Conditions Treated

We realize that doctors don’t heal you, your body does. Many musculoskeletal conditions aren’t due to a deficiency of medication but actually stress put on your nervous system from misaligned vertebrae. Dr Coates puts your spine in the best possible position to facilitate your body’s healing. Common conditions or symptoms that see resolution with care in our office:

Disc disorders- Degenerative disc disease

Spinal discs are soft, compressible discs that are primarily water and separate the interlocking bones (vertebrae) of the spine. The discs act as shock absorbers for the spine, allowing it to flex, bend, and twist. Degenerative disc disease can take place throughout the spine, but it most often occurs in the discs in the lower back (lumbar region) and the neck (cervical region). The shift in the discs can result in neck and back pain. They can also cause Osteoarthritis, the breakdown of the tissue (cartilage) that protects and cushions joints;

Herniated discs, abnormal bulges or breaking open of a spinal disc; and Spinal stenosis, the narrowing of the spinal canal, the open space in the spine that holds the spinal cord. These conditions may put pressure on the spinal cord and nerves, leading to much worse pain and conditions than common disc herniation produces. If the spinal cord is affected, it can cause systemic issues within the body. Disc issues are a serious deal and one should take every natural treatment available before resorting to cortisone shots, and then ultimately surgery. Unfortunately, cortisone shots will more than likely numb the symptoms for a month or 2 at a time, but after your 3rd shot you will need surgery because during the process of it being numb, the disc was getting worse and worse because no corrective methods were taken. Chiropractic care balances the spine so there is equal pressure on each side of the disc to alleviate herniations and protrusions.

Headaches and Migraines

SMigraines are more intense, painful, and longer lasting headaches often accompanied by nausea, vomiting, and light sensitivity. Stress to the nerve cells and blood vessels in the brain are an often cause of migraines. People with migraines may be affected by triggers such as fatigue, bright lights, weather changes, emotional stress, sensitivity to chemicals in foods, caffeine, menstrual periods, skipping meals, and changes in normal sleep pattern. Many people do not understand why their body is producing chronic headaches and migraines. Often times it is due to compromise of the upper cervical spine, which the skull sits on top of. When the upper cervical spine is misaligned,

the head does not sit properly on the top vertebrae, either. This causes constant stress on the blood vessels, nerves, and muscular system leading into the head and can be a precursor for the migraines/headaches and all the accompanying symptoms. Cervicogenic headaches and migraines are one of the most common types. These are caused by tension in the neck working its way up into the head. These types are most suited to be treated by a chiropractor by addressing the underlying issue which is the neck, rather than the head.

Nerve Root Impingement Sciatica and arm pain

Nerve root impingement is due to intervertebral foramen occlusion. Foraminal stenosis causes the roots of the spinal nerve within the spine to become pinched as they exit the spine, resulting in a variety of symptoms. Foraminal stenosis is commonly caused by a condition such as herniated discs due to an injury or bone spurs. Symptoms of nerve root impingement include shooting or localized pain, numbness, tingling, weakness in arms or legs, and altered sensation due to nerve irritation. This type of conditions is what chiropractic has success with most often. The chiropractic adjustment allows the spinal bones to position themselves correctly so there is no pressure or irritation on an exiting nerve, which travels to the muscles and organs and produces pain, muscle tension or internal organ dysfunction. With gentle, specific chiropractic adjustments, the body is able to correct the spine on its own so it holds in place and lasts, so long as there are no intense exacerbations. This is the most effective method for taking care of this condition and naturally and quickly reducing the symptoms the nerve impingement is producing.


Injuries to the neck caused by a sudden movement of the head, backward, forward, or sideways, are referred to as 'Whiplash'. Whiplash is most commonly suffered as a result of a road traffic accident. An impact/collision causes the head to suddenly jerk back and forth beyond its normal limits. When this happens, multiple injuries are sustained by a variety of tissues: The muscles and ligaments supporting the spine can be overstretched or torn. Additionally, the discs between the vertebrae can bulge, tear or rupture. Vertebrae can be forced out of their normal position, reducing range of motion, resulting in stiffness. Lastly, the spinal cord and nerve roots get stretched, irritated and choked. Gentle and specific chiropractic adjustments help to realign the spinal column so the tissues can heal more effectively and more quickly.

