Who We Help

Care Built for Active Adults in Bend

At Apex Spine & Performance, we work with active individuals who want more than temporary symptom relief. Whether you’re training, competing, exploring the outdoors, or simply trying to stay active without pain limiting your life, our goal is to help you move with confidence through individualized rehab and performance care.

Our approach is built around understanding the demands placed on your body, your movement patterns, your goals, and your lifestyle. We combine movement assessment, sports medicine principles, rehab-focused chiropractic care, strength and conditioning concepts, and hands-on treatment when appropriate to help active adults recover, adapt, and perform at their best.

We commonly work with:

Runners & Endurance Athletes

From marathon runners to recreational trail runners, we help athletes navigate running-related injuries, training load concerns, movement limitations, and return-to-running progressions.

Climbers & Outdoor Athletes

Bend’s outdoor culture demands a lot from the body. We work with climbers, skiers, mountain bikers, hikers, and outdoor athletes dealing with both acute injuries and long-term movement or performance limitations.

Lifters & Strength Athletes

We help strength athletes and active gym-goers improve movement quality, manage training-related pain, and continue lifting with confidence through individualized movement and rehab strategies.

Active Adults

You do not need to be a competitive athlete to benefit from rehab-focused care. Many of our patients simply want to stay active, feel capable, and continue doing the things they enjoy without pain or fear limiting them.

Individuals with Hypermobility & HSD/EDS

We commonly work with individuals navigating hypermobility spectrum disorders and Ehlers-Danlos Syndrome using individualized movement, load management, and nervous system-informed approaches.

People Who Feel Stuck

Many patients come to Apex after trying multiple treatments without long-term success. Our goal is to provide clear guidance, individualized assessment, and practical strategies to help people better understand their bodies and move forward with confidence.

What Makes Apex Different

Others say they’re different we prove it
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Rehab-Focused Approach

We combine movement assessment, exercise rehabilitation, sports medicine principles, and hands-on care to help active adults recover and perform with confidence.
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Individualized Assessment

Every patient receives a detailed evaluation focused on movement, training demands, nervous system involvement, and lifestyle factors to guide individualized care.
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Built for Active Lifestyles

We commonly work with runners, climbers, lifters, skiers, mountain bikers, and active adults throughout Bend and Central Oregon.

Meet Our Team

Individualized Care Built Around Movement, Performance, and Long-Term Resilience

At Apex Spine & Performance, Dr. RJ Rivera and Dr. Tim Sanders combine backgrounds in chiropractic, sports medicine, rehab, and strength and conditioning to help active adults move with confidence.

As lifelong learners and movement-focused clinicians, RJ and Tim are passionate about helping runners, climbers, lifters, skiers, mountain bikers, and active individuals better understand their bodies and continue doing the things they love. Their approach blends individualized assessment, rehab-focused care, movement analysis, exercise programming, and hands-on treatment when appropriate.

Whether working with persistent pain, sports injuries, hypermobility, or performance goals, their focus is always centered around education, movement, and building long-term resilience — not just temporary symptom relief.

MEET THE TEAM

Got Questions? We’ve Got Answers.

Whether you’re curious about your first visit, our advanced tools like HumanTrak, or how Apex is different from a traditional chiropractic clinic, our FAQ section has you covered.

 

FAQ

Services We Offer

Link to: /services/chiropractic-care

Chiropractic Care

Link to: /services/physical-rehabilitation

Physical Rehabilitation
Link to: /services/auto-accident-recovery-and-care

Auto Accident Recovery and Care
Link to: /services/performance-and-personal-exercise-programming

Performance and Personal Exercise Programming

A Clear Process Built Around You

Individualized assessment, movement-focused care, and rehab designed to help active adults move with confidence.
Book An Evaluation

Book An Evaluation

We take the time to understand your history, goals, training demands, movement patterns, and lifestyle through detailed orthopedic, neurological, and movement assessment.
Individualized Game Plan

Individualized Game Plan

Every treatment plan is built around your goals, whether that means returning to running, lifting, climbing, skiing, or simply feeling more capable day to day.
Move With Confidence

Move With Confidence

Through rehab-focused chiropractic care, movement-based treatment, and performance principles, we help active adults build resilience and continue doing the things they love.

Ready to Move With Confidence?

Whether you’re dealing with pain, recovering from injury, or trying to stay active without limitations, we’re here to help you build resilience and keep doing the things you love.
CONTACT