Dr. Smith has been in private clinical practice in Tacoma for the past 36 years. His education includes pre-medical studies at California State University, Northridge, and a Doctorate of Chiropractic degree from Cleveland Chiropractic College, Los Angeles in 1982. In addition, he received his membership and certification in Industrial Consulting by the International Association of Chiropractic Industrial Consultants in 1987. He is a lecturer to physicians, physical therapists, attorneys, massage therapists and the public on the scientific basis of chiropractic care of the spine and extremities. Dr. Smith is available to speak to physicians and organizations, law firms, industries concerned with work injuries and public forums on all areas of health and wellness.


Chiropractic medicine is a health care profession that focuses on disorders of the musculoskeletal system and the nervous system and the effects of these disorders on general health. Chiropractic care is used most often to treat neuromusculoskeletal complaints, including but not limited to back pain, neck pain, pain in the joints of the arms or legs and headaches.

Doctors of chiropractic medicine, often referred to as chiropractors or chiropractic physicians, practice a drug-free, hands-on approach to health care that includes patient examination, diagnosis and treatment. Chiropractors have broad diagnostic skills and are also trained to recommend therapeutic and rehabilitative exercises, as well as to provide nutritional, dietary and lifestyle counseling.

Care for back pain, neck pain, pain in the joints of the arms or legs and headaches in Fircrest, Tacoma, and University Place, Washington.

Same Day Appointments Available!


The most common therapeutic procedure performed by doctors of chiropractic medicine is known as “spinal manipulation” or “chiropractic adjustment”. The purpose of manipulation is to restore joint mobility by manually applying a controlled force into joints that have become hypomobile, or restricted in their movement, as a result of a tissue injury.

Tissue injury can be caused by a single traumatic event, such as improper lifting of a heavy object, or through repetitive stresses, such as sitting in an awkward position with poor spinal posture for an extended period of time. In either case, injured tissues undergo physical and chemical changes that can cause inflammation, pain and diminished function for the sufferer. Manipulation or adjustment of the affected joint and tissues restores mobility, thereby alleviating pain and muscle tightness, allowing tissues to heal.

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Chiropractic adjustments rarely cause discomfort. However, patients may sometimes experience mild soreness or aching following treatment (as with some forms of exercise) whic usually resolves within 12 to 48 hours.

In many cases, such as with lower back pain, chiropractic care may be the primary method of treatment. When other medical conditions exist, chiropractic care may complement or support medical treatment by relieving the musculoskeletal aspects associated with the condition.

Doctors of chiropractic medicine may assess patients through clinical examination, laboratory testing, diagnostic imaging and other diagnostic interventions to determine when chiropractic treatment is appropriate. Chiropractors will readily refer patients to the appropriate health care provider when chiropractic care is not suitable for the patient’s condition or the condition warrants co-management in conjunction with other members of the health care team.


Ty Belknap Testimonial

“Dennis is a very knowledgeable chiropractor. I would not hesitate to go to him with all my back problems.”

Ty Belknap

Allisa Hawks Testimonial

“My children are 10, 14 and 15 and they love and trust Dr. Smith and the staff. My daughter has had wrist and ankle issues and has regular adjustments for that. My teen son hurt himself jumping on the trampoline and was having pain walking and I was going to keep him home from school. I thought it was a pulled muscle based on his symptoms. On a whim, I thought to call Dr. Smith. So glad I did! My son’s hip was out. In 5 minutes, my son was adjusted and walking with ease out the door and in school. It was THAT easy. My youngest rarely need treatment, but when he does, he lets me know and guess what? Dr. Smith will locate the right place! It is amazing that at an early age, my kids are learning to know their bodies’ needs. Since beginning treatment, I have gotten pain relief from neck issues and no more TMJ headaches after jaw adjustments! My transformation has been amazing and now my mother sees Dr. Smith! Love this clinic. We consider he and the staff like family.”

Allisa Hawks

Gail J. Testimonial

“I happened to be taking a friend to see Dr. Smith and asked about my health. I told him I was planning on getting another surgery to address my difficulty swallowing. Dr. Smith said give me a shot and well see if my treatment will help. It did and I haven’t regretted it since!


I was afraid I was going to choke to death because I was having serious difficulties swallowing solids and liquids. Previous surgeries didn’t seem to help and pills don’t agree with me. I canceled the surgery I was planning on getting because Dr. Smith’s adjustments to my neck, hips and wrists helped with my pain from TMJ, chronic earaches, headaches, carpal tunnel, fibromyalgia and arthritis. I am in much less pain and don’t fear I will choke to death anymore. Go see him and don’t wait!”


Gail J.
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