Manual Medicine & Osteopathy

Manual medicine is a specialty that deals with the musculoskeletal system, especially relating to the spine. Muscle pains and spasms occur from many different causes such as sporting injuries, car accidents, over-activity or even just a crick in the neck from poor sleep posture. Minor joint derangements or subluxations often occur at the same time. In manual medicine, the doctor uses a variety of manipulation techniques, applied most often with the hands, to decrease the muscle spasm and tension and correct the joint derangements. Sometimes a chiropractic-type “adjustment” is used. Sometimes a more gentle approach is needed. Almost all patients receive instructions on how to stretch and/or strengthen the painful area to alleviate the current problem, or if it is a recurrent condition, how to diminish the episodes.

Dr. Starbard is both a chiropractor and an osteopathic physician. He can customize hands-on treatment using many different styles from very gentle, light-touch techniques to muscle stretching techniques to joint manipulation (popping) techniques. As a physician, he can utilize muscle or joint injection techniques, when necessary.

Location Specialty Extensions

Tigard – (503) 293-0161 x4044

Columbia – (503) 256-3401


Get the latest health news from The Portland Clinic


We recently received notice that the Solar Eclipse Glasses that our Ophthalmology department has been distributing to (eye) patients 7/25/17 - 8/11/17 have been recalled due to ISO certification uncertainty.  Even though the glasses indicate ISO 12312-2 certified, we have not received confirmation from the supplier that our order was sourced from a recommended manufacturer.  We are strongly advising that you discard and do not use the solar glasses if you picked them up from our Ophthalmology departments located at our Beaverton, Downtown and South offices and use glasses that have been supplied from a reputable vendor to ensure the utmost viewing safety.  (Note:  the Solar Eclipse glasses distributed through our pediatric department are confirmed to be ISO certified).