Services & Fees
We are a self-pay practice and do not participate with private insurance or Medicare. Our fee schedule is designed to be in compliance with Centers for Medicare & Medicaid Services guidelines while making care affordable and accessible to all individuals and families. Our practice focuses exclusively on providing high-quality chiropractic adjustments of the spine and extremities (joints outside of the spine) along with targeted soft tissue work. General education on therapeutic exercise instruction, home care, and other wellness topics may also be provided. As such, we do not offer additional therapeutic or diagnostic modalities at this office. However, should your clinical needs require a multidisciplinary approach, we are happy to provide a professional referral. Standard appointments are billed on a pay-per-visit basis. Senior memberships (age 65+) are billed monthly and may be cancelled at any time. Services offered include:
- New Patient Exam + First Chiropractic Adjustment, 30 minute duration, $30 fee
- Chiropractic Adjustment (Established Patient), 10 minute duration, $15 fee
- Seniors age 65+: Golden Years Concierge Membership, $80 per month (access to all services at no additional charge)
Subluxation & Its Functional Impact
While chiropractic encompasses hundreds of specialized techniques, they all share one vital goal: identifying and resolving subluxation. Subluxations are joint misalignments or restrictions that create nervous system interference. The nervous system is your body’s primary regulatory network. It governs all organs, tissues, and musculoskeletal structures in the body. When interference occurs, it often serves as the underlying catalyst for dysfunction in both symptomatic and asymptomatic patients. By restoring optimal neural communication through spinal recalibration, chiropractors help to facilitate systemic healing. Modern chiropractic integrates a variety of approaches including structural, postural, and neuro-tonal. However, neuro-tonal care uses specific, low-force stimuli to reset the tone or baseline tension and readiness of your nervous system. Proper nervous system tone allows for more optimal functioning and performance.
Neuro-Tonal Chiropractic & The Autonomic Nervous System
Modern life—characterized by increasing toxic loads and chronic stress—often requires a precise, neurologically-focused approach for lasting stability and long-term health maintenance. Neuro-tonal adjusting modulates the Autonomic Nervous System (ANS), which regulates heart rate, digestion, and blood pressure among other critical functions. The ANS consists of two primary branches that must remain in balance:
- Sympathetic Nervous System: Known as the "fight or flight" response, this system prepares the body for action by increasing heart rate and energy.
- Parasympathetic Nervous System: Often called the "rest and digest" system, it promotes recovery, lowers heart rate, and supports vital functions like digestion.
Because these nerves exit through the spinal column, a subluxation can disrupt vital signals between the brain and internal organs. This interference can trigger dysautonomia (ANS dysfunction), shifting the body into a state of chronic sympathetic dominance that manifests as various symptoms such as fatigue, digestive issues, and poor immunity.
Primary vs Secondary Subluxations
The clinical focus of neuro-tonal chiropractic involves identifying and correcting primary subluxations. These are the initial sites of nervous system interference. When a primary subluxation occurs, the body naturally attempts to adapt to the resulting imbalance. This leads to secondary and tertiary compensatory subluxations—biomechanical shifts where other joints misalign to "balance out" the original issue.
In many clinical cases, a single primary subluxation can be associated with up to 10 secondary or tertiary compensations. By prioritizing the resolution of these primary neural focal points, rather than just treating the symptomatic compensations, we stabilize the entire neuro-spinal system and prevent the cycle of recurring issues.
Consider a patient suffering from chronic low back pain. While the pain is in the lower spine, the primary subluxation may actually be located upstream of the issue such as in the upper neck. To compensate for the misalignment in the neck, the body shifts the shoulders and hips, creating several secondary subluxations in the lower back to maintain balance. If a practitioner only adjusts the lower back (the secondary site), the pain may temporarily subside but will inevitably return because the primary trigger in the neck remains unaddressed.
Techniques & Protocols for Individualized Care
In recognition of these reported benefits, Dr. Miriah primarily utilizes neuro-tonal protocols to address nervous system health, while leveraging her training in other techniques to provide a truly individualized care plan for every patient.
Spinal Care: Torque Release Technique (TRT), Webster, and Sacro-Occipital Technique (SOT), supplemented by gentle manual or drop-table adjustments.
Extremity & Soft Tissue: Activator Methods analysis protocols referenced for joints outside the spine, combined with instrument-assisted and manual soft tissue work.
