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About Us

Symmes Chiropractic and Nutrition Center is a contemporary chiropractic health care facility where our objective is to exceed your expectations through education, treatment, and caring service. We strive to help you attain your help goals as quickly and affordably as possible. The office prides itself in having a holistic environment with a calm and warm atmosphere.

Lori M.Piehl-Panyko, D.C.

Dr. Piehl Graduated in 1995 from Miami University with a Bachelor’s Degree in Biology. She attended Palmer College of Chiropractic in Davenport, Iowa, where she graduated in 1999 with a Doctorate of Chiropractic Degree and has been in active practice since that time at three separate clinics in Cincinnati. She has received extensive postgraduate training in chiropractic, manual soft tissue techniques, pediatrics and nutrition. Dr. Piehl is also a certified teacher of Yoga (200 RYT) and Ayurvedic Holistic Health Educator.

Her chiropractic techniques include Diversified (Palmer Package), Flexion/Distraction (Cox Technique), SOT, and low-force adjusting with the ArthroStim instrument. Soft tissue techniques/training include Myofascial Disruption, N.I.M.M.O. Trigger Point Therapy, Active Release Technique (ART) and superficial dry needling. In addition to Chiropractic, Nutrition is a passion of Dr. Piehl’s; she is certified in Applied Clinical Nutrition.

Dr. Piehl has a unique approach to patient care blending joint, fascia and muscle work to attain balanced structure and optimum performance as well as focusing on lifestyle modification to support long term success.

She enjoys spending time in nature kayaking, biking, and paddle boarding. Her dog, Frank, joins her in the office on Wednesday afternoons.

M. Jay Panyko, D.C.

Graduated summa cum laude in 1995 from Bloomfield College (NJ) with a Bachelors Degree in Biology. He attended Palmer College of Chiropractic, where he graduated summa cum laude in 1999 with a Doctorate of Chiropractic Degree. Dr. Panyko has been in active practice since 1999, the first seven years of practice as the lead associate doctor for a large clinic in Cincinnati. He established Symmes Chiropractic and Nutrition Center in 2006. Dr. Panyko has received additional postgraduate training in soft tissue injuries, nutrition, and physiotherapy.

His chiropractic techniques include Diversified (Palmer Package), Flexion/Distraction (Cox Technique) and low-force adjusting with the ArthoStim Instrument. Dr. Panyko blends muscle and fascial work with the adjustment to reduce the pain and restriction and regain function as quickly as possible. In addition to Chiropractic, Dr. Panyko is an Advanced Clinician in Nutrition Response Testing (NRT) and is certified in Applied Clinical Nutrition. With Nutrition Response Testing, Dr. Panyko uses whole food supplementation and dietary changes to help reach your health goals holistically.

Dr. Panyko has been a Loveland resident for over 20 years and loves spending time in nature.

Elizabeth Clark, D.C.

Graduated with a Bachelor’s Degree in pre-med biology from Oral Roberts university followed by a degree from Logan College of Chiropractic. Dr. Clark has been in active practice since 1991 in the Cincinnati area. Post-graduate training includes Electrodermal Skin Testing, Nutritional Body Balancing, Muscle Response Testing, Nutritional Response Testing, Allergy Desensitization and Sacro-Occipital Technique.

Her focus is on nutritional support and systemic balancing which consists of whole food supplementation, non-classical homeopathic remedies, herbs and lifestyle recommendations to allow the body to best balance itself. Allergy desensitization is a simple, painless, low-force technique used to help the nervous system reduce reactions to allergens. It is very effective on adults and children of all ages especially when done in conjunction with nutritional balancing.

Dr. Clark uses this blend of skills to detect and address nutritional and structural imbalances which then allows the body the ability to best correct itself. Many seek out Dr. Clark because of her excellent results reducing allergy and hypersensitivity symptoms. Her goal is to pass on knowledge to enable her patients to have control over their own health and understand the spirit-soul-body connection of their well-being.

Cindy Kane, L.M.T.

Cindy graduated from Self Health Integrated (SHI) in Lebanon, OH in 1995. For many years she has been performing massage therapy and developing her skills in a holistic chiropractic office and cooperative massage center in Cincinnati. She is well known for her many specialties including working with neck and back issues using therapeutic massage to reduce pain and increase mobility. Cindy has an experienced background in neuromuscular, acupressure, and trigger point soft tissue therapies. Sports massage is another focus in her practice, preventing injuries in addition to facilitating quick recovery for post event healing having worked with the Women’s Tennis Association (WTA) and the Great Ohio Bicycle Adventure (GOBA) for several years. Cindy is passionate about her work and deeply committed in her clients’ success on their journey to living their best life.

Nancy Shelton, L.M.T.

Nancy graduated from the Cincinnati School of Medical Massage in Cincinnati, OH, and has over 20 years of licensed experience. As a member of the AMTA, she stays up-to-date with new techniques and modalities. She has based her practice in medical environments sharing space in Chiropractic offices in the region. In 2019, she combined her two locations into one at Symmes Chiropractic and Nutrition Center where the medical professionals practice a holistic approach to wellness and healing.

Nancy’s experience includes work not only in relaxation and deep tissue massage but myofascial trigger point relief therapies for the treatment and relief of TMJ issues, plantar fasciitis, and other painful conditions. She is trained in Active Release Technique (ART) helping relieve pains from sports enthusiasts’ overuse of specific joints/muscles—rotator cuffs, elbows, and hands. Nancy also provides prenatal massage and has a tender approach while treating her elderly clients.

Nancy has dedicated her life work to raising her family and providing healing for her clients—and loving both!

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