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What Is a Real Doctor?

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If you were asked the question, “what is a real doctor?” how would you answer it? Would your answer include how they look? Where they work? Where they went to school? How they ranked in their graduating class? What their specialty is? It’s probably safe to say that our answers are based on our own experiences with doctors and what we have seen in the media. If we look beneath the surface, do we really know what makes not only a real doctor, but a good doctor?

History tells us that a doctor is about disease care. We see one when we are sick and suffering from symptoms. We also see a doctor when we discover something abnormal about our body, have suffered a broken bone, or have a chronic condition like juvenile diabetes or arthritis. Unfortunately, sometimes when we see that abnormality or have developed that chronic condition we are at a major disadvantage. It also costs us far more in the long run. So, what is the alternative? Being on the offense, or rather, practicing preventative care.

To a majority of Americans, preventative care means going to the dentist twice a year, getting a mammogram at the age of 40, or a yearly checkup at the pediatrician for our kids. But shouldn’t it go further than that? In an ideal world, wouldn’t it be better to prevent illnesses and chronic conditions, plus improve our quality of life in the process? The reality is that the ideal is possible and with a real doctor, too.

One of those real doctors that most Americans fail to consider are Doctors of Chiropractic. Yes, it’s true. Chiropractors actually specialize in preventative care. In other words, their treatment helps to keep us healthy and improve our quality of life. These specialists earn a Bachelors Degree just as physicians do, typically in biology, chemistry, physics or exercise science. Just as physicians do. Both chiropractors and physicians attend four years of graduate school with similar classes such as anatomy, biology, chemistry, and physiology. They both also perform clinical hours, lab hours, and are required to pass their Boards to become certified.

So perhaps it’s time to rethink what a real doctor is and which camp you have been in – disease care or preventative care.

 

Adolescence and Injuries

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You may be familiar with this saying regarding the purchase of a new car, “the value of a new car depreciates as soon as you drive it off the lot.” While the depreciation of a car can be somewhat excessive, this philosophy also relates to other areas of life as well. For example, clothing, appliances, food, and shoes. The same can also be applied to the human body, too, for as we age we are never as new as the moment we are born.

With the passing of each year and the countless milestones we reach comes the guarantee of wear and tear on our body. It could be cuts, bruises, scars, or broken bones. If we stop to think about the cumulative effect of daily living since the moment of our birth until now, we can probably say with absolute certainty that our body is very much like the Timex watch, “it takes a licking but keeps on ticking.”

Now what about our adolescence? Think about the sports played during this time of life. Football, basketball, lacrosse, rugby, volleyball, wrestling, hockey. Many of these sports require excessive physical contact. The impact on a young person’s body is significant. Yet time and again, our kids bounce back up and jump back in the game. Now let’s add carrying that backpack every day. What about the use of technology and the impact on the neck? It may be safe to say that during adolescence we put our bodies through the wringer.

It’s important to remember the cumulative effect of these types of injuries and lifestyle. It has been documented that headaches are actually caused primarily by tight muscles in the neck, shoulders and even the jaw. The fascia is the very thin tissue that encloses the muscle. This fibrous tissue is also tight as well. Over time, the injuries sustained in our adolescence further weakens our fascia, as does the process of aging. But it is the injuries themselves the increases the weakness factor.

To protect our youth from experiencing chronic pain, arthritis, or joint pain a proactive approach is essential. Regular visits to a chiropractor can help your child’s body stay in alignment, reducing inflammation from irritated nerves. Incorporating therapeutic massage helps as well. Focusing on the tight muscles and fascia that can typically be found in the neck, shoulders, and upper back area. A little preventative maintenance now will help offset the injuries an adolescent body sustains, even when they are unaware their body has been hurt. Much like seeing a dentist regularly to prevent cavities and to ensure a healthy smile as we age, the same is true of chiropractic care. A little will go a long way to ensuring our kids can truly enjoy their golden years pain-free.

Seeking a Cure

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Not having the answer to a problem can be frustrating and unnerving. Something as simple as misplaced keys or cell phone can send our day into a tailspin. However, something bigger like a lost child at an amusement park or an unexplained pain or lump can bring us to our knees. The simple fact of not knowing the where or why is a feeling we never want to experience. However, it is times like these that we would do anything to get the problem resolved favorably. Probably the easiest example to explain this scenario is when it comes to our health or the health of someone we love. There are countless stories of individuals who went to great lengths to find a cure to an ailment from traveling across country to see a doctor, to participating in a clinical trail, or seeking a cure through holistic care.

