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Our services

Please read about the services we offer. All services are evidence-based interventions for treating your spine, joints, and muscles.

Manual Adjusting Techniques

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Diversified

After identifying which vertebrae have lost their normal motion or position, a specific manual thrust is applied to free up “stuck” spinal joints.

 
Thompson

Thompson Terminal Point technique is a system of analysis and a special table that reduces the amount of energy needed to adjust your spine.

 
Gonstead

This full spine approach relies on X-rays and a heat-sensing instrument for a thorough evaluation and documented results.

 
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Is an upper cervical specific technique that only requires an adjustment to the top cervical segment, (Atlas) to give pain relief and regain balance to the nervous system.

Instrument-assisted Adjusting Techniques

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Activator Method

This treatment method and device is an alternative to manual manipulation of the spine or extremity joints. 

This form of adjustment is non invasive and very comfortable for the patient.  It does not involve any twisting motion of the neck or body. 

Pro-Adjuster Method

This type of adjustment is performed with the patient sitting in a chair face forward and down.  Then the doctor will use a piezoelectric sensor to tap his way along the patient’s spine and measure the resistance.

Based on his finding the doctor will adjust accordingly. This form of adjustment is non invasive and very comfortable for the patient.  It does not involve any twisting motion of the neck or body. About 40% of our patients prefer this type of adjustment.

Dry Needling

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Dry Needling

The use of acupuncture needles to relieve tight and sore muscles and swelling and to increase blood flow to heal injuries. Dry needling is an out-of-pocket expense and the cost is $50 per session. Most dry needling care plans are between three and six total session over a two to six week timeframe.

Shockwave Therapy

Radial Shockwave Therapy uses a strong impulse to create microtrauma to affected tissue bringing a fresh healing response to chronic injuries helping them heal. Treatment sessions are $40 each and care plans are around four to six sessions, depending on the complaint, over a two to four week timeframe.​​

Therapies

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Traction Therapy

The Triton traction device provides a treatment in static, intermittent, and cyclic distraction forces to relieve pressures on structures that may be causing pain of skeletal or muscular origin (cervical, thoracic, lumbar, hip, wrist, shoulder). Therapeutic distraction can be applied in a variety of programmable patterns, cycles and functions. The cost is $20 per session and manufacturer recommends daily traction for three weeks.

 
Electric Muscle Stimulation Therapy

The mechanism of the muscle stimulation is it delivers small pulsating currents directly on the muscles, which in turn promotes muscle stimulation, blood circulation and  muscle healing. The main benefit of electrical muscle stimulation therapy is pain relief. The cost is $15 per session.

Flexion Distraction

Flexion Distraction is a chiropractic technique used to treat many conditions of the lumbar spine. It is a non-surgical technique aimed at increasing spinal motion and resolving disc bulges and disc herniations.​

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Instrument Assisted Soft Tissue Mobilization (IASTM) / Graston Therapy

This therapy is utilized in order to break down scar tissue and any myofascial restrictions in a patients muscle groups. This can help with chronic inflamed issues or acute problems. It uses a stainless steel instrument to assist the doctor when working on the treatment area.

Additional Services

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Digital X-Ray

Digital X-rays benefit the patient in a variety of ways. Decreased radiation, clearer image quality for diagnosis, and less wait time. Cost depends on insurance coverage and region of the body.

Sports Physicals

State required pre-participation physicals. Cost is $50 out-of-pocket. This service is not covered by insurance. Patient is responsible for providing appropriate form.

Custom Orthotics

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Foot Levelers Orthotics

We offer custom foot molding kits and a variety of Foot Levelers custom orthotics. Cost is $225/pair. Ask us if you'd like to setup a fitting.​

Vitamins & Supplements

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Metagenics​

We offer prescription exclusive Metagenics clinical strength and proprietary blend supplements. Here is the web link to browse or ask us for our recommendations and we will order them for you.

Other Products

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Topical Analgesics

Aka pain-relieving creams. We sell rollerball tubes of BioFreeze ($15 ea.) and RockSauce ($18 ea.) in our office. The roller ball is the easiest and quickest way to self-apply these pain-relieving creams. 

Ice/Heat Packs

We sell medical grade gel ice/heat packs in the lobby. Both a specially shaped one for the neck and shoulders as well as a large rectangular pack for the mid and lower back. These are stored in the freezer but can be microwaved to use as heat. ($20 ea.)

THE CLINIC

925 SE Gateway Dr

STE 300

Grimes, IA 50111

Email: drnerem@yahoo.com

Phone: (515) 986-1400

Fax: (515) 986-7111

Hours of operation:

Monday-Friday:

8 AM - 5 PM

Saturday-Sunday:

Closed

CONTACT

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