and babies to pregnant women, all the way up to seniors, providing family-focused chiropractic care for every life stage. Our practice also works with athletes at all levels through specialized sports performance care and helps patients recovering from personal injury and auto accidents.
We focus on finding and correcting the underlying causes of your condition, not just the symptoms. Our integrative approach looks at the body holistically, from head to toe, using gentle techniques including the Drop Table, Koren Specific Technique (KST), and Instrument Adjusting with Arthrostim and Vibracussor. The practice addresses nutritional factors through comprehensive nutritional testing using Standard Process supplements tailored to your needs. This complete approach means your chiropractor bases treatment decisions on your body’s specific needs, creating personalized care plans unique to you.
Personalized Diagnostic Assessment
At San Diego Integrative Spine Center, your treatment begins with a thorough understanding of your unique condition. Each chiropractor consultation starts with a comprehensive evaluation to understand your body’s past and current state, which gives us a roadmap for how to tailor our care. 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. The doctor may also recommend a ZYTO scan (in-office) as a bio-survey for your body to gather more objective data.
Our chiropractor bases treatment decisions on objective data specific to your body, not generic protocols. We create personalized treatment plans unique to you, tailored to your individualized needs. This integrative method looks at the body holistically, from head to toe, to restore and reset your nervous system to its optimal function. Many patients tell us that understanding their condition and seeing how their care plan is specifically designed for them makes them feel more confident about their treatment and more motivated to follow through with recommended care.
Father-Daughter Team Combining Experience With Innovation
A father-daughter chiropractic team brings unique advantages that distinguish our chiropractors from others. Dr. Spinato brings 40 years of clinical experience, board certification by the National Board of Chiropractic Examiners, advanced training in NUCCA and sports performance, and deep knowledge of nutritional testing. His memberships in the California Chiropractic Association and NUCCA demonstrate an ongoing commitment to professional excellence. His daughter, Dr. Chloe, graduated magna cum laude from Life Chiropractic College West in 2021, bringing fresh perspectives and specialized certifications in pregnancy and pediatric care. She holds Webster certification and maintains memberships in the International Chiropractic Pediatric Association, NUCCA, the California Chiropractic Association, and the Christian Chiropractic Association. This combination means you get time-tested experience and the latest techniques at every visit.
The mentorship relationship between these two doctors creates an environment of continuous learning and refinement. Dr. Dan Spinato has trained Dr. Lightner in the gentle, integrative methods he’s perfected over decades, while she introduces new research and innovative approaches to patient care. Both doctors stay current through seminars, professional associations, and networking with other specialists, so you get the latest, evidence-based care. This team approach means you get high-quality care in an atmosphere that feels both professional and genuinely personal, something many patients struggle to find when searching for a chiropractor.

Meet the Doctors
Four decades ago, Dr. Dan Spinato opened San Diego Integrative Spine Center after completing his training at Cleveland Chiropractic College and gaining experience as an Associate Doctor in Los Angeles. Board-certified by the National Board of Chiropractic Examiners with memberships in the California Chiropractic Association and NUCCA, he built this practice on principles from his upbringing, where natural medicine and wellness-focused living were fundamental.
In 2022, Dr. Chloe, one of our chiropractors, joined after earning her Marketing and Entrepreneurial Studies degree in Phoenix and graduating magna cum laude from Life Chiropractic College West in 2021. Her Webster certification, combined with memberships in ICPA, NUCCA, California Chiropractic Association, and Christian Chiropractic Association, demonstrates specialized training in pregnancy and pediatric care. As a North County native who’s completed ten half marathons, one full marathon, and multiple triathlons, including Half Ironman distances, she brings athletic insight to sports injury treatment. Together, they create personalized treatment plans 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.

Quick and Effective 10-15 Minute Visits for Chiropractic Care
Your schedule stays busy, and finding time for health appointments can feel challenging. We understand that juggling work, family, and personal commitments leaves little room for lengthy medical visits. That’s why our follow-up chiropractic sessions are designed to fit seamlessly into your day. After your initial comprehensive evaluation, which takes 45 minutes to 1 hour, we offer convenient 10-15 minute visits that deliver focused care without disrupting your routine.
Our chiropractor’s approach centers on efficiency and results. We’ve already gathered your health history and created your personalized treatment plan during that first appointment. These shorter visits allow us to provide targeted adjustments using proven techniques. You receive the care you need without spending unnecessary time in our office.
How Focused Visits Address Your Health Goals
San Diego Integrative Spine Center has perfected the art of delivering powerful results in compact timeframes. We focus on specific adjustments to your spine, extremities, and cranial bones during these sessions. Our goal remains consistent: restore stability and optimize your nervous system function.
These streamlined appointments work because we’ve already completed the groundwork. We know your body’s unique patterns and can zero in on what needs attention. Our chiropractors use gentle methods that don’t involve neck twisting or cracking.
