Structural Correction & Posture Rehabilitation in Greensburg, PA
We Measure. We Correct. We Prove It.
Your symptoms tell us where to look. Our measurements help us understand what may be contributing, and what to do next.
Located at 593 Rugh Street, Greensburg, PA 15601
Who We Help
Why People Come to Us
Most people who contact us have already tried something sensible: rest, medication, stretching, massage, physical therapy or chiropractic care aimed at relief. Those are reasonable choices, and for many people they are enough. They come to us when:
Relief keeps fading.
Care helps for a while, then the same problem returns.
Posture is visibly changing.
A head that sits forward, shoulders that round, a back that no longer stands straight.
Nobody has measured anything.
They have a name for the problem but no objective picture of the structure behind it.
They want to be stronger, not only more comfortable.
They are willing to do the work if someone shows them what to do and whether it is working.
Not every symptom has a structural cause, and we do not assume yours does. The examination is designed to find out, and if another kind of care is the better path, we say so.
Primary and Secondary Conditions
The Symptom Is What You Feel. The Finding Is What We Measure.
A Secondary Condition is what brings most people in: pain, stiffness, headaches, a leg that tingles. A Primary Condition is a measurable structural finding, such as a reduced neck curve or a head that sits forward of the shoulders, that may be contributing to it.
The two are not automatically linked. Findings like these are common in people with no symptoms at all. That is why we measure first and then ask, through examination, whether your finding and your symptoms fit together. When they do, care is aimed at the finding. When they do not, we say so.
How we separate primary from secondary conditions · What we mean by obstructions

Spinal curves have published reference ranges. On this lateral cervical X-ray the green line marks the reference curve and the red line traces the curve as measured. The difference is an individual finding, read with the history and examination, not a diagnosis on its own.
Documented Results
Structural Imaging and Posture Assessment
One patient, measured two ways: lateral lumbar X-rays and posture photographs on a measurement grid.


Published with the patient's written consent. One patient's documented record, not a typical or predicted result. The X-rays show spinal alignment; the photographs show posture.
Related: low back pain evaluation · Anterior Head Syndrome
The Optimus Approach
Three Clinical Capabilities, One Individualized Plan
Equipment matters less than the judgment behind it. Every recommendation here has a clinical rationale, and every plan is built from the person in front of us.
Objective Structural Analysis
Posture measured against normal reference values, functional testing and a full examination, with imaging only when clinically indicated. Findings are read together; one number alone is never a diagnosis.
Individualized Structural Correction
Specific corrective adjustments and corrective traction, selected and progressed from your findings: which procedure, how you are positioned, how the load is increased and when results are reassessed. Having the equipment is not the advantage. Using it well is.
Progressive Rehabilitation and Reassessment
Strengthening and movement education, taught so you can continue it beyond the office. Scheduled re-examination documents what changed. If the measurements are not moving, the plan changes.
We do not chase shortcuts. We measure the problem. We develop the plan. We do the work. We evaluate the results.
Dr. Gareth Bury, DC
Structural Correction Chiropractor
Greensburg Is Home
Meet Dr. Gareth Bury
Dr. Bury grew up in Greensburg, Pennsylvania, attended Greensburg Central Catholic High School, and later graduated from Palmer College of Chiropractic in Davenport, Iowa.
His path into chiropractic began through personal experience. After a serious ATV accident left him with multiple spinal fractures and a significant shoulder injury, chiropractic care became an important part of his recovery and return to an active life.
Do not guess when you can measure, and do not recommend what you cannot explain.
- Palmer College of Chiropractic graduate
- More than eight years serving Westmoreland County
Conditions We Evaluate
Structure can influence how you move and feel. Whether it is part of your problem is a question the examination answers.
Featured
Spondylolisthesis

When a vertebra has slipped forward, the first questions are how far, how stable it is under load and whether nerves are involved. We measure the slip, with stress views when clinically indicated, and explain whether conservative structural care is a reasonable option for your grade and stability. Some cases are candidates; others need a surgical opinion first, and we say which.
How we evaluate spondylolisthesisFeatured
Anterior Head Syndrome
Anterior Head Syndrome is a measurable structural shift in which the head sits ahead of the shoulders. It is common and is not always a problem. It becomes relevant when it is measurable, sustained and plausibly connected to what you are feeling. We measure head position in millimeters against a reference, and the examination decides whether addressing it is likely to help you.
What Anterior Head Syndrome meansThe Research Behind Our Approach
Structural evaluation and corrective rehabilitation draw on a published literature: controlled trials of corrective traction, studies of posture and spinal alignment, biomechanical models of how the spine carries load, and case series and case reports that document measured change. Each kind of study answers a different question, and we label which is which.
No single study proves an outcome, and no one patient's result predicts another's. We publish the library so you can read it yourself, including the limitations and the authors' disclosures.
What Patients Say
"Dr. Bury sets the standard of care and raised the bar. Determined, focused, empathetic... His medical skill set is incredible and wide ranging."
Mark
"I went to multiple chiropractor's and physical therapist to try and correct my pain. I booked Dr. Gareth 3 months ago and I'm almost completely pain free. I feel like I have a chiropractor, physical therapist, and nutritionist all in one."
Evelyn
"Dr. Bury is the 3rd chiropractic practice I have visited in the past 11 years. His services by far surpass any other chiropractors I have previously visited. I would highly recommend Dr. Gareth Bury to anyone in need of chiropractic care."
Lynne
Your Path
Evaluate. Correct and Rehabilitate. Structural Reassessment and Independence.
Evaluate
It starts with a complimentary structural consultation: a private conversation about your concerns, your goals and whether this office is a fit. If an examination makes sense, it is a separate, paid service, with the fee explained first. Your findings are then reviewed at the Patient Recommendation Conference, the visit where the plan and fees are explained before you agree to anything.
Correct and Rehabilitate
If care is recommended and you choose to proceed, your plan combines specific adjustments, corrective traction where indicated and progressive rehabilitation. You will know what each part is for and what is yours to do between visits.
Structural Reassessment and Independence
Progress examinations at set points, with comparative imaging only when there is a clinical reason. As findings improve, the emphasis shifts to what you can do on your own, so the result is yours to keep.
Fees are explained before you agree to any paid service. We are primarily a direct-pay practice and accept HSA and FSA. What to bring, forms and payment.
Serving Greensburg and Westmoreland County: Greensburg · Latrobe · Murrysville · Irwin · North Huntingdon · Delmont · Jeannette · Mount Pleasant · Ligonier · New Stanton · Monroeville · Pittsburgh
Ready to Understand Your Spinal Structure?
A complimentary structural consultation is a conversation, not a commitment. We will listen, explain how structural correction works and tell you honestly whether an examination is a reasonable next step. If we are not the right fit, we will say so.
593 Rugh Street, Greensburg, PA 15601 • Call 724-672-3794
Know Someone With Questions About Their Spine?
Send them our website. The consultation is a conversation, not a commitment.
