We’ve built our practice around thoughtful, hands-on care and individualized treatment: • 20–30 minute appointments that allow time to fully address your concerns • Flexion-distraction therapy as our primary approach to improve motion, reduce pressure, and support healing • Soft tissue therapy used as needed to reduce tension and support movement • Personalized care plans guided by your body and goals, not rushed visits or insurance-driven protocols

Yes. If no red flags are present in your history and exam, most patients are adjusted on their very first visit. Our goal is to start helping you feel better right away.

We are a cash-based practice, which means no insurance hassles, no surprise bills, and no care dictated by insurance rules. You’ll always know the exact cost upfront. We accept all major credit cards and checks for your convenience. We do accept Original Medicare (Part B) identified by the red, white, and blue Medicare card as required under federal guidelines. Patients pay upfront at the time of service, and Medicare reimburses the patient directly for covered chiropractic services, ONLY when medical necessity requirements are met. However, we do not accept Medicare Advantage (Part C) plans, as these plans are managed by private insurance companies and we are out of network with those carriers. For patients using private insurance, we’re happy to provide itemized superbills that you may submit to your insurance for possible reimbursement, depending on your plan. If you’d like to learn more about how to submit a superbill, we would be happy to provide the information necessary to complete this process.

Your first visit takes about an hour. This includes a detailed history, exam, treatment, and a plan tailored to your needs.

No referral is needed. You can book directly with us anytime.

It depends on your goals, your condition, and where you are in the healing process. No two patients are the same, and care with Cox Flexion-Distraction is tailored to how your body responds. Phase 1: Relief — Reduce Pain & Restore Motion Focused on decreasing pressure on the spine, calming irritated nerves, and improving movement. • Acute (new) pain: Typically 2–3 visits per week for 2–4 weeks, depending on the injury and symptom severity. • Chronic (long-standing) pain: Often more frequent visits initially, then tapering as inflammation decreases and motion improves. Cox Flexion-Distraction allows us to apply gentle, precise spinal motion without force, making it especially effective during this phase. Phase 2: Rebuild — Restore Function & Stability Once pain is better controlled, care shifts toward improving spinal mechanics, soft tissue balance, and movement patterns. • Often every 1–2 weeks for several weeks to a few months • May include continued flexion-distraction with targeted soft tissue work and guided movement strategies Phase 3: Sustain — Long-Term Spine Health Designed to help you maintain progress and prevent flare-ups. • Many patients choose every 3–6 weeks or monthly, depending on lifestyle and stressors • Focused on maintaining mobility, reducing tension, and keeping the nervous system functioning well Our Approach We spend 20–30 minutes with you at each visit, allowing us to assess, treat, and adjust care as your body changes. Your plan is based on: • How your symptoms respond • Your movement and function • The most current clinical evidence We’ll outline your personalized plan at your first visit and adjust it as needed. This framework provides guidance, but your care will always be built around you, not a preset schedule.

Not necessarily. We do not take X-rays in our office, and in many cases, imaging is not required to begin care. We follow strict clinical guidelines and Cox® Flexion-Distraction protocols, which rely on a detailed history, orthopedic and neurological exams, and tolerance testing to determine the safest and most effective treatment approach for you. If you already have previous imaging such as X-rays, MRI, or CT scans we are happy to review them and incorporate that information into your care plan. Imaging may be recommended or reviewed when: • There is a history of trauma • Symptoms are severe, progressive, or not responding to care • There are neurological changes or red flags • Prior imaging already exists and provides useful clinical insight Our goal is to use only what’s necessary, based on current evidence, to guide safe and effective care, not to order tests by default. If imaging is ever needed, we’ll discuss why, what type, and how it impacts your care before moving forward.