The problem with this approach to life is the assumptions made. We assume we have all the answers right now. Common sense tells us that this couldn’t be further from the truth. How can we know what we don’t know? Remember that old saying your mom probably said when you were going up, “never say never”? She meant, never say you will never do or think or say something. Wisdom tells us that life is full of surprises. Circumstances present themselves that cause us to say or do or think something we never thought we would.

There is a vast majority of the population that has either outright said or implied that they would never see a chiropractor. And all too often, it’s those same people who end up at a chiropractic office. But it’s only after they’ve tried other options and spent countless dollars. It is our goal at Damron Chiropractic & Wellness to change that. We believe that chiropractic care should be one of the first options a person chooses, not the last. We believe that a lot of money can be saved if more people choose the option they said they would never choose. Once people learn the benefits of chiropractic care from:

  • eliminating pain,
  • resolving the cause of the symptoms,
  • restoring proper functioning,
  • providing preventative health care,
  • lowering the incidence of corrective surgery,
  • increasing energy,
  • and lowering stress,

they realize that they may have let a few assumptions get in the way of the truth.

Beware the Weekend Warrior

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No one needs to convince you that we live in a society that is fast paced. Each day we rush from one thing to the next. Add a couple of kids to the mix and the speed at which we live tends to get amplified. It’s not that we actually like it this way, in fact we may outright hate it. Yet, we continue to live it.

Inevitably there comes a time where we stop to think about our personal health. It might be because we decide to get in better shape or lose weight. Then an opportunity presents itself that we don’t want to pass up. We think it’s a way to help us achieve our goal. It could be a work softball team that plays on the weekends, a family canoe outing, bike riding with the kids, or running a 5k with a friend. Some may call this the weekend warrior. You know, someone who decides to do that one thing over the weekend that they typically don’t do nor is their body prepared for. More often than not, weekend warrior is synonymous with injury.

We know the importance of proper training, stretching before a work out, even stretching after the physical activity. Yet, do we really take advantage of this knowledge? If we did, we would undoubtedly save ourselves the pain of an injury. Somehow, we think we are unstoppable. The key is recognizing that we need to make time for ourselves every day. We need to make our physical health a priority and schedule exercise along with everything else that we schedule. If we don’t, we run the risk of injuries such as:

  • Ankle sprains
  • Knee pain
  • Shoulder pain
  • Tennis elbow or Golfer’s elbow
  • Plantar fascitis

The good news is that if we find ourselves suffering from weekend warrior syndrome then a visit to the chiropractor can help tremendously. Whether it’s a sprained ankle sustained while hiking, knee pain from a pick up game of basketball, or shoulder pain from painting your new dining room walls. Chiropractic adjustments put the body back in alignment, which minimizes the impact our weekend warrior mentality can have on us. While a chiropractor cannot stop the weekend warrior, he/she can get them out of pain and back in the saddle once again.

Good Health Choices

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Remember growing up and hearing your parents ask you, “Are you a leader or a follower?” You probably heard that question after making a poor choices with your friends. Of course, our parents want us to be leaders, right? Because being a follower implies that we simply do what others are doing without question. It is important to own our sense of individuality and think about the decisions we are making. We can still end up doing what others are doing but at least we thought it through and decided that it was the best decision for ourselves.

Over the course of recent history there have been countless products that were initially thought to be safe only to be discounted later as unsafe. The most obvious examples are cigarettes, sacchrine, lead, asbestos, and high fructose corn syrup. Still, how many people continue to smoke, live, work or play in an unsafe environment, or consume unhealthy foods and drinks? We know the dangers, do we not?

When it comes to our health and aging well, we need to take the lead rather than be lazy with how we care for ourselves. If we don’t, we could take unnecessary years off our life, not to mention possibly lower the quality of our life.

In the field of chiropractic care, many are aware of the countless benefits. They may even know someone who sought a chiropractors care and had their pain resolved. Yet, these same people continue to choose to either live in pain, take pain medications to cope, or seek a surgical solution that may only create other issues down the road. Why would they make these choices? Same as why people still continue to smoke, drink diet sodas, or eat highly processed foods. Is it just easier to live that way? Is it easier to follow instead of lead?

