Pain Shouldn’t Decide What You Get to Do.
Advanced diagnosis, non-surgical regenerative therapies, and progressive rehabilitation to help you get back to what matters.
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Stop guessing at what's causing your pain.
Persistent pain deserves more than another attempt to make it temporarily feel better.
At Sierra Spine & Fitness, we start by asking a more important question: What tissue is actually causing the problem—and why isn't it getting better?
We combine a detailed clinical examination with diagnostic musculoskeletal ultrasound, movement assessment, and digital X-ray when appropriate to develop a clearer understanding of the problem before deciding how to treat it.
Better treatment starts with diagnostic certainty.
Musculoskeletal ultrasound allows us to visualize many muscles, tendons, ligaments, joints, bursae, and other soft tissues in real time—and to dynamically evaluate certain structures while they move.
Explore Diagnostic MSK Ultrasound →
Pain relief is important.
But it's not the finish line.
Our goal isn't simply to make something hurt less. It's to help your body become more capable. We call this adaptive capacity—your body's ability to respond to the right challenge, becoming stronger, more resilient, and capable of doing more with less pain.
Find the problem.
Identify the involved tissues and the mechanical and functional factors contributing to the problem.
Create the conditions for recovery.
Use the right combination of technology and hands-on care for the tissue, condition, and individual.
Give the body the right stimulus.
Progressively restore strength, mobility, coordination, and the ability to tolerate mechanical load.
Build the capacity to do more.
Prepare your body for the demands that matter to you—from everyday life to work, exercise, recreation, and sport.
See it. Treat it. Load it. Restore it.
Discover the Sierra Spine Model →
What are you trying to get back to?
From the Yuba River trails to the Tahoe slopes, our care exists for one reason — to keep you running, riding and chasing powder. Get better, so you can get back to it.
Pain isn't just about what you feel. It's about what it keeps you from doing. Walking farther. Running again. Getting back to the gym. Hiking the trail. Working comfortably. Playing your sport. Keeping up with your family.
We believe treatment should have a bigger goal than reducing a number on a pain scale. It should help you get your life back.
We specialize in stubborn musculoskeletal problems.
Chiropractic Care
Spinal & extremity adjustments • Back pain • Neck pain • Headaches • Joint dysfunction
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Elbow
Tennis elbow • Golfer's elbow • Tendinopathy
Explore Elbow →
Wrist & Hand
Carpal tunnel • De Quervain's • Tendon disorders
Explore Wrist & Hand →
Spine
Neck pain • Low-back pain • Joint and movement-related disorders
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Advanced technology. Individualized care.
Technology is powerful—but only when it's used for the right reason. At Sierra Spine & Fitness, advanced technologies are integrated with clinical examination, diagnostic imaging, hands-on care, and rehabilitation to create an individualized treatment strategy.
Treats broader and more superficial muscles, tendons, fascia, and surrounding tissues.
Learn more →Non-invasive extracorporeal magnetotransduction therapy that may complement shockwave and rehabilitation for selected musculoskeletal conditions.
Learn more →Therapeutic light energy used as another non-invasive tool for selected painful musculoskeletal conditions.
Learn more →Real-time imaging that allows us to visualize and dynamically evaluate many musculoskeletal structures.
Learn more →
Technology can stimulate tissue. Loading teaches it what to become.
This is one of the most important differences in our approach. Shockwave, EMTT, laser, chiropractic, and manual therapy can all play a role in care. But ultimately, your body has to become capable of handling load again.
That's why progressive rehabilitation isn't an add-on at Sierra Spine & Fitness. It's part of the treatment. We progressively restore mobility, strength, coordination, and tissue capacity—then build toward the activities you actually want to perform.
The objective isn't to protect the painful area forever. It's to build a body that can handle more.
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Experience meets innovation.
Dr. Roberts, DC combines decades of clinical experience with modern musculoskeletal diagnostics, advanced treatment technology, exercise science, and progressive rehabilitation.
He graduated summa cum laude and valedictorian from Western States Chiropractic College, earned a bachelor's degree in Human Biology, is a Certified Strength and Conditioning Specialist (CSCS), and has completed advanced postgraduate training in chiropractic neurology.
His approach ultimately became the Sierra Spine Model™: Diagnose. Treat. Load. Adapt.
Because the goal isn't simply to have less pain. It's to become more capable.
Schedule with Dr. Roberts, DC →Real people. Real goals. Real progress.
"I have been using Sierra Spine and Fitness for many years. Being a Masters Track and Field athlete Dr. Roberts keeps me so I am able to perform without hurting my back!!! Also he is very up to date on current remedies that prevent me from surgeries. I could not excel without Dr. Roberts and his wonderful staff!!!!"
"Last year I began suffering with vertigo. For three months I saw different chiropractors, upper cervical chiropractors, medical massage therapists, ENT clinic evaluations, MRI etc. After 3 months I found Dr Robert’s and left his office with relief! Amazing! He is also knowledgeable and helpful with my TMJ. He listens and is very focused on working where u need it. He doesn’t over adjust. He treats my athlete daughter and my 84 year old father with rheumatoid arthritis too. We drive almost an hour to see him."
"When i tell other people about Dr. Roberts, I refer to him as the magic man. I have been to multiple other chiropractors and never achieved the same results he has helped me through some very painful stiff times when tweaking my lower back. So grateful to have such a special practice in our little town!"
"Craig Roberts is amazing! He helped me with a leg problem that several other types of practitioners could not figure out. He understands the body and body mechanics, and can explain what he understands. I highly recommend him."
"After suffering for sixth months with leg pain my daughter recommended Dr Roberts because he cured her Vertigo. I am almost pain free and very, very grateful to the doctor and his staff. Rachel is great too."
The outcomes that matter happen outside our clinic.
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Stronger bodies. Brighter lives.
Your body is designed to move. To experience challenge. To respond. To adapt. Whether your goal is walking comfortably, lifting your grandkids, getting back under a barbell, running another race, returning to the trail, or simply continuing to do the things you love—we want to help you build the capacity to keep doing them.
Reduce pain. Restore function. Build capacity. Live more.
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Monthly insights on injury recovery, regenerative therapies, and staying active — straight from Sierra Spine & Fitness in Nevada City.
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Not sure which treatment you need?
You shouldn't have to.
You don't need to decide whether you need shockwave, EMTT, laser, chiropractic, diagnostic ultrasound, or rehabilitation. That's our job. Your first step is an evaluation. We'll listen, examine the problem, determine whether additional imaging is appropriate, and discuss what we believe is the best path forward. If you're a good candidate for care at Sierra Spine & Fitness, we'll explain your options. And if we believe you need something else, we'll tell you that too.
Pain that won't go away deserves a better answer. Let's find yours.
Schedule Your Evaluation →Chiropractic • Regenerative Therapies • Cutting Edge Rehabilitation