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Kirt W. Repp, Chiropractic Physician, Licensed Florida Board of Chiropractic Medicine, is the Founder of Florida Injury & Regenerative Medicine here in the greater Jacksonville, Florida area.  He is the ORIGINAL and ONLY Florida Chiropractic Physician to achieve and receive Master Certification in GRAVITATIONAL PATTERN ALIGNMENT (GPA). These methods, perfected and attributed to Dr. Nelson Vetanze, “…attract sports professionals from all over the globe, including many NFL players, heavyweight boxing champion DaVarryl Williamson and UFC ultimate fighter Mike Nickels. His clients have also included celebrities such as Burt Reynolds, William Fichtner, Michael Irvin, Brian Bosworth and Nelly.”  GPA (Gravitational Pattern Alignment) is a systematic and unique methodology utilizing a dozen or more manipulative procedures on each single visit creating a complete structural correction and body-balance. The GPA technique is based on achieving a bilateral postural symmetry in the weight bearing position from pedal (foot) foundation to the skull.

Why does GPA have longer lasting results with a faster recovery?

The GPA (Gravitational Pattern Alignment) methodology is designed to provide fast long-lasting results understanding that people have pre-existing upright weight bearing issues without significant symptoms until they have an injury. Maximum recovery can only be achieved by eliminating pre-existing postural issues from feet to head. GPA technique allows a thorough system of examination of the postural and spinal condition: EVERY SINGLE VISIT.

“Often the site of PAIN is not where the problem is coming from but caused by a different source. Because GPA (Gravitational Pattern Alignment) assess the body as a whole structure, then fixes the problem generator first, then aligns the complete skeletal structure; only then, that quick long-lasting results can be achieved.” Dr. Nelson Vetanze, D.C.


An older 2012 study found that 12 weeks of spinal manipulation was more effective than medication at treating non-specific neck pain in a group of 272 adults at 8-, 12-, 26-, and 52-week follow-ups.

2019 study Trusted Source found that cervical spine manipulation may help decrease neck pain in the short-term by modifying levels of neuropeptides in your blood. Neuropeptides are proteins made in your nervous system that function as neurotransmitters or hormones.

A large 2020 study Trusted Source compared the number of prescriptions for opioid pain relievers filled for adults who visited just their doctor or who visited both a chiropractor and their doctor to treat spinal pain. The study found that adults who visited a chiropractor were less likely to get an opioid prescription filled for their pain compared to those who only saw their doctor.

2016 study Trusted Source found that 6 to 8 sessions of cervical and upper thoracic spine manipulation were more effective than movement and exercise for relieving pain in people with chronic headaches. This was still the case at a 3-month follow-up.

In a 2016 studyresearchers looked at the potential financial benefits of chiropractic treatment for Medicare recipients with chronic back pain. The researchers found that people who received chiropractic treatment had a lower overall treatment cost. The study also determined that their treatment duration was shorter than that of those who had conventional medical treatment.

For example, in a 2015 study Trusted Source, researchers found that a group of 544 people in chiropractic care reported a high level of satisfaction.  Also, 92 percent of the people in this study had improvements in their pain, and 80 percent reported improvements in their ability to move around.

2017 case study Trusted Source examined the effect of chiropractic treatment on a 27-year-old woman suffering from back pain, neck pain, and headaches caused by hyperkyphosis posture. Hyperkyphosis is commonly known as a hunchback posture.  After 30 treatments over 6 months, she showed a significant improvement in her posture and pain relief in both her head and neck.


Chiropractors must earn a postgraduate degree called a Doctor of Chiropractic (DC). It usually takes 4 years to complete. Admission to the program requires at least 90 semester hours of undergraduate coursework, and some programs require a bachelor’s degree.  All states also require chiropractors to be licensed. The licensing requirements vary from state to state, but all states require a chiropractor to pass the National Board of Chiropractic Examiners exams.  Some chiropractors specialize in a particular area of chiropractic treatment and go on to do a residency for several more years.