General Chiropractic Care in St. Louis, MO

## How to Choose a Chiropractor in St. Louis, Missouri

**Licensing and Credentials** All chiropractors practicing in Missouri must hold a license from the Missouri State Board of Chiropractic Examiners[2][3]. To verify a chiropractor’s license, check the state board’s website (pr.mo.gov/chiropractors.asp)[2][3]. Confirm that the individual has completed Parts I–IV of the National Board of Chiropractic Examiners (NBCE) exams, passed with a score of at least 375, and passed the Missouri jurisprudence exam with a 75% or better[2][7]. In Missouri, chiropractors may also be certified in acupuncture after completing 100 additional hours of education and passing a certification exam—verify these credentials if relevant to your care[2][3]. Continuing education is mandatory: 48 hours every two years, including 24 hours from formal seminars/workshops[2][4]. Always ensure the chiropractor has no history of disciplinary action by the state board.

**What to Ask and Red Flags** During your initial consultation, ask about the chiropractor’s experience with your specific health concerns, their approach to care (e.g., manual adjustments, instrument-assisted, rehabilitative exercises), and whether they offer complementary therapies such as acupuncture. Inquire about expected treatment frequency, duration, and costs. Red flags include practitioners who promise “miracle” cures, recommend long-term, frequent care without a clear rationale, or discourage conventional medical treatment for significant health issues. Avoid chiropractors who perform procedures not legally allowed in Missouri—state law prohibits prescribing medications or using operative surgery[3]. Any reluctance to answer questions or provide clear explanations should also raise concerns.

## Insurance, Costs, and Local Considerations

**Insurance Coverage** Many health insurance plans in Missouri cover chiropractic care, but coverage details (number of visits, copays, deductibles) vary. Medicare Part B covers spinal manipulation by a licensed chiropractor for medically necessary back pain, but not for other types of care. Before seeking care, contact your insurance provider for specifics about your plan. Some St. Louis-area clinics may offer payment plans or sliding-scale fees for uninsured patients.

**Average Costs** In St. Louis, the initial chiropractic consultation typically ranges from $50 to $150, with follow-up visits averaging $35–$75 each. Costs can be higher for specialized treatments or extended care plans. Continuing education fees for licensed Missouri chiropractors, for context, are $125 biennially[2]. Always request a written estimate before starting treatment, and clarify what services are included.

**Unique Local Information** St. Louis residents have access to both large clinics and individual practitioners—seek recommendations from primary care providers or trusted local sources. St. Louis is home to several accredited chiropractic schools, which may operate teaching clinics offering lower-cost care. Missouri laws require fingerprinting and a background check for licensure, adding a layer of public protection[2][5]. For peace of mind, choose a chiropractor who communicates clearly, respects your preferences, and maintains transparency about costs and treatment plans.

In summary, selecting a chiropractor in St. Louis requires verifying state licensure, checking additional certifications if relevant, confirming insurance coverage, understanding costs, asking informed questions, and being alert to red flags. Always prioritize safety, evidence-based practices, and open communication.