- The Drop Table technique delivers effective adjustments efficiently
- Koren Specific Technique addresses your body’s specific needs
- Instrument Adjusting with Arthrostim provides precise corrections
- Vibracussor methods support comprehensive treatment
- NUCCA Chiropractic offers gentle upper cervical care
What Makes Brief Sessions Effective for Ongoing Care
Regular maintenance keeps your body functioning at its best. Once we’ve corrected underlying issues, shorter visits help maintain those improvements. This approach respects your time while supporting long-term health outcomes.
Think of these appointments as tune-ups for your nervous system. Our chiropractors evaluate each visit dynamically, assessing what’s happening with your body that day. Our integrative approach means we look at your body from head to toe.
- Each consultation begins with a thorough evaluation of your current state
- We focus on finding and correcting underlying causes, not just symptoms
- Personalized treatment plans adjust based on what you need at each visit
- Greater stability leads to less frequent treatment over time
- Our goal is to help you maintain an active, pain-free lifestyle
With our comprehensive yet efficient approach, you can keep doing the things you love in life without letting pain hold you back.
Comprehensive Chiropractors for Whole-Body Wellness’ Nutritional Testing
Your body needs proper nutrition to function at its best. Sometimes identifying what’s missing or causing imbalance requires more than guesswork. We offer comprehensive nutritional testing as part of our integrative approach to healthcare. This service helps us understand your unique nutritional needs and create a tailored plan that supports your overall health goals.
San Diego Integrative Spine Center combines chiropractic expertise with nutritional support to address the root causes of health concerns. Our chiropractors look at your body holistically, from head to toe. Nutritional testing gives us valuable insights into how your body is functioning and what it needs to thrive.
How Nutritional Assessment Supports Your Health Journey
Proper nutrition plays a vital role in your body’s ability to heal and maintain optimal function. Our chiropractors use comprehensive testing methods to gather objective data about your body’s current state. This information helps us identify what your body needs based on the testing results.
Our approach includes ZYTO scans, which serve as bio-surveys for your body. These scans provide detailed information that guides our recommendations. We tailor standard process supplements to your specific needs based on the testing results.
- ZYTO scans gather objective data as a bio-survey for your body
- Comprehensive nutritional testing evaluates your individual needs
- Standard Process supplements are tailored to your specific needs
- Testing integrates with your overall chiropractic care plan
- Nutritional support may be included alongside spinal adjustments and physical therapies
What Makes Our Integrated Approach Different
Nutritional testing works alongside our other services to create a complete wellness strategy. Our chiropractors don’t just address symptoms. We focus on finding and correcting the underlying causes of your condition, which may include nutritional factors.
Your care plan is unique to you. Nutritional testing is listed among our core services alongside NUCCA chiropractic, pediatrics, pregnancy care, sports performance, and personal injury treatment.
- We create a specific care plan unique to you
- Nutritional testing is part of our integrative method
- We look at the body holistically from head to toe
- Your first visit is comprehensive and completed within 45 minutes to 1 hour.
- We restore and reset your nervous system to its optimal function
We help you reach your desirable lifestyle through comprehensive care that includes proper nutritional support tailored specifically for you.
Specialized Chiropractors for Pregnancy and Pediatrics
Growing families need support throughout every stage of life. Our chiropractors provide specialized chiropractic care for both pregnant women and children, helping them thrive through gentle, effective techniques. We understand the unique needs of mothers and their little ones during these important developmental periods.
San Diego Integrative Spine Center welcomes patients of all ages and stages of life. Dr. Chloe is especially passionate about caring for pregnant women and takes an individualized approach to each treatment plan. Our chiropractic methods don’t require twisting and cracking of the neck, making care comfortable for expectant mothers and safe for infants and children.
How Webster Certified Techniques Support Your Pregnancy
Pregnancy brings incredible changes to your body. Your spine and pelvis need proper alignment to support you and your growing baby. We offer specialized care using Webster Certified chiropractor techniques designed specifically for pregnancy.
Dr. Chloe’s expertise in prenatal care helps address the physical challenges that come with carrying a child. She specializes in pregnancy, and she provides comprehensive consultations tailored to your individualized needs.
- Specialized chiropractic care during pregnancy
- Dr. Chloe is especially passionate about caring for pregnant women
- Individualized and integrative approach to each patient’s treatment plan
- Our methods don’t require twisting and cracking of the neck
- Comprehensive consultations tailored to each patient’s individualized needs
Why Safe and Effective Pediatric Care Matters
Children grow and develop rapidly. Their bodies need proper nervous system function to reach their full potential. We provide safe and effective chiropractic care to support infant and child healthy development.
Patients, no matter their age, feel comfortable and respected while receiving care here. Our chiropractors’ gentle approach creates a welcoming environment where families can receive the care they need together.
- Safe and effective chiropractic care for infant and child healthy development
- Pediatric Chiropractic Care is one of our core services
- We welcome patients of all ages and stages of life
- Patients, no matter their age, feel comfortable and respected
- Gentle chiropractic care methods are appropriate for young patients
Our Patients Say the Nicest Things
With a combined 40 years of chiropractor experience we have treated over 10,000 patients.
FAQs
What types of services do you offer?