Take time to think about the choices you are making regarding your most valued asset, your health. Could you make better choices each day to ensure you enjoy the best health possible as you age?

Education Advantage

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When we are young, we don’t fully understand the significance of our education, the advantages that a good education provides us. However, later in life, after experiencing many of its realities, we fully realize and appreciate the advantage of our education. Education can open doors for us that may not have opened without it. Education can open our eyes to things we may never have known about, that then in turn empower us. Knowledge can transform lives. It can also create value to those who receive it and increase the credibility of the one giving it.

How many encounters have you had with a representative from any company, big or small, that truly educated you on what you were purchasing or considering to buy? That number is probably rather small, but those experiences definitely left a positive impression on you, didn’t it? Think about how that person made you feel as they educated you on why a certain thing needed to be done, on how it would truly benefit you. Did you feel important? Did you feel valued? Did you trust that person more? Did you walk away feeling like you had the knowledge now to make the best decision for yourself?

Let’s face it, there are not many individuals who really take the time to provide you that much value. However, at Damron Chiropractic & Wellness (DCW) we make a concerted effort to educate and inform each and every one of our patients. Our goal is to ensure that every person who walks through our doors has a deeper understanding of true wellness and the power that they have to influence it. We aim for less reliance on medications to treat symptoms, but rather on addressing the cause of the symptoms. Only when this happens can transformation take place. We strive for an elevated quality of life.

When you understand the solution, you can make better choices for yourself and those you love. You also realize that the truth will indeed set you free.

 

Attitude Affects Treatment Success

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You’ll hear coaches, teachers, and parents tell kids that their attitude will determine how successful they are in any endeavor. That self-defeating thoughts will undermine their efforts to do well. The same can be said with our health. Our attitude about weight loss, chronic pain, or stress levels can significantly impact how successful we are.

Most who initially seek chiropractic care are looking to resolve their pain. And while pain can be extremely motivating, the success of treatment is contingent on the patient’s attitude going in. Why? Well for the same reason as the examples listed in the paragraph above. If the patient is only interested in pain relief, then what are the chances that they will take steps to ensure it does not return? A patient’s attitude about their health and wellness is the cornerstone of healthy aging. Still two patients with the same injury and pain level can have different outcomes. For example, one can feel better after a week and the other need to pursue a surgery option.

There have been studies as to why there is a difference in how patients respond to chiropractic treatment. These studies have found that there are three key factors involved in success:

  • Improving the flexibility of the spine.
  • Increasing the movement of the smaller muscles around the spine.
  • Increasing the water content of the spinal discs.

The goal of chiropractic care is all three with every patient, but the range of flexibility, movement and water content varies from person to person. Depending on the person’s lifestyle one person can be further behind another when presenting the same injury and pain. The bottom line is giving your body the solid foundation it needs to thrive. Not doing so only prolongs healing. It also can mean the return of pain if steps are not taken to improve one’s lifestyle, including weight, stress, sleep, etc. Understanding that pain-relief can be quick, but temporary, if treatment is looked at with the wrong attitude.

 

Phase 1 – Pain Relief

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On the journey of life, we have obstacles. When we encounter those obstacles, we need to be aware that there will always be steps required of us to recover. We also need to be aware that if we don’t take all those steps, in the correct order, we will wind up back at the beginning, as if we never took any steps at all. Many of these obstacles in life create pain for us whether it is from a car accident, sports injury, home remodeling mishap, or simply the hassles of every day life. It’s during the first phase, after that obstacle, that we look for relief – specifically pain relief. Why? Because living with pain is hard to do. And given the choice, people prefer to live pain-free, right?

Phase 1 involves choosing to receive chiropractic care because of pain. Pain can be a powerful motivating force. Yet, it is common knowledge that a vast majority of the population is aware of chiropractic care, but have yet to see a chiropractor. It isn’t until the pain pushes us to try uncharted territory that we make the choice to see a chiropractor. Pain relief can be rather quick or gradual with each visit depending on a variety of factors such as age, lifestyle, and type of injury. But the bottom line, a person feels much better at the end of this phase.

