Our Process

Before you schedule a consultation with us, take some time to learn about our process. Often, people seeking a chiropractor in West Des Moines want to know how an office operates when visiting the office for the first time. Commonly, patients or other health professionals will refer new patients to us, largely due to simplicity and transparency.

Here is our process when beginning care with Keystone Chiropractic.


When you schedule a consultation at Keystone Chiropractic, you’ll find it’s a conversation, NOT a commitment. Drs. Ries will gladly sit down with you and discuss your unique health concerns. Please note, there is no charge for the consultation.

During this conversation, the doctor will get to know you, and you’ll get to learn more about Keystone Chiropractic. You will gain an understanding of how NeuroStructural Correction differs from conventional chiropractic in the Des Moines area. Most importantly, Drs. Megan and Adam believe you should have the chance to determine if this is the solution for you to achieve better health without any gimmicks.


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.

Schedule a Consultation

    Full Name*



    Select Your Preferred Time of Day for a Consultation