Neck and Low Back Pain

Here are some of the most typical causes of neck and low back pain:

  • Injury and Accidents: Vertebrae become misaligned through trauma
  • Growing Older: Degenerative disorders such as osteoarthritis, spinal stenosis, and degenerative disc disease directly affect the spine.
  • Osteoarthritis, a common joint disorder, causes progressive deterioration of cartilage. The body reacts by forming bone spurs that affect joint motion.
  • Spinal stenosis causes the small nerve passageways in the vertebrae to narrow, compressing and trapping nerve roots. Stenosis may cause neck, shoulder, and arm pain, as well as numbness, when these nerves are unable to function normally.
  • Degenerative disc disease can cause reduction in the elasticity and height of intervertebral discs. Over time, a disc may bulge or herniate, causing tingling, numbness, and pain that runs into the arm.
  • Daily Life: Poor posture, obesity, and weak abdominal muscles often disrupt spinal balance, causing the neck to bend forward to compensate. Stress and emotional tension can cause muscles to tighten and contract, resulting in pain and stiffness. Postural stress can contribute to chronic neck pain with symptoms extending into the upper back and the arms.

All of the above are issues that chiropractic can successfully help by properly aligning the spine; allowing the nervous system to properly communicate with the body.

Neck and upper back stiffness

Age, poor posture and prolonged time on the computer or smartphone are the biggest contributors to neck and upper back stiffness. Perpetual forward head posture puts constant strain on your neck and upper back muscles, which results in chronic stiffness of these muscles. Your head is about as heavy as a bowling ball; if your arms had to carry a bowling ball around all day they would be tight and stiff too! Same is true with your spine. First step is to keep your head on top of your body. Second is to correct the alignment of your spine so it’s easier to to step one. These will allow the muscles to relax and restore normal movement of your neck.

Plantar Fasciitis and Knee pain

By restoring proper alignment of your knee joint with a gentle chiropractic adjustment, it is able to track more properly, reducing the stress and therefore inflammation of the knee. Often knee pain resolves quickly with a few adjustments and advice on which leg muscles to stretch or strengthen. Your foot contains 26 bones and 33 joints. When the bones of the arch fall towards the ground it puts an increased amount of stress on the fascia or connective tissue in the bottom of the feet. Properly aligning these bones and providing proper stretching and strengthening to the surrounding muscles helps decrease the pain and inflammation within the foot.

Sacroiliac Joint Pain

The most common symptoms from SI joint dysfunction are low back and buttock pain. The pain may affect one side or both SI joints. The pain can radiate down the leg all the way to the foot and may be confused with a herniated disc in the lumbar spine. The pain may radiate into the groin area. People often feel muscle spasm in one or both of their buttocks muscles. Problems with the SI joint may make sitting difficult. Pain in one SI joint may cause a person to sit with that buttock tilted up. It is usually uncomfortable to sit flat in a chair. The sacroiliac joint is comprised of the sacrum, which fits in between the two sides of the pelvis. When these joints stop moving properly it creates pain and inflammation in the above described areas.

About Us

I have been practicing chiropractic in North Tacoma since 2000 and Chiropractic in general since 1996. I completed my undergraduate education at Whitman College in Walla Walla, WA and after that I dabbled in Physical Therapy. Finally I decided to continue on to Chiropractic College at Los Angeles Chiropractic College. She is a mother of two daughters and also really enjoys being in the outdoors, hiking, cycling, running and when time allows she occasionally competes in a triathlon or two. Dr. Coates' husband, Philip owns 21 Cellars, one of the Northwest's premier wineries, which you can find downstairs, below Coates Chiropractic.

I love chiropractic because it is part of a healthy lifestyle. Along with eating nutritiously and exercising, having myself and family adjusted regularly keeps us all well, active and overall healthy. Being able to adjust patients and help them return to their normal activities gives me great satisfaction. Helping my patients live a pain free and fulfilling life is my top priority! I take care of the problem and don't make you come for the rest of your life, unless you want to.

