Referring Clinicians

Welcome to Capital Chiropractic & Rehabilitation Center.

As an evidence-based clinic, we strive to be a complementary, integral part of a patients’ healthcare team. Because we believe that integrative care is in the best interest of the patient, we consider it best practice to collaborate with local physicians, surgeons, physical therapists, and other healthcare providers.

Please find below an overview of our unique approach to physical medicine.

We support evidence-based guidelines:

  • No radiology facilities onsite. We refer for imaging when appropriate.
  • We educate on whole food nutrition. No multilevel nutritional supplements. 
  • Treatments are multidisciplinary and include exercises, acupuncture, massage, joint manipulation.

Our goals are simple:

  • Design patient-centric treatment plans, then release from care.
  • Diagnose mechanical components of our patient’s symptoms.
  • Empower patients through targeted exercise and pain education.
  • Communicate with PCPs, surgeons, PTs, OBs, midwives.

Our thriving community of patients has been built on word of mouth referrals and online reviews and we could not be more pleased with what our patients have to say about their care and results.

If you have any questions about our services or how we can best be an asset for your patients, please reach out. And if  you’d like to schedule a meeting or a workshop with your clinicians, nurses, or staff, please email us here.

Low back pain is a significant problem for patients worldwide.

  • Low back pain is the single leading cause of disability worldwide.
    • The Lancet’s Global Burden of Disease 2010
  • One-half of all working Americans admit to having back pain symptoms each year.
    • Vallfors B. (1985), Scan J Rehab Med Suppl

Research supports conservative manual medicine in conjunction with standard medical care. When we work together, patients get better faster.

  •    “[Chiropractic Manipulative Therapy] in conjunction with [standard medical care] offers a significant advantage for decreasing pain and improving physical functioning when compared with only standard care, for men and women between 18 and 35 years of age with acute low back pain.”
    • Goertz et al. (2013), Spine
  • Reduced odds of surgery were observed for…those whose first provider was a chiropractor. 42.7% of workers [with back injuries] who first saw a surgeon had surgery, in contrast to only 1.5% of those who saw a chiropractor.”
    • Keeney et al. (2012), Spine
  • “Many treatments are available for low back pain. Often exercises and physical therapy can help. Some people benefit from chiropractic therapy or acupuncture.”
    • Goodman et al. (2013), Journal of the American Medical Association

Musculoskeletal disorders of pregnancy, delivery and postpartum are common

  • The specific anatomic and physiologic changes of pregnancy predispose to a specific set of diagnoses. Virtually all women experience some degree of musculoskeletal discomfort during pregnancy.
    • Borg-Stein J, et al. Phys Med Rehabil Clin N Am 2007 Aug;18(3):459-76, ix.

Research supports conservative manual medicine in assessment and treatment of women with pregnancy related musculoskeletal conditions.

  • Most pregnant patients undergoing chiropractic treatment reported clinically relevant improvement at all time points. (…There were significant reductions in NRS and Oswestry scores…)”
    • Petersonn et al. Chiropractic & Manual Therapies 2014, 2 2:15
  • There are only a few reported cases of adverse events following spinal manipulation…While improved reporting of such events is required in the future, it may be that such injuries are relatively rare.
    • Stuber et al. Chiropractic & Manual Therapies 2012, 20:8
  • Chiropractic evaluation and treatment during pregnancy may be considered a safe and effective means of treating common musculoskeletal symptoms that affect pregnant patients.
    • Borggren, Cara. J Chiropr Med. 2007 Spring; 6(2): 70–74.

Neck Pain and Headaches are a significant problem for patients worldwide.

  • After back pain, neck pain is the most frequent musculoskeletal cause of consultation in primary care worldwide.
    • Binder, A. (2007) British Medical Journal
  • Headache is the most prevalent pain disorder, affecting 66% of the global population.
    • Stovner LJ, et al. (2007) Cephalalgia

Research supports conservative manual medicine in conjunction with standard medical care. When we work together, patients get better faster.

  • “Multiple cervical manipulation sessions may provide better pain relief and functional improvement than certain medications at immediate/intermediate/long-term follow-up.”
    • Gross A, et al. (2015) Cochrane Database Systematic Review
  • After 12 weeks, about 57 percent of those who met with DCs and 48 percent who exercised reported at least a 75 percent reduction in pain, compared to 33 percent of the people in the medication group. After one year, approximately 53 percent of the drug-free groups continued to report at least a 75 percent reduction in pain; compared to just 38 percent pain reduction among those who took medication.”
    • Bronfort et al. (2012), Annals of Internal Medicine
  • “Cervical spine manipulation was associated with significant improvement in headache outcomes in trials involving patients with neck pain and/or neck dysfunction and headache.”
    • McCrory, Penzlen, Hasselblad, Gray (2001), Duke Evidence Report

By integrating different techniques of manual medicine, we feel that we are able to cater our treatments to each individual’s symptomatic presentation. We may utilize several different treatment approaches within a single session, each geared toward restoration of proper biomechanics and reduction of pain symptoms.