During phase one, the visits occur much more frequently. In fact, they can be several times a week until pain relief has been achieved. This is the acute phase where a person needs the pain to stop before anything else can be done. Unfortunately, sometimes a person mistakenly believes that because the pain is gone, treatment can stop. However, this is when we have a relapse because the cause of the pain must still be addressed. With a relapse, people begin to think that chiropractic did not help. This couldn’t be further from the truth. It’s like thinking a wound is healed because it has scabbed over. Yes, the bleeding has stopped and you no longer need to wear a bandage, but underneath the scab is still a recovering wound.

The next blog post will discuss Phase 2 which addresses the root of the problem. This phase works to ensure that the pain does not return by strengthening the body to fully restore function.

Chronic Diseases

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In November of 2015, Prevention magazine had an article titled “6 Things Chiropractors Can Help With – And What They Can’t.” The overall message of the article gave very compelling reasons to see a chiropractor beyond neck and back pain. However, it missed the mark on what they cannot treat. With all the misinformation out there regarding the field of chiropractic, it’s time to set the record straight. A Chiropractor can help treat chronic diseases.

First, let’s address the 6 things are that Doctors of Chiropractic can help with:

  1. Lower Back Pain
  2. Neck Pain
  3. Pregnancy Pain
  4. Digestive Issues
  5. Headaches
  6. Blood Pressure

The first two are the most obvious reasons people choose to see a chiropractor. But what about the other four?

A pregnant woman is told to avoid anything that would harm her developing baby. However, the pain that accompanies most pregnancies, especially the further along a mother is, can make her think twice about how to alleviate it. A Chiropractor can use the Webster technique to realign the pelvis. This can successfully address the pain associated with the lower back and sciatica without the use of potentially harmful medications.

Now what about digestive issues? The nerves in the thoracic spine are connected to the digestive system. A misalignment in this region can cause symptoms from indigestion, heartburn, ulcers, bloating and gas. Spinal adjustments can keep a person’s digestive systems functioning as it should. No more digestive issues.

Next on the list are headaches, which is a common problem experienced by many individuals. The cervical spine contains the nerves responsible for this type of pain if there is an irritation.  A chiropractor can restore proper alignment to offset this interference, many times eliminating the headaches and migraines all together.

Lastly, let’s talk blood pressure. There is a University of Chicago study that took 50 people who had both high blood pressure and neck misalignment. With only one chiropractic adjustment, their blood pressure dropped the same as if they took two blood pressure medications at the same time? That is truly an amazing outcome!

Now for the areas that a chiropractor cannot help with, according to the article. It’s true that a medical doctor is better trained at treating acute emergencies, infections, fractures, tumors and injuries that require surgery. But, just like a medical doctor, a chiropractor can and does help with chronic diseases. The difference is in their approaches. Many times a chronic disease like diabetes, heart disease, or high cholesterol is treated with prescription medications by a medical doctor. A chiropractor, on the other hand, will take a more holistic approach and work with the patient to make lifestyle changes to address the chronic disease. This is addressing the root of the problem rather than the symptoms. Which in the end, resolves the symptoms and the problem as well.

No More Disease Care

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What if Christopher Columbus never discovered the New World and we still believed the world was flat? What if we never had space exploration? How limited would our thinking be? What if we continued to believe people were witches when all along it was mental illness and it couldn’t be helped? Discoveries literally changed the way we viewed the world. They enriched our lives, lengthened our lives, and improved our quality of life. The naysayers were proved wrong. Countless myths were dispelled. People were vindicated. Those individuals who committed their lives to finding the truth faced a tough battle. But their perseverance paid off. They changed the course of history. What was once considered different or non-traditional became the norm or standard. This same philosophy can be said for the field of chiropractic. Doctors of Chiropractic were commonly referred to as “quacks”, “back crackers”, or even a “fake doctor.” The reality is that the truth about these pioneers in wellness care is changing the way people take care of themselves. Healthcare is changing from disease care to wellness care.

Wellness care means digging beyond the symptoms and searching for the cause of the symptoms. It does not mean relying on prescription medications or over the counter drugs to mask the symptoms. It means understanding the cause so the symptoms are resolved. It means searching for the truth in a sea of revenue generating pharmaceuticals. That’s not to say that there is not a place for pharmaceuticals, only that it should not be the first choice in care.

