NUCCA Chiropractor

Rancho Bernardo CA

Just the Spinal Adjustment

Hello, I’m Dr. Pietrek, Chiropractor in Rancho Bernardo. Welcome to our site!  We believe therapy, massage, exercise and electronic muscle stimulation all have their place but the best thing for me and my own spinal condition (pictured here) is the type of work that I do.  In fact, that’s why I do it and it alone.

Dr. James Pietrek's X-ray

Over 2,500 Treated

Dr. James Pietrek has treated over 2,500 patients, ranging from one week to age 95.  


Safe & Gentle Adjustments

Tailor-made adjustments based in math, physics, geometry and biomechanics because no two spines are the same.


On-Time Appointments

One of our mottos is “We respect others’ time and they will respect ours.”  Waiting is rare.


Same Day Appointments

We always reserve special time for patients in pain, as we’re the only NUCCA chiropractor in Rancho Bernardo.


Friendly Staff

Bilingual (Spanish) assistant does her best to make you feel right at home.  Pride in responsiveness.


Auto Accidents

Dr. James Pietrek has advanced training in triage, MRI interpretation and documentation for personal injury.

Health Conditions

Headaches, Lower Back/Leg Pain, Neck/Shoulder Pain, Fibromyalgia and Scoliosis are some of the more common conditions we  see here at Pietrek Spinal Care.

Woman touching her temples in pain


In 1995 it was discovered that there is a connective tissue bridge reaching from the outside lining of the brain and brainstem to the muscles in the top of the neck.

Woman bracing her lower back

Lower Back & Leg Pain

The lower back is very strong; it has to be.  It supports 2/3 of the body weight.  Misalignments in the neck can cause compensations in the lower back, often leading to pain.

Man rubbing his neck

Neck & Shoulder Pain

Unresolving neck pain may require a 3-Dimensional X-ray analysis in order to pinpoint the underlying cause.  Left uncorrected, neck pain can lead to shoulder and arm pain.

Tender points of Fibromyalgia


Widespread chronic pain and fatigue, mental fogginess and digestive trouble are just some of the problems associated with Fibromyalgia.

Spinal screening being performed on girl


The side-most part of the brainstem controls the tone of the muscles that travel all the way down the spine and anchor into the pelvis.

Man and woman walking in the forest

Wellness Care

Here, we don’t prescribe nutritional products, extensive exercise programs or offer life coaching.  As Joseph Piliates said, “You are the age of your spine.”

Your Stories Are Our Passion

Fred’s Story Is Our Mission

(1st patient at PSC)

Your Health Starts Here

Monday – Thursday 8-12 Noon & 2-6pm

16959 Bernardo Center Dr. #215 

San Diego, CA  92128



Chiropractor Rancho Bernardo CA proudly serves the communities of Rancho Bernardo, Poway, 4S Ranch, Escondido, Ramona, Carmel Moutain Ranch, Murrieta and Temecula.


Contact Information

16959 Bernardo Center Drive, #215

San Diego, CA  92128

(858) 676-1218


Hours of Operation

Monday-Thursday 8-12 & 2-6

Rancho Bernardo