Primary Spine Care Now Offered to the Omaha Community

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The Omaha Wellness Center ( is excited to be bringing an emerging model of spinal health care called Primary Spine Care to the Omaha community. The founder of the Omaha Wellness Center, Dr. Ryan Goss is pleased to be bringing this advanced model to Nebraska. Along with this Primary Spine Care designation, he is also the only Doctor in Nebraska that has been accepted and is enrolled in the Spinal Biomechanics and Trauma Fellowship.

Through training and credentialing offered by the Academy of Chiropractic in conjunction with the University of New York at Buffalo Jacob’s School of Medicine and the Texas Chiropractic College, Dr. Goss is developing a collaborative model of treatment where Doctors and providers if ALL disciplines team treat. This teamwork unquestionably yields the best outcomes for patients. By practicing at a higher level, patients get access to a multi-disciplinary approach when necessary and appropriate.

Traditionally, given the unique nature of care and philosophy of health, Doctors of Chiropractic provided their specialized treatment (Spinal Adjustments/ Manipulation) with little to no knowledge of the treatment their patient is receiving from other providers such as; Primary Care Physicians, Internal Medicine, Pain Management, Neuro and Ortho Surgeons, Neurologist, etc. This lack of awareness or minimal knowledge of the entire scope of a care a patient is receiving creates many challenges to a collaborative approach to health care. Just because Chiropractic may be ‘unique’ in the philosophy of healthcare does not mean it is acceptable to practice or provide Chiropractic care in a ‘vacuum’.

Primary Spine Care and the Spinal Biomechanics and Trauma Fellowship have opened doors for patients to receive the benefits of conservative care for Mechanical Spine Pain (sometimes called Non-Specific Spine Pain) that in the past may have been overlooked or underutilized. The mechanical nature of spine conditions (how the spine moves) is the primary factor in up to 93% of spinal complaints/pain. The other approximately 7% is comprised of Anatomical components, conditions of the structure of the spine such as fracture, tumor, infection or dislocation. Given the overwhelming majority of spine pain is the result of poor, inadequate or deficient spinal movement (Mechanical), it is vital that patients have access to conservative care.

Dr. Goss and the team at the Omaha Wellness Center has the opportunity to integrate and truly participate in a Care Team. Practicing at a higher level means no longer just providing ‘stand-alone’ treatment, independent of other forms of care patients are currently receiving. This Post-Graduate training has greatly increased and expanded Dr. Goss’ knowledge of ALL forms of Spine Care (not just Chiropractic). Along with receiving his Certified Chiropractic Wellness Practitioner (CCWP) certification in 2015, Dr. Goss has since taken extensive Post-Graduate coursework and training in the fields of:

  • MRI Spinal Protocol, Pathology, Interpretation and Clinical Application
  • Traumatic Brain Injury (TBI) and Mild Traumatic Brain Injury (mTBI)- Concussion
  • Stroke Anatomy, Physiology, Evaluation and Protocols
  • Impairment/Disability Ratings based on Spinal Injuries
  • Interprofessional Hospital Based Care
  • Triaging Trauma and Non-Trauma Patients
  • Spinal Biomechanical Engineering
  • Accident Reconstruction/ Automobile Crash Dynamics, Causality and
  • Bodily Injury
  • Spinal Trauma Pathology
  • Neurodiagnostics, Imaging Protocols and Pathology of the Trauma Patient
  • Documentation and Reporting for the Trauma Victim
  • Orthopedic Testing: Principles, Clinical Application and Triage
  • Evidence Based Spine Care

This training has given Dr. Goss the ability to view a patient’s care path through a comprehensive lens that was previously inaccessible. Given the myriad of spinal injuries and conditions, this continuing and ongoing education has created access to the latest developments, research and procedures when it comes to spine care. In any given day, a patient can present with; injuries from an automobile accident, from a slip and fall, from a sports injury, degenerative conditions (arthritis), repetitive stress injuries (sitting), congenital or hereditary issues (scoliosis), pathological issues (tumor/ infection), headaches/ migraines or conditions of idiopathic etiology (unknown or unexplained origins). Given the wide variety of case types that can present, having a clear idea of why and how the patient may be presenting, where they have been and where they need to go is vital in determining an accurate diagnosis, prognosis and treatment plan. This ability of knowing when to treat and when not to treat (refer out) creates as system that allows patients to matriculate through the most appropriate care path that is currently available. Having a ‘big picture’ or broad view of all spinal care paths helps Dr. Goss to effectively diagnose and manage mechanical spine pain and provides the clinical skills to recognize when it is necessary to co-manage with another provider or refer out altogether.

The future is bright for Spinal Health Care in Omaha. Through upcoming rotations that Dr. Goss will be attending with Primary Care Physicians, Radiologists, Pain Management Doctors, Neuro and Ortho Surgeons and Neurologists, he will continually be building relationships inside of healthcare. This network will create opportunities and a care path that has never before been seen in conservative health care.