12201 Big Bend Rd., Kirkwood, MO 63122


Does chiropractic treatment require referral from an MD?


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?





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?





What is chiropractic care?


How does chiropractic work?


How is a chiropractic adjustment performed?


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


What payment types do you accept?

We accept cash, credit card, debit card, HSA, 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.