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Service and Care

Top Notch Spinal Care

Dr. Jacob Garff is dedicated to helping his community reduce their risk of lifestyle-related preventable chronic conditions including chronic pain as well as encouraging them to become more responsible for promoting optimal health and well being. Dr. Jacob Garff is focused on accurately providing you the proper care recommendations to reach your personal health goals. Recommendations may include primary care, referrals to other wellness specialists (when necessary) and recommendations for wellness essentials that offer affordable and convenient solutions that work. Dr. Jacob Garff is passionate about helping our community and conducts a variety of Discover Wellness Presentations for local employers interested in reducing health care costs as well as to civic groups and places of worship interested in fund-raising events. Most people think of Top Notch Spinal Care as a wellness office because the focus is on helping people get and stay well, naturally. Dr. Jacob Garff uses a “whole person approach”. This approach is a combination of detecting underlying interferences which may inhibit the body’s natural ability to heal itself along with the inspiration, knowledge and support for people to achieve better health through better living.

 Why I Became A Chiropractor

Our Difference

Traditional Chiropractic

Most chiropractors utilize what’s known as Traditional Chiropractic.

Focus is on improving the range of motion using high velocity thrusts into the spine

Temporarily relieves tension and increases joint motion however is classified as symptom management because you have to return for several visits for the same treatments.

This occurs because although the motion of the spine is better, the structure has not been corrected to its normal position. The force of gravity will cause the fixations of the spine and symptoms to reoccur in this abnormal structural position

May include handheld adjusting tools, therapies and other modalities

Our Unique Approach

We specialize in the NUCCA Chiropractic technique.

Use a specific adjustment determined from digital imaging. 


Immediately corrects the muscle tone from left to right which naturally allows normal motion and reduces pain

No cracking, popping or twisting of the body- our adjustment is painless

We measure before and after the adjustment to make sure your spine has been corrected

Helps on a long term basis because the structure’s position is corrected in reference to gravity, the force always acting on us. In the normal structural position the damaged tissue begins to normalize and symptoms go away on a permanent basis

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