We offer the most comprehensive approach to healthcare.

Our care is hands on, our protocols are evidence based and our treatments are personal and world class. 


The foundation of what we do at Iowa Back Pain Center is joint manipulation. The purpose of joint manipulation is to restore lost motion in joint segments, otherwise known as joint blockage. After a proper joint assessment, otherwise known as palpation, we determine where the joint blockages are located throughout the body and restore that motion using joint manipulation, otherwise known as the adjustment. At the Iowa Back Pain Center our doctors have a very strong background in the Motion Palpation Institute, a national organization that strives to teach doctors and students how to be the best palpaters and adjustors in the world.

Dr. Dylan Smith


Physical Rehabilitation

While the adjustment is great, we want to have lasting effects with the new motion the patient now possess. Our doctors utilize strength training, stabilization training, mobility training, dynamic Neuromuscular Stabilization, and many other forms of functional training and rehabiliation. We also utilize post-operative protocols for those overcoming a recent operation or surgery. 

Mechanical Diagnosis & Therapy (McKenzie)

We utilize this assessment and treatment system for nearly every patient that walks in our doors. By using a variety of movements and finding a “directional preference,” we can often make quick improvements on some very frustrating conditions.

Soft Tissue Techniques

At the Iowa Back Pain Center, we use a variety of soft tissue techniques to improve tone and tension of the tissues surrounding the joints. Our doctors are trained in many different soft tissue techniques that we utilize depending on the specific condition presented.

Dry Needling

Dry needling can be used for both acute injuries, such as an ankle sprain, to decrease the swelling and bring healthy healing cells to the area to stimulate growth; as well as for chronic conditions that have been nagging injuries for an extended period of time.


cupping is a form of soft tissue therapy which decompresses the fascia and soft tissue using vacuum suction, unlike other forms of massage that compresses soft tissues.  During cupping, the cup gently sucks to your skin and lifts underlying soft tissue into the cup. 

Flexion Distraction Tables

These tables are often used for patients with spinal canal stenosis and/or radiating symptoms to provide relief by helping decompress the joints of the spine.


All of our doctors at the Iowa Back Pain Center have a background in functional medicine and can incorporate diet and supplementation into each patient case when it is needed.