I was not happy at all with Dr. Spano's approach. He seemed to be interested in getting me into his physical therapy program and his diet program than he was in Chiropractic based on his actions. He wanted me to leave my current physical therapist and come to his office even after I told him how long my commute was. His approach seems to be all about $$$$. His adjustment was just ok as he did not do any hands on to adjust my spine and was talking to a young male co-worker about lunch plans while working on me.
I would not return to his office nor would I refer him to anyone I know.