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Our Team

Dr Brooke Coates
Front Office
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I have been a client of Coates Chiropractic for 2+years. I was definitely very skeptical of the value of chiropractic in my every day health prior to my first visit. After having a hip replacement, developing a nasty and very painful case of sciatica that other practioners were unable to alleviate, I decided to try chiropractic care. Dr. Coates gave me a very thorough initial exam. Although it took a couple of months of her expert care to overcome the sciatica, I have no leg pain whatsoever. Yeah! I now visit Dr.Coates every 3 weeks for adjustment to keep my lower back limber and happy. All staff at Dr. Coates office are professional, encouraging, and friendly. Dr. Coates is a wealth of knowledge on simple things one can do to improve their health. It is easy to schedule appointments and her office is lovely! I highly recommend the chiropractic care I have received from Dr. Coates.

Joann, August 2017

Dr. Coates has helped me and my wife with our back issues for several years. Matter of fact, we live in Olympia and drive to the Tacoma for her care. We are able to get an appointment when we need it. They always find a way to work us into the daily schedule. Everyone is friendly and the office atmosphere is comfortable and caring. Dr. Coates helped my wife through a bulging disc and helped refer her to an orthopedic surgeon when needed. Dr. Coates has a great sense of humor and is understanding when a person is in pain and having difficulty with their mobility. She has great suggestions for self care and pain management. We are very happy to recommend Dr. Coates.

Chris and Susie M, July 2017

First of all, I never have any fear that I am going to be hurt by Brooke. Her treatments are gentle, yet very effective. For a few years I made appointments only when something hurt. As I age, however, I have found it is far more effective for me to schedule a visit once a month. I think this helps me keep the osteoarthritis in my neck in check as well as fending off pinched nerves in my back. I really appreciate Brooke and her staff and feel safe in recommending the clinic to my friends.

Carol, July 2017

I am very pleased with my care and results at Coats Chiropractic.I am a Hairstylist so my shoulders and neck tend to get tight.I have been to many chiropractors since I was young, and never really got the constant care and relief I needed.But since going to Brooke, I have been able to not only find relief but also be able to maintain that relief. Brooke is awesome, and it is obvious that she enjoys her job and cares for each of her patients and their specific needs.She really pays attention to your body and what it needs at every visit. I highly recommend Coats Chiropractic to all my clients, friends, and family, as well as anyone looking for a good chiropractor in the area.

Ashley M

Dr. Coates keeps my body functioning! From headaches to back pain she explains the work she needs to perform in order to adjust your body properly and gives you practical suggestions on how to improve healing naturally. Chiropractic care can make all the difference in the everyday function of your body and I'm grateful to have found Dr. Coates. The office is very well maintained, the staff is professional, friendly, and I never have a problem scheduling appointments. They even take same day appointments as well as walk-ins. Major plus for a small business in North Tacoma. Thank you!

Shalayla D

I went to Dr. Coates with a severe pinched sciatic nerve, and could barely walk. Upon my first visit I was feeling 50% better after about my 4th visit I was at about 95%. I go back every time I feel like I need an adjustment! I have no complaints I am always happy with my results. I recommend her to everybody I can. I will continue to see her anytime I need to!!

Jim B

I have gone to other chiropractors over the years and can say with confidence that Dr. Brooke Coates is the BEST! She is personable, professional, on-time, and knows her stuff! I am always greeted by name and with a smile by the other two office staffers, Bonnie and Stephanie. I love the friendly atmosphere of the office and feel right at home there. Dr. Coates knows I prefer not to be "cracked," so she uses gentle yet effective techniques to adjust me in a way that I am comfortable with. Plus, she gives me lots of great tips on how to improve my condition on my own at home. I always leave feeling much better and am thankful I took a few minutes to take care of myself by getting adjusted! If you are looking for great chiropractic care, I highly recommend Dr. Coates!

Julie B

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Contact Coates Chiropractic

Get in touch with us to schedule a free consultation:

Our Address:
2627 N 21st St
Tacoma WA 98406
Office Hours:
Mo We Fr 10-12 & 3-6
Tu & Th 10-12
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