Troubles with Cave Story screen tearing

As the title suggests, I've been having trouble with cave story having a fair amount of screen tearing when I try to play it. It certainly isn't dreadful, but it is enough to make me not want to play it. The weirdest thing is that I've played Cave Story + on this same PC with absolutely no screen tearing issues and it ran at a nearly perfect framerate. In fact I just finished my first playthrough of the game on Cave Story + and through the entire game not once did I ever have this porblem I'm having with the original cave story.

I tried everything I could think to try and fix it. I tried windowed vs fullscreen, changing my monitor resolution, changing my refresh rate, adjusting V-sync in the Nvidia menu, etc...

Does anybody have any suggestions for fixing the screen tearing?

 

According to Wikipedia, use multiple buffering.

 

Did you change any of your graphic driver's settings after you beat CS+?
Specs would be nice also. (namely the video card + driver)

 

Stop all unnecessary background programs for better performance.