Education is key to this way of thinking, to this way of viewing the world. Look to first hand accounts of success people have had with chiropractic care. Seek out testimonials of those who count a chiropractor as a professional they see just like their dentist. A chiropractor is in the business of keeping you well. Consider it preventative maintenance. Change your perspective on life. Take the road less traveled and reap the rewards of living a higher quality of life with chiropractic care.

OUR TEAM

Dr. Andrew Damron, Chiropractor

Why ChiropracticProfessional Experience Personal Information
Dr. Damron established DCW because he was fed up with the current health model. Statistics continue to show an increase in pharmaceutical prescriptions to patients every day. Although he does believe some medications are necessary, he believes the majority of what is prescribed is actually harmful to the patient’s long-term health, creating another set of healthcare issues as a result. Dr. Damron believes DCW’s unique approach to achieving overall wellness will revolutionize the healthcare industry through collaborative care utilizing chiropractic, massage therapy, rehabilitation, and nutrition. The DCW focus addresses the whole person versus a only symptom and uncovers the root cause. He also believes that education is vital to sustaining a healthier more vibrant lifestyle as well. His goal is to create a healthier society and a better place for our children to live.
Dr. Damron began his medical career with a Biology Degree from Wright State University in 2002. He went on to receive his Doctorate of Chiropractic from the prestigious Palmer College of Chiropractic in Port Orange, Florida in 2007. While attending Palmer, he had the opportunity to travel abroad to Madagascar and provide chiropractic care to the native Malagasy people. Dr. Damron has continued his post-graduate studies with a focus on nutrition, rehabilitation, and functional medicine.
Dr. Damron and his wife, Kristy, reside in West Chester with their two young children, Graden and Isabelle. An avid Buckeye fan, Dr. Damron enjoys playing the guitar in a band with his college friends, watching/playing any sport, cooking, reading, and attending concerts, especially the Dave Matthews Band and Foo Fighters.

Dr. Greg Washam, Chiropractor

Why ChiropracticProfessional Experience Personal Information
Dr. Washam was introduced to Chiropractic by his mother at the age of 16. She was working for a Chiropractor at the time, experiencing all the benefits that Chiropractic care had to offer, and thus began taking Dr. Washam and his siblings in for regular adjustments. Dr. Washam had been experiencing painful bouts of Strep Throat from the age of 8, which always included a 10 day course of antibiotics. While under Chiropractic care his doctor convinced him to avoid the antibiotics and receive Chiropractic adjustments instead. To his amazement, Dr. Washam’s strep throat symptoms had vanished within three days and he never had an issue from that point forward. He was so astounded by his experience that he fell in love with Chiropractic and decided that was the path for him. He wanted to commit his life to helping people through the power of Chiropractic, just as it had helped him.
Dr. Greg Washam began his college education at the University of Cincinnati, studying biology. After he made the decision to become a Chiropractor, he attended Logan College of Chiropractic in St. Louis, MO. While at Logan, he received his Bachelor of Science in Biology and Life Sciences in 2009. He received his Doctorate of Chiropractic in 2011. Dr. Washam was presented with various awards upon graduation. These included Dean’s List honors, the Senior Intern Assistant Award, and the Award of Excellence from the Division of Research. He has completed many hours of post graduate education focusing on nutrition, supplementation and injury recovery.
Dr. Washam and his wife Kassie reside in Mason, Oh with their two daughters, Lillian and Wren. In his free time, Dr. Washam enjoys cooking, exploring new restaurants, touring local craft breweries and reading. He also spends a great deal of time outdoors with his family and his Beagle, Willow. Dr. Washam is a music enthusiast and listens to all genres of music. He especially loves classic rock from the 60’s and 70’s. His favorite band of all time is Led Zeppelin.

Brooke Snyder, Operations Manager

Why DCWProfessional Experience Personal Information
Brooke had never been to a medical office where she really felt like they cared more about her than her money until she came to DCW as a patient. DCW made it so easy to arrange financial payment with, they were compassionate, dedicated and most importantly 100% honest. The team addressed all aspects of her health and well-being, above and beyond chiropractic care. Her initial impression of chiropractic offices were that they would only adjust then send her on her way. She realized that she was wrong. Because of her experience as a patient at DCW she realized she wanted to pursue a career within it. She saw everything she wanted in healthcare at DCW. Finally, a place where patient care really comes first! She comes to DCW with a degree in Nursing and a background in finance. When someone asks her “Why DCW?” she cannot think of one reason why not.
Brooke has a background in business finance and computer technology prior to the start of her medical career. She attended Southern State and obtained an Associate’s Degree in Science, R.N. Sh began working from DCW in December of 2014.
Brooke has five beautiful girls from 15 to 6 years old. She is married to Jamey Snyder who has two boys of his own. She lives on a two acre farm in the country with horses, dogs, cats, and a pot belly pig. Brooke enjoys spending time with her very active family and watching their kids play sports.

