Arthritis Treatment in Fargo, ND

Arthritis and Spinal Degeneration Treatment Near You in Fargo, ND

You’ve been told it’s arthritis, and that it comes with age. Take something for the pain, keep moving if you can, and expect it to get worse.

Half of that is true. Degenerative change is real, and we can’t undo it. But saying that this is simply what happens when you get older, and nothing can change the trajectory doesn’t hold up. If aging alone caused arthritis, it would show up evenly throughout your spine. It doesn’t. It shows up at specific segments, in specific patterns, and those patterns follow mechanical load with striking consistency.

That’s the part you can actually influence through structural correction.

Why Arthritis Shows Up Where It Shows Up

Osteoarthritis in the spine is also called spondylosis, degenerative joint disease, or facet arthropathy is fundamentally a wear pattern. Cartilage in the facet joins thins, discs lose height, and the body responds by laying down extra bone at the margins. Those are the bone spurs, or osteophytes, on your report.

The mechanical driver is uneven load. When your spinal curves are normal, force distributes across the vertebral bodies and discs the way the structure was designed to handle it. When a curve flattens, reverses, or the head drifts forward compared to the shoulders, load concentrates onto a small number of joints. Those joints wear faster.

Research has documented an increased incidence of degenerative change in the cervical spine specifically in the presence of segmental or regional kyphotic alignment which is a loss of the normal forward curve. Degeneration also correlates with neck pain intensity, with more levels involved corresponding to greater pain.

So, the practical question isn’t “do I have arthritis.” It’s “what is the load pattern that produced it, and can we change it going forward.”

Common Signs of Spinal Arthritis

  • Stiffness that’s worst in the morning and eases with movement
  • Deep, achy pain that worsens with prolonged standing or at the end of the day
  • Reduced range of motion including difficulty turning your head to check a blind spot
  • Grinding or crunching sensations with movement
  • Pain that flares with weather changes
  • Radiating symptoms if bone spurs narrow the nerve exits – see pinched nerve
  • Gradual loss of height, or a more forward head position in photos

What Care Can and Can’t Do

We’re going to be straightforward with you, because you’ve probably been promised things before.

We cannot reverse existing degeneration. Cartilage that’s worn and bone spurs that have formed don’t go back to their original state. Any clinic telling you otherwise is overselling.

What we can do is address the mechanics driving the wear. Restoring lost curve, reducing forward head posture, decompressing loaded joints, restoring motion to segments that have stopped moving, and building the muscular support that offloads those joints. All of that changes the forces acting on your spine every day going forward. That affects how you feel now, and it affects how fast things progress from here.

There’s also a motion component people underestimate. Cartilage has no blood supply and is nourished by joint movement pushing fluid through it. A joint that stops moving stops feeding itself, and degenerates faster. Restoring motion to restricted segments isn’t just about comfort.

Our Approach to Arthritis Care At Peak Spine + Wellness

Measuring Your Actual Structure

Digital X-rays let us see and quantify where degeneration is present, how much disc height has been lost, and what your alignment looks like. We measure your curves in degrees. This tells us which joints are overloaded ang gives us a baseline to measure progress against.

Gentle, Specific Adjustments

Arthritic spines require a different touch. We adjust the segments that have restricted motion, using techniques selected for your specific presentation. These often include lower-force instrument-assisted or drop-table methods rather than manual thrust. Restoring motion to stiff segments takes load off adjacent ones that have been compensating.

Traction To Reduce Joint Load

[Spinal remodeling traction] is where the structural work happens. By working the spine toward a more normal curve, we redistribute weight-bearing away from the joints carrying too much. Controlled trials on cervical extension traction and have demonstrated measurable improvement in lordosis and reduction in forward head posture, and trials focused on reducing thoracic hyperkyphosis have shown improved pain and disability outcomes in patients with chronic neck pain.

Movement, Strength, and Inflammation

Therapeutic exercise is non-negotiable with arthritis. Motion feeds cartilage and strength protects joints. We’ll also talk about the inflammatory side and importance of omega-3 fatty acids, vitamin D, adequate protein for muscle maintenance, and reducing the dietary drivers of systemic inflammation.

Frequently Asked Questions About Arthritis

Is it safe to see a chiropractor if I have arthritis?

Yes, and technique is adapted to your presentation. Arthritic joints need gentler, more specific care, which is exactly why we take images first. Certain conditions such as advanced osteoporosis, inflammatory arthritis in an active flare, and spinal instability will change our approach or allow us to send out for co-management.

Can chiropractic care reverse arthritis?
No, and we won’t tell you otherwise. Degeneration that has already occurred is permanent. What we can do is improve the mechanics driving further wear, restore motion, reduce pain, and improve function. Many patients feel substantially better without their X-ray findings changing because the joint isn’t what hurts nearly as much as how it’s being loaded.

I have rheumatoid arthritis, not osteoarthritis. Can you help?

Rheumatoid arthritis is an autoimmune condition that requires medical management by a rheumatologist, and we won’t replace that care. We can often help with the mechanical and postural consequences, and with the compensatory patterns that develop. This requires careful evaluation, particularly of the upper cervical spine, where RA can cause ligamentous instability. We’d want your rheumatologist involved.

Will arthritis keep getting worse no matter what I do?

Progression isn’t fixed. It depends heavily on load, motion, and how well the supporting musculature is doing its job. People who address alignment and stay strong and mobile generally do better over decades than people who don’t.

Should I keep exercising?

