No subluxation theory. No "innate intelligence." No pre-paid visit packages. Just evidence-based musculoskeletal care: spinal manipulation, joint mobilization, soft tissue therapy, graded exercise, and patient education — applied to the conditions where the research supports them.
Each of these has a deep page with the full picture:
Schedule, paperwork, history & exam, education, treatment, homework. We walk through it in detail on the new patients page. Plan on 45–60 minutes for the first visit; follow-ups are usually 15–30 minutes.
We're in-network with BCBS, PacificSource, Moda, Medicare, OHP, IHN, and VA Community Care via TriWest. Cash-pay, HSA/FSA, and a discounted time-of-service rate are also options. See our insurance page for the full breakdown →
Almost never. Oregon is a direct-access state — you can come straight in. A few specific HMOs require referrals; we verify when you book.
Not necessarily. High-velocity adjustments are one tool, not the only one. Joint mobilization, instrument-assisted methods, and soft tissue therapy can do most of the same work. Tell us your preference and we'll match the technique to it.
For carefully selected patients, yes. Serious adverse events are very rare. The largest population study (Cassidy et al., 2008) found stroke risk after a chiropractic visit comparable to risk after a primary-care visit. We screen for red flags and choose technique accordingly.
Most uncomplicated MSK conditions improve substantially in 4–8 weeks of tapering visits. We re-assess at fixed intervals and don't keep you on the schedule longer than the evidence supports. We don't sell pre-paid packages.
Often, no. Validated guidelines recommend against routine imaging in the first 4–6 weeks for non-specific MSK pain. We image when it'd change the plan; otherwise we don't.
We're in-network with BCBS, PacificSource, Moda, Medicare, OHP, IHN, and VA Community Care via TriWest. Cash-pay, HSA/FSA, and a discounted time-of-service rate are also options. See our insurance page for the full breakdown.