Nicole Foreman, Licensed Massage Therapist

Why MassageProfessional Experience Personal Information
Nicole always wanted a career that was focused on helping people. It wasn’t until she drove past the Dayton School of Medical Massage on a daily basis that it became clear what she was meant to do. She enrolled as soon as she could and it has been the best decision she has ever made. She loves the feeling of knowing she has alleviated someone’s pain and possibly made their day better in some way. She had been working alongside chiropractors for over 7 years before joining the DCW team. Before DCW she never really felt her opinions and insights were valued or even asked for, which she felt hindered patient care and the effectiveness of each treatment. At DCW she feels valued and part of a practice that is focused on changing the approach of wellness with cohesive and effective patient care.
Nicole is a graduate of the Dayton School of Medical Massage and obtained her license in 2008. She utilizes Deep Tissue, Swedish and Thai massage techniques to relieve pain, tension, and stress while increasing range of motion and flexibility.
Nicole is married to her husband of 5 years and they one daughter, Rylee, and one child on the way due in September 2016. As a family they enjoy camping, hiking and spending time at the lake during the summer.

Erika Pantona, Insurance Specialist

Why DCWProfessional Experience Personal Information
Erika started coming to DCW in 2010 after spending two years in substantial pain after an injury. She had spent those two years at various specialists and taking medications to simply get up in the morning due to the pain. She was 18 when she found herself facing a major, life altering surgery (SI Fusion) and realized there must be another way. When she began her treatment plan at DCW she started to have days with little or no pain. She stopped taking her medications and realized they had been affecting her overall mood. In 2015 Erika joined the DCW team because they allowed her to live her life once again. She wants to prevent others from living in pain like she did unnecessarily, and to receive the benefits of chiropractic care.
Erika is well versed in the insurance industry with her previous employment at Express Scripts and Anthem.
Erika has two siblings and resides in Liberty Township. In her spare time she enjoys traveling and hiking with her family.

Amy Faris, Patient Care Coordinator

Why DCWProfessional Experience Personal Information
After moving to Ohio in 2010, I was in need of some relief from minor pain associated with working in customer service fields for 15 years. I was interested in seeking alternative forms of therapy and found a chiropractor in our small town. After going for a few visits, the therapy seemed somewhat outdated compared to what I had researched. In talking with my husband, he remembered that he knew someone who was a chiropractor. After just a few visits with Dr. Damron, I definitely noticed a difference in his techniques and style. It was nice to see results and feel like I was being listened to as a patient, not just heard…something you don’t always feel with doctors. After being a patient for several years, the opportunity came about to join the DCW team. It would be something different from what I had done in my past, however I knew my passion for working with people would translate well into helping patients receive the best care possible. I believed in the mission of DCW as a patient, and I am excited to be part of living that mission every day. 
 I am originally from St. Louis, MO. I graduated from the University of Missouri – Columbia with a degree in Secondary Education – Language Arts. I worked in restaurant/catering management for several years before starting a career in retail management and training.
In that position, I met my husband, Matt, who is from Wilmington, OH. After we got married in 2010, I moved to Wilmington. Realizing retail wasn’t where my heart was any longer, I began working as a substitute teacher in the Clinton County area. Matt and I live in Wilmington with our 6 year old German Shepard, Dale. I enjoy camping, boating, riding 4-wheelers, and spending time with family and friends. I love St. Louis Cardinals baseball and am a recently converted Cincinnati Bengals fan.

Hours

Monday 9-1 & 2-6

Tuesday 9-1 & 2-6

Wednesday 9-1 & 2-6

Thursday 9-1 & 2-6

Friday 8-11

Saturday and Sunday CLOSED

Contact information

 3187 Western Row Road Suite 114
    Maineville, OH 45039

Office:
     (513) 770-3434

Email:
    info@damronchiropractic.com