Yes, with the right kind of exercise. Motion is one of the best things for arthritic joints. High-impact loading and end-range compression are usually not. We’ll give you specific guidance rather than a generic “stay active”.

Start With Real Information About Your Spine

Call (701) 532-0823 or schedule online.

References – Moustafa IM, et al. Reduction of thoracic hyper-kyphosis improves short and long term outcomes in patients with chronic nonspecific neck pain: a randomized controlled trial. J Clin Med. 2022;11(20):6028. – Oakley PA, Ehsani NN, Moustafa IM, Harrison DE. Restoring cervical lordosis by cervical extension traction methods in the treatment of cervical spine disorders: a systemic review of controlled trials. J Phys Ther Sci. 2021;33(10):784-794. – Oakley PA, Harrison DD, Harrison DE, et al. Evidence-based protocol for structural rehabilitation of the spine and posture: review of Clinical Biomechanics of Posture (CBP) Publications. J Can Chiropr Assoc. 2025;49(4):270-296.

$99 New Patient Special

Includes Consultation, Thorough Health History, Chiropractic Exam, Postural Analysis, X-rays if indicated, Report of Findings.

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How Our Care Plan Works

1. Corrective

This initial stage focuses on addressing specific spinal misalignments and dysfunctions. Through targeted adjustments and specialized techniques, the goal is to restore proper alignment and function to the spine. This phase often involves intensive care to correct existing issues and alleviate pain.

2. Stabilization

The stabilization stage aims to reinforce the changes made. This involves strengthening surrounding muscles, improving posture, and ensuring that the spine maintains its proper alignment over time. Patients typically engage in exercises and receive ongoing adjustments to support long-term stability.

3. Wellness

The final stage emphasizes maintaining optimal spinal health and overall well-being. Wellness care involves regular check-ups and adjustments to prevent future issues and support a healthy lifestyle. This proactive approach helps patients maintain their progress, enhance quality of life, and promote overall health and wellness.

Read Our Online Reviews

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Based on 88 reviews
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Alisha R
May 18, 2026
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I was honestly skeptical about going to a chiropractor at first, but Dr. Alderman completely changed my perspective. He’s incredibly knowledgeable, takes the time to explain everything clearly, and makes you feel comfortable throughout the process. I’ve been seeing him for the past two years, and the care has been consistently excellent. He’s professional, approachable, and genuinely invested in helping his patients feel better. Highly recommend!
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Lucia Nascimento
May 17, 2026
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Dr. Dylan Alderman is a skilled chiropractor and very empathetic with his patients. He did a thorough review of my history and his care enabled me to be pain free throughout the 3 years that I was treated by him.
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Michael MacFarlane
May 13, 2026
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Dr Alderman is fantastic. Checks your movement before making adjustments and takes his time with you. He doesn’t try to upsell you frequently like some other chiropractors.
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Nathan O
May 12, 2026
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Over the past 15 years, I’ve seen several chiropractors, and Dr. Alderman stands out as the one who truly made a lasting difference. He took the time to identify the root cause of my back and hip pain rather than just treating the symptoms. Since working with him, my pain has improved dramatically—it’s honestly been a 180° difference in my day-to-day life. He also helped my wife overcome her neck pain, which made a huge difference for her as well. It’s clear he genuinely cares about his patients and focuses on long-term results rather than quick fixes. I’m incredibly grateful for the care he’s provided and highly recommend him to anyone looking for real, lasting relief.
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Chris Scribner
May 11, 2026
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Look no further!! Dr. Alderman is the first chiropractor I've seen that was able to provide a successful treatment plan for my chronic neck and back pain. What makes him great is he spends the time to understand the issue and focus on long-term, sustainable healing.
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Nick Naumann
May 11, 2026
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Dr. Dylan Alderman has been my chiropractor for several years, and I’m incredibly grateful for the care he’s provided. He’s compassionate, highly experienced, and always takes the time to really listen and understand what’s going on. He’s helped me not only recover from issues when they arise, but also stay ahead of problems through preventative care and practical guidance. His thoughtful, patient-centered approach has made a lasting impact on my overall health and quality of life. I would recommend Dr. Dylan without hesitation to anyone looking for a chiropractor who is knowledgeable, caring, and deeply invested in helping people feel their best.
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Mark Rekow
May 11, 2026
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Dr. Dylan has provided me with excellent chiropractic care for the past 2+ years. He is patient focused and listens closely to my concerns and questions while directing excellent care that is appropriate to my needs. I would recommend him highly and value his personal interest in my overall health.
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Brian Pietsch
May 11, 2026
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Dr. Alderman is simply fantastic. I have been seeing him for several years and cannot say enough good things about his standard of care and caring for his patients. I particularly appreciate how he really takes the time to get to know his patients and to understand what their symptoms and concerns are vs. jumping right into a treatment. The attention to detail and focus on my whole well being is greatly appreciated!! I recommend him to all of my family and friends. Seriously - this guy rocks!!
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Danielle Beilke
April 6, 2026
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The Peak team is truly the best. I initially came in with constant neck pain that is now gone and poor posture. I now pay way more attention to my posture and find myself correcting it. In general my body feels so much better, I loved getting my adjustments and traction, always feeling SO good when I left.
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3260 Veterans Blvd Suite 105, Fargo, ND 58104

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$99 New Patient Special

Includes Consultation, Thorough Health History, Chiropractic Exam, Postural Analysis, X-rays if indicated, Report of Findings.

Schedule Your Appointment