Derek N. Rupp, DC has practiced in Carlsbad since 1996, operating West Coast Chiropractic Center on El Camino Real after graduating from Cleveland Chiropractic College Los Angeles. Technique certifications span Chiropractic Biophysics (CBP), Pettibon postural correction, Gonstead specificity, and the Palmer method, creating a multi-system adjustment toolkit that integrates with the acupuncture and herbal protocols at Aviara Acupuncture & Integrative Health. Webster Technique certification through the International Chiropractic Pediatric Association (ICPA) qualifies the practice for prenatal sacral adjustment and breech-positioning support. Structural correction protocols use digital postural analysis and full-spine radiographs to map vertebral misalignment before initiating a phased CBP mirror-image adjustment plan. Post-acute cases transition from chiropractic correction into functional rehabilitation, a progression that complements the graded loading programs at Longevity Physical Therapy in the La Costa corridor. The most complex structural cases combine CBP mirror-image traction with Pettibon weighted head and shoulder orthotic protocols to address multi-segment cervical lordosis loss and thoracic hyperkyphosis.