- Gentle Chiropractic Care
- Koren Specific Technique (KST)
- Instrument Adjusting
- Arthrostim
- Vibracussor
- Drop Table
- Pregnancy
- Webster Certified for Pregnancy
- Pediatric Chiropractic Care
- NUCCA Chiropractic
- Nutritional Testing
- Sports Performance
- Personal Injury
What types of insurance do you accept?
At San Diego Integrative Spine Center, we are an out-of-network provider and do not accept insurance directly. This includes Medicare. Most of our patients with Medicare have HMO plans, which do not allow billing from out-of-network providers. Only a very few carry PPO plans, which are the only plans that permit billing from out-of-network providers, such as SDI Spine Center. We encourage you to verify your coverage with your insurance provider and we will provide the necessary documentation for you to seek reimbursement.
Contact UsWhat types of payment methods do you accept?
At San Diego Integrative Spine Center, we accept most major forms of payment including cash, major credit cards, and checks. If you want to know whether or not we take a specific payment form, please contact us, and we’ll be more than happy to go over it with you!
Contact UsDo you accept appointments? Do you accept walk-ins?
Appointments are always encouraged. Please call or text our office ahead of time to secure an appointment slot. We do our best to accommodate our patients.
Request AppointmentWhat are your hours of operation?
Thurs: -
Tue, Fri, Sat & Sun: Closed
How long has the practice been serving San Diego?
San Diego Integrative Spine Center has been providing chiropractic care to the North County San Diego community since July 1984. Dr. Dan Spinato founded the practice over 40 years ago and has treated more than 10,000 patients throughout his career as a chiropractor. In 2022, his daughter, Dr. Chloé Lightner, joined the practice, continuing the family tradition of excellent patient care and creating a true multi-generational healing environment. This longevity makes us one of the most established specialists, with deep community roots and a reputation built on decades of successful patient outcomes.
What makes your chiropractic techniques different from other practices?
We specialize in gentle, no-twist, no-crack techniques that get results without forceful manipulation. As specialized chiropractors, we use advanced methods like NUCCA, Koren Specific Technique, instrument adjusting with Arthrostim and Vibracussor tools, and drop table techniques. Every adjustment is tailored to your comfort level and specific needs, making our approach ideal for sensitive patients, recovering from injury, or simply preferring gentler treatment options. Unlike many other specialists who use traditional manual adjustments, our focus on gentle, precise chiropractic adjustments makes care comfortable for all ages.
Do you treat children and pregnant women?
Yes, we provide specialized care for patients of all ages and life stages. Dr. Chloe is Webster-certified for pregnancy chiropractic, offering safe techniques for expectant mothers that help with positioning and delivery preparation. As a pregnancy chiropractor, she understands the unique needs of expectant mothers. Our pediatric chiropractic services use extremely light pressure appropriate for newborns, infants, and children, supporting healthy development and addressing post-birth discomforts, sleep difficulties, and behavioral concerns. We create customized treatment plans in a warm, welcoming environment designed specifically for young patients and their families.
What conditions can you help with beyond back and neck pain?
As comprehensive chiropractors, our holistic approach may help manage symptoms and improve how you feel if you’re dealing with headaches, migraines, sciatica pain, TMJ discomfort, vertigo, and sports injuries. We also provide supportive care for shoulder pain, foot pain, knee pain, joint discomfort, poor posture, and personal injury recovery. Through our methods that address physical, chemical, and emotional factors, many patients have found relief from chronic fatigue, stress-related tension, and musculoskeletal discomfort. Our ZYTO scan and nutritional testing give us extra insights into what might be causing your symptoms. While chiropractic care supports overall wellness, it’s designed to complement, not replace, medical care for serious health conditions.
What should I expect during my first visit?
Your first visit with our chiropractors usually lasts 45 minutes to an hour, giving us time to really understand your health history and concerns. We offer a free initial phone consultation so you can ask questions before committing to an appointment. You can schedule through our convenient app, by phone, by text, or simply walk in when available. During your visit, you’ll receive a complete head-to-toe assessment to identify underlying causes of your condition. We have digital X-ray technology on-site if imaging is needed, and we’ll develop a personalized treatment plan tailored to your specific needs and goals. We focus on educating you throughout the process, so you’ll understand exactly what we find and how we can help. Regular adjustment appointments typically take 15-20 minutes once your initial assessment is complete.
Book Your Visit With Our Experienced Chiropractor in San Diego
Ready to experience the difference gentle, integrative chiropractic care can make? Dr. Dan Spinato and Dr. Chloé Lightner welcome you to discover how improving your spinal alignment, nervous system, and nutrition can transform your health. Whether you’re dealing with back pain, neck pain, sciatica pain, or seeking preventive wellness care, our experienced chiropractors are here to help.
Visit us at 9320 Carmel Mountain Road, Suite B, San Diego, CA 92129. 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 or stop by—our chiropractors accommodate walk-ins when possible. Follow us on Facebook and Instagram for wellness tips, patient success stories, and updates from our North County practice serving the greater San Diego area.