Our greatest differentiator is implementation of the McKenzie Method and Dynamic Neuromuscular Stabilization along with our other standard physical medicine procedures. Patients respond best when we are able to appropriately identify the mechanical aspects of their pain and treat with an appropriate intervention.

McKenzie Method of Mechanical Diagnosis and Therapy (MDT)

MDT is an evidence based assessment and management protocol for patients with spinal and extremity problems. Mechanical Diagnosis and Therapy has been shown to be a reliable assessment system to categorize patients into mechanical subgroups. This approach is especially effective for radicular symptoms into the upper and lower extremities.

Dynamic Neuromuscular Stabilization (DNS)

DNS is an assessment and rehabilitation method based on neurodevelopmental processes. With a focus on core stability, diaphragmatic action, and movement patterns, this intervention is especially effective for chronic pain, extremity injuries, spinal mobility, and stability concerns.

Joint Manipulation

Joint manipulation can be a great and effective tool for treating pain. It must be used judiciously and appropriately depending on the patient’s symptomatic presentation.

Graston Technique and Active Release Technique

Graston Technique is an evidence based form of instrument-assisted soft tissue mobilization that enables clinicians to effectively detect and treat scar tissue and fascial restrictions that affect normal function.

ART is a patented, state of the art soft tissue system and movement based massage technique that treats problems with muscles, tendons, ligaments, fascia and nerves.

Trigger Point Needling/Chiropractic Acupuncture

We implement trigger point needling to address hypertonic musculature and pain syndromes. We address needling in a western-medicine model, discussing the musculoskeletal system and muscle imbalance/overuse patterns.

We are honored to have been recognized by many community organizations. 

  • 2013 Business of the Year Award – Downtown Chamber of Commerce
  • 2014 Entrepreneurial Spirit Award – East South Chamber of Commerce
  • 2014 Citizen of the Year Award – Downtown Chamber of Commerce
  • 2016 Celebrate Business Award: Community Champion – Greater Des Moines Partnership/Business Record
  • 2016 Co-Business of the Year Award – East South Chamber of Commerce

Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians

In April of 2017, The American College of Physicians published these recommendations for non-invasive interventions for adults with acute, subacute, or chronic low back pain.
  • Recommendation 1:Given that most patients with acute or subacute low back pain improve over time regardless of treatment, clinicians and patients should select nonpharmacologic treatment with superficial heat (moderate-quality evidence), massage, acupuncture, or spinal manipulation (low-quality evidence). If pharmacologic treatment is desired, clinicians and patients should select nonsteroidal anti-inflammatory drugs or skeletal muscle relaxants (moderate-quality evidence). (Grade: strong recommendation)
  • Recommendation 2:For patients with chronic low back pain, clinicians and patients should initially select nonpharmacologic treatment with exercise, multidisciplinary rehabilitation, acupuncture, mindfulness-based stress reduction (moderate-quality evidence), tai chi, yoga, motor control exercise, progressive relaxation, electromyography biofeedback, low-level laser therapy, operant therapy, cognitive behavioral therapy, or spinal manipulation (low-quality evidence). (Grade: strong recommendation)
  • Recommendation 3:In patients with chronic low back pain who have had an inadequate response to nonpharmacologic therapy, clinicians and patients should consider pharmacologic treatment with nonsteroidal anti-inflammatory drugs as first-line therapy, or tramadol or duloxetine as second-line therapy. Clinicians should only consider opioids as an option in patients who have failed the aforementioned treatments and only if the potential benefits outweigh the risks for individual patients and after a discussion of known risks and realistic benefits with patients. (Grade: weak recommendation, moderate-quality evidence)

We’re here to help your patients.

  • We are a local, evidence-based resource for your patients with muscoloskeletal conditions.
  • We accept nearly all major insurance policies.
  • We implement non-pharmaceutical and non-surgical interventions, supported by recommendations from the ACP

Our goals are simple.

  • Open communication with primary care physicians, surgeons, physical therapists
  • Diagnosis and treatment of mechanical components of our patient’s symptoms
  • Patient empowerment through targeted exercise and pain education
  • Full resolution of symptoms and to release patients from care

­We look forward to partnering with you to help our community musculoskeletal conditions to achieve their best outcomes.

Above all, at Capital Chiropractic, we are in pursuit of your best life.