Torque Release Technique (TRT)
Torque Release Technique (TRT) is a sophisticated, tonal-based chiropractic model designed to optimize neurological function. The spinal envelope (dura mater) is securely anchored at various attachment points throughout the spinal canal, including the upper neck, sacrum, and others. These structural connections mean that any spinal misalignment (subluxation) can create mechanical tension within this envelope, directly influencing the overall tone and responsiveness of the nervous system. By reducing dural tension with specific adjustments, TRT facilitates the body’s innate ability to self-regulate and recover.
Scientific Foundation and Clinical Research
Torque Release Technique (TRT) was established in the 1990s at the Holder Research Institute. It represents a significant evolution in chiropractic science, born from rigorous randomized clinical trials designed to evaluate the relationship between spinal health and neurological well-being. Central to the application of TRT is the Integrator, the first chiropractic adjusting instrument to receive FDA clearance for its specific mechanism of action.
TRT is grounded in the concept of the Brain Reward Cascade, a series of neurochemical events that regulate mood and cognitive function. By addressing vertebral subluxations—misalignments that create mechanical tension on the spinal cord—TRT aims to normalize the "tone" of the nervous system. This neuro-tonal apprach focuses on the frequency and tension of the nervous system rather than just the structural position of individual vertebrae.
The research foundational to TRT initially explored the impact of neurological regulation on complex psychological and physiological challenges, including anxiety and stress-related disorders. The peer-reviewed data indicated that stabilizing the nervous system through these specific, low-force adjustments led to:
- Enhanced Autonomic Regulation: Significant reductions in patient-reported anxiety and stress-related symptoms.
- Improved Clinical Retention: Greater success in long-term patient adherence to treatment protocols.
- Reduced Medical Utilization: A measurable decrease in the necessity for secondary medical interventions for stress-induced conditions.
Objective Neurological Analysis
To determine your specific clinical needs, we perform an objective neurological analysis by checking your Functional Leg-Length Reflex (FLLR). While you lie in a relaxed, prone (face down) position, we elicit a natural reflex in your feet—similar to a standard knee-jerk test—to observe how your nervous system responds to subtle changes in tension. During this process, we perform precise pressure tests by applying a light touch to various segments of your spine, pelvis, or neck. If your leg length balances perfectly in response to a specific point of pressure, it confirms that area as a primary subluxation where your nervous system is experiencing the greatest interference. This scientific approach is built upon a synergistic foundation of well-established, evidenced-based chiropractic disciplines, including:
- Thompson Drop: Mechanical advantage of drop & analysis protocols
- Network Spinal: Tonal neurological concepts.
- Toggle Recoil: High-speed, precise adjustments
The Integrator: Precision Technology
The Path to Neurological Stability
- Initial Phase: Frequent visits are often recommended at the start of care to ensure cumulative healing and long-term stability.
- Adaptation: While many feel immediate clarity, some experience mild soreness or fatigue as the body adapts to its new alignment.
- Long-Term Benefits: Patients commonly report improved sleep quality, increased stress resilience, and enhanced autonomic regulation.
Webster Technique & Pregnancy
The Webster Technique is a specialized chiropractic analysis and adjustment protocol designed to balance the pelvis and reduce tension in the surrounding ligaments and muscles. While widely known for its benefits during pregnancy, it is an essential tool for optimizing pelvic and neurological health for all weight-bearing patients.
The primary goal of the Webster Technique is to reduce the effects of sacral subluxation and SI joint dysfunction. By restoring proper neuro-biomechanical function to the pelvis, the technique helps patients to achieve optimal pelvic alignment, global posture, ligamentous and muscular tone, and neurological function. For expecting mothers, maintaining pelvic balance is crucial. By creating more space in the pelvis, the baby is better able to move into the optimal position for birth. Patients utilizing the Webster Technique often report shorter labor times and a more comfortable pregnancy journey.
For Best Patient Experience & Health Outcomes:
Accepted Payment Methods:
Accepted payment methods include cash in the exact amount and the following card types: Visa, Mastercard, American Express, Discover, Visa Debit, Mastercard Debit as well as HSA/FSA cards. While wellness chiropractic services are generally covered under HSA/FSA, we cannot guarantee approval, as some HSA/FSA companies require additional documentation. Patients are responsible for contacting their HSA/FSA administrator to confirm coverage/ eligibility details. We do not accept checks at this time.
Reach Out To Start Your Wellness Journey
Book your appointment easily through the online booking page by clicking Book Now. For any questions, please visit the Contact page or click Contact. All messages and emails go directly to Dr. Miriah and are usually answered within 24 business hours.
