Our Process

People seeking a chiropractor in West Des Moines want to know what our process is when visiting the office for the first time. Often patients or other health professionals will refer new patients to us, largely due to simplicity and transparency.

This short video describes what our process looks like.

Here is our process when beginning care with Keystone Chiropractic.


The first step of our process is having a conversation with you to discuss your concerns. During your complimentary consultation, you’ll meet with one of the doctors, not office staff. It’s a conversation, NOT a commitment. It’s an opportunity to learn how NeuroStructural Chiropractic may help resolve your issues.


Our process continues with an examination if everything made sense during the consultation. This exam is not like those performed by conventional chiropractic offices, which may be done in 15 minutes by an assistant, or where the doctor simply feels your back. Dr. Megan or Dr. Adam perform a thorough and objective examination to identify if you’re in the right place. At Keystone Chiropractic, we TEST and don’t guess with your health.

The Examination includes:

  • Digital Structural Radiographs
  • Multi-axial Structural Analysis
  • Digital Photographic Evaluation
  • Neuro-Infrared Assessment

Personalized Recommendations

After the exam, the doctor performs a complete analysis and interpretation of the results. In other words, Dr. Megan or Dr. Adam put the pieces of the puzzle together and show and explain the picture to you. If a structural problem within you spine and nervous system is revealed, the chiropractor will design a customized plan. Following this review, the doctor will provide your first adjustment if warranted.