Sessions are time based, not procedure based. Whatever I can do for you in that block of time is included in the price. Adjustments, ART, dry needling, cupping, scraping, taping, and the exercise coaching. There are no add on fees and no separate line items.

Initial session, $85. This runs 45 to 50 minutes. It’s longer than a normal visit because I need a real history and a proper assessment before starting treatment.

Follow up session, $65. 30 minutes and includes any treatment/corrective exercise coaching details.

Maintenance session, $35. Fifteen minutes. This one is for established patients who are already doing their own self care and want to stay on track and find periodic treatments helpful in that goal.

Payment is due at the time of service.

No. ChiroStrength is a self pay practice. There are two major reasons for this payment structure.

First, this is a solo practice. I’m the only employee. If you email, text, or call, you’re talking to me. That leaves very little room for claim filing, follow up calls on denials, and the paperwork an insurance based practice runs on.

Second, and this is the bigger one, insurance doesn’t reimburse chiropractors for most of what I actually do. The majority of your time with me is soft tissue work and exercise education. Most carriers don’t cover either one. I’d rather build the visit around what works than around what gets paid.

A few things that do help:

I accept HSA and FSA cards. For most people this is the practical answer. You’re using pre tax dollars either way.

I can provide a superbill. If your plan has out of network benefits, you can submit it yourself and see what comes back. I can’t promise your carrier will reimburse you, but you’ll have the paperwork you need to try.

I use a combination of approaches depending on what you’re dealing with.

Chiropractic adjustments

Active Release Techniques (ART)

Dry needling

Cupping

Instrument assisted soft tissue work, also called scraping or IASTM

Kinesio taping (I use RockTape)

Corrective exercise

There’s no separate pricing for any of these. The session price covers whatever is appropriate for what’s in front of me, as long as you’re comfortable with it.

The point of the hands on work is to kickstart the process. Get pain down, get range of motion up, so you can start a corrective exercise routine that holds onto that mobility and builds the strength to support it. Those exercises are part of the session, not an upsell.

Plan on 45 to 50 minutes.

We start with a conversation. I want your history. What happened, when, what makes it better or worse, what you’ve already tried, and what you’re actually trying to get back to. “Get out of pain” and “get back under a barbell” are different goals and they get different plans.

From there I’ll look at how you move. That usually means watching you go through some basic patterns so I can find where mobility, stability, or strength is missing, instead of only poking at the spot that hurts.

Then we treat. Depending on what I find, that’s some combination of adjustments, ART, dry needling, cupping, or scraping.

You’ll leave with two things. A clear explanation of what I think is going on, and specific homework. The homework matters more than most people expect. The more you do on your own, the less you need me.

What to wear: something you can move in. Athletic clothes are ideal. If you’re coming straight from work that’s fine, but shorts and a t-shirt make my job easier.

What to bring: any imaging or reports you already have. Not required. Just useful if you’ve got them.

No. You can book directly with me. There’s no physician referral required and no gatekeeping to get in the door.

That said, if you’re post surgical or being managed by another provider, bring me into the loop. I’d rather coordinate with your surgeon or PT than work around them.

Adjustments, ART, cupping, scraping, and dry needling are all well tolerated by most people. Well tolerated isn’t the same as you’ll feel nothing.

ART has been described as a stretch and a massage happening at the same time. It can be intense in the moment. It shouldn’t be more than you can breathe through. Dry needling can produce a brief twitch or a deep ache. Cupping and scraping often leave marks that look worse than they feel and fade over several days.

Some soreness the next day is normal, similar to what you’d get after a hard training session.

Here’s the part that matters more than any of that. Nothing happens that you haven’t agreed to. I’ll explain what I want to do and why before I do it. If you don’t want needles, we don’t use needles. There’s plenty else in the toolbox. If something is too much during a session, say so and we adjust.

If you have a condition that makes any of this a poor fit, I’ll tell you. And if you’d be better served by someone else, I’ll tell you that too.

No. This one comes up a lot, and I think the branding oversells it.

I work with competitive athletes. I also work with people whose sport is picking up their kids, getting through a workday without their neck locking up, or walking the dog without their plantar fascia complaining about it. The framework is the same either way. Find what isn’t moving, restore it, then build enough strength and control to keep it that way.

A day and a half of most weeks I’m not in the office at all. I’m on site in industrial settings working with people who are hurt and still on the job. Knees, backs, hands, elbows, fingers, shoulders. That’s over a thousand workers a year, almost none of them athletes, almost all of them in pain and unable to stop working. Keeping people moving through and around injury is the thing I do most.

Strength here doesn’t mean a barbell. It means having enough capacity to do what your life actually asks of you without breaking down. That target looks different for a 24 year old CrossFitter and a 58 year old who wants their shoulder to stop aching, but the road to it is the same.

If you move, you qualify.

For most patients, no. Not in the traditional sense.

There are no crystal balls in healthcare and people respond differently. After the first session I’ll have a much better read on what comes next, but a lot of that depends on how you respond to the at home work. I’d rather reassess honestly than sell you twelve visits on day one.

The exception is post surgical patients and a handful of similar cases who want to get back into resistance training but are afraid of re-injury. For those I offer a twelve session program that looks a little like rehab but a lot like strength and conditioning. Most of that time goes toward progressing through a strengthening program and building confidence with exercise and recovery strategies.

My rule is simple. Treat only what’s necessary, educate on the rest. No unnecessary visits.