314.805.7837
439 S. Kirkwood Rd. Suite 214, 63122

FAQ’s

What payment types do you accept?

We accept cash, credit card, debit card, HAS, and check.

Do you accept insurance?

1st Step Family Wellness does not accept insurance. Dr. Ryan and Dr. Jeanne Sandheinrich are out of network practitioners due to the amount of time spent with their patients.

Does chiropractic treatment require referral from an MD?

A referral is usually not needed to see a doctor of chiropractic (DC); however, your health plan may have specific referral requirements. You may want to contact your employer’s human resources department—or the insurance plan directly—to find out if there are any referral requirements. Most plans allow you to just call and schedule an appointment with a DC.

How long are the appointments?

The first visit will last no longer than 1 hour. The second visit will be 45 minutes, and every visit after that will be 20 minutes.

Is Chiropractic treatment safe?

Chiropractic is widely recognized as one of the safest drug-free, non-invasive therapies available for the treatment of neuromusculoskeletal complaints. Although chiropractic has an excellent safety record, no health treatment is completely free of potential adverse effects. The risks associated with chiropractic, however, are very small. Many patients feel immediate relief following chiropractic treatment, but some may experience mild soreness or aching, just as they do after some forms of exercise. Current literature shows that minor discomfort or soreness following spinal manipulation typically fades within 24 hours.

Neck pain and some types of headaches are treated through precise cervical manipulation. Cervical manipulation, often called a neck adjustment, works to improve joint mobility in the neck, restoring range of motion and reducing muscle spasm, which helps relieve pressure and tension. Neck manipulation is a remarkably safe procedure. While some reports have associated upper high-velocity neck manipulation with a certain kind of stroke, or vertebral artery dissection, recent evidence suggests that this type of arterial injury often takes place spontaneously, or following everyday activities such as turning the head while driving, swimming, or having a shampoo in a hair salon. Patients with this condition may experience neck pain and headache that leads them to seek professional care—often at the office of a doctor of chiropractic or family physician—but that care is not the cause of the injury. The best evidence indicates that the incidence of artery injuries associated with high-velocity upper neck manipulation is extremely rare – about 1 case in 5.85 million manipulations.

If you are visiting your doctor of chiropractic with upper-neck pain or headache, be very specific about your symptoms. This will help your doctor of chiropractic offer the safest and most effective treatment, even if it involves referral to another health care provider.

It is important for patients to understand the risks associated with some of the most common treatments for musculoskeletal pain — prescription and over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDS) — as these treatments may carry risks significantly greater than those of chiropractic manipulation. According to a study from the American Journal of Gastroenterology, approximately one-third of all hospitalizations and deaths related to gastrointestinal bleeding can be attributed to the use of aspirin or NSAID painkillers like ibuprofen.

Is Chiropractic safe for children?

Yes, children can benefit from chiropractic care. It is even safe for infants. The birth process is equivalent to a car accident whether it is a vaginal birth or c-section. Children are very physically active and experience many types of falls and blows from activities of daily living as well as from participating in sports and learning how to walk. Injuries such as these may cause many symptoms including back and neck pain, stiffness, soreness or discomfort, headaches, and behavioral challenges. Chiropractic care is always adapted to the individual patient. It is a highly skilled treatment, and in the case of children, very gentle.

I’m a few months pregnant and can no longer lay on my stomach, can I still be treated?

Yes. Chiropractic is very beneficial during pregnancy. As your belly grows pregnancy pillows can be used for the mother to comfortably lay on her stomach. 1st Step Family wellness also uses chiropractic tables that allow the mother to lay on her stomach.

How long will I need to be treated?

Every person is different and in need of care specific for their main complaint.  Many people receive care frequently in the case of acute injuries, but then it tapers down when the patient is getting relief. The length of time a patient has had pain makes the recovery time longer. And if a patient is experiencing pain, the problem has been there for awhile before the body is saying it needs help. Patients usually maintain care every month or quarter once a problem has resolved to keep the problem from coming back, and to keep their body functioning at 100%.

What type of training and education does a chiropractor go through?

Doctors of chiropractic are educated as primary-contact health care providers, with an emphasis on diagnosis and treatment of conditions related to the musculoskeletal system (the muscles, ligaments and joints of the spine and extremities) and the nerves that supply them. Educational requirements for doctors of chiropractic are among the most stringent of any of the health care professions.

The typical applicant for chiropractic college has already acquired nearly four years of pre-medical undergraduate college education, including courses in biology, inorganic and organic chemistry, physics, psychology and related lab work. Once accepted into an accredited chiropractic college, the requirements become even more demanding — four to five academic years of professional study are the standard. Doctors of chiropractic are educated in orthopedics, neurology, physiology, human anatomy, clinical diagnosis including laboratory procedures, diagnostic imaging, exercise, nutrition rehabilitation and more.

Because chiropractic care includes highly skilled manipulation/adjusting techniques, a significant portion of time is spent in clinical technique training to master these important manipulative procedures.

In total, the chiropractic college curriculum includes a minimum of 4,200 hours of classroom, laboratory and clinical experience. The course of study is approved by an accrediting agency that is fully recognized by the U.S. Department of Education.

What is chiropractic care?

There’s nothing mysterious about chiropractic. It’s a natural method of health care that focuses on treating the causes of physical problems, rather than just treating the symptoms. Chiropractic is based on a simple but powerful premise. With a normally functioning spine and healthy nerve system, your body is better able to heal itself. That’s because your spine is the lifeline of your nervous system. It controls feeling, movement, and all function through your body.

How does chiropractic work?

Chiropractic works by restoring your body’s inborn ability to be healthy. When under the proper control of your nervous system, all the cells, tissues, and organs of your body are designed to resist disease and ill health. The chiropractic approach to better health is to locate and remove interferences (subluxations, misaligned vertebrae) to your nervous system. With improved spinal function, there is improved nervous system function. The goal of the chiropractor is to remove interference that may be impairing normal health through specific chiropractic adjustments, allowing your body to heal itself. A healthy spine and a healthy lifestyle are your keys to optimal health!

How is a chiropractic adjustment performed?

Chiropractic adjustment or manipulation is a manual procedure that utilizes the highly refined skills developed during the doctor of chiropractic’s intensive years of chiropractic education. The chiropractic physician typically uses his or her hands–or an instrument–to manipulate the joints of the body, particularly the spine, in order to restore or enhance joint function. This often helps resolve joint inflammation and reduces the patient’s pain. Chiropractic manipulation is a highly controlled procedure that rarely causes discomfort. The chiropractor adapts the procedure to meet the specific needs of each patient. At 1st Step Family Wellness, the doctors use low force options for children and pregnant women.

Why is there a popping sound when a joint is adjusted?

Adjustment (or manipulation) of a joint may result in the release of a gas bubble between the joints, which makes a popping sound. The same thing occurs when you “crack” your knuckles. The noise is caused by the change of pressure within the joint, which results in gas bubbles being released. There is usually minimal, if any, discomfort involved.