Evaluation Before Treatment
We first work to understand your symptoms, history, examination findings, goals, and—when relevant—how your spine is functioning mechanically.
Back Pain, Neck Pain, or a Spine Injury? Start With a Thorough Evaluation.
Individualized spine care in Irving, Texas.
At Strategic Spine Management & Chiropractic, we look beyond symptoms to understand what may be contributing to your problem, how it affects your daily life, and which treatment options make sense. Whether your condition is straightforward or complex, your care begins with an individualized evaluation—not a predetermined treatment plan.
Understand what we find. Discuss your options. Decide on the next step together.
Prefer to speak with Dr. Farmen before scheduling?Schedule a Free 10-Minute Call with Dr. Farmen
Our Approach
Care Is Individualized
Not every patient needs the same treatment—or an adjustment. Care is based on what we find, your goals, and how you respond.
Progress Is Measured
We track symptoms, function, and response to care so we can see what is helping and adjust the plan when needed.
We Help Guide the Next Step
When imaging, additional testing, or specialist care would help clarify the problem or change the plan, we help coordinate the next step.
WHAT WE HELP WITH
Spine Problems, Injuries, and Recovery
We help with everything from everyday neck and back discomfort and activity-related problems to injuries, persistent symptoms, and more complicated spine conditions. Every plan is based on what we find, your goals, and your progress.
Neck & Upper Back Problems
- Neck pain and stiffness
- Disc problems, sprains, and strains
- Headaches related to neck problems
- Arm pain, numbness, or tingling
Low Back & Sciatica
- Low back pain, sprains, and strains
- Disc herniation and sciatica
- Numbness or tingling in the legs
Accident & Injury Care
- Whiplash and soft tissue injuries
- Back and neck sprains/strains
- Post-accident pain and dysfunction
Work-Related Spine Problems
- Work-related injuries
- Repetitive stress and overuse
- Pain or limitations affecting work
MEET DR. FARMEN
Meet Dr. Derek Farmen
Dr. Derek Farmen is a Doctor of Chiropractic who has been in clinical practice since 2018, with a focus on spine-related problems, injury evaluation, rehabilitation, and helping patients understand what their findings mean.
He serves as an Adjunct Clinic Doctor at Parker University and has advanced postgraduate training in spine MRI interpretation, biomechanics, and trauma. He is also completing fellowship training in spinal biomechanics and trauma.
His approach is built on clear clinical reasoning, understandable explanations, individualized care, and helping coordinate care when additional diagnostic testing or specialists are needed.
Clinical Practice Since 2018
Experience evaluating and managing spine and musculoskeletal conditions.
Adjunct Clinic Doctor at Parker University
Involved in clinical education and patient care within Parker University’s teaching clinic.
Advanced Spine & MRI Training
Postgraduate education in spine imaging, clinical correlation, biomechanics, and trauma.
Ongoing Fellowship Training
Completing advanced fellowship training in spinal biomechanics and trauma.
FIRST VISIT
What to Expect at Your First Visit
Our goal is to understand what is bothering you, explain what we find, and help you choose a next step that fits your needs and goals.
We Start by Listening
We take time to understand your symptoms, history, concerns, and goals before deciding what comes next. Your examination is based on the problem and may include movement, strength, neurologic function, orthopedic testing, spinal mechanics, or other relevant findings.
We Explain What We Find
You should leave with a clearer understanding of what we found, what it may mean, and what options make sense.
We Decide the Next Step Together
Depending on what we find, the next step may include treatment, rehabilitation, home care, additional diagnostic testing, specialty care, or another appropriate option.
PATIENT EXPERIENCES
What Patients Say About Their Care
Here’s what patients have said about their experience with Dr. Farmen
FAQ
Frequently Asked Questions
Clear explanations for common questions so you can feel confident about your care and what to expect.
1Do I have to get adjusted?
No. An adjustment is one treatment option, not an automatic part of every visit. Recommendations are based on your examination findings, goals, and what you are comfortable with.
2What happens at the first visit?
We review your symptoms and history, perform an examination, and explain what we find. From there, we discuss the next step together. Treatment may or may not begin the same day depending on your findings and what is appropriate.
3Do I need X-rays or an MRI before coming in?
Usually not. If you already have imaging, bring the reports or let us know where it was performed. Additional imaging is considered when your history or examination suggests it may help answer an important clinical question or change the plan.
4What if chiropractic care is not the right option for me?
We will tell you. If additional diagnostic testing, specialist care, or another type of care would better address the problem, we will help coordinate the next step.
5Do you treat injuries from car accidents or work injuries?
We evaluate spine-related problems after accidents and work injuries. Auto accident patients may schedule online using the dedicated Auto Accident / Personal Injury visit. Workers’ compensation cases are handled separately and should be reviewed by the office before scheduling.
6Do you take insurance, and how does payment work?
Strategic is not currently in-network with routine commercial health insurance plans. Patients may use discounted self-pay through ChiroHealthUSA, which is a discount program rather than insurance. If your plan includes out-of-network benefits, we may provide an itemized superbill for possible reimbursement; reimbursement is determined by your plan and is not guaranteed. Medicare and workers’ compensation require additional scheduling review. Auto accident patients may schedule online using the dedicated Auto Accident / Personal Injury visit.
BEFORE YOU BOOK
Prefer to Speak with Dr. Farmen Before Scheduling?
If you are not sure whether Strategic is the right place to start, you can schedule a complimentary 10-minute phone call with Dr. Farmen.
This brief call is an opportunity to ask general questions about your situation, how we approach spine care, and what type of appointment may make sense. It is not a clinical examination or a substitute for an in-person evaluation.
Ready to Take the Next Step?
Start by telling us what’s going on. We’ll listen, examine the problem, explain what we find, and help